Determinants of Parental Rejection in Implementing Immunization in Children Post Covid-19
Abstract
Complete basic immunization coverage in Pidie Regency, Aceh Province, is still very low after the COVID-19 pandemic, which has increased the risk of diseases that can be prevented. This study analyzes the determinants of parental refusal to implement complete basic immunization in children aged 0–2 years. The study used a mixed methods approach with a cross-sectional design for quantitative and in-depth interviews for qualitative. A quantitative sample of 270 respondents was selected using the cluster random sampling method, while qualitative informants were selected using purposive sampling. The analysis showed that the number of children, attitudes, family support, health worker behavior, the role of community and religious leaders, and exposure to information was significantly related to immunization refusal (p <0.05). Qualitative findings revealed that the issue of halal-haram vaccines and the influence of local traditions were the main obstacles. The factors of the number of children (OR=3.47), attitudes (OR=0.19), family support (OR=0.16), and exposure to information (OR=0.24) were the dominant determinants.
References
Alvey, J., Divaris, K., Lytle, L., Vann, W. F., & Lee, J. Y. (2020). What Child Oral Health–Related Behaviors can First-time Mothers Actualize? a Pragmatic Prospective Study. JDR Clinical & Translational Research, 5(4), 366–375. https://doi.org/10.1177/2380084419892554
Anggraini, R. D., & Bambang, W. K. (2017). Evaluation of Measles Surveillance System at Bangkalan District Health Office. Jurnal Wiyata: Penelitian Sains Dan Kesehatan, 3(2), 174–186.
Arina, E. (2021). Strategies and Challenges in Increasing COVID-19 Vaccination Coverage for Herd Immunity. Jurnal Medika Hutama, 3(01 Oktober), 1265–1272.
Arini, H. R. B., & Peranto, S. (2022). Stunting Prevention in the COVID-19 Pandemic Era. The Habibie Center.
Asmawati, A., Mohas, M., & Agustina, R. S. (2022). Legal Consequences Arising from Post-Immunization Adverse Events in the Implementation of the Complete Basic Immunization Program in Banten Province. Sultan Jurisprudence: Jurnal Riset Ilmu Hukum, 2(2), 224–234.
Budiarti, A. (2019). Relationship between Education, Work, Attitude and Family Support Factors towards Basic Immunization in Rukun Wwa 03 Kedung Cowek Village, Kenjeran, Surabaya. Jurnal Kesehatan Mesencephalon, 5(2).
Dillyana, T. A., & Nurmala, I. (2019). Relationship between Knowledge, Attitude and Perception of Mothers with Basic Immunization Status in Wonokusumo. Jurnal Promkes, 7(1), 68–78.
Pidie Health Service. (2023). Immunization Report.
Inayati, I., & Nuraini, S. (2021). The Role of Village Government in Public Health Services in Sukajaya Village, Cibitung District, Bekasi Regency. Governance, 9(2), 44–73.
Juditha, C. (2020). People Behavior Related To The Spread Of Covid-19’s Hoax. Jurnal Pekommas, 5(2), 105–116.
Ministry of Health of the Republic of Indonesia. (2023). Immunization Management Training Module. Kementerian Kesehatan Republik Indonesia.
Kumala, A. P. B. K. (2022). Relationship between Level of Knowledge about Covid-19 Vaccination and Community Anxiety in Munggu Village, Bungkal District, Ponorogo Regency. Universitas Muhammadiyah Ponorogo.
Kurnia, A., Sumanti, S. T., & Abidin, S. (2022). Public Perception of Online Media Hoax News About Covid-19 Vaccination in Labuhanbatu Regency (Case Study: Meranti Paham Village). At-Tazakki: Jurnal Kajian Ilmu Pendidikan Islam Dan Humaniora, 6(1), 76–98.
Lestari, T. R. P. (2020). Achieving the Health Status of Mothers and Babies as One of the Manifestations of the Success of the Maternal and Child Health Program. Kajian, 25(1), 75–89.
Lexi, S. A. L. S. A. (2019). Factors Influencing the Participation of Mothers Who Have Children Aged> 9 Months-5 Years for Mr (Measles Rubella) Immunization at the Senapelan Health Center, Pekanbaru in 2019. J-KESMAS: Jurnal Kesehatan Masyarakat, 5(2), 83–97.
Markum. (2018). Immunization. Faculty of Medicine, University of Indonesia.
Maulida, Y., Yanti, R., Aprianti, A., & Fathurrahman, F. (2022). Relationship between Family Income, Parenting Patterns, History of Infectious Diseases and Basic Immunization Status with the Incidence of Wasting in Toddlers. Jurnal Riset Pangan Dan Gizi, 4(1), 9–23.
Napitupulu, E. S. (2023). The Relationship between Husband’s Knowledge Level about Pregnancy Care and Husband’s Participation in Pregnancy Care at Batu VI Community Health Center, Pematang Siantar. JOURNAL HEALTH OF EDUCATION, 3(1), 61–73.
Nurhasin, B., & Jalaluddin, M. (2022). Implementation of Vaccination in the Study of the Al-Qur’an. Al-Thiqah: Jurnal Ilmu Keislaman, 5(1), 58–73.
Nursetyo, A. A., & Hasri, E. T. (2021). Guide to Using the Early Warning and Response System Application for Reporting Potential Outbreaks of Diseases. Jakarta (ID): Directorate of Prevention and Control of Vector Transmitted and Zoonotic Diseases, Directorate General of Disease Prevention and Control Ministry of Health.
Pohan, I., Harahap, A., & Hadi, A. J. (2023). Factors Related to Complete Basic Immunization in Infants in the Padangmatinggi Health Center Work Area, Padang Sidempuan City. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 6(8), 1668–1677.
Pratiwi, L., KM, M., Dianna, S. S. T., Keb, M., Retno Wulandari, S. S. T., Keb, M., Agussafutri, B. W. D., ST, S., Ns, M. T. P. S. K., & MM, H. N. (2024). Understanding Immunization for Mothers and Children. CV Jejak (Jejak Publisher).
Putri, N. T. (2022). The Role of Families, Community Leaders and Cadres in Complete Basic Immunization. Maternal Child Health Care, 1(1), 10–17.
Simangunsong, D. M. S., Saragih, L. F., & Siregar, A. R. M. (2024). Evaluation of Legal Policy on Mandatory Vaccination from the Perspective of Human Rights and Public Health. Judge: Jurnal Hukum, 5(04), 1–9.
Subiyakto, A., Markoni, M., Widarto, J., & Nardiman, N. (2023). Legal Protection for Consumers Against Hazardous Food and Beverage Ingredients Reviewed from the Regulations of the Food and Drug Supervisory Agency and the Consumer Protection Act. JIM: Jurnal Ilmiah Mahasiswa Pendidikan Sejarah, 8(4), 5408–5428.
Taufikurrahman, T., Zulfi, A. N., Irmawati, E. F. F., Setiawan, W. P., Azizah, P. N., & Soeliyono, F. F. (2023). Socialization of Early Marriage and Adolescent Reproductive Health Education as an Effort to Prevent Stunting in Pabean Village, Probolinggo Regency. Scientia: Jurnal Hasil Penelitian, 8(1), 73–88.
Veltkamp, G., Karasaki, M., & Bröer, C. (2020). Family Health Competence: Attachment, Detachment and Health Practices in the Early Years of Parenthood. Social Science & Medicine, 266, 113351. https://doi.org/10.1016/j.socscimed.2020.113351
Wahyuni, S., Matsuoka, C. G., Rahayu, T. D., & Fitrianingsih, A. (2023). Community Perception of Benda Kerep Village Regarding Basic Immunization for Children. Journal of Maternity Care and Reproductive Health, 6(3).
Yuliani, Y. (2019). Several Factors Affecting Measles Rubella (MR) Immunization Coverage in 24-Month-Old Infants. Jurnal Ilmiah Kebidanan Indonesia, 9(01), 1–11.
Zubaedah, I., & Putri, S. N. (2024). Effectiveness of the Minimum Service Standards (SPM) Program for Health Services in the Rawamangun Area. Jurnal Studi Interdisipliner Perspektif, 24(1), 32–38.
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