Abstract

Introduction: Immunisations for BCG, DTP, Poliomyelitis, Hepatitis, and MMR are compulsory for children under 5 years old in Indonesia and government-provided free services. However, the available records indicated that adherence to the program remains a challenge. This study aimed to investigate factors associated with mothers’ intention to comply with the immunization program, particularly among those who had children of younger than one year old.Methods: The study was conducted through a cross-sectional analysis. Fourty-six mothers self-registered them selves as participants of this study. The data were collected through check-listed interviews, to investigate the correlations between social factors, information factors, attitude toward behaviour, subjective norm, perceived behavioural control, and intention to adhere to the compulsory immunization program. The data were then analysed using logistic regression and spearman rank test with significance level of α=0.05.Results: Mothers’ attitude, subjective norm, perceived behavioral control, and knowledge have significant correlations with the intention in completing the immunisation program for their children (respectively p = 0.009; 0.014; 0.025; 0.038). Their intention positively correlated with adherence to complete the program (p=0,002). However, other factors studied did not correlate either with mothers’ intention to adherence to the program.Conclusion: This study suggests that mothers’ intention is influenced by family members suggestions, indicating that their capacity in decision making was limited and relying to other member. Further investigation is required to unveil the underlying reasons of being non-adherence.

Highlights

  • Immunisations for BCG, DTP, Poliomyelitis, Hepatitis, and MMR are compulsory for children under 5 years old in Indonesia and government-provided free services

  • This study was conducted under the light of crosssectional approach, where by we examined the correlations between participants social factors, information, attitude, subjective norm, and perceived behavior control and their intention and the adherence to immunization program

  • The analisys of the results suggest that mothers’ intention correlates with childrens’ completion in following the compulsory immunization provided by the Indonesian government

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Summary

Introduction

Immunisations for BCG, DTP, Poliomyelitis, Hepatitis, and MMR are compulsory for children under 5 years old in Indonesia and government-provided free services. Immunisations for BCG, DTP, Poliomyelitis, Hepatitis, and MMR are compulsory in Indonesia to protect children younger than 5 years old from contracting the diseases (Kemenkes RI 2016). This program is provided as a free-paid service in public hospitals and public health centers (known as Puskesmas). Only 82.30% of the targeted children complied the program (Kemenkes RI 2016) This indicates that the program was yet successfull

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