Determinants of follow-up immunization participation among toddlers in the service area of north kuta community health center, Indonesia
DOI:
https://doi.org/10.64621/hjns.v1i1.12Keywords:
follow-up immunization, parent education, family support, immunization benefits, health disparitiesAbstract
Background: Follow-up immunization participation among toddlers aged 18–24 months in Indonesia, including North Kuta, has improved but still struggles to meet national targets. Factors like parental education, employment, knowledge, and family support need evaluation to boost coverage. Objective: This study aimed to identify factors that influenced follow-up immunization participation among toddlers aged 18–24 months in the North Kuta Community Health Center service area. Methods: An analytical observational study with a cross-sectional design was conducted among a population of 200 toddlers immunized between October and December 2023. A purposive sample of 133 toddlers was selected based on inclusion and exclusion criteria. Data were collected using validated questionnaires and checklists to assess parental knowledge and family support. Univariate and bivariate analyses were performed using the Spearman rank test. Results: The majority of toddlers (56.4%) were aged 18–21 months, and 54.1% were female. Full vaccination was received by 86.5%, while 15% experienced delays, and 3.8% were unvaccinated. Most parents had university education (67.7%) or high school education (26.3%), and 62.4% had good knowledge of immunization. Family support was classified as strong (52.6%) or sufficient (41.4%). Significant correlations were identified between parental education (p = 0.002), knowledge (p = 0.000), family support (p = 0.001), and immunization participation, while parental occupation showed no significant relationship. Conclusion: Parental education, knowledge of immunization, and family support significantly influence follow-up immunization participation. Targeted interventions to raise awareness, particularly among less-educated parents, and strategies to strengthen family involvement are recommended to improve immunization coverage.
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