Basic Immunization Research Articles

Unraveling Potential Confounding Variables in the Association Between Maternal Malaria and Child Stunting in Papua: A Case-Control Study with Mantel-Haenszel Analysis

Background:Papua is a malaria-endemic region with Indonesia's highest annual parasite incidence. At the same time, stunting is a common child health problem in Papua. Malaria incidence in pregnant women is considered a risk factor for stunting in children. Thus, the identification of confounding factors in this relationship is necessary. Objective:The study aimed to determine significant confounding factors in maternal malaria and child stunting and clarify the true association between these two conditions. Methods: The study with a case-control design was conducted at 14 Puskesmas from May to September 2023. The sample size was 681 children, consisting of toddlers who were stunted and not stunted and were selected by probability sampling technique. Data collection used questionnaires and anthropometric measurements. Statistical analysis used Mantel-Haenszel chi-square with a cut-off point for changes in the estimated coefficient for determining confounding> 10%. Results: The results showed that the crude Odds Ratio of the effect of malaria incidence during pregnancy on the incidence of stunting in children was 1.746 (95% CI 1,062-2,872). Stratification analysis showed the adjusted Odds Ratio value of child sex (1.78), low birth weight (1.652), basic immunization status (1.771), breastfeeding status (1.753), maternal age (1.732), occupation (1.828), ethnicity (1.722) and family income (1.764). There were no potential confounding variables in the association between malaria incidence in pregnant women and childhood stunting (change in coefficient estimate <10%). Conclusions: Public health interventions aimed at preventing malaria during pregnancy can be used as a strategy to reduce the risk of childhood stunting. Keywords:Malaria; pregnancy; stunting; confounding; Indonesia

DETERMINAN IMUNISASI DASAR PADA BALITA DI INDONESIA: STUDI PEDESAAN

According to the results of the Riskesdas report, basic immunization coverage in Indonesia in 2017 only reached 59.4% and 57.9% in 2018. This figure is still far from the strategic plan target set by the Ministry of Health in 2019, namely 93%. The research aimed to analyze the factors that influence the incomplete basic immunization status of children in rural areas, Indonesia. This research is a quantitative research designCross Sectional. The data used is secondary data originating from the 2017 Indonesian Demographic and Health Survey (SDKI). The sampling technique usedtotal sampling amounting to 3,111 children under five. Based on the results of this study, it can be concluded that the determinants of incomplete basic immunization for toddlers in rural areas of Indonesia are less than 3 antenatal visits, delivery not in a health facility, distance to health facilities is a big problem, mother's age is less than 25 years, father's education is low, and the order of the 3rd child, etc. The chance of children not having complete basic immunization for toddlers in rural areas of Indonesia if all risk factors are present is 86%. The most dominant risk factor influencing incomplete basic immunization status is fewer than 3 antenatal visits. It is recommended that health workers prioritize health promotion programs regarding the benefits of antenatal visits by approaching community leaders, especially midwives.

Dietary habits, traveling and the living situation potentially influence the susceptibility to SARS-CoV-2 infection: results from healthcare workers participating in the RisCoin Study

PurposeTo explore occupational and non-occupational risk and protective factors for the coronavirus disease 2019 (COVID-19) in healthcare workers (HCWs).MethodsSerum specimens and questionnaire data were obtained between October 7 and December 16, 2021 from COVID-19-vaccinated HCWs at a quaternary care hospital in Munich, Germany, and were analyzed in the RisCoin Study.ResultsOf 3,696 participants evaluated, 6.6% have had COVID-19 at least once. Multivariate logistic regression analysis identified working in patient care occupations (7.3% had COVID-19, 95% CI 6.4–8.3, Pr = 0.0002), especially as nurses, to be a potential occupation-related COVID-19 risk factor. Non-occupational factors significantly associated with high rates of the disease were contacts to COVID-19 cases in the community (12.8% had COVID-19, 95% CI 10.3–15.8, Pr < 0.0001), being obese (9.9% had COVID-19, 95% CI 7.1–13.5, Pr = 0.0014), and frequent traveling abroad (9.4% had COVID-19, 95% CI 7.1–12.3, Pr = 0.0088). On the contrary, receiving the basic COVID-19 immunization early during the pandemic (5.9% had COVID-19, 95% CI 5.1–6.8, Pr < 0.0001), regular smoking (3.6% had COVID-19, 95% CI 2.1–6.0, Pr = 0.0088), living with the elderly (3.0% had COVID-19, 95% CI 1.0–8.0, Pr = 0.0475), and frequent consumption of ready-to-eat meals (2.6% had COVID-19, 95% CI 1.1–5.4, Pr = 0.0045) were non-occupational factors potentially protecting study participants against COVID-19.ConclusionThe newly discovered associations between the living situation, traveling as well as dietary habits and altered COVID-19 risk can potentially help refine containment measures and, furthermore, contribute to new mechanistic insights that may aid the protection of risk groups and vulnerable individuals.

Factors that Influence Mother's Motivation for Complete Basic Immunization for Infants

Introduction: Immunization is a program carried out by the government to actively increase the body's immunity in babies against certain diseases. Completeness of basic immunization for babies can be influenced by maternal motivation factors. Objective: This study aims to determine the factors that influence the complete status of basic immunization in infants. Method: Researchers used a correlation analytical research design with a cross-sectional approach. The population in this study were mothers who had babies aged 0-11 months in the working area of the RI Sidomulyo Community Health Center, Tampan District, Pekanbaru City. Sampling used accidental sampling technique with a total of 93 respondents. The analysis used is chi-square analysis. Results: Researchers found that the majority of mothers aged 26-35 years were 79 respondents (84.9%), had secondary education (SMA) as many as 54 respondents (58.1%), the majority of employment status was not working as many as 76 respondents (81.7%). %), had more than one child as many as 68 respondents (73.1%), had good knowledge as many as 72 respondents (77.4%), felt confident about immunization as many as 64 respondents (68.8%), had good family support as many as 68 respondents (73.1%), it was easy to reach health services for 86 respondents (92.5%), and 71 respondents (76.3%) had complete immunization status. Factors that influence maternal motivation, level of knowledge (p-value=0.0380.05), confidence (p-value=0.0000.05), and family support (p-value=0.0000.05), is a factor related to the completeness of basic immunization in infants. Conclusion: There are three factors related to the completeness of basic immunization in infants, namely the mother's level of knowledge, confidence, and family support. Suggestion: This research is expected to be a source of information and knowledge for the community, especially parents of infant children.

Analysis of Achievements and Factors Playing a Role in Achieving Complete Basic Immunization During the Adaptation Period to the COVID-19 (Coronavirus Disease) Pandemic in Padang, Indonesia

The immunization program is a global program to prevent child deaths and provide immunity against infectious diseases. In Padang City, complete basic immunization coverage (IDL) in 2021 is still low (76.5%) compared to the target of 95%. This research aims to analyze the achievements of the IDL program in Padang City during the adaptation period to the COVID-19 pandemic. This research method is mixed methods research with a stratified random sampling technique. The results showed that the age frequency distribution of the baby's mothers was mostly 26-40 years old (83.2%), with a high level of education (78.4%) and more people working (52%). The frequency distribution of IDL status in Padang City shows an incomplete category of 67.2%. There is a significant relationship between the level of education, level of knowledge, attitudes and roles of health workers, and IDL status. The most dominant factor is the level of knowledge. IDL coverage is still low due to mothers' lack of understanding about the immunization schedule due to mothers' busy lives, family restrictions, and socio-cultural factors.

