Abstract

Background: The percentage of complete immunization in urban areas is higher than rural areas. The purpose of the study was to analyze the relationship between ownership of Maternal and Child Health (MCH) books with Complete Basic Immunization (CBI) coverage in slums and poor areas.Design and Methods: A rapid survey was conducted in selected slums and poor groups based on medical records from Public Health Center. Informants were mothers with a sample of 325 infants aged 12 to 23 months.Results: The lowest coverage of CBI for slum and poor residents is Pasuruan, which is 55.4%. The results of statistical analysis showed that there was a significant relationship between ownership of MCH books and the complete coverage of basic immunization in Malang (P = 0.000; PR = 3.682); Pasuruan (P = 0.002; PR = 1.854); Sidoarjo (P = 0.000; PR = 4.042); Surabaya (P = 0.000; PR = 2.425).Conclusions: It is recommended that the government should improve access to complete immunization programs in slums and poor population.Significance for public healthLow immunization coverage makes people living in a slum unhealthy and at high risk of developing infectious diseases. Maternal and Child Health (MCH) Book is a source of information about the program and immunization status of the community. This study analyzes the relationship of MCH ownership with basic immunization completeness status in the slums and poor area. Supporting and increasing access to immunization programs is expected to increase immunization coverage in the slums and poor groups.

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