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All Journal Indonesian Journal of Global Health research Indonesian Journal of Global Health Research
Fachmi Ichwansyah
Universitas Muhammadiyah Aceh
Education Health Professions Languange, Linguistic, Communication & Media Nursing Public Health

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Determinants of Parental Rejection in Implementing Immunization in Children Post Covid-19 Henni Fitriani; Fachmi Ichwansyah; Asnawi Abdullah; Marthoenis Marthoenis; Hafnidar A Rani
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i4.6607

Abstract

Complete basic immunization coverage in Pidie Regency, Aceh Province, is still very low after the COVID-19 pandemic, which has increased the risk of diseases that can be prevented. This study analyzes the determinants of parental refusal to implement complete basic immunization in children aged 0–2 years. The study used a mixed methods approach with a cross-sectional design for quantitative and in-depth interviews for qualitative. A quantitative sample of 270 respondents was selected using the cluster random sampling method, while qualitative informants were selected using purposive sampling. The analysis showed that the number of children, attitudes, family support, health worker behavior, the role of community and religious leaders, and exposure to information was significantly related to immunization refusal (p <0.05). Qualitative findings revealed that the issue of halal-haram vaccines and the influence of local traditions were the main obstacles. The factors of the number of children (OR=3.47), attitudes (OR=0.19), family support (OR=0.16), and exposure to information (OR=0.24) were the dominant determinants.
Comparisonal Analysis of Burnout Syndrome in Health Personnel in Covid-19 Service Area and General Services Syilvia Dinakahayu; Radhiah Zakaria; Fachmi Ichwansyah; Irwan Saputra; Marthoenis Marthoenis
Indonesian Journal of Global Health Research Vol. 8 No. 5 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i5.2058

Abstract

Burnout syndrome experienced by health workers has a long-term impact. During the Covid-19 period, the fact that as many as 83% of health workers in Indonesia had experienced moderate and severe burnout syndrome was psychologically at risk of disrupting the quality of life and work productivity in healthservices. service and impact on the performance of medical personnel. This study aims to analyze differencesin the level of burnout syndrome in health workers serving in the Covid-19 service area and the general service area of the Zainoel Abidininoel AbidinHospital based on internal and external factors. This research is analytical with cross sectional design. The population in this study were health workers at Zainoel Abidininoel Abidin Hospital. The sampling technique is proportional sampling, the sample of this study is 1: 2 where 88 health workers in the Covid-19 service (PINERE) and 176 health workers in public services. In this study using the standard questionnaire The Maslach Burnout Inventory-Human Service Survey (MBB-HSS) (validity test results 9.10 and reliability test 0.947). Data analysis usingmultiple logistic regression test and Mann Whitney because the data are not normally distributed. The results showed that workload was the dominant factor in the incidence of burnout both for officers in the covid-19 service area with P 0.0001 (OR: 119; CI: 11.9-1198) and in general service areas P 0.0001 (OR: 0.001). 0.0014; CI: 0.000771- 0.026). This study can be used as a policy brief in an effort to manage stress and work fatigue levels for health workers during the Covid19 pandemic and post-pandemic in the future.
Co-Authors Asnawi Abdullah Henni Fitriani Irwan Saputra M. Marthoenis Radhiah Zakaria Syilