Email this article Parent’s Knowledge and Attitude as Key Determinants of Completeness Childhood Immunization in Central Java, Indonesia
(1) Department of Health Administration and Policy, Faculty of Public Health, Universitas Diponegoro, Semarang, Indonesia
(2) Department of Epidemiology and Tropical Disease, Faculty of Public Health, Universitas Diponegoro, Semarang, Indonesia
(3) Department of Health Administration and Policy, Faculty of Public Health, Universitas Diponegoro, Semarang, Indonesia
(4) Department of Environmental Health, Faculty of Public Health, Universitas Diponegoro, Semarang, Indonesia
(5) Department of Health Promotion and Behavioral Science, Faculty of Public Health, Universitas Diponegoro, Semarang, Indonesia
(6) Department of Health Promotion and Behavioral Science, Faculty of Public Health, Universitas Diponegoro, Semarang, Indonesia
(7) Health Specialist of UNICEF Indonesia, Field Office Surabaya, Surabaya, Indonesia
Abstract
Incomplete basic immunization in children aged 11-23 months has potential to increase contracting dangerous diseases risk due to suboptimal immunity. Parents play an important role in ensuring the success of children immunization. This study purpose was to analyze the completeness of CBI based on parents' knowledge, attitude, perception, and satisfaction in immunizing their children. It’s a quantitative analytic study with cross sectional approach. The population were all children with sample of 685 children taken by purposive sampling technique from 31 districts in Central Java province. Data were collected through interviews and analyzed univariate with frequency distribution, bivariate with Chi-Square test, and multivariate with multiple logistic regression. A total of 38.7% children were not fully immunized, especially in booster immunization (73.4%), IPV (25.7%) and MR (15.9%). Partially, it was proven that parent’s knowledge, attitude, perception, and satisfaction were related to completeness of basic immunization. Simultaneously knowledge and attitude together affect the completeness of basic immunization in children with an overall effect of 42%. Parents' knowledge and attitudes are key factors for completeness of basic childhood immunization. Need to improving literacy and strengthening positive attitudes through structured IEC using personal approach, as well as involving key figures in the community in their support for immunization program. Utilizing communication technology and social media is an alternative that should be considered.
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Aharon, A. A., Nehama, H., Rishpon, S., & Baron-Epel, O. (2017). Parents with high levels of communicative and critical health literacy are less likely to vaccinate their children. Patient Education and Counseling, 100(4), 768–775. https://doi.org/10.1016/j.pec.2016.11.016
Ahmad, D., Afzal, M., & Imtiaz, A. (2020). Effect of socioeconomic factors on malnutrition among children in Pakistan. Future Business Journal, 6(1), 1–11. https://doi.org/10.1186/s43093-020-00032-x
Ahmad, N. A., Jahis, R., Kuay, L. K., Jamaluddin, R., & Aris, T. (2017). Primary Immunization among Children in Malaysia: Reasons for Incomplete Vaccination. Journal of Vaccines & Vaccination, 08(03), 1–8. https://doi.org/10.4172/2157-7560.1000358
Allan, S., Adetifa, I. M. O., & Abbas, K. (2021). Inequities in childhood immunisation coverage associated with socioeconomic, geographic, maternal, child, and place of birth characteristics in Kenya. BMC Infectious Diseases, 21(1), 1–12. https://doi.org/10.1186/s12879-021-06271-9
