HUBUNGAN KESINAMBUNGAN PEMANFAATAN PELAYANAN KESEHATAN MATERNAL DENGAN PEMBERIAN IMUNISASI LENGKAP DI INDONESIA

Dwi Sisca Kumala Putri, Nur Handayani Utami, Olwin Nainggolan

Abstract


ABSTRAK

Background: Morbidity and mortality due to infections in children can be reduced by immunization program. Some studies indicate that sustainability utilization of maternal health care will improvematernal health and the quality of child care including immunization.

Objective: The aim of the analysis is to determine the relationship between sustainability utilization ofmaternal health services with complete immunization of children aged 12-23 months in Indonesia.

Methods: Secondary data analysis of Baseline Health Research 2013. The samples in this analysis werechildren aged 12 – 23 months of mothers aged 10 – 54 years who has history of immunization recorded onKMS / KIA / infant health records. The main independent variable was the sustainability utilization ofmaternal health services. The dependent variable is the immunization status. Odds ratios and 95%Confidence were calculated by logistic regression.

Result: Pregnant women who were not sustainably utilize maternal health services were 1.58 times morelikely to not provide complete immunization to their children compare to women who continuously utilizedmaternal health services adjusted by economic status and number of children in family.

Conclusion: The sustainability utilization of maternal health care significantly related with completeimmunization of children aged 12 – 23 months in Indonesia.

 

Latar Belakang: Upaya untuk menurunkan angka kesakitan dan kematian karena infeksi pada anak dapatdilakukan dengan program imunisasi. Beberapa studi menunjukkan bahwa kesinambungan pemanfaatanpelayanan kesehatan maternal akan meningkatkan derajat kesehatan ibu serta kualitas perawatan anaktermasuk didalamnya imunisasi.

Tujuan: Analisis ini bertujuan untuk mengetahui hubungan antara kesinambungan pemanfaatan pelayanankesehatan maternal dengan pemberian imunisasi lengkap anak umur 12 – 23 bulan di Indonesia.

Metodologi: Data yang digunakan di dalam analisis ini ialah data Riset Kesehatan Dasar tahun 2013.Sampel di dalam analisis ini ialah anak umur 12 – 23 bulan dari ibu umur 10 – 54 tahun yang memilikiriwayat imunisasi yang tercatat pada buku KMS/KIA/catatan kesehatan bayi. Variabel bebas utama ialahkesinambungan pemanfaatan pelayanan kesehatan maternal. Variabel terikat ialah status imunisasi dasarlengkap. Analisis regresi logistik dilakukan dengan perhitungan odds ratio dan 95% Confidence Interval.

Hasil: Hasil analisis menunjukkan bahwa ibu hamil yang tidak berkesinambungan memanfaatkanpelayanan kesehatan maternal, memiliki kecenderungan 1,58 kali untuk tidak memberikan imunisasilengkap kepada anaknya dibandingkan dengan ibu hamil yang berkesinambungan memanfaatkanpelayanan kesehatan maternal.

Kesimpulan: Kesinambungan pemanfaatan pelayanan kesehatan maternal berhubungan signifikan denganpemberian imunisasi lengkap anak umur 12 – 23 bulan di Indonesia.

 

 


Keywords


imunisasi lengkap, kesinambungan, pelayanan kesehatan maternal

References


update warta Berita terkini indonesia

Kementerian Kesehatan. Rencana Strategis Kementerian Kesehatan Tahun 2015-2019 KepMenKes RI Nomor HK 02 02 MENKES 52 2015. 2015; Available from: www.perpustakaan.depkes.go.id

Unicef. Ringkasan Kajian Kesehatan Ibu dan Anak. 2013.

Kesehatan K. PP Menteri Kesehatan Republik Indonesia No. 42 Tahun 2013 Tentang Penyelenggaraan Imunisasi.

Kesehatan Departemen. Masyarakat tidak perlu ragu melakukan imunisasi [Internet]. 2014. Available from: http://www.depkes.go.id/index.php?vw=2&id=314

WHO, UNICEF WB. State of the world’s vaccines and immunization.

Graft-johnson J De, Kerber K, Tinker A, Otchere S, Narayanan I, Shoo R, et al. continuum of care. :23–36.

Depkes RI Badan Litbangkes. Laporan Hasil Riset Kesehatan Dasar Riskesdas 2007.

