Midwives Knowledge, Infrastructure Facilities, and Supervision-Monitoring of Immunization Management in West Bandung Regency

Fathia Rizki, Adjat Sedjati Rasyad, Herry Garna

Abstract


The midwife mostly carries out immunization activities in the health care unit. The midwife is an injection officer and responsible for planning, transportation, storage, and vaccine usage. This study aims to determine the effect of knowledge midwives on vaccine management, infrastructure availability, and immunization management supervision by midwives in the West Bandung regency. A total of 38 self-employed midwives who met the inclusion criteria were taken from the West Bandung regency from July 2017 to February 2018. This research was an observational analytical research with a cross-sectional design. Analysis of bivariate data using correlation regression. The multivariate correlation using multiple linear regression. The result showed that midwife knowledge about vaccine management influenced 33.3% (p=0.0001), infrastructure 54.2% (p=0.010), and the supervision 34.65% (p=0.010) to managing immunization. The linear regression test between the variables shows that the determinant factor in managing is the facilities' immunization availability (beta coefficient=0.615). In conclusion, midwife knowledge, infrastructure facilities, and supervision on immunization management in West Bandung regency affected the immunization processes.

 

PENGETAHUAN BIDAN, SARANA PRASARANA, DAN SUPERVISI-PEMANTAUAN MANAJEMEN IMUNISASI DI KABUPATEN BANDUNG BARAT

Kegiatan imunisasi sebagian besar dilakukan oleh bidan di unit pelayanan kesehatan. Bidan sebagai petugas injeksi bertanggung jawab atas perencanaan, pengangkutan, penyimpanan, dan penggunaan vaksin. Penelitian ini bertujuan mengetahui pengaruh pengetahuan bidan terhadap manajemen vaksin, ketersediaan sarana prasarana, dan supervisi manajemen imunisasi oleh bidan di Kabupaten Bandung Barat. Sebanyak 38 bidan wiraswasta yang memenuhi kriteria inklusi diambil dari Kabupaten Bandung Barat periode Juli 2017 hingga Februari 2018. Penelitian ini merupakan penelitian analitik observasional dengan desain cross-sectional. Analisis data bivariat menggunakan correlation regression. Korelasi multivariat menggunakan multiple linear regression. Hasil penelitian menunjukkan bahwa pengetahuan bidan tentang pengelolaan vaksin berpengaruh sebesar 33,3% (p=0,0001), sarana prasarana 54,2% (p=0,010), dan supervisi 34,65% (p=0,010) terhadap pengelolaan imunisasi. Uji linear regression antarvariabel menunjukkan bahwa faktor determinan dalam pengelolaan adalah ketersediaan sarana prasarana imunisasi (koefisien beta=0,615). Simpulan, pengetahuan bidan, sarana prasarana, dan supervisi tentang manajemen imunisasi di Kabupaten Bandung Barat berpengaruh terhadap proses imunisasi.


Keywords


Immunization; imunisasi, infrastructure facilities; knowledge; pengetahuan; sarana prasarana; supervisi-pemantauan; supervision-monitoring

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References


Kementerian Kesehatan Republik Indonesia. Rencana Strategis Kementerian Kesehatan 2015–2019. Keputusan Menteri Republik Indonesia Nomor HK.02.02//Menkes/52/2105 [Internet]. Jakarta: Kementerian Kesehatan Republik Indonesia; 2015 [cited 2019 January 30]. Available from: http://ppid.kemkes.go.id/uploads/img_5cd07f7e6d039.pdf.

Ranuh IGNG, Hadinegoro SRS, Kartasasmita CB, Ismoedijanto, Soedjatmiko, Gunardi A, et al. Pedoman imunisasi di Indonesia. 6th edition. Jakarta: Satgas Imunisasi Ikatan Dokter Anak Indonesia; 2017.

Bio Farma. Sustainability report 2016: Biotech innovation for sustainability [Internet]. Bandung: Bio Farma; 2016 [cited 2019 February 20]. Available from: https://www.biofarma.co.id/en/sustainability-report/download/5f64f7e16a9e9749b61d17106196cd04.

Ateudjieu J, Kenfack B, Nkontchou BW, Demanou M. Program on immunization and cold chain monitoring: the status in eight health districts in Cameroon. BMC Res Notes. 2013;6:101.

New Zealand Ministry of Health. National Guidelines for Vaccine Storage and Distribution [Internet]. Wellington: New Zealand Ministry of Health; 2012 [cited 2019 March 5]. Available from: https://www.health.govt.nz/system/files/documents/publications/vaccine-storage-guidelines-v2.pdf.

Direktorat Jenderal Pengendalian Penyakit dan Penyehatan Lingkungan, Kementerian Kesehatan Republik Indonesia. Pedoman teknis pencatatan dan pelaporan program imunisasi bagi petugas puskesmas. Jakarta: Direktorat Jenderal Pengendalian Penyakit dan Penyehatan Lingkungan, Kementerian Kesehatan Republik Indonesia; 2012.

