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Abstract

Indonesia is aiming for measles elimination status by 2020. However, high number of measles cases are still prevalent and there are still coverage differences among provinces. Measles immunization coverage also varies among surveys and routine coverage report. With the addition of second dose measles vaccination (MCV2), measles infections in the country is expected to decrease. However, MCV2 coverage has been low after 2 years of implementation. Aceh Province was chosen for this study because its low coverage. This study aimed to measure the coverage and investigate the determinants of MCV2 in Aceh Jaya, Aceh Province. Dataset from “Assessment of the New 2nd Dose Measles Policy and the School-based Immunization Program in 2 Provinces (Aceh and South Sulawesi)” was used. There were a total of 300 children aged 25 – 37 months with coverage of MCV2 54% in Aceh Jaya District, Aceh Province. After further selection, 129 observations underwent bivariate and multivariate analysis using logistic regression. After controlling all variables, only experience of prompt service at the healthcare provider was associated with child receiving MCV2. We suggest future studies to look more into health care services and willingness to get vaccination. Additionally, with this result we hope the government could improve health care services in their facilities in order to achieve higher coverage.

References

  1. Organization WH. Measles n.d. [updated April 2018. Available from: http://www.who.int/immunization/ diseases/measles/en/.
  2. Direktorat Jenderal Pencegahan dan Pengendalian Penyakit KKR. Petunjuk Teknis Kampanye Imunisasi Measles Rubella (MR). Jakarta2017.
  3. Fisher DL, Defres S, Solomon T. Measles-induced encephalitis. QJM. 2015;108(3):177-82.
  4. White SJ, Boldt KL, Holditch SJ, Poland GA, Jacobson RM. Measles, mumps, and rubella. Clin Obstet Gynecol. 2012;55(2):550-9.
  5. Kesehatan M. Pedoman Penyelenggaraan Imunisasi. Depkes RI; 2005.
  6. Balitbang Kemenkes R. Riset Kesehatan Dasar; RISKESDAS. Jakarta: Balitbang Kemenkes RI. 2013.
  7. Statistics Indonesia - Badan Pusat Statistik - BPS, Population N, Family Planning Board - BKKBN/Indonesia, Kementerian Kesehatan - Kemenkes - Ministry of Health/Indonesia, ICF International. Indonesia Demographic and Health Survey 2012. Jakarta, Indonesia: BPS, BKKBN, Kemenkes, and ICF International; 2013.
  8. Kesehatan K. Situasi imunisasi di Indonesia. Jakarta, Pusat Data dan Informasi, Kementerian Kesehatan. 2016.
  9. Keja K, Chan C, Hayden G, Henderson RH. Expanded programme on immunization. World Health Stat Q. 1988;41(2):59-63.
  10. Organization WH. Strategic plan for measles elimination and rubella and congenital rubella syndrome control in the South-East Asia Region, 2014-2020. 2015.
  11. Cesaroni G, Forastiere F, Stafoggia M, Andersen ZJ, Badaloni C, Beelen R, et al. Long term exposure to ambient air pollution and incidence of acute coronary events: prospective cohort study and meta-analysis in 11 European cohorts from the ESCAPE Project. BMJ. 2014;348:f7412.
  12. Organization WH. School Immunization Programme in Indonesia n.d. [
  13. Health/Indonesia KK-K-Mo. Menkes Luncurkan Vaksin
  14. Indonesia SIKKR. Laporan hasil imunisasi per provinsi di Indonesia. 2015.
  15. Wahyono TYM, Oktarinda, Fitriyani, Maulida R. Assessment of the New 2nd Dose Measles Policy and the School-based Immunization Program in 2 Provinces (Aceh and South Sulawesi). 2017.
  16. Organization WH. Immunization coverage cluster survey: Reference manual. 2005.
  17. Lemeshow S, Hosmer DW, Klar J, Lwanga SK, Organization WH. Adequacy of sample size in health studies. 1990.
  18. Organization WH. Training for mid-level managers (MLM). Module 7: The EPI coverage survey. 2017.
  19. Rothman KJ, Greenland S, Lash TL. Modern epidemiology. 3rd ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2008. x, 758 p. p.
  20. Lu M, Chu YZ, Yu WZ, Scherpbier R, Zhou YQ, Zhu X, et al. Implementing the communication for development strategy to improve knowledge and coverage of measles vaccination in western Chinese immunization programs: a before-and-after evaluation. Infect Dis Poverty. 2017;6(1):47.
  21. Zimicki S, Hornik RC, Verzosa C, Hernández JR, De Guzman E, Dayrit M, et al. Improving vaccination coverage in urban areas through a health communication campaign: the 1990 Philippine experience. Bulletin of the World Health Organization. 1994;72(3):409.
  22. Matsumura T, Nakayama T, Okamoto S, Ito H. Measles vaccine coverage and factors related to uncompleted vaccination among 18-month-old and 36-month-old children in Kyoto, Japan. BMC Public Health. 2005;5:59.
  23. Ibnouf A, Van den Borne H, Maarse J. Factors influencing immunisation coverage among children under five years of age in Khartoum State, Sudan. South African Family Practice. 2007;49(8):14-f.
  24. Odusanya OO, Alufohai EF, Meurice FP, Ahonkhai VI. Determinants of vaccination coverage in rural Nigeria. BMC Public health. 2008;8(1):381.
  25. Kamau N, Esamai FO. Determinants of immunisation coverage among children in Mathare Valley, Nairobi. East Afr Med J. 2001;78(11):590-4.
  26. Obregon R, Chitnis K, Morry C, Feek W, Bates J, Galway M, et al. Achieving polio eradication: a review of health communication evidence and lessons learned in India and Pakistan. Bull World Health Organ. 2009;87(8):624 30.

Bahasa Abstract

Indonesia berupaya mencapai target status eliminasi campak pada tahun 2020. Akan tetapi, angka kejadian campak masih prevalen dan masih ada ketimpangan cakupan antar provinsi. Cakupan imunisasi campak menunjukkan perbedaan pada survei yang dilakukan dengan laporan rutin. Dengan penambahan imunisasi campak dosis kedua, angka kejadian campak diharapkan dapat berkurang. Namun, setelah pelaksanaan selama dua tahun, cakupan campak dosis kedua masih rendah. Provinsi Aceh dipilih untuk diteliti memiliki cakupan yang rendah. Studi ini bertujuan untuk mengukur cakupan dan menginvestigasi detemninan dari campak dosis kedua di Kabupaten Aceh Jaya, Provinsi Aceh. Data didapatkan dari “Asesmen Kebijakan Imunisasi Campak Dosis Kedua dan Program Imunisasi di Sekolah (Aceh dan Sulawesi Selatan)”. Dari 300 anak berusia 25 sampai 36 bulan diperoleh cakupan imunisasi campak dosis kedua sebesar 54%. Setelah seleksi variabel-variabel lebih lanjut, 129 sampel didapatkan untuk dilakukan analisis bivariat dan multivariat dengan regresi logistik. Hasil analisis menunjukkan pengalaman mendapatkan layanan yang cepat di pelayanan kesehatan yang berhubungan dengan imunisasi campak dosis kedua pada analisis multivariat. Kami menyarankan pada penelitian selanjutnya agar dapat melihat lebih dalam hubungan layanan perawatan kesehatan dan keinginan untuk mendapatkan vaksinasi. Selain itu, dengan hasil ini kami berharap pemerintah dapat meningkatkan layanan perawatan kesehatan di fasilitas mereka untuk mencapai cakupan yang lebih tinggi.

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