Factors affecting vaccination demand in Indonesia: a secondary analysis and multimethods national assessment

Jusril, Hafizah; Rachmi, Cut Novianti; Amin, Mohammad Ruhul; Dynes, Michelle; Sitohang, Vensya; Untung, Andi Sari Bunga; Damayanti, Rita; Ariawan, Iwan; Pronyk, Paul

doi:10.1136/bmjopen-2021-058570

Cited by 8 publications

(12 citation statements)

References 19 publications

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“…During the COVID-19 pandemic in Indonesia, misinformation and hoaxes have contributed to vaccine hesitancy among parents and caregivers, especially concerning vaccines that require multiple injections as part of routine immunization [ 26 , 27 ]. The proportion of children who received their primary measles and rubella immunizations experienced a decline from 95% in 2019 to 87% in 2021.…”

Section: Vaccine Hesitancy Frameworkmentioning

confidence: 99%

“…In the Indonesian context, vaccine hesitancy can be attributed to various factors, given the country’s middle-income status. The complexity of the issue presents a significant challenge [ 26 ]. Vaccine hesitancy in Indonesia is a multifaceted problem that requires tailored and collaborative efforts across various sectors.…”

Section: Vaccine Hesitancy Frameworkmentioning

confidence: 99%

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Vaccine hesitancy and equity: lessons learned from the past and how they affect the COVID-19 countermeasure in Indonesia

Sinuraya,

Nuwarda,

Postma

et al. 2024

Global Health

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Introduction Indonesia has made progress in increasing vaccine coverage, but equitable access remains challenging, especially in remote areas. Despite including vaccines in the National Immunization Program (NIP), coverage has not met WHO and UNICEF targets, with childhood immunization decreasing during the COVID-19 pandemic. COVID-19 vaccination has also experienced hesitancy, slowing efforts to end the pandemic. Scope This article addresses the issue of vaccine hesitancy and its impact on vaccination initiatives amidst the COVID-19 pandemic. This article utilizes the vaccine hesitancy framework to analyze previous outbreaks of vaccine-preventable diseases and their underlying causes, ultimately providing recommendations for addressing the current situation. The analysis considers the differences between the pre-pandemic circumstances and the present and considers the implementation of basic and advanced strategies. Key findings and conclusion Vaccine hesitancy is a significant challenge in the COVID-19 pandemic, and public health campaigns and community engagement efforts are needed to promote vaccine acceptance and uptake. Efforts to address vaccine hesitancy promote trust in healthcare systems and increase the likelihood of individuals seeking preventive health services. Vaccine hesitancy requires a comprehensive, culturally sensitive approach that considers local contexts and realities. Strategies should be tailored to specific cultural and societal contexts and monitored and evaluated.

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Section: Vaccine Hesitancy Frameworkmentioning

confidence: 99%

Section: Vaccine Hesitancy Frameworkmentioning

confidence: 99%

Vaccine hesitancy and equity: lessons learned from the past and how they affect the COVID-19 countermeasure in Indonesia

Sinuraya,

Nuwarda,

Postma

et al. 2024

Global Health

View full text Add to dashboard Cite

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“…For example, the 2019 Influenza vaccine hesitancy in France which was initially developed in relation to the reported side-effects of the influenza vaccine that was exacerbated by an additional complicated schedule, dosing of the vaccine, and the lack of influenza case reports, which further resulted in the lack of urgency in accepting the vaccine. 33 On the other hand, 29,31,35,36 Consequently, it is also vital to acknowledge determinants that promote vaccine hesitancy to inhibit the expansion of the harmful movement.…”

Section: Advisory Groups Of Experts (Sage) Onmentioning

confidence: 99%

“…In such as misinformation susceptibility. 36,51,52 Besides the economic aspect, societal perceptions of the vaccine's novel substances are also significant issues to consider.…”

Section: Hesitancymentioning

confidence: 99%

Potential Factors related to COVID-19 Vaccine Hesitancy in Indonesia: A Literature Review

Kristian,

Andini,

Putri

et al. 2023

j. urban health res.

