Abstract
Complete children immunization coverage in Indonesia declined from 59.2% in 2013 to 57.9% in 2016. Therefore, a study on understanding the vaccination barrier is necessary to improve future coverage. This scoping review aims to identify the determinants of vaccine hesitancy using the model of the World Health Organization-Strategic Advisory Group of Expert (WHO-SAGE) working group and to map them on the basis of region, target population, and vaccine. This research used publications from seven databases (Science Direct, Wiley, Scopus, SAGE, PubMed, Springer, and Taylor & Francis) from 2015 to 2020. A total of 10,212 publications were identified and filtered by employing the PRISMA method, thereby leaving 24 publications that were featured in this review. The majority of these publications is quantitative research conducted in Aceh and Yogyakarta and investigates children complete immunization, with adults and parents being the target population. The vaccine hesitancy determinants that are mentioned the most are social-economy, religion/culture/ gender, the role of health-care professionals, cost, knowledge, and awareness about vaccine, and attitude toward preventive health behavior. However, additional evidence on the influence of contextual-focus factors in various regions in Indonesia is crucial for a further understanding of the antecedent of the relationship between determinant factors and vaccination behavior.
Highlights
Vaccine is commonly mentioned as the most successful and cost-effective intervention in terms of improving public health (Rémy et al, 2015)
Basic Healthcare Research (RISKEDAS) 2018 validated that the complete children immunization coverage declined from 59.2% in 2013 to 57.9% in 2018 (Kementrian Kesehatan Republik Indonesia, 2018a)
Large discrepancies emerged across regions according to the RISKEDAS 2018 report, and the coverage rates ranged from 90% to 20% (Kementrian Kesehatan Republik Indonesia, 2018a)
Summary
Vaccine is commonly mentioned as the most successful and cost-effective intervention in terms of improving public health (Rémy et al, 2015). Even with its outstanding achievement, Indonesia is still facing vaccination coverage crisis. Basic Healthcare Research (RISKEDAS) 2018 validated that the complete children immunization coverage declined from 59.2% in 2013 to 57.9% in 2018 (Kementrian Kesehatan Republik Indonesia, 2018a). Determinants of vaccine hesitancy in Indonesia. Large discrepancies emerged across regions according to the RISKEDAS 2018 report, and the coverage rates ranged from 90% (reported in Bali) to 20% (reported in Aceh) (Kementrian Kesehatan Republik Indonesia, 2018a). Regardless, this number is still far behind the World Health Organization (WHO) target of 90% vaccination coverage in South and South-East Asian countries
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