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All Journal JURNAL PENELITIAN KESMASY Journal Medical Informatics Technology
Syafrina Ulfah
Universitas Sumatera Utara
Humanities Computer Science & IT Dentistry Engineering Environmental Science Health Professions Medicine & Pharmacology Public Health

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STUDI LITERATUR: DETERMINAN CAKUPAN IMUNISASI DASAR LENGKAP DI PROVINSI ACEH Hengki Frengki Manullang; Syafrina Ulfah; Fithri Handayani Lubis
Jurnal Penelitian Kesmasy Vol. 8 No. 2 (2026): JURNAL PENELITIAN KESMASY
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Deli Husada Delitua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpksy.v8i2.2954

Abstract

Immunization is a highly cost-effective public health intervention that plays a crucial role in boosting individual immunity and building herd immunity. Through immunization, the incidence of illness, disability, and death caused by vaccine-preventable diseases can be reduced. However, the coverage of complete basic immunization in Indonesia remains relatively low. According to the 2024 Indonesia Nutrition Status Survey (SSGI), complete basic immunization coverage among children aged 12–23 months reached only 56.1%, with Aceh Province having the lowest coverage at 5.4%. This literature review aims to explore the determinants of complete basic immunization coverage in Aceh Province through a search of the Google Scholar database. A total of 17 selected articles were analyzed in this study. The findings indicate that the determinants of immunization coverage include maternal individual factors (knowledge, education, attitudes, and occupation), family support, health service factors (the role of health workers and access to services), sociocultural factors (community perceptions and beliefs), as well as health policy and system factors, such as financial support through health operational assistance (BOK). Given the complexity of the influencing factors, increasing the coverage of complete basic immunization in Aceh requires a comprehensive, integrated, and sustainable approach involving various stakeholders, including health workers, families, community leaders, and the government.
The Sociodemographic Factors and Accessibility in Utilizing the Maternal and Child Health Handbook for Monitoring Under-Five Children in North Sumatera Syafrina Ulfah; Fithri Handayani Lubis; Kiki Rismadi; Diza Fathamira Hamzah
Journal Medical Informatics Technology Volume 4 No. 2, June 2026
Publisher : SAFE-Network

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37034/medinftech.v4i2.149

Abstract

Utilization of the Maternal and Child Health (MCH) Handbook plays a crucial role in monitoring the health and development of children under five years of age; however, its uptake remains suboptimal. According to the 2023 Indonesian Health Survey (SKI), MCH Handbook utilization for under-five growth monitoring in North Sumatra Province was only 67.9%, below the national average of 74.4%. This study aimed to analyze the influence of sociodemographic factors and healthcare accessibility on MCH Handbook utilization for under-five child monitoring in North Sumatra Province. A cross-sectional design was employed using secondary data from the 2023 SKI. The study sample comprised 4,164 under-five children who owned or had previously owned an MCH Handbook in North Sumatra. Data were analyzed through univariate frequency distribution, bivariate chi-square testing, and multivariate multiple logistic regression using the backward stepwise (likelihood ratio) method. The multivariate analysis demonstrated that health insurance ownership (AOR = 1.389; 95% CI = 1.215–1.587), maternal education (AOR = 1.326; 95% CI = 1.107–1.588), maternal age (AOR = 1.163; 95% CI = 1.009–1.339), and maternal employment (AOR = 1.161; 95% CI = 1.007–1.338) were significant positive predictors of MCH Handbook utilization, while longer travel time to health facilities (AOR = 0.690; 95% CI = 0.503–0.946) was inversely associated. Area classification was not statistically significant. These findings underscore the need for sustained health education targeting mothers, maintenance of universal health insurance coverage, and strengthening of community-based health services particularly posyandu to optimize MCH Handbook utilization in North Sumatra.
Co-Authors Diza Fathamira Hamzah Fithri Handayani Lubis Fithri Handayani Lubis Hengki Frengki Manullang Kiki Rismadi