Antenatal and neonatal visits increase complete immunization status among children aged 12-23 months in rural area of Indonesia

Suparmi Suparmi

Antenatal and neonatal visits increase complete immunization status among children aged 12-23 months in rural area of Indonesia

Abstract


Abstrak

Latar Belakang: Anak yang memiliki status imunisasi dasarlengkap di daerah pedesaan di Indonesia lebih rendah dibandingkan di perkotaan. Penelitian ini menilai hubungan kunjungan antenatal dan neonatal terhadap status imunisasi lengkap pada anak usia 12-23 bulan di daerah pedesaan Indonesia.

Metode: Penilaian menggunakan data Riset Kesehatan Dasar 2013 (Riskesdas). Sub-sampel terdiri dari anak usia 12-23 bulan di daerah pedesaan. Dari 8747 anak umur 12-23 bulan di wilayah perdesaan, 5452 memiliki data yang lengkap untuk dilakukan analisis. Status imunisasi dasar lengkap berdasarkan catatan pada kartu imunisasi dan wawancara. Analisis menggunakan regresi Cox dengan waktu yang konstan.

Hasil: Dari 5452 responden, 52,8% (2880/5452) mempunyai imunisasi dasar lengkap. Faktor-faktor dominan yang berhubungan dengan status dasar imunisasi lengkap adalah kunjungan antenatal dan neonatal, indeks kekayaan, pendidikan ibu, dan pekerjaan ibu. Dibandingkan dengan yang tidak melakukan kunjungan antenatal, mereka yang melakukan kunjungan antenatal 38% lebih besar kemungkinan mendapatkan imunisasi dasar lengkap [risiko relatif suaian (RRa) = 1,38; 95% interval kepercayaan (CI) = 1,27-1,50; P = 0,000]. Menurut kunjungan neonatal, mereka yang melakukan kunjungan neonatal 37% lebih besar untuk mendapatkan imunisasi dasar yang lengkap dibandingkan dengan yang tidak melakukan kunjungan neonatal (RRa = 1,37; 95% CI = 1,29-1,46; P = 0,000).

Kesimpulan: Anak-anak di pedesaan Indonesia yang melakukan kunjungan antenatal dan neonatal lebih mempunyai kemungkinan mendapatkan imunisasi dasar lengkap.  (Health Science Indones 2014;2:73-7)

Kata kunci: imunisasi dasar lengkap, kunjungan antenatal dan neonatal, pedesaan

Abstract

Background: The children who had complete basic immunization status in rural areas in Indonesia was lower than in urban areas. This study assessed the association of antenatal and neonatal visits with complete immunization status among children aged 12-23 months in rural area of Indonesia.

Methods: The assessment used a part data of the 2013 Basic Health Research (Riskesdas). The sub- samples consisted of children aged 12-23 months livedin rural area. Out of the 8747 children aged 12-23 months who lived in rural area, 5452 children had complete data for the analysis. Complete basic immunization status based on record on immunization card and mother’s recall. Cox regression analysis with constant time was used for the analysis.

Results: Out of 5452 children, 52.8% (2880/5452) had completed the basic immunization. Dominant factors related to basic complete immunization status were antenatal and neonatal visit, wealth index, mother’s education, and mother’s occupation. Compared with those who did not antenatal visit, those who had antenatal visit had 38% to be more complete basic immunization [adjusted relative risk (RRa) = 1.38; 95% confidence interval (CI) = 1.27 - 1.50; P = 0.000]. In term of neonatal visit, those who had neonatal visit had 37% to be more complete basic immunization compare to those who did not have neonatal visit (RRa = 1.37; 95% CI = 1.29 - 1.46; P = 0.000).

Conclusion: In Indonesia rural areas the children who had antenatal and neonatal visits tend to have more complete basic immunization status. (Health Science Indones 2014;2:73-7)

Key words: complete basic immunization, antenatal and neonatal visits, rural


Keywords


complete basic immunization, antenatal and neonatal visits, rural

References


World Health Organization, UNICEF, World Bank: State of the World's vaccine and immunization. 3rd edition. Geneva: The Organization; 2009.

World Health Organization. Global immunization data. 2014. Available from http://www.who.int/immunization/monitoring_surveillance/global_immunization_data.pdf?ua=1

Departemen Kesehatan Republik Indonesia. Keputusan Menteri Kesehatan Republik Indonesia Nomor 1611/MENKES/SK/XI/2005 tentang pedoman penyelenggaraan imunisasi. Jakarta. 2005

Statistics Indonesia (Badan Pusat Statistik—BPS), National Population and Family Planning Board (BKKBN), and Ministry of Heallth (MOH), and ICF International. 2013. Indonesia Demographic and Health Survey 2012. Jakarta, Indonesia: BPS, BKKBN, MOH, and ICF International

National Institute of Health Research and Development. 2013. Basic Health Research Report Year 2013. Jakarta, Indonesia: Kemenkes

Schwartz B, Bhushan I. Improving immunization equity through a public-private partnership in Cambodia. Bulletin of the World Health Organization; Sept 2004; 82(9):661-7

Task Force on Community Preventive Services. Recommendations Regarding Interventions to Improve Vaccination Coverage in Children, Adolescents, and Adults. Am J Prev Med 2000;18:92–96

Naviar AM, Halsey NA, Carter TC, Mortgomery MP, Salmon DA. Prenatal immunization education the pediatric prenatal visit and routine obstetric care. Am J Prev Med. Sep 2007;33:211-3

World Health Organization. Immuniation coverage cluster survey – reference manual. Geneva: The Organization; 2005.

Rahman M, Nasrin SO. Factors affecting acceptance of complete immunization coverage of children under five years in rural Bangladesh. Salud pública de méxico 2010, 52:134-40.

Mutua MK, Murage EK, Ettarh RR. Childhood vaccination in informal urban settlements in Nairobi, Kenya: Who gets vaccinated? BMC Public Health.2011;11:6

Jagrati VJ, Caroline DS, Ilesh VJ, Gunnar B: Risk factors for incomplete vaccination and missed opportunity for immunization in rural Mozambique. BMC Publ Health 2008, 8(161). doi:10.1186/1471-2458-8-161

Sanou A, Simboro S, Kouyate B, Dugas M, Graham J, Bibeau G. Assessment of factors associated with complete immunization coverage in children aged 12-23 months: a cross-sectional study in Nouna district, Burkina Faso. BMC International Health and Human Rights 2009, 9(suppl 1):S10


Full Text: PDF

Refbacks

  • There are currently no refbacks.


---

Health Science Journal of Indonesia

p-ISSN: 2087-7021
e-EISSN: 2338-3437

Published by : Badan Litbang Kesehatan, Kementerian Kesehatan RI

Visitor of HSJI: View HSJI Stats


Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

 

Health Science Journal of Indonesia has been indexed by :