Optimization of basic immunization coverage at Paku Alam
Optimalisasi Cakupan Imunisasi Dasar di Paku Alam
Kata Kunci:
Vaccine hesitancy, Health literacy, Immunization, Community-based education, Maternal educationAbstrak
Background: Immunization plays a vital role in preventing infectious diseases, significantly reducing morbidity and mortality worldwide. Indonesia's national immunization program has been in place since 1956, focusing on vulnerable groups such as infants and pregnant women. However, despite these efforts, immunization rates in Paku Alam Village, South Kalimantan, remain suboptimal, with 90% of the target population yet to complete basic immunization in 2023. Factors contributing to this gap include misinformation, vaccine hesitancy, and low health literacy among the population.
Case presentation: In Paku Alam Village, only 27 out of the 30 targeted children for the 2023 immunization program received partial immunizations, with none completing the full schedule by mid-year. Misinformation spread via social media, coupled with fears about vaccine side effects, has fueled parental reluctance to immunize. Midwives and healthcare workers have struggled to combat these challenges due to a lack of effective communication tools and deep-rooted distrust in the healthcare system.
Discussion: Addressing the immunization gap in Paku Alam Village requires a multifaceted approach, including educational interventions tailored to parents. These interventions should include visual aids, interactive discussions, and community-based outreach to improve vaccine knowledge and trust. Additional strategies like offering incentives, collaborating with early childhood education centers, and strengthening healthcare worker training are also critical. Building trust through culturally appropriate messaging from trusted community leaders is essential to overcoming vaccine hesitancy.
Conclusion: The immunization program in Paku Alam Village faces challenges rooted in low parental knowledge and the spread of misinformation. However, targeted health education, collaboration between healthcare workers, schools, and community leaders, and incentivization strategies can improve immunization coverage. A comprehensive, multi-sectoral approach is required to meet the village's immunization goals.
Referensi
Andreas, M., Iannizzi, C., Bohndorf, E., Monsef, I., Piechotta, V., Meerpohl, J. J., & Skoetz, N. (2022). Interventions to increase COVID-19 vaccine uptake: a scoping review. The Cochrane Database of Systematic Reviews, 8(8), CD015270. https://doi.org/10.1002/14651858.CD015270
Balgovind, P., & Mohammadnezhad, M. (2022). Factors affecting childhood immunization: Thematic analysis of parents and healthcare workers’ perceptions. Human Vaccines & Immunotherapeutics, 18(6), 2137338. https://doi.org/10.1080/21645515.2022.2137338
Bhattad, P. B., & Pacifico, L. (2022). Empowering Patients: Promoting Patient Education and Health Literacy. Cureus, 14(7), e27336. https://doi.org/10.7759/cureus.27336
Cataldi, J. R., Kerns, M. E., & O’Leary, S. T. (2020). Evidence-based strategies to increase vaccination uptake: a review. Current Opinion in Pediatrics, 32(1), 151–159. https://doi.org/10.1097/MOP.0000000000000843
Childers-Strawbridge, S., Eiden, A. L., Nyaku, M. K., & Bhatti, A. A. (2022). Attitudes and Beliefs around the Value of Vaccination in the United States. Vaccines, 10(9). https://doi.org/10.3390/vaccines10091470
Feemster, K. A. (2020). Building vaccine acceptance through communication and advocacy. Human Vaccines & Immunotherapeutics, 16(5), 1004–1006. https://doi.org/10.1080/21645515.2020.1746603
Forshaw, J., Gerver, S. M., Gill, M., Cooper, E., Manikam, L., & Ward, H. (2017). The global effect of maternal education on complete childhood vaccination: a systematic review and meta-analysis. BMC Infectious Diseases, 17(1), 801. https://doi.org/10.1186/s12879-017-2890-y
Galagali, P. M., Kinikar, A. A., & Kumar, V. S. (2022). Vaccine Hesitancy: Obstacles and Challenges. Current Pediatrics Reports, 10(4), 241–248. https://doi.org/10.1007/s40124-022-00278-9
Gibson, E., Zameer, M., Alban, R., & Kouwanou, L. M. (2023). Community Health Workers as Vaccinators: A Rapid Review of the Global Landscape, 2000-2021. Global Health, Science and Practice, 11(1). https://doi.org/10.9745/GHSP-D-22-00307
Hendrick, C. E., & Maslowsky, J. (2019). Teen mothers’ educational attainment and their children’s risk for teenage childbearing. Developmental Psychology, 55(6), 1259–1273. https://doi.org/10.1037/dev0000705
Jackson, M., Kiernan, K., & McLanahan, S. (2017). Maternal Education, Changing Family Circumstances, and Children’s Skill Development in the United States and UK. The Annals of the American Academy of Political and Social Science, 674(1), 59–84. https://doi.org/10.1177/0002716217729471
Lindstrand, A., Cherian, T., Chang-Blanc, D., Feikin, D., & O’Brien, K. L. (2021). The World of Immunization: Achievements, Challenges, and Strategic Vision for the Next Decade. The Journal of Infectious Diseases, 224(12 Suppl 2), S452–S467. https://doi.org/10.1093/infdis/jiab284
Mantel, C., & Cherian, T. (2020). New immunization strategies: adapting to global challenges. Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz, 63(1), 25–31. https://doi.org/10.1007/s00103-019-03066-x
Marotta, S., & McNally, V. V. (2021). Increasing Vaccine Confidence Through Parent Education and Empowerment Using Clear and Comprehensible Communication. Academic Pediatrics, 21(4S), S30–S31. https://doi.org/10.1016/j.acap.2021.01.016
Ministry of Health. (2022). National communication strategic-Immunization 2022-2025. Ministry of Health-UNICEF.
Neely, S. R., Eldredge, C., Ersing, R., & Remington, C. (2022). Vaccine Hesitancy and Exposure to Misinformation: a Survey Analysis. Journal of General Internal Medicine, 37(1), 179–187. https://doi.org/10.1007/s11606-021-07171-z
Sinuraya, R. K., Kusuma, A. S. W., Pardoel, Z. E., Postma, M. J., & Suwantika, A. A. (2022). Parents’ Knowledge, Attitude, and Practice on Childhood Vaccination During the COVID-19 Pandemic in Indonesia. Patient Preference and Adherence, 16, 105–112. https://doi.org/10.2147/PPA.S339876
Suarez-Lledo, V., & Alvarez-Galvez, J. (2021). Prevalence of Health Misinformation on Social Media: Systematic Review. Journal of Medical Internet Research, 23(1), e17187. https://doi.org/10.2196/17187
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