Electricity and risk of public health center had measles vaccine damage in Indonesia

Anggita Bunga Anggraini, Nyoman Fitri

Abstract


Abstrak

Latar belakang: Puskesmas yang memiliki vaksin campak rusak dipengaruhi oleh beberapa faktor risiko.Oleh karena itu perlu diidentifikasi beberapa faktor risiko dominan yang mempengaruhinya.

Metode: Analisis menggunakan sebagian data Riset Fasilitas Kesehatan (Rifaskes) tahun 2011. Rifaskestersebut dilakukan di seluruh Puskesmas di 33 provinsi di Indonesia. Selanjutnya, pada analisis ini hanyamenggunakan data Puskesmas di provinsi yang memiliki cakupan imunisasi campak di atas angka prevalensinasional (81,6%), dan Puskesmas yang memiliki angka prevalensi campak di atas angka prevalensi nasional(1,18%). Analisis data statistik dilakukan dengan menggunakan analisis regresi logistik untuk menentukanbeberapa faktor risiko dominan yang mempengaruhi Puskesmas yang memiliki vaksin campak rusak.

Hasil: Sebanyak 7 (Riau, Jakarta, Nusa Tenggara Barat, Nusa Tenggara Timur, Sulawesi Tengah, SulawesiSelatan, Gorontalo) sebanyak 1259 Puskesmas memenuhi kriteria inklusi. Puskesmas yang berlokasi diperdesaan dibandingkan dengan perkotaan berisiko 3,4 kali lipat yang merupakan Puskesmas yang memilikivaksin campak rusak [rasio odds suaian (ORa) = 3,37; 95% interval kepercayaan (CI) = 1,34-8,26]. Selanjutnya,Puskesmas dengan ketersediaan listrik PLN kurang dari 24 jam dibandingkan dengan tersedia selama 24jam mempunyai risiko 2,1 kali lipat merupakan Puskesmas yang memiliki vaksin campak rusak (ORa =2,10; 95% CI = 1,02-4,33).

Kesimpulan: Puskesmas yang mempunyai kerusakan vaksin campak yang rusak lebih banyak terjadi di Puskesmasdi perdesaan dan yang tidak tersedia listrik PLN maupun ketersediaan listrik sehari-hari kurang dari 24 jammerupakan Puskesmas yang memiliki vaksin campak rusak. (Health Science Journal of Indonesia 2015;6:116-20)

Kata kunci: vaksin campak rusak, Puskesmas

 

Abstract

Background: The Public Health Center (PHC) had broken measles vaccine was influenced by a numberof risk factors. Therefore, it was necessary to identify some dominant risk factors that related to PHC hadmeasles damage vaccines.

Methods: The analysis used a part of the data of Research Health Facilities (Rifaskes) in 2011. The Rifaskeswas conducted in all health centers in all (33) provinces in Indonesia. Furthermore, this analysis uses dataonly health center in the province who have measles immunization coverage the national prevalence rate(81.6%) or more, and health centers that have measles prevalence rate above the national prevalence rate(1.18%) or more. Statistical data analysis performed using logistic regression analysis to determine someof the risk factors related to the health center had has measles vaccine damaged.

Results: A number of 7 provinces (Riau, Jakarta, West Nusa Tenggara, East Nusa Tenggara, CentralSulawesi, South Sulawesi, Gorontalo) with 1259 PHC met the inclusion criteria. Health centers locatedin rural areas compared with urban areas had 3.4-fold risk of a PHC that had measles damage vaccines[adjusted odds ratio (ORa) = 3.37; 95% confidence interval (CI) = 1.34 - 8.26]. Furthermore, the healthcenter with the availability of the electricity for less than 24 hours compared with available 24 hours had2.1-fold risk of PHC that had measles damage vaccines (ORa = 2.10; 95% CI = 1.02 - 4.33).

Conclusion: Public health center in rural areas, or did not have not have commercial electric power, ordid not have the availability of day-to-day electricity less than 24 hours had more risk of a PHC that hadmeasles damage vaccines. (Health Science Journal of Indonesia 2015;6:116-20)

Keywords: measles, public health center, vaccine


References


World Health Organization. Reported measles cases and incidence rates by WHO Member states 2013, 2014 as of February 2015 [Internet]. Geneva: World Health Organization; 2015 [cited 30 April 2015]. Available from: http://www.who.int/immunization/monitoringsurveillance/burden/vpd/surveillance_type/active/measlesreportedcasesbycountry.pdf

National Institute of Health Research and Development. Final report of national basic health research 2007. Jakarta: Ministry of Health Indonesia; 2008.

Australian Technical Advisory Group on Immunisation. The Australian Immunisation Handbook. 10th ed. Canberra: Australian Government Department of Health; 2013.

Akande TM. A review of measles vaccine failure in developing countries. Niger Med Pract. 2007; 52: 112-6.

National Institute of Health Research and Development. Final report of national health facility research 2011. Jakarta: Ministry of Health; 2012.

National Institute for Health Research and Development. Final report of national basic health research (Riskesdas) province East Nusa Tenggara 2008. Jakarta: Ministry of Health Indonesia; 2009.

State Electricity Company. Government electricity statistic 2013. Jakarta: State Electricity Company; 2014. Indonesia.

World Health Organization. Technical review of vaccine vial monitor implementation. Geneva: World Health Organization; 2002.

Afriani T, Andrajati R, Supardi S. [Related factors of complete basic immunization on children and vaccine management at primary health care and health post in X subdistrict Depok city]. Buletin Penelitian Sistem Kesehatan. 2014;17: 135-142. Indonesian.

Bell KN, Hogue CJR, Manning C, Kendal AP. Risk factors for improper vaccine storage and handling in private provider offices. Pediatrics. 2001;107(6):1-5.

Kristini TD. Risk factors of bad vaccine immunization quality management in private service unit: case study in Semarang. [thesis]. Semarang: Universitas Diponegoro; 2008.Indonesia.

Gopal-Khrisnan S, Sarasaks S, Amar-Singh HSS, Amir LE, Ibrahim MY, Singh RKP, et al. Vaccine storage in private practice: a community trial. J Family Med Community Health. 2014;1(2):1011-7.

Jani JV, Schacht CD, Jani IV, Bjune G. Risk factors for incomplete vaccination and missed opportunity for immunization in rural Mozambique. BMC Public Health. 2008;8:1-7.

Carr JE, Martin MR, Clements CJ, Ritchie PLJ. Behavioural Factors in Immunization In Behavioural Science Learning Modules. Geneva: World Health Organization; 2000:1-10.


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