Exploring The Interplay of Stunting and Upper Respiratory Infection in Kronjo Health Center: A Cross-Sectional Study

Background: Stunting, a prevalent form of chronic malnutrition, presents a significant public health challenge globally, particularly in low-income nations like Indonesia. This study investigates the prevalence and interaction of stunting and upper respiratory infections (URIs) among toddlers aged 12-59 months in Kronjo Health Center, a rural health center in West Java.&#x0D; Methods: Employing a cross-sectional design with total sampling, data were collected from October to November 2023. Height measurements were interpreted according to WHO child growth standards, and statistical analysis was performed using the Pearson chi-square 2x2 test.&#x0D; Results: The study involved 146 toddlers, with the majority being female (52.7%) and aged 12-23 months (34.9%). Most mothers had a high school education (39.7%), practiced breastfeeding (67.8%), and participated in basic pediatric immunization programs (61%). Additionally, 15 toddlers (10.3%) had a history of low birth weight, and a significant proportion were exposed to household smoking (n = 122; 83.6%) and lived in crowded households with six or more family members (n = 45; 30.8%). The study revealed a stunting prevalence of 46.6% and a URI prevalence of 63% among toddlers aged 12-59 months in Kronjo Health Center. Statistical analysis indicated a significant association between stunting and URIs (p-value = 0.035).&#x0D; Conclusion: This study highlights a significant association between stunting and URI among toddlers aged 12-59 months in Kronjo Health Center, emphasizing the importance of addressing both conditions in rural health settings.

ANALYSIS RISK FACTORS AND PREVENTION MANAGEMENT STUNTING

Background: Stunting is a condition where there is failure to grow in children under five years old (babies under five years) caused by chronic malnutrition so that the child is too short for his age. Short (stunted) toddlers are influenced by many factors such as Low birth weight (LBW), exclusive breastfeeding, infectious diseases, and completeness of basic immunization.&#x0D; Objective: The aim of this study was to analyze the risk factors for stunting in toddlers aged 24 months-60 months at the Mandai Community Health Center, Maros Regency in 2023.&#x0D; Method: The type of research used was observational with an analytical research type in the case control study approach, namely remotely analyzing subjects in the form of 68 cases identified as stunting and comparing them with a control group of 68 who did not experience stunting. Data were processed and analyzed using the Odds Ratio (OR) test in the SPSS program.&#x0D; Result: The results of this study show that there is an OR value for birth weight of 22.50, an OR value for exclusive breastfeeding of 17.05, an OR value for infectious diseases of 12.90, and completeness of basic immunization of 18.85. &#x0D; Conclusion: From the above data it is concluded that Weight Birth of babies, exclusive breastfeeding, infectious diseases and completeness of basic immunization are risk factors for the incidence of stunting in toddlers in the working area of ​​the Mandai Community Health Center, Maros Regency .&#x0D; &#x0D;

Relationship between Education, Parity Status and Mother's Knowledge of Booster Immunization with Complete Basic Immunization of Children in the Work Area of the Tanjungsiang Health Center Subang Regency in 2023

Complete basic immunization plays a role in suppressing the spread of disease so that it is beneficial for immunity. In reducing the incidence of disease, complete basic immunization is needed to reduce disease in society as a whole.Purpose of Writing: for Education Relations, Parity Status and Mother's Knowledge About Booster Immunization With Children's Complete Basic Immunization. Research Methods: the sample was taken by all mothers who had toddlers aged 24-59 months. data collection using secondary and primary data. primary and secondary data collection. research design cross sectional quantitative approach. Research Results : In the results of the study, the majority of mothers with high school education (SMA) were 32 people (55.2%), parity status of primipara mothers were 29 people (50.0%), good knowledge of 26 people (44.8%) . There is a relationship between parity and knowledge of complete basic immunization with an asym sig 2 tailed value of 0.05 for parity status and 0.000 for knowledge. There was no relationship between education and complete basic immunization, which resulted in an asym sig 2 tailed value of 0.887. Conclusions and Suggestions: In providing education to mothers having babies 0-59 months, midwives can collaborate with other health teams, in providing health education about immunization.