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Introduction: The pandemic of COVID-19 has become a burden to the world's health system, in which strategic measures are needed, especially vaccination. However, numbers of challenge have been reported regarding the so-called most effective public health intervention, such as vaccine hesitancy. On top of that, WHO has acknowledged vaccine hesitancy in the top list of 10 most dangerous threats to global health. The spectrum related to the reluctance to receive vaccination in society has also occurred in previous infectious diseases management and during the COVID-19 pandemic. This review aimed to identify factors and mechanism related to COVID-19 vaccine hesitancy in Indonesia. Method: This study provided a review of 14 literatures from 2019 to 2021 using ProQuest and Google Scholar discovered through the selected keywords. The SAGE WG model for vaccine hesitancy framework was used as the main reference in identifying and explaining the associated factors of phenomenon. Results: Based on the analysis of framework, determinants related to confidence crucial in affecting the acceptance level of COVID-19 vaccine in the community. In regard to that aspect, various factors within the scope of individual and social influences, vaccine and vaccination-specific issues, as well as contextual influences may well-explained the plausible mechanism that build hesitancy over vaccination. Accordingly, this study found that mistrust and skepticism related to the effectiveness of vaccine, safety concerns, and adverse reactions discouraged people from getting vaccinated. Furthermore, religious matters such as unavailable halal certification, along with poor socioeconomical factors, and misinformation that were spread through the media also prevent people to receive COVID-19 vaccine and risk the development of herd-immunity toward COVID-19 in the community. Conclusions: Various factors were identified regarding the development of vaccine hesitancy in Indonesia. Understanding the plausible factors and mechanism that prevented people to get COVID-19 vaccine are substantial to strategically address the phenomenon and successfully manage the COVID-19 pandemic in Indonesia. Keywords: COVID-19 – Indonesia - vaccine hesitancy – asia – outbreak - prevention

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“…In Indonesia, Primary Health Centre(s) (PHC), known as Puskesmas, state-owned primary services, signi cantly contribute to detecting, tracing, and treating COVID-19 in the community during the pandemic [17,18]. In addition, they are also responsible for delivering the services and maintaining data collection on community health, including child's health, such as vaccination and growth development [19][20][21]. Thus, it is essential to analyse the data from PHC regarding the pro le of COVID-19 management for children and their related factors to predict further health risks.…”

Section: Introductionmentioning

confidence: 99%

Covid-19 and Post-infection Health Risk Assessment on Children Under Five Years: A Cross-sectional Study on Public Health Centres

Sari,

Apriyanti,

Syafhan

et al. 2023

Preprint

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Background Public health centres (PHCs) as primary healthcare in Indonesia were pivotal in handling COVID-19 detection, management, and reporting. Limited studies show various findings on COVID-19 management and its impact on further health risks, particularly in vulnerable populations like children under five years. Methods This cross-sectional study assessed secondary data from tracing reports, patient medical records, and integrated management childhood illness reports. Samples were collected using stratified random sampling based on three age groups (< 1 year, 1-3 years, 3-5 years) and the period of COVID-19 infection (2020, 2021, 2022) from ten district PHCs in East Jakarta. The collected data was analysed for descriptive, bivariate, and multivariate statistical analysis using IBM SPSS 26th version. Results 677 patients were included in this study, with the majority from 2021 (44.2%) with age 28 [0-60] months and male patients (52.6%). Only 4.14% of them have available records of vaccination history in PHC, so the risks of further respiratory problems based on vaccination status were not feasible to assess. 23.63% of them received the COVID-19 medications, with the most frequently prescribed vitamins-supplements (27.96%) and cough-related medications (12.17%). Patients with medications have fewer visits to PHCs in one semester after COVID-19 (U=-2,728, p=0.006). Acute upper respiratory infection was the most prevalent (30.32%) reason for patients' revisits after COVID-19 infection, and there were also reinfection cases of COVID-19 (4.52%). The risks of respiratory problems have no significant difference between age group, gender, and COVID-19 treatment history. The lack of complete and integrated data availability has become a hurdle to further analysis. Conclusion A small proportion of children under five years were receiving COVID-19 medication in PHCs and it poses a potential impact of decreasing further patient encounters with healthcare. There is a need for better health data management and integration in PHCs to be used as comprehensive assessments of community health risks, particularly for special populations.

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Factors affecting vaccination demand in Indonesia: a secondary analysis and multimethods national assessment

Cited by 8 publications

References 19 publications

Vaccine hesitancy and equity: lessons learned from the past and how they affect the COVID-19 countermeasure in Indonesia

Vaccine hesitancy and equity: lessons learned from the past and how they affect the COVID-19 countermeasure in Indonesia

Potential Factors related to COVID-19 Vaccine Hesitancy in Indonesia: A Literature Review

Covid-19 and Post-infection Health Risk Assessment on Children Under Five Years: A Cross-sectional Study on Public Health Centres

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