Susyanty AL, Supardi S, Herman MJ, Lestary H. Kondisi sumber daya tenaga pengelola vaksin di dinas kesehatan provinsi, dinas kesehatan kabupaten/kota dan puskesmas. Bul Penelit Sist Kesehat. 2014;17(3):285–96.

Kementerian Kesehatan Republik Indonesia, Global Alliances for Vaccines and Immunization, Universitas Padjadjaran. Assessment GAVI-HSS 2010–2011 Direktorat Jenderal Bina Gizi dan KIA: laporan akhir Provinsi Jawa Barat. Jakarta: Kementerian Kesehatan Republik Indonesia; 2011.

Rahayu F. Faktor yang berhubungan dengan praktik bidan dalam distribusi dan penyimpanan vaksin. JBE. 2014;2(2):240–50.

Peraturan Menteri Kesehatan Republik Indonesia Nomor 12 Tahun 2017 tentang Penyelenggaraan Imunisasi.

Ogboghodo EO, Omuemu VO, Odijie O, Odaman OJ. Cold chain management practices of health care workers in primary health care facilities in Southern Nigeria. Pan Afr Med J. 2017;27:34.

World Health Organization. Immunization in practice: a practical guide for health staff. Geneva: WHO Press; 2015.

Department of Vaccines and Biologicals, World Health Organization. User’s handbook for vaccine cold room or freezer rooms [Internet]. Geneva: World Health Organization; 2002 December [cited 2019 April 20]. Available from: https://apps.who.int/iris/bitstream/10665/67801/1/WHO_V-B_02.31_eng.pdf.

Mboe M, Rahayuningsih S, Rusmil K. Pengetahuan dan sikap bidan dalam praktik penyimpanan vaksin pada bidan praktik swasta. J Indon Med Assoc. 2014;62(10):402–6.

de Timóteo Mavimbe JC, Bjune G. Cold chain management: knowledge and practices in primary health care facilities in Niassa, Mozambique. Ethiop J Health Dev. 2007;21(2):130–5.

Smythe M, Galanis E, Marrra F, Remple VP. Putting the “cold back into the chain”: strengthening capacity in vaccine management throughtraining of physicians. BCMJ. 2006;48(7):342–3.

Kristini TD, Purwanti A, Udiyono A. Faktor-faktor risiko kualitas pengelolaan vaksin yang buruk di unit pelayanan swasta (studi kasus di Kota Semarang) [Internet]. Semarang: Universitas Diponegoro; 2008 [cited 2019 April 15]. Available from: http://eprints.undip.ac.id/6494/1/Tri_Dewi_Kristini.pdf.

Hattasingh W, Pengsaa K, Thisyakorn U; 1st Workshop on National Immunization Programs and Vaccine Coverage in ASEAN Group. Report on: "The 1st Workshop on National Immunization Programs and Vaccine Coverage in ASEAN Countries, April 30, 2015, Pattaya, Thailand." Vaccine. 2016;34(10):1233–40.

Mallik S, Mandal PK, Chatterjee C, Ghosh P, Manna N, Chakrabarty D, et al. Assessing cold chain status in a metro city of India: an intervention study. Afr Health Sci. 2011;11(1):128–33.

Notoatmodjo S. Promosi kesehatan dan prilaku kesehatan. Jakarta: Rineka Cipta; 2012.

Kristensen DD, Lorenson T, Bartholomew K, Villadiego S. Can thermostable vaccines help address cold-chain challenges? Results from stakeholder interviews in six low- and middle-income countries. Vaccine. 2016;34(7):899–904.

Arsalan A, Naqvi SBS, Iqbal A, Shakeel O. Temperature monitoring of vaccines’ storage compartments in different health centers and pharmacies at Karachi, Pakistan. Int J Pharm Teach Pract. 2014;5(3):980–8.

Rahmah N, Lasmini PS, Rahmatini. Hubungan karakteristik dan tingkat pengetahuan petugas imunisasi terhadap praktik penyimpanan dan transportasi vaksin imunisasi di tingkat puskesmas Kota Padang. JKA. 2015;4(3):917–24.

Ashok A, Brison M, LeTallec Y. Improving cold chain systems: challenges and solutions. Vaccine. 2016;35(17):2217–23.

Aliansy D, Hafizurrachman. Pengaruh penatalaksanaan program imunisasi oleh bidan desa, kepatuhan standar operasional prosedur, dan ketersediaan sarana prasarana terhadap efikasi imunisasi dasar di Kabupaten Cianjur tahun 2014. J Bidan. 2016;2(1):1–10.

Robbins S, Judge T. Perilaku organisasi. 12th edition. Jakarta: Salemba Empat; 2014.

World Health Organization. Guidance for the development of evidence-based vaccine-related recommendations [Internet]. Geneva: World Health Organization; 2017 January 31 [cited 2019 May 30]. Available from: https://www.who.int/immunization/sage/Guidelines_development_recommendations.pdf.




DOI: https://doi.org/10.29313/gmhc.v8i3.5395

pISSN 2301-9123 | eISSN 2460-5441


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