Perbandingan Kompres Hangat dan Kompres Dingin terhadap Respon Nyeri Imunisasi Pentabio di Wilayah Puskesmas Pekauman Banjarmasin

Immunization is an effort to provide immunity to babies and children by maintaining vaccines in the body to produce antibodies to prevent certain diseases. Providing complete basic immunization aims to obtain initial active immunity including, among others, BCG (Bacillus Calmette-Guerin), Diphtheria, Pertussis, Tetanus, Hemophilus Influenza type B (Hib), Hepatitis B, Polio and Measles. Pain is defined as an uncomfortable sensation and emotional experience associated with actual or potential tissue damage, thus the importance of evidence-based immunization used to reduce pain. Pain management with compresses can be done before immunization at the injection area is considered to be able to reduce pain in babies. Warm compresses can cause a heat effect which will be absorbed into body tissue and can reduce pain. Cold compresses can make the skin reduce its pain response due to the release of endorphins which can block the transmission of nerve fibers. The aim of this research is to determine the comparison of the use of warm compresses and cold compresses on the pain response to pentabio immunization in the Pekauman Community Health Center area. The method used is Pre-Experimental Design with sampling using Nonprobability Sampling. The results of the Mann-Whitney test showed that there was a significant difference in the influence of the two groups on pain levels by looking at the mean value for warm compresses of 17.00.

Mother's Motivational Factors Regarding Basic Immunization Completeness for 3 Year Old Toddlers at the "W" Mimika Timika Papua Health Center

The immunization program is one of the main prevention measures to avoid infectious diseases. The problem in this research is the lack of complete basic immunization coverage in the Kamoro Jaya sub-district, Wania District in 2020. The aim of this research is to analyze mothers' motivation regarding complete basic immunization for toddlers. This type of research is a Cross Sectional Study on analytical correlation. The account population is all 300 mothers from various local posyandu areas and the sample size is several mothers totaling 100 respondents using a simple random sampling technique. The dependent variable is maternal motivation and the independent variable is completeness of basic immunization. Collect data used by consent forms and questionnaires. Data processing is used by editing, coding , scoring, data entry data tabulation and used by the chi square correlation test for a number of motivational results 1 1 2 . 2 20 a And and a number of complete results 23,040. The results of the study showed that of the 100 respondents at the "W" Community Health Center, the majority (83%) were not motivated, namely 83 respondents, and the majority (74%) completed immunizations for babies, namely 74 respondents. Che square test analysis obtained p-value = 0.001 &lt; α = 0.05 ( p-value &lt; α) which means that H 0 is rejected and H 1 is accepted . It can be concluded that there is a relationship between motivational factors and the completeness of immunization for toddlers at the Mimika "W" Health Center Timika Papua 2020. So it is recommended that health workers pay attention to the motivation of mothers of toddlers.

Achievement of Basic Immunization Seen from the Distance from Home to Health Services and the Affordability of Access to Health Services in the Work Area of Banggai Timur Raya Public Health Center, Banggai Laut Regency, Central Sulawesi Province

The low attendance of posyandu mothers, the long distance from home to health facilities and even transportation difficulties to reach health services. The aim of this research is to determine the relationship between the achievement of basic immunization seen from the distance from home to health services and the affordability of access to health services in the work area of Banggai Timur Raya Health Center, Banggai Laut Regency, Central Sulawesi Province. Method: The design of this research is correlational research with a cross sectional approach. Respondents were taken using a purposive sampling technique who met the inclusion and exclusion criteria with a sample of 30 people. The independent variables are Distance from Home to Health Services and Affordability of Access to Health Services and the dependent variable is Achievement of Basic Immunization. Statistical test results using Chi Square. Results: The results showed that almost all 25 respondents (83%) were in the close category. Almost all 25 respondents (83%) with affordable access to health services are in the affordable category. Nearly all 26 respondents (87%) achieved basic immunization in the achieved category. The results of data analysis show that the significance level is 0.000 &lt; α = 0.05 so that H0 is rejected and H1 is accepted, thus there is a relationship between the distance from home to health services and the affordability of access to health services with the achievement of basic immunization in the work area of the Banggai Timur Raya Public Health Center, Banggai Laut Regency, Sulawesi Province. Middle. Based on the research results, it can be concluded that the closer the house is to health services and the affordability of access to health services, the more basic immunization will be achieved for children.

