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All Journal Journal of Health and Nutrition Research Journal of Community Nutrition Intervention
Stefiani Bengan Laba
Department of Epidemiology, Faculty of Public Health, Tadulako University, Indonesia
Agriculture, Biological Sciences & Forestry Health Professions Medicine & Pharmacology Nursing Public Health

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Evaluation of the Measles/MR Supplemental Immunization Program for Children Under Two Years in the Palu City Health Office Working Area Muhammad Jusman Rau; Stefiani Bengan Laba; Dilla Srikandi Syahadat; Marselina Marselina; Nur Hikmah Buchair; Nur Fadhilah Sari; Nur Azizah Azzahra
Journal of Health and Nutrition Research Vol. 5 No. 1 (2026)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v5i1.879

Abstract

Measles and rubella (MR) remain significant public health concerns in Indonesia, with outbreaks linked to low immunization coverage. A notable measles outbreak in October 2023 underscored the urgency of achieving herd immunity through high vaccination rates. The Ministry of Health targets 100% coverage for supplemental MR immunization; however, in 2022 Central Sulawesi reached only 30.4%, and in 2024 Palu City recorded 57.8%, both far below the target. This study aimed to evaluate the implementation of the measles/MR supplemental immunization program in 14 CHCs under the Palu City Health Office. A descriptive, quantitative, evaluative approach was employed to identify the program's strengths and weaknesses, which were assessed across input, process, and output dimensions using questionnaires. Regarding input, 100% of the CHCs had immunization officers with relevant educational qualifications, and 93% had received immunization-specific training. The process showed high compliance with SOP documentation: 100% of CHCs recorded vaccine temperature, inflow/outflow, and calculated remaining stock at every issuance, while 93% maintained individual stock cards, documented VVM status, and recorded equipment such as needles, syringes, and cold chain devices by type and quantity. However, only 86% recorded immunization logistics in general logbooks. The output showed that 86% of CHCs failed to meet the 100% immunization coverage target. Overall, these findings highlight gaps in training, service delivery, and community awareness that must be addressed to improve coverage and prevent future outbreaks. The MR supplemental immunization program in Palu City should be strengthened by ensuring annual training for immunization officers, enforcing complete SOP documentation, including vaccine stock and logistics recording, and implementing targeted outreach to improve coverage in CHCs that failed to meet the 100% target.
Community Preparedness for Addressing Health Issues Following Tidal Floods: A Case Study of Sirenja Village, Donggala Regency Jusman Rau; Muhammad Sabri Syahrir; Stefiani Bengan Laba
Journal of Community Nutrition Intervention Vol. 2 No. 1 (2026)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jcni.v2i1.1484

Abstract

Indonesia is among the countries most affected by disaster-related mortality. Disasters in Indonesia are caused not only by its geographical characteristics but also by climate change. Tidal floods represent one of the climate-related hazards resulting from sea-level rise and land subsidence. In Central Sulawesi, particularly Donggala Regency, tidal flooding frequently affects coastal communities and may lead to various health problems. This study aims to describe the level of community preparedness and health problems experienced following tidal floods in Sirenja Village, Donggala Regency. A quantitative descriptive approach was applied using questionnaire-based data collection involving 111 respondents. Community preparedness was assessed through four parameters: knowledge and attitudes, emergency response planning, early warning systems, and resource mobilization. The findings indicate that community preparedness was predominantly classified as moderate, accounting for 83 respondents (74.8%). Regarding post-flood health outcomes, 63 respondents (56.8%) reported no health issues, while 35 respondents (31.5%) experienced diarrhea following tidal flood events. These findings suggest that although most communities demonstrate a moderate level of preparedness, gaps remain in preventing post-disaster health risks, particularly diarrhea. This study highlights the importance of strengthening community-based disaster preparedness programs and integrating post-flood public health interventions, including emergency response training, health education, and sanitation promotion. Such strategies may enhance community resilience and reduce disease vulnerability in coastal regions exposed to recurrent tidal flooding
Co-Authors Dilla Srikandi Syahadat Jusman Rau Marselina Marselina Muhammad Jusman Rau Muhammad Sabri Syahrir Nur Azizah Azzahra Nur Fadhilah Sari Nur Hikmah Buchair