The Effect of Maternal Education and Antenatal Care on Basic Immunization Completeness in Children aged 12-23 Months in Asian and African: Meta-Analysis

Abstract

Background: Immunization is a process that makes a person immune or immune to infectious diseases, usually by administering vaccines. A child is said to have received complete basic immunization if he has received one BCG immunization, three DPT-HB-Hib immunizations, four polio immunizations, and one measles immunization. This study aims to estimate the effect of maternal education and antenatal care on the provision of complete basic immunization for children aged 12-23 months in Asia and Africa by means of a meta-analysis. Subjects and Method: Meta-analyzes were performed by searching articles from the PubMed, SpringerLink, Science Direct, and Google Scholar databases. The keywords used are "immunization coverage" OR "vaccination coverage" OR "complete immunization" OR "complete vaccination" OR "full immunization" OR "full vaccination" AND children OR "child immunization" OR "child immunization coverage" AND "maternal education ”. The inclusion criteria in this study were full text articles, published in 2012-2020, using English, cross-sectional study design, the final results of the study using the adjusted odd ratio (aOR), and the study sample was children aged 12-23 months in Asia and Africa. Article analysis was performed using RevMan 5.3 software. Results: There were eleven articles analyzed in total. The results showed maternal education and antenatal care could improve the provision of complete basic immunization to children aged 12-23 months in Asia and Africa, maternal education (aOR= 1.52; 95% CI= 1.06 to 2.18; p= 0.020), I 2= 89% and care antenatal (aOR= 2.62; 95% CI= 1.84-3.72; p= 0.002), I 2= 69%. Conclusion: Maternal education and antenatal care influence the provision of complete basic immunization to children aged 12-23 months in Asia and Africa. Keywords: Maternal education, antenatal care, complete basic immunization, children 12-23 months Correspondence: Farida. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: faridariza9232@gmail.com. Mobile: 085654415292.