Hubungan Pengetahuan Ibu Tentang Imunisasi Dengan Pemberian Imunisasi Dasar Lengkap Pada Bayi Di Puskesmas Penanggalan Kecamatan Penanggalan Kota Subulussalam Tahun 2023

Immunization is an effort to actively create/increase a person's immunity against a particular disease, so that if one day they are exposed to that disease they will not get sick or will only experience mild illness. The aim of this research is to determine the relationship between maternal knowledge about immunization and providing complete basic immunization to babies at the Penanggalan Community Health Center, Penanggalan District, Subulussalam City. Quantitative design using cross sectional. The population in this study were mothers who had children or babies aged 10-12 months, namely 40 respondents. Data analysis uses univariate, bivariate analysis. The results of this study show that there is a relationship between maternal knowledge about immunization and the provision of complete basic immunization to babies at the Penanggalan Public Health Center, Penanggalan District, Subulussalam City in 2023. Suggestions are given for research and for research sites and for educational institutions regarding complete basic immunization in babies.

The Relationship Between Socio-Cultural, Accessibility and Motivation of Mother with Complete Basic Immunization Status

Introduction: The Ujoh Bilang Health Center, located in Mahakam Ulu Regency, is known to have complete basic immunization coverage from January to December 2022 for 12-month-old children of 143 children (59%) with a target of 241 children. This shows that the complete basic immunization coverage is still below the Mahakam Ulu Regency target of 93.6% and the national target of 93%. Objective: The aim is to know the relationship socio-cultural, accessibility and motivation of mothers with complete basic immunization status in the working area of the Ujoh Bilang Health Center. Methods: This type of research is analytic observation using a cross sectional design. Data analysis using Chi-Square. Results and Discussion: Characteristics of respondents aged between 20-35 years (95.8%), multipara parity (66.2%), high school graduate education (57.7%), work as an IRT (46.5%), socio-cultural good (53.5%), less supportive accessibility (54.9%), good motivation (52.1%), and complete basic immunization status (50.7%). There is a socio-cultural relationship (p-value: 0.044), accessibility (p value: 0.012), mother's motivation (p value: 0.024) with complete basic immunization status in the working area of the Ujoh Bilang Health Center. Conclusion: Socio-cultural, accessibility and mother's motivation are related to complete basic immunization status

Faktor-Faktor Yang Mempengaruhi Ibu Terhadap Status Imunisasi Dasar Pada Bayi Usia 12-24 Bulan di Desa Nauli Kec. Sigumpar Kab.Toba Tahun 2023

Immunization is an act of providing immunity to children against diseases that can be prevented by immunization before the age of 12 months, namely tuberculosis, polio, hepatitis B, diphtheria, pertussis, tetanus and measles. Complete and regular basic immunization by receiving all types of basic immunization when children are less than 11 months old can reduce morbidity and mortality rates for toddlers by around 80-95%. Incomplete basic immunization, maximum can only provide 25-40% protection. The role of a mother in the immunization program is very important, because the use of health facilities by babies/children is related to factors that influence the mother. The aim of this study was to determine the relationship between factors that influence mothers on basic immunization status in babies aged 12-24 months. This research uses a descriptive correlation design with a cross sectional approach. The number of samples in this study was 40 people. Sampling was taken using the total population. This research was conducted in Nauli Village, Sigumpar District, Toba Regency in 2023. The instrument in this research was a questionnaire. Data analysis used chi-square. From the research results, it was concluded that there was a significant relationship between maternal age with a value of p=0.001, education with a value of p=0.004, employment with a value of p=0.001, number of children with a value of p=0.000, and knowledge with a value of p=0.000 on basic immunization status . From this research, it is hoped that health workers will improve the quality of health services, health promotion efforts in the form of social support, namely improving the quality of health education, providing motivation in utilizing health services, especially immunization.

I-Mun: A Reminder System and a Chatbot for Information of Immunization under 2 Years

Immunization is a way to increase a person's immunity, to prevent exposure to Preventable Diseases by Vaccine. There are two types of immunizations that are given when a baby is born: basic and optional. Basic immunization is given when the child is 0-24 months old. Optional immunizations are immunizations that are not included in government immunization programs but are important for infants in Indonesia since Indonesia has several endemics. Currently, immunizations that have been carried out in Indonesia are still experiencing some obstacles. Where the parents of the baby still lack knowledge about basic and optional immunizations. In addition, parents still lack information about the right time to immunize their child. This research aims to develop a reminder system for parents through two approaches: a reminder system and a chatbot to give information related immunization. The reminder system is web-based and uses WhatsApp gateway to provide reminders to parents. The creation of this system starts from extracting knowledge about immunization supplied by Indonesian Pediatric Association (IDAI) which modeled into rules. Then, an immunization reminder schedule will be given through WhatsApp app to the parents at the right time (can be set 1-2 days before) based on these rules. Testing on the system is carried out using four test cases and validated by a pediatrician. The system can help parents remember immunization schedules through WhatsApp and can find out information about the immunizations through chatbot with Telegram app.

Determinants of Maternal Behavior in Basic Immunization of Children Aged 0-9 Months at Health Center in Southern Nias District 2023

The aim of this research was to determine the influence of mothers' attitudes, knowledge and perceptions on the status of basic immunization requirements for children aged 0-9 months at the Community Health Center of South Nias Regency. This research uses a quantitative anaclitic research design with a cross sectional approach. The population in this study were parents who had children aged 0-9 months who were within the coverage area of ​​the South Nias Regency Health Center. The sample size used in this research is 120 samples. Data analysis in this research is univariate and bivariate analysis. The results obtained from this research are that mothers' attitudes, knowledge and perceptions partially influence the basic immunization status of children aged 0-9 months at the Community Health Center, South Nias Regency, P-value &lt; 0.05. Attitudes, knowledge and perceptions simultaneously influence the basic immunization status of children aged 0-9 months at the Community Health Center of South Nias Regency P-value &lt; 0.05.

Faktor Penentu Imunisasi Dasar Lengkap pada Anak di Wilayah Kerja Puskesams di Kota Palembang

WHO mention about 1.5 million children die each year because diseases that can be prevented by immunization. Immunization is one of the health interventions that has proven to be the cheapest, because it can prevent and reduce the incidence number of morbidity, disability, and death due to PD3I (Ministry of Health RI, 2020). Infants aged 0-11 months must receive complete basic immunization consisting of 1 dose of Hepatitis B, 1 dose of BCG, 3 doses of DPT-HB-HiB, 4 doses of polio drops (OPV), 1 dose of injectable polio (IPV) and 1 dose of measles rubella. In 2020, complete basic immunization in the city of palembang is 81.9% and this means that it has not reached the 2023 national target of 100%. The immunization coverage of Boom Baru Health Center reached 96.4%. The purpose of this study was to find out what factors are related to the coverage of complete basic immunization in children at the Boom Baru Health Center in Palembang City. This study used quantitative methods with a cross sectional approach. Data collectiom used a questionnaire and analyzed univariately to describe distribution and proportion, and bivariate used Chi Square. This study found that there was no relationship between mother’s last education with complete basic immunization coverage (p = 0.143), and there was a relationship between mother’s knowledge (p = 0.000), Trust (p = 0.000), family support (p = 0.000). This study suggest for health workers provide counseling and increase the motivation of mothers regarding the importance of immunization and do monitor the completeness of their immunization, while mothers who have babies should take the time to immunize their chidren.&#x0D; &#x0D; Bibliography : 2010-2023&#x0D; Keywords : Basic Immunizations, Education, Knowledge, Trust, Family Support

