Background: The implementation of the COVID-19 vaccination is still being carried out in Indonesia to enhance immunity against SARS Cov-2 infection. However, the information about vaccination service satisfaction is still very limited. This study aims to assess how satisfied Covid-19 vaccination service users are in Indonesia. Design and methods: This is an analytic study with a cross-sectional design was conducted through an online survey in the third week of June 2022. People with a minimum age of 17 years, having received at least one COVID-19 vaccination, and residing in Indonesia were allowed to participate in this study. We used the SERVQUAL model as an instrument, measuring five aspects covering tangibility, responsiveness, reliability, assurance, and empathy. The analysis carried out included univariate analysis and bivariate test using chi-square statistical test. Results: A total of 509 respondents were included in this study. The findings of this study revealed that there was not much of a difference between the satisfied (50.1%) and dissatisfied categories (49.9%) of vaccination users. Of the five dimensions measured, the highest level of dissatisfaction is in tangibility particularly on facility (48.7%), while the highest level of satisfaction is in reliability (the vaccination service following applicable procedures; 59.7%). We find out that vaccination location ( p = 0.038), provision of refreshment/reward/incentives ( p = 0.001), providing emergency contact post-vaccination ( p = 0.000), and observation time post-vaccination ( p = 0.000) were associated with the satisfaction of users. Conclusion: Many respondents in this study are still dissatisfied with the COVID-19 vaccination services, so it is necessary for taking continuous efforts to raise the quality of vaccination services to increase user satisfaction.
The importance of reproductive health education in Islamic boarding schools is often overlooked. Whereas the prevalence of reproductive health issues among teenage females in Islamic boarding schools remains high, including anemia, vaginal discharge, dysmenorrhea, premenstrual syndrome, and personal hygiene. These difficulties have an impact such as absenteeism at school, wasting and infertility. Peer education is seen to be capable of addressing these issues since adolescents in Islamic boarding schools engage with their peers more frequently than with their families, instructors, or health workers. The purpose of this activity is to increase participants' knowledge, attitudes, and skills on peer education and adolescent reproductive health. Adolescent reproductive health education, peer education training, and assistance in extracurricular activities that have the potential to help establish healthy madrasas are among the activities carried out. Thirty students who wanted to become peer educators took part in this activity. The results of the activities were evaluated using pre-test and post-test questionnaires, as well as the practice of health education and counseling. The result of this activity is an increase in participants' knowledge about adolescent reproductive health by 8.28 and peer education by 5.17 after participating in the activity. Participants are also able to recognize reproductive health issues that commonly arise in teens and how to prevent them.
In 2015, the Health Office of Banyumas Regency records 7 cases of maternal deaths, 243 cases of infant deaths, and 41 cases of under-five deaths. Compared to 2015, maternal mortality increases in the first three months of 2016. This research aims to identify the causes of maternal deaths that occur in 2016 in Banyumas Regency using the Health Belief Model conceptual framework. The results show that the cause of maternal death in Banyumas Regency is the lack of antenatal services due to the lack of knowledge and awareness of mothers, social status of women in the community, availability of health facilities, vulnerabilities received, benefits of antenatal services, barriers to access to health services, and quality of health facilities and health workers. The problem solving plan is based on the HBM concept framework that can be prepared consisting of stakeholder advocacy, health promotion programs through counseling for pregnant women, programs to improve access to health facilities, and intervention programs for health workers.
Lack of knowledge and information on sexual and reproductive health has led to an increase in reproductive health problems, such as sexual violence and abuse, marriage and teenage pregnancy. There are several government programs related to youth health, but only a few young people can use and take advantage of these programs. This study aims to outline the needs and expectations of adolescents in sexual education and reproductive health. The method used is a qualitative method and an in-depth interview was conducted. Use deliberate sampling techniques to determine samples. The interview results showed that all adolescents had heard of adolescent reproductive health (KRR), but they could not fully explain the definition and scope of KRR. The availability of KRR information and services around the residence is still poor, and although there is no regular schedule and incomplete, most are obtained from the school. The services that young people need include youth-friendly counseling, counseling and health checks. The expected facilities are easy-to-use facilities, affordable costs and flexible service hours. Support from policy makers, plan implementers, schools and youth residential communities are needed to provide youth-friendly and easily accessible KRR services.
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