Faktor determinan penolakan imunisasi di Desa Bonjor Kabupaten Temanggung

https://doi.org/10.22146/bkm.47134

Faridatun Khasanah(1*), Retna Siwi Padmawati(2)

(1) Departemen Perilaku Kesehatan, Lingkungan, dan Kedokteran Sosial, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan Universitas Gadjah Mada
(2) Departemen Perilaku Kesehatan, Lingkungan, dan Kedokteran Sosial, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan Universitas Gadjah Mada
(*) Corresponding Author

Abstract


Determinant factors immunization refusal in Bonjor Village Temanggung District

Purpose: Temanggung district is one of two districts in Central Java that have refusal immunization. Highest refusal immunization in Temanggung district located in Bonjor Village. Based on this, researchers wanted to see determinants of refusal immunization in Bonjor Village.

Method: Study design was sequential explanatory mixed method used 1: 1 paired case-control study, which was equipped with qualitative sequential explanatory. Research sample were parents who refused and did not refuse their children to be immunized who lived in Bonjor Village. Quantitative analysis using bivariate analysis and multivariate analysis, while qualitative analysis using data triangulation.

Results: Sample collected was 114 heads of families. The results of study showed that 58% respondents had education level of junior high school, 57% working as farmers and the average age of 31.75 years with youngest age was 19 years and oldest was 48 years. The results of multivariate analysis showed that mother's belief in breastfeeding (OR=5.54; 95% CI=1.91-16.05), vaccine was not an option in increasing immunity (OR=20.32; 95% CI=3, 98-103.68), and the experience of mothers that after immunization her child became fussy (OR = 3.92; 95% CI=1.32-1156) had a relationship with the refusal immunization in Bonjor Village, Temanggung District in 2018. Belief and experience of mothers about immunization supporting occurrence of vaccines is not an option in increasing immunity.

Conclusion: Increasing knowledge and restoring public belief are initial choices for increasing immunization coverage. Refusal immunization problem cannot be solved by one sector but requires cross-sector cooperation.


Keywords


immunization refusal; belief; cross-sectors

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References

  1. Dinas Kesehatan Kabupaten Temanggung. Profil Kesehatan Kabupaten Temanggung 2017. 2018.
  2. Dinas Kesehatan Kabupaten Karanganyar. Profil kesehatan Kabupaten Karanganyar tahun 2016. 2017.
  3. Yulia Irene Wahyunarni, Riris Andono Ahmad, Atik Triratnawati. Persepsi masyarakat terhadap imunisasi campak di kabupaten Sleman. Berita Kedokteran Masyarakat. 2016;32: 281–286.
  4. Renasari IM, Prabowo T, Hartini S. Persepsi Orang Tua Tentang Penolakan Pekan Imunisasi Nasional Polio di Puskesmas Sidorejo Lor Salatiga. Universitas Gadjah Mada. 2006.
  5. Octaviani FA. Faktor yang mempengaruhi penolakan ibu terhadap pemberian imunisasi dasar lengkap di wilayah Puskesmas Kamoning Kabupaten Sampang tahun 2014. Skripsi, Universitas Airlangga. 2015. Available: http://repository.unair.ac.id/23943/1/gdlhub-gdl-s1-2015-octavianif-38418-6.abstr-t.pdf
  6. Triana V. FAKTOR YANG BERHUBUNGAN DENGAN PEMBERIAN IMUNISASI DASAR LENGKAP PADA BAYI TAHUN 2015. Jurnal Kesehatan Masyarakat Andalas. 2017. p. 123. doi:10.24893/jkma.10.2.123-135.2016
  7. Hudhah M, Hudhah MH, Hidajah AC. Perilaku ibu dalam imunisasi dasar lengkap di Puskesmas Gayam Kabupaten Sumenep. Jurnal PROMKES. 2018. p. 167. doi:10.20473/jpk.v5.i2.2017.167-180
  8. Ołpiński M. Anti-Vaccination Movement and Parental Refusals of Immunization of Children in USA. Pediatria Polska. 2012. pp. 381–385. doi:10.1016/j.pepo.2012.05.003
  9. Prislin R, Dyer JA, Blakely CH, Johnson CD. Immunization status and sociodemographic characteristics: the mediating role of beliefs, attitudes, and perceived control. American Journal of Public Health. 1998. pp. 1821–1826. doi:10.2105/ajph.88.12.1821
  10. Abdulraheem I, Onajole A, Jimoh A, Oladipo A. Reasons for incomplete vaccination and factors for missed opportunities among rural Nigerian children. Journal of Public Health and Epidemiology. 2011;3: 194–203.
  11. Negussie A, Kassahun W, Assegid S, Hagan AK. Factors associated with incomplete childhood immunization in Arbegona district, southern Ethiopia: a case – control study. BMC Public Health. 2015. doi:10.1186/s12889-015-2678-1
  12. Salmon DA, Moulton LH, Omer SB, Patricia deHart M, Stokley S, Halsey NA. Factors Associated With Refusal of Childhood Vaccines Among Parents of School-aged Children. Archives of Pediatrics & Adolescent Medicine. 2005. p. 470. doi:10.1001/archpedi.159.5.470
  13. Bennett P, Smith C. Parents attitudinal and social influences on childhood vaccination. Health Education Research. 1992. pp. 341–348. doi:10.1093/her/7.3.341
  14. Shawn DH, Gold R. Survey of parents’ attitudes to the recommended Haemophilus influenzae type b vaccine program. CMAJ. 1987;136: 1038.
  15. Jolley D, Douglas KM. The effects of anti-vaccine conspiracy theories on vaccination intentions. PLoS One. 2014;9: e89177.
  16. Smith MJ, Ellenberg SS, Bell LM, Rubin DM. Media Coverage of the Measles-Mumps-Rubella Vaccine and Autism Controversy and Its Relationship to MMR Immunization Rates in the United States. PEDIATRICS. 2008. pp. e836–e843. doi:10.1542/peds.2007-1760
  17. Wilson T. Factors influencing the immunization status of children in a rural setting. Journal of Pediatric Health Care. 2000. pp. 117–121. doi:10.1016/s0891-5245(00)70022-8
  18. Salmon DA, Sotir MJ, Pan WK, Berg JL, Omer SB, Stokley S, et al. Parental vaccine refusal in Wisconsin: a case-control study. WMJ. 2009;108: 17–23.
  19. Sporton RK, -A. Francis S. Choosing not to immunize: are parents making informed decisions? Family Practice. 2001. pp. 181–188. doi:10.1093/fampra/18.2.181
  20. Babirye JN, Rutebemberwa E, Kiguli J, Wamani H, Nuwaha F, Engebretsen IMS. More support for mothers: a qualitative study on factors affecting immunisation behaviour in Kampala, Uganda. BMC Public Health. 2011. doi:10.1186/1471-2458-11-723
  21. Bofarraj MAM. Knowledge, attitude and practices of mothers regarding immunization of infants and preschool children at Al-Beida City, Libya 2008. Egyptian Journal of Pediatric Allergy and Immunology (The). 2011;9. Available: https://www.ajol.info/index.php/ejpai/article/view/108502
  22. d’Alessandro E, Hubert D, Launay O, Bassinet L, Lortholary O, Jaffre Y, et al. Determinants of Refusal of A/H1N1 Pandemic Vaccination in a High Risk Population: A Qualitative Approach. PLoS ONE. 2012. p. e34054. doi:10.1371/journal.pone.0034054



DOI: https://doi.org/10.22146/bkm.47134

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