PENYULUHAN PENCEGAHAN DIABETES MELITUS DI LEMBAGA PEMASYARAKATAN LABUHAN DELI

Community Service (PKM) conducted by the Faculty of Medicine at the Indonesian Methodist University provides counseling on the benefits of basic immunization. Community Service was held on July 28 2023 at the Labuhan Deli Correctional Institution, Medan Labuhan District, Medan City, North Sumatra. Lectures, discussions and motivation are used as orientation methods. A question and answer discussion was held with the aim of gaining insight and understanding from the employees and residents of the Labuhan Deli correctional institution. The result of this outreach is that employees and residents of the Labuhan Deli Penitentiary have knowledge about Diabetes Mellitus, its symptoms, risk factors, and the complications it causes so that employees and the community can carry out prevention as early as possible.

Determinant of Complete Basic Immunization of Children

&#x0D; &#x0D; &#x0D; &#x0D; Abstract&#x0D; WHO mention about 1.5 million children die each year because diseases that can be prevented by immunization. Immunization is one of the health interventions that has proven to be the cheapest, because it can prevent and reduce the incidence number of morbidity, disability, and death due to PD3I (Ministry of Health RI, 2020). Infants aged 0-11 months must receive complete basic immunization consisting of 1 dose of Hepatitis B, 1 dose of BCG, 3 doses of DPT-HB-HiB, 4 doses of polio drops (OPV), 1 dose of injectable polio (IPV) and 1 dose of measles rubella. In 2020, complete basic immunization in the city of palembang is 81.9% and this means that it has not reached the 2023 national target of 100%. The immunization coverage of Boom Baru Health Center reached 96.4%. The purpose of this study was to find out what factors are related to the coverage of complete basic immunization in children at the Boom Baru Health Center in Palembang City. This study used quantitative methods with a cross sectional approach. Data collectiom used a questionnaire and analyzed univariately to describe distribution and proportion, and bivariate used Chi Square. This study found that there was no relationship between mother’s last education with complete basic immunization coverage (p = 0.143), and there was a relationship between mother’s knowledge (p = 0.000), Trust (p = 0.000), family support (p = 0.000). This study suggest for health workers provide counseling and increase the motivation of mothers regarding the importance of immunization and do monitor the completeness of their immunization, while mothers who have babies should take the time to immunize their chidren. to immunize their children.&#x0D; &#x0D; &#x0D; &#x0D;

FAKTOR TINGKAT KEPATUHAN IBU DALAM PEMBERIAN IMUNISASI DASAR PADA MASA PANDEMI COVID-19 DI WILAYAH KERJA PUSKESMAS SINGOSARI KABUPATEN MALANG

Background: Immunization is a low-cost health measure to lower morbidity, mortality, and disability resulting from diseases that can be prevented by vaccination (PD3I). The implementation of health programs, such as immunization services and surveillance of diseases that can be prevented by immunization (PD3I) has been impacted by the COVID- 19 outbreak in Indonesia. For instance, Integrated Healthcare Center service disruptions and a decline in immunization coverage rates. Objective: To determine the level of maternal compliance in providing primary immunization during the COVID-19 pandemic in the Singosari Public Health Center’s Work Area, Malang Regency. These factors consist of knowledge, family support and perceived barriers that mothers feel towards compliance in providing basic immunizations. Methods: A cross-sectional strategy was used in this study along with an analytical observational methodology. There were 110 mother’s of youngsters under 2 years old as respondents. Data were collected using online survey and the data analyzed using chi-square test. Results and Discussion: The findings of the chi-square test on the knowledge variable and compliance to primary immunization revealed no association (p-value = 0,617), as well as there was no relationship between the family support and compliance (p-value = 0,632). There was a substantial correlation between mother's barriers perceptions and primary immunization compliance (p-value = 0,020). Conclusions: In providing primary immunization during the COVID-19 pandemic in the Singosari Public Health Center, Malang Regency. There is a relationship between the barriers perceived by the mother and immunization compliance. There is no relationship between knowledge and immunization compliance, and there is no relationship between family support and immunization compliance.