Arnault, D. Saint, & Woo, S. (2018). Testing the influence of Cultural Determinants on Help Seeking Theory. American Journal of Orthopsychiatri, 88(6), 650–660. https://doi.org/10.1037/ort0000353.Testing
Balgovind, P., & Mohammadnezhad, M. (2022). Factors affecting childhood immunization: Thematic analysis of parents and healthcare workers’ perceptions. Human Vaccines and Immunotherapeutics, 18(6), 1–15. https://doi.org/10.1080/21645515.2022.2137338
Bangura, J. B., Xiao, S., Qiu, D., Ouyang, F., & Chen, L. (2020). Barriers to childhood immunization in sub-Saharan Africa: A systematic review. BMC Public Health, 20(1108), 1–15. https://doi.org/10.1186/s12889-020-09169-4
Beavis, A. L., Meek, K., Moran, M. B., Fleszar, L., Adler, S., & Rositch, A. F. (2022). Exploring HPV vaccine hesitant parents’ perspectives on decision-making and motivators for vaccination. Vaccine: X, 12(100231), 1–7. https://doi.org/10.1016/j.jvacx.2022.100231
Chan, M. (2014). The contribution of immunization: Saving millions of lives, and more. Public Health Reports, 129, 7–8. https://doi.org/10.1177/00333549141295S303
Crescitelli, M. E. D., Ghirotto, L., Sisson, H., Sarli, L., Artioli, G., Bassi, M. C., Appicciutoli, G., & Hayter, M. (2020). A meta-synthesis study of the key elements involved in childhood vaccine hesitancy. Public Health, 180, 38–45. https://doi.org/10.1016/j.puhe.2019.10.027
Debela, B. G., Negassa, B., Hareru, H. E., Sisay, D., & Soboksa, N. E. (2022). Maternal satisfaction on child immunization services of rural health extension workers in Dawie Harewa district, Northeast Ethiopia: A community based cross-sectional study. Environmental Challenges, 7(November 2021), 100455. https://doi.org/10.1016/j.envc.2022.100455
Dubé, È., Ward, J. K., Verger, P., & MacDonald, N. E. (2021). Vaccine Hesitancy , Acceptance , and Anti-Vaccination : Trends and Future Prospects for Public Health. Annual Review of Public Health, 42, 175–191. http://www.orspaca.org/sites/default/files/annurev-publhealth-vaccine-hesitancy.pdf
Efendi, F., Pradiptasiwi, D. R., Krisnana, I., Kusumaningrum, T., Kurniati, A., Sampurna, M. T. A., & Berliana, S. M. (2020). Factors associated with complete immunizations coverage among Indonesian children aged 12–23 months. Children and Youth Services Review, 108(November 2019), 104651. https://doi.org/10.1016/j.childyouth.2019.104651
Fefferman, N. H., & Naumova, E. N. (2015). Dangers of vaccine refusal near the herd immunity threshold: A modelling study. The Lancet Infectious Diseases, 15(8), 922–926. https://doi.org/10.1016/S1473-3099(15)00053-5
Handy, L. K., Maroudi, S., Powell, M., Nfila, B., Moser, C., Japa, I., Monyatsi, N., Tzortzi, E., Kouzeli, I., Luberti, A., Theodoridou, M., Offit, P., Steenhoff, A., Shea, J. A., & Feemster, K. A. (2017). The impact of access to immunization information on vaccine acceptance in three countries. PLoS ONE, 12(8), 1–16. https://doi.org/10.1371/journal.pone.0180759
Harizon, I., Misnaniarti, M., & Idris, H. (2020). Faktor Pemanfaatan Imunisasi Inactivated Polio Vaccine (IPV). Jurnal Kesehatan, 11(1), 19–28. https://ejurnal.poltekkes-tjk.ac.id/index.php/JK/article/view/1136
Herliana, P., & Douiri, A. (2017). Determinants of immunisation coverage of children aged 12-59 months in Indonesia: A cross-sectional study. BMJ Open, 7(12), 1–14. https://doi.org/10.1136/bmjopen-2016-015790
Howell, J. L., Gasser, M. L., Kaysen, D., & Lindgren, K. P. (2022). Understanding parental vaccine refusal: Implicit and explicit associations about vaccines as potential building blocks of vaccine beliefs and behavior. Social Science and Medicine, 310(115275), 1–10. https://doi.org/10.1016/j.socscimed.2022.115275
