Background: Complete Basic Immunization or Imunisasi Dasar Lengkap (IDL) Program is conducted as a disease prevention effort among children, however the CBI in Indonesia does not yet achieve national target. Bangkalan Regency is one of the regencies in East Java with low immunization achievement. The study aimed to analyze determinants that influence complete basic immunization status using PRECEDE-PROCEED model. Subjects and Method:The study was analytic observational study with cross sectional approach. The study was conducted at 10 community health centers, Bangkalan Regency, from AugustOctober 2017. A total sample of 200 mothers who have infant age 9-12 months old were selected using cluster sampling technique and purposive sampling. The dependent variable was complete basic immunization status. The independent variables were education, knowledge, occupation, attitude, distance of health care facilities, information exposure, family support, and health workers support. The data were colected using questionnaires and MCH book. The data were analyzed by path analysis. Result: Complete basic immunization status was influenced by attitude (b=0.82; 95% CI= 0.10 to 1.55; p= 0.027), health personnel support (b= 0.79; 95% CI= -0.10 to 1.67; p= 0.081), distance of healthcare facilities (b= -1.28; 95% CI= -2.13 to -0.44; p= 0.003), and information exposure (b= 1.52; 95% CI= 0.75 to 2.29; p= 0.001). Attitude was influenced by family support (b= 1.35; 95% CI= 0.71 to 2.00; p= 0.001) and knowledge (b= 2.29; 95% CI= 1.06 to 3.54; p= 0.001). Knowledge was influenced by information exposure (b= 1.54; 95% CI= 0.58 to 2.51; p= 0.002). Family support was influenced by occupation (b= 0.64; 95% CI= 0.03 to 1.26; p= 0.040). Occupation (b= 1.12; 95% CI= 0.51 to 1.75; p= 0.001) and knowledge (b= 1.27; 95% CI= 0.42 to 2.13; p= 0.003) were influenced by education. Conclusion: There is a direct and positive influence of attitude, health worker support, and information exposure toward complete basic immunization status. There is direct and negative influence of distance of healthcare facilities toward complete basic immunization status. There is indirect and positive influence of education, knowledge, occupation and family support toward complete basic immunization status. PRECEDE-PROCEED model can be used to analyze factors that influence complete basic immunization status.
Delay in the development of children under five occurs around 10% in children aged <5 years. The purpose of community service activities is to carry out checks on child development and assess child development using the Pre-Screening Questionnaire for Child Development. The method uses interviews and observations. The study population is all mothers who have children under five, the sample is all children aged <5 years who come to the posyandu. The results show that the age period of children 3 - 72 months, the majority of children aged 15 months are 11 children (14%), 6 months of age are 10 children (12.9%), 30 months of age are 9 children (11.6%), age 3 month totaling 8 children (10.3%). While children with appropriate development are 65 children (83%), development children are doubting 12 children (15.4%) and children with deviant development are 1 child (1.3%). Thus children who have doubts and deviant developments need to do counseling and stimulation interventions to improve children's optimal developmental abilities.
Kegiatan Komunikasi Informasi dan Edukasi (KIE) kontrasepsi di lini terdepan kebanyakan dilakukan terhadap wanita. Sebaliknya, kegiatan KIE yang dilakukan terhadap pria atau suami adalah hal yang langka ditemui dalam kegiatan KIE program KB. Minimnya akses suami terhadap KIE dapat menimbulkan persepsi yang salah terhadap alat kontrasepsi, khususnya kondom. Dampak dari persepsi yang salah tentang kondom menyebabkan peningkatan peran suami dalam Keluarga Berencana dari tahun ke tahun tidak berkembang sesuai harapan. Penelitian ini bertujuan untuk mengetahui hubungan Komunikasi Informasi dan Edukasi (KIE) dengan persepsi suami akseptor KB suntik tentang kondom. Metode penelitian yang digunakan adalah penelitian analitik dengan pendekatan cross sectional. Sampel yang digunakan adalah 55suami akseptor KB suntik yang sesuai kriteria inklusi dan populasi yaitu sebanyak 64 responden. Teknik sampling yang digunakan adalah simple random sampling. Analisis hasil penelitian menggunakan uji korelasi rank spearman. Sampel sebanyak 55 responden yang mendapatkan KIE kurang sebagian besar bersikap negatif 20 orang (71,4%) dan bersikap positif 8 orang (28,6%). Dari data tersebut dilakukan uji korelasi rank spearman diperoleh p = 0,001 < α = 0,05, sehingga H0 ditolak, berarti ada hubungan Komunikasi Informasi dan Edukasi (KIE) Kontrasepsi dengan persepsi suami akseptor KB suntik tentang kondom. Tempat penelitian disarankan untuk menambah motivasi kepada suami agar memiliki persepsi positif tentang kontrasepsi pria dan berpartisipasi menjadi akseptor KB pria
Background: Child immunization averts an estimated 2 to 3 million deaths every year from diphtheria, tetanus, pertussis (whooping cough), and measles. However, an additional 1.5 million deaths could be avoided if global vaccination coverage improves. In Indonesia, complete basic immunization (CBI) had been implemented as a disease prevention effort among children. However, the CBI did not yet achieve national target. Bangkalan Regency, Madura, was one of the regencies in East Java with low immunization achievement. This study aimed to estimate the association between predisposing, enabling, and reinforcing factors, and the use of basic immunization, using PRECEDE-PROCEED model. Subjects and Method: This was a cross sectional study conducted at 10 community health centers, Bangkalan Regency, from August to October 2017. A total sample of 200 infants aged 9-12 months along with their mothers were selected for this study using cluster random sampling and fixed disease sampling. The dependent variable was the use of basic immunization service. The independent variables were education, knowledge, occupation, attitude, distance to healthcare facilities, information exposure, family support, and health workers support. The data were colected using questionnaires and MCH book. The data were analyzed by path analysis. Result: The use of basic immunization service increased by positive maternal attitude (b= 0.82; 95% CI= 0.10 to 1.55; p= 0.027), health personnel support (b= 0.79; 95% CI= -0.10 to 1.67; p= 0.081), information exposure (b= 1.52; 95% CI= 0.75 to 2.29; p= 0.001), but decreased with distance to healthcare facilities (b= -1.28; 95% CI= -2.13 to -0.44; p= 0.003). The use of basic immunization service was indirectly influenced by family support, knowledge, maternal employment, and maternal education. Conclusion:The use of basic immunization service increases by positive maternal attitude, health personnel support, information exposure, but decreases with distance to healthcare facilities. The use of basic immunization service is indirectly influenced by family support, knowledge, maternal employment, and maternal education.
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