The relationship between maternal knowledge and timeliness of basic immunization in infants aged 0-12 months

Main Article Content

Ai Sulastri, Amd.Kep
Ridzal Fadza, S.Kep., Ners

Abstract

Background: The global infant mortality rate remains a significant concern, with a rate of 28.2 per 1,000 live births recorded in 2019. In Indonesia, the infant mortality rate reached 24 per 1,000 live births in 2022, and efforts to reduce this include immunization, as the World Health Organization (WHO) reports that around 1.5 million children die annually from preventable diseases, including a rising 15% mortality rate due to diphtheria in Indonesia in 2020.


Purpose: To analyze the relationship between maternal knowledge and timeliness of basic immunization in infants aged 0-12 months.


Methods: This study employs a quantitative research method with a correlational descriptive design and a cross-sectional approach, using purposive sampling to select a sample of 86 respondents. Data was collected through maternal knowledge questionnaires and observation sheets from mother and child notebooks, and the analysis was conducted using the Spearman test.


Results: The study found that the majority of mothers, 40 respondents (46.5%), had good knowledge about basic immunization, followed by 30 respondents (34.9%) with adequate knowledge, and 16 respondents (18.6%) with insufficient knowledge. At Puskesmas Rawalele, almost all basic immunizations for infants aged 0-12 months were administered on time (76.7%), and there was a significant relationship between maternal knowledge and the timeliness of basic immunization, with a p-value of < 0.001.


Conclusion: Maternal knowledge about basic immunization plays a crucial role in ensuring the timely administration of vaccines to infants. Consequently, public health initiatives focusing on increasing awareness and education about immunization among mothers could be instrumental in achieving higher compliance and better health outcomes for infants.

Article Details

How to Cite
[1]
A. Sulastri and R. Fadza, “The relationship between maternal knowledge and timeliness of basic immunization in infants aged 0-12 months”, INJ, vol. 2, no. 1, pp. 1–6, Jul. 2024.
Section
Original Research

References

Kemenkes RI, Profil Kesehatan Indonesia. 2022. [Online]. Available: https://www.kemkes.go.id/downloads/resources/download/pusdatin/profil-kesehatan-indonesia/Profil-Kesehatan-2021.pdf

WHO, “Ten Threats to Global Health in 2019,” 2019. [Online]. Available: https://www.who.int/news-room/spotlight/ten-threats-to-global-health-in-2019

K. Kusnanto, H. Arifin, and Y. Kurniawati, “Determinant of BCG vaccine coverage among Indonesian children aged 0–2 months,” Child. Youth Serv. Rev., vol. 116, p. 105238, 2020, doi: https://doi.org/10.1016/j.childyouth.2020.105238.

UNICEF, “Global immunization efforts have saved at least 154 million lives over the past 50 years,” 2024. https://www.unicef.org/press-releases/global-immunization-efforts-have-saved-least-154-million-lives-over-past-50-years

J. W. Noh et al., “Determinants of timeliness in early childhood vaccination among mothers with vaccination cards in Sindh province, Pakistan: A secondary analysis of cross-sectional survey data,” BMJ Open, vol. 9, no. 9, pp. 1–9, 2019, doi: 10.1136/bmjopen-2019-028922.

M. Jheeta and J. Newell, “Childhood vaccination in Africa and Asia: the effects of parents’ knowledge and attitudes.,” Bulletin of the World Health Organization, vol. 86, no. 6. Switzerland, p. 419, Jun. 2008. doi: 10.2471/blt.07.047159.

Y. Hu, Y. Chen, H. Liang, and Y. Wang, “An Overview of Coverage of BCG Vaccination and Its Determinants Based on Data from the Coverage Survey in Zhejiang Province,” International Journal of Environmental Research and Public Health, vol. 15, no. 6. 2018. doi: 10.3390/ijerph15061155.

A. F. Jamison et al., “Determinants of vaccine coverage and timeliness in a northern Pakistani village.,” PLoS One, vol. 17, no. 2, p. e0263712, 2022, doi: 10.1371/journal.pone.0263712.

A. Summan, A. Nandi, E. Schueller, and R. Laxminarayan, “Public health facility quality and child immunization outcomes in rural India: A decomposition analysis.,” Vaccine, vol. 40, no. 16, pp. 2388–2398, Apr. 2022, doi: 10.1016/j.vaccine.2022.03.017.

Puskesmas Kalijati, “Profil Puskesmas Kalijati Kab. Subang,” 2023.

N. Sheikh et al., “Coverage, Timelines, and Determinants of Incomplete Immunization in Bangladesh.,” Trop. Med. Infect. Dis., vol. 3, no. 3, Jun. 2018, doi: 10.3390/tropicalmed3030072.

S. Kulkarni, V. Thampi, D. Deshmukh, M. Gadhari, R. Chandrasekar, and M. Phadke, “Trends in Urban Immunization Coverage in India: A Meta-Analysis and Meta-Regression.,” Indian J. Pediatr., vol. 90, no. 1, pp. 38–48, Jan. 2023, doi: 10.1007/s12098-021-03843-0.

A. I. Awadh, M. A. Hassali, O. Q. Al-lela, S. H. Bux, R. M. Elkalmi, and H. Hadi, “Immunization knowledge and practice among Malaysian parents: a questionnaire development and pilot-testing.,” BMC Public Health, vol. 14, p. 1107, Oct. 2014, doi: 10.1186/1471-2458-14-1107.

S. Chen, L. Yao, W. Wang, and S. Tang, “Developing an effective and sustainable national immunisation programme in China: issues and challenges.,” Lancet. Public Heal., vol. 7, no. 12, pp. e1064–e1072, Dec. 2022, doi: 10.1016/S2468-2667(22)00171-2.

M. R. Francis et al., “Vaccination coverage and the factors influencing routine childhood vaccination uptake among communities experiencing disadvantage in Vellore, southern India: a mixed-methods study,” BMC Public Health, vol. 21, no. 1, p. 1807, 2021, doi: 10.1186/s12889-021-11881-8.

D. Anggraeni and L. Wijaya, “The mother’s knowledge regarding worms in pre-school students in PAUD Salsabila, Yogyakarta,” Indones. Nurs. J., vol. 1, no. 2, pp. 38–41, 2024, doi: 10.31962/inj.v1i2.160.