Joshi, J., Das, M. K., Polpakara, D., Aneja, S., Agarwal, M., & Arora, N. K. (2018). Vaccine Safety and Surveillance for Adverse Events Following Immunization (AEFI) in India. Indian Journal of Pediatrics, 85(2), 139–148. https://doi.org/10.1007/s12098-017-2532-9
Kanchan, M. I., Firoz, M., Kurlikar, P. R., Chourase, M., Yadav, R., & Biswas, A. B. (2018). Status and determinants of child immunisation coverage in three South Asian countries, India, Bangladesh and Nepal: Evidence from the Demographic and Health Survey. Sri Lanka Journal of Child Health, 47(1), 56–63. https://doi.org/10.4038/sljch.v47i1.8431
Kemenkes RI. (2020). Polio Belum Berakhir. In Buletin Surveilans & Imunisasi (Edisi 1). Kemenkes. https://www.who.int/docs/default-source/searo/indonesia/sit-rep/epi-vpd-bulletin-ed1.pdf?sfvrsn=ae70706f_2
Ma’alin, A., Birhanu, D., Melaku, S., Tolossa, D., Mohammed, Y., & Gebremicheal, K. (2016). Magnitude and factors associated with malnutrition in children 6-59 months of age in Shinille Woreda, Ethiopian Somali regional state: A cross-sectional study. BMC Nutrition, 2(1), 1–12. https://doi.org/10.1186/s40795-016-0079-1
Mallory, M. L., Lindesmith, L. C., & Baric, R. S. (2018). Vaccination-induced herd immunity: Successes and challenges. Journal of Allergy and Clinical Immunology, 142(1), 64–66. https://doi.org/10.1016/j.jaci.2018.05.007
Mebrat, A., Dube, L., Kebede, A., & Aweke, Z. (2021). Determinants of Incomplete Childhood Vaccination among Children Aged 12-23 Months in Gambela Region, Southwest Ethiopia: A Case Control Study. Ethiopian Journal of Health Sciences, 31(1), 63–72. https://doi.org/10.4314/ejhs.v31i1.8
Mursinah, Susanti, N., & Herna. (2020). Penolakan Vaksin di Beberapa Negara Asia dan Ancaman Penyakit yang Dapat Dicegah Dengan Imunisasi. Prosiding Seminar Nasional Sains, 1(1), 128–134. http://proceeding.unindra.ac.id/index.php/sinasis/article/view/4009/624
Nalley, J., & Maduka, O. (2019). Completeness and timeliness of immunization among children aged 12 to 23 months in South-South Nigeria. Journal of Community Medicine and Primary Health Care, 31(1), 22–31. https://doi.org/10.4314/JCMPHC.V31I1
Navin, M. C., Wasserman, J. A., Ahmad, M., & Bies, S. (2019). Vaccine Education, Reasons for Refusal, and Vaccination Behavior. American Journal of Preventive Medicine, 56(3), 359–367. https://doi.org/10.1016/j.amepre.2018.10.024
Oku, A., Oyo-Ita, A., Glenton, C., Fretheim, A., Ames, H., Muloliwa, A., Kaufman, J., Hill, S., Cliff, J., Cartier, Y., Owoaje, E., Bosch-Capblanch, X., Rada, G., & Lewin, S. (2017). Perceptions and experiences of childhood vaccination communication strategies among caregivers and health workers in Nigeria: A qualitative study. PLoS ONE, 12(11), 1–21. https://doi.org/10.1371/journal.pone.0186733
Olson, O., Berry, C., & Kumar, N. (2020). Addressing parental vaccine hesitancy towards childhood vaccines in the united states: A systematic literature review of communication interventions and strategies. Vaccines, 8(4), 1–25. https://doi.org/10.3390/vaccines8040590
Pacheco, C. D. R., Picauly, I., & Sinaga, M. (2017). Health, Food Consumption, Social Economy, and Stunting Incidency in Timor Leste. Jurnal Kesehatan Masyarakat-KEMAS, 13(2), 261–269. https://doi.org/10.15294/kemas.v13i2.11248
Setiawan, M. S., & Wijayanto, A. W. (2022). Determinants of immunization status of children under two years old in Sumatera, Indonesia: A multilevel analysis of the 2020 Indonesia National Socio-Economic Survey. Vaccine, 40(12), 1821–1828. https://doi.org/10.1016/j.vaccine.2022.02.010
Siani, A. (2019). Measles outbreaks in Italy: A paradigm of the re-emergence of vaccine-preventable diseases in developed countries. Preventive Medicine, 121(September 2018), 99–104. https://doi.org/10.1016/j.ypmed.2019.02.011