Depkes RI Badan Litbangkes. Laporan Hasil Riset Kesehatan Dasar Riskesdas 2010.

Depkes RI Badan Litbangkes. Laporan Hasil Riset Kesehatan Dasar Riskesdas 2013.

Gill JM, Saldarriaga A, Mainous AG 3rd UD. Does continuity between prenatal and well-child care improve childhood immunizations? Fam Med [Internet]. 2002;34(4):274–80. Available from: http://umass.stfm.org/fmhub/fm2002/apr02/cram.pdf

D A Christakis, L Mell, J A Wright, R Davis and FAC. The Association Between Greater Continuity of Care and Timely Measles - Mumps – Rubella Vaccination. Am J Public Heal [Internet]. 2000;90(6):962–5. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1446264/pdf/10846516.pdf

Kementerian. K. Pedoman Kuesioner Riset Kesehatan Dasar 2013. 2013.

RI KK. Pedoman Pemantauan Wilayah Setempat Kesehatan Ibu dan Anak (PWS- KIA).

Kementerian Kesehatan. Rencana Aksi Percepatan Penurunan Angka Kematian Ibu di Indonesia.

Kerber KJ, Graft-Johnson JE, Bhutta Z SA& LJ. Continuum of care for maternal, newborn, and child health: from slogan to service delivery. Lancet [Internet]. 2007;370(9595). Available from: http://www.who.int/pmnch/media/mnchnews/2007/lancet-COC.pdf

John W. Saultz, MD and Jennifer Lochner M. Interpersonal Continuity of Care and Care Outcomes: A Critical Review. Ann Fam Med. 2005;3(2):159–66.

Hagiwara A. Is the Maternal and Child Health (MCH) Handbook Effective in Improving Health Related Behavior?

Keiko Osaki TH and SK. THE ROLE OF HOME-BASED RECORDS IN THE ESTABLISHMENT OF A CONTINUUM OF CARE FOR MOTHERS, NEWBORNS, AND CHILDREN IN INDONESIA. Glob Heal Action [Internet]. 2013;6. Available from: http://www.globalhealthaction.net/index.php/gha/article/view/20429

Akinola Ayoola Fatiregun, Anselm O O. Maternal Determinants of Complete Child Immunization among Children Aged 12 – 23 Months in a Southern District of Nigeria. Vaccine, [Internet]. 2012;30(4):730–6. Available from: http://www.sciencedirect.com/science/article/pii/S0264410X11018780

Ayesha Siddiqa Bugvi, Rahla rahat, Rubeena Zakkar, Muhammad Zakria Zakar, Florian Fischer E a. . Factors associated with non-utilization of child immunization in Pakistan: Evidence from the Demographic and Health Survey 2006-07. BMC Public Heal [Internet]. 2014;14(232). Available from: http://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-14-232

Jennifer N. Bondy, Amardeep Thind E al. Identyfying the Determinants of Childhood Immunization in the Philippines. Vaccine, [Internet]. 2012;12(566). Available from: http://www.biomedcentral.com/1471-2458/12/566

Belachew Etana WD. Factors Associated with Complete Immunization Coverage in Children aged 12 – 23 Months in Ambo Woreda, Central Ethiopia. BMC Public Health [Internet]. 2012;12(566). Available from: http://www.biomedcentral.com/1471-2458/12/566

Patrick Opiyo Owili, Miriam Adoyo Muga, Yiing-Jenq Chou, Yi-Hsin Elsa Hsu, Nicole Huang and L-YC. Associations in the continuum of care for maternal, newborn and child health: a population-based study of 12 sub-Saharan Africa countries. BMC Public Health [Internet]. 2016;16(414). Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4869316/

M.Cantuari etal. Factors associated with incomplete or delayed vaccination across countries: A systematic review. Vaccine [Internet]. 2016;34(24):2635–43. Available from: http://www.sciencedirect.com/science/article/pii/S0264410X16301451

Ismet F. Analisis Faktor-Faktor Yang Berhubungan Dengan Imunisasi Dasar Lengkap Pada Balita Di Desa Botubarani Kecamatan Kabila Bone Kabupaten Bone Bolango Tahun 2013. 2014.

Christakis. DA. Does Continuity of Care Matter?Yes Consistent contact with a physician improves outcomes. West J Med [Internet]. 2001;175(1). Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1071446/


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