Relationship between maternal knowledge and compliance with measles-rubella immunization
Hubungan pengetahuan ibu dengan kepatuhan imunisasi campak rubella
Keywords:
Maternal knowledge and measles-rubella immunization compliance, Factors affecting MR vaccine uptake in children, Measles-rubella vaccine schedule adherence, Impact of maternal education on immunization rates, Strategies to improve MR vaccine coverageAbstract
Background: Measles and rubella are significant health threats to children, which can be prevented through immunization. Despite the availability of the measles-rubella (MR) vaccine, its coverage remains insufficient. Lack of maternal knowledge is a major factor contributing to non-compliance with the vaccination schedule.
Objective: This study aims to assess the relationship between maternal knowledge and compliance with MR immunization for children under two years old.
Method: A quantitative study with a descriptive analysis was conducted, involving 34 mothers with children aged 24-36 months at Long Kali Community Health Center. The total sampling method was used, and data were collected through a validated Guttman-scale questionnaire. Chi-square tests were employed to analyze the relationship between maternal knowledge and immunization compliance.
Results: The study found that a significant proportion of mothers had poor knowledge (55.9%) about MR immunization. Furthermore, 70.6% of mothers were non-compliant with the MR immunization schedule. A significant association was identified between maternal knowledge and immunization compliance (p < 0.05).
Discussion: Maternal knowledge significantly influences compliance with the MR immunization schedule. Efforts to increase awareness and understanding of MR immunization are crucial to improve vaccine uptake and protect children from preventable diseases.
References
Alvarenga, M. B., Francisco, A. A., de Oliveira, S. M., da Silva, F. M., Shimoda, G. T., & Damiani, L. P. (2015). Episiotomy healing assessment: Redness, Oedema, Ecchymosis, Discharge, Approximation (REEDA) scale reliability. Revista latino-americana de enfermagem, 23(1), 162–168. https://doi.org/10.1590/0104-1169.3633.2538
Carpenito-Moyet, L. J. (2009). Nursing care plans & Documentation – Nursing diagnoses and collaborative problems. China: Wolters Kluwer Health – Lippincott Williams & Wilkins.
Debras, E., Capmas, P., Maudot, C., & Chavatte-Palmer, P. (2024). Uterine wound healing after caesarean section: A systematic review. European Journal of Obstetrics & Gynecology and Reproductive Biology, 296, 83–90. https://doi.org/10.1016/j.ejogrb.2024.02.045
Dewi, A. P. S., Maesaroh, S., Sulasih, U., Rahmadhani, W., & Novyriana, E. (2022). The Role of Early Mobilization on Wound Healing After Sectio Caesarea. Journal of Sexual and Reproductive Health Sciences, 1(1), 7-14. https://doi.org/10.26753/jsrhs.v1i1.698.
Golder, H. J., & Papalois, V. (2021). Enhanced Recovery after Surgery: History, Key Advancements and Developments in Transplant Surgery. Journal of clinical medicine, 10(8), 1634. https://doi.org/10.3390/jcm10081634
Guo, S., & Dipietro, L. A. (2010). Factors affecting wound healing. Journal of dental research, 89(3), 219–229. https://doi.org/10.1177/0022034509359125
Harahap, S., Sianturi, S. I., & Dalimunthe, D. Y. (2023). The Effect of Early Mobilization on the Process of Wound Healing in the Inflammatory Phase of Post Sectio Caesarea. Asian Journal Health and Science, 2(11), 887-895. https://doi.org/10.58631/ajhs.v2i11.70
Idawati, I., Khaironnisa, D., Aisyah, S., Husna, N., & Setiawati, D. (2023). Effect of early mobilization on post SC pain (a literature review). Science Midwifery, 11(3), 620-628. https://doi.org/10.35335/midwifery.v11i3. 1260.
Indanah, I., Karyati, S., Aulia, Q. A. Y., & Wardana, F. (2021, May). Hubungan Status Paritas Dan Mobilisasi Dini Dengan Kemandirian Ibu Post Sectio Caesaria. In Prosiding University Research Colloquium (pp. 660-665). https://repository.urecol.org/index.php/proceeding/article/view/1461.
Irmayanti. (2019). Mobilisasi Dini Dalam Proses Penyembuhan Luka Sectio Caesarea Pada Ibu Postpartum Di Rs Dewi Sartika. Jurnal SMART Kebidanan, 6(1), 16-19. https://doi.org/ 10.34310/sjkb.v6i1.237.
Jadhav, C., & Gosavi, A. (2023). To Assess the Effect of Early Ambulation and Progressive Exercise on Post-cesarean Section Recovery among Women at Selected Hospitals of the City. International Journal of Nursing Research, 9(1), 22-28. https://doi.org/10.31690/ijnr.2023.v09i01.005
Macones, G. A., Caughey, A. B., Wood, S. L., Wrench, I. J., Huang, J., Norman, M., Pettersson, K., Fawcett, W. J., Shalabi, M. M., Metcalfe, A., Gramlich, L., Nelson, G., & Wilson, R. D. (2019). Guidelines for postoperative care in cesarean delivery: Enhanced Recovery After Surgery (ERAS) Society recommendations (part 3). American Journal of Obstetrics and Gynecology, 221(3), 247.e1-247.e9. https://doi.org/10.1016/j.ajog.2019.04.012
Ministry of Health - Republic of Indonesia. (2021). Profil Kesehatan Indonesia. Jakarta: Ministry of Health - Republic of Indonesia
Naziyah, Wowor, T. J., Dwi, L. (2022). The Relationship of Early Mobilization and Wound Healing of Inflammation Phase among Post Cesarean Section Women at PMI Hospital Bogor West Java. Nursing and health sciences journal,2(2), 99-103. https://doi.org/10.53713/nhs.v2i2.42
Paul, R., Narayan, P. J., & Kaur, H. (2019). Effectiveness of Early Ambulation on Post Operative Recovery among the Women with Caesarean Section (CS). Int J Trend Sci Res Dev, 3, 851-5. https://doi.org/10.31142/ijtsrd23067
Pebolo, P. F., Judith, A., & Dan, K. K. (2020). Episiotomy-related morbidities measured using redness, edema, ecchymosis, discharge and apposition scale and numerical pain scale among primiparous women in Mulago National Referral Hospital, Kampala, Uganda. The Pan African medical journal, 36, 347. https://doi.org/10.11604/pamj.2020.36.347.25049
Potter, P. A., Perry, A. G., Stockert, P. A., & Hall, A. M. (2017). Fundamental of nursing, ninth edition. Missouri: Elsevier.
Roslianti, E., Srinayanti, Y., Kusumawaty, J., & Setiyani, E. (2018). The description of the treatment of early mobilization on the mother post sectio caesarea in lotus ii blud hospitals banjar year 2018. Jurnal Kesehatan, 5(2), 1-11. https://doi.org/10.52221/jurkes.v5i1.18
Schepker, N., Garcia-Rocha, G. J., von Versen-Höynck, F., Hillemanns, P., & Schippert, C. (2015). Clinical diagnosis and therapy of uterine scar defects after caesarean section in non-pregnant women. Archives of gynecology and obstetrics, 291(6), 1417–1423. https://doi.org/10.1007/s00404-014-3582-0
Singh, M. S., Nutan, M. K., & Jaiswar, S. P. (2020).Effectiveness Of Early Ambulation On Post-Operative Post Operative Recovery Among Caesarean Mothers. Int. J. Curr. Res, 12(06), 11938-11945. https://doi.org/10.24941/ijcr.38983.06.2020
Susanti & Sari, I. (2022). Early mobilization behavior of mother post section caesarea at Embung Fatimah Hospital Batam City. International Journal of Nursing and Midwifery Science (IJNMS), 6(1), 82-87. https://doi.org/10.29082/IJNMS/2022/Vol6/Iss1/382
Teigen, N. C., Sahasrabudhe, N., Doulaveris, G., Xie, X., Negassa, A., Bernstein, J., & Bernstein, P. S. (2020). Enhanced recovery after surgery at cesarean delivery to reduce postoperative length of stay: a randomized controlled trial. American journal of obstetrics and gynecology, 222(4), 372-e1. DOI: 10.1016/j.ajog.2019.10.009.
Vasudeva, A., Amin, S. V., Prakashini, K., Bharatnur, S., & Mundkur, A. (2016). Post-caesarean Haematomas, Septic Collections and Wound Disruptions- Re-Laparotomy Based on Abdominal Imaging. Journal of clinical and diagnostic research : JCDR, 10(11), QJ01–QJ02. https://doi.org/10.7860/JCDR/2016/20920.8833
WHO. (2021). Caesarean section rates continue to rise, amid growing inequalities in access – Rising rates suggest increasing numbers of medically unnecessary, potentially harmful procedures. https://www.who.int/news/item/16-06-2021-caesarean-section-rates-continue-to-rise-amid-growing-inequalities-in-access
Youness, E., & Ibrahim, W. (2017). Effect of early and progressive exercises on post-caesarean section recovery among women attending women’s heath hospital. International Journal of Advanced Nursing Studies, 6(2), 71-78. https://doi.org/10.14419/ijans.v6i2.7660
Zuiatna, D. (2019). Hubungan Mobilisasi Dini Dengan Penyembuhan Luka Post Operasi Sectio Seasarea di RSU Melati Perbaungan Tahun 2018. Jurnal Gentle Birth, 2(1), 1-9. http://dx.doi.org/10.56695/jgb.v2i1.19
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Maryati, Desilestia Dwi Salmarini, Putri Darsono, Hairiana Kusvitasari
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Health Sciences International Journal (HSIJ) © 2023 by Ananda Health and Education Foundation is licensed under Attribution-ShareAlike 4.0 International