Simbolon, D., Suryani, D., & Yorita, E. (2019). Prediction Model and Scoring System in Prevention and Control of Stunting Problems in Under Five-Year-Olds in Indonesia. Jurnal Kesehatan Masyarakat- KEMAS, 15(2), 160–170. https://doi.org/10.15294/kemas.v15i2.13415
Siramaneerat, I., & Agushybana, F. (2021). Inequalities in immunization coverage in Indonesia: a multilevel analysis. Rural and Remote Health, 21(3), 1–11. https://www.proquest.com/docview/2675665554/fulltextPDF/2A41422480224C03PQ/1?accountid=49069
Smith, L. E., Amlôt, R., Weinman, J., Yiend, J., & Rubin, G. J. (2017). A systematic review of factors affecting vaccine uptake in young children. Vaccine, 35(45), 6059–6069. https://doi.org/10.1016/j.vaccine.2017.09.046
Snider, C. J., Boualam, L., Tallis, G., Takashima, Y., Abeyasinghe, R., Lo, Y. R., Grabovac, V., Avagyan, T., Aslam, S. K., Eltayeb, A. O., Aung, K. D., Wang, X., Shrestha, A., Ante-Orozco, C., Silva, M. W. T., Lapastora-Sucaldito, N., Apostol, L. N. G., Jikal, M. B. H., Miraj, W., … Feldon, K. (2022). Concurrent outbreaks of circulating vaccine-derived poliovirus types 1 and 2 affecting the Republic of the Philippines and Malaysia, 2019–2021. Vaccine, xxxx, 2019–2021. https://doi.org/10.1016/j.vaccine.2022.02.022
Sriatmi, A., Martini, M., Agushybana, F., Jati, S. P., Astorina, N., Handayani, N., & Nandini, N. (2021). Complete Basic Immunization Coverage among Infants in Temanggung Regency. Jurnal Aisyah: Jurnal Ilmu Kesehatan, 6(4), 645–650. https://doi.org/10.30604/jika.v6i4.815
Syiroj, A. T. R., Pardosi, J. F., & Heywood, A. E. (2019). Exploring parents’ reasons for incomplete childhood immunization in Indonesia. Vaccine, 37(43), 6486–6493. https://doi.org/10.1016/j.vaccine.2019.08.081
Uwaibi, N. E., & Omozuwa, S. E. (2021). Maternal satisfaction with childhood immunization services in primary health care centres in Edo State, Nigeria. African Journal of Reproductive Health, 25(2), 86–93. https://doi.org/10.29063/ajrh2021/v25i2.8
Vonasek, B. J., Bajunirwe, F., Jacobson, L. E., Twesigye, L., Dahm, J., Grant, M. J., Sethi, A. K., & Conway, J. H. (2016). Do maternal knowledge and attitudes towards childhood immunizations in rural Uganda correlate with complete childhood vaccination? PLoS ONE, 11(2), 1–16. https://doi.org/10.1371/journal.pone.0150131
Wallace, A. S., Wannemuehler, K., Bonsu, G., Wardle, M., Nyaku, M., Amponsah-Achiano, K., Dadzie, J. F., Sarpong, F. O., Orenstein, W. A., Rosenberg, E. S., & Omer, S. B. (2019). Development of a valid and reliable scale to assess parents’ beliefs and attitudes about childhood vaccines and their association with vaccination uptake and delay in Ghana. Vaccine, 37(6), 848–856. https://doi.org/10.1016/j.vaccine.2018.12.055
Weithorn, L. A., & Reiss, D. R. (2018). Legal approaches to promoting parental compliance with childhood immunization recommendations. Human Vaccines and Immunotherapeutics, 14(7), 1610–1617. https://doi.org/10.1080/21645515.2018.1423929
WHO. (2022). Leave no child behind: protecting the future of Indonesian children through immunization. https://www.who.int/indonesia/news/detail/27-07-2022-leave-no-child-behind--protecting-the-future-of-indonesian-children-through-immunization#:~:text=When children’s routine immunization is,type b%2C measles and rubella.
Wong, L. P., Wong, P. F., & AbuBakar, S. (2020). Vaccine hesitancy and the resurgence of vaccine preventable diseases: the way forward for Malaysia, a Southeast Asian country. Human Vaccines and Immunotherapeutics, 16(7), 1511–1520. https://doi.org/10.1080/21645515.2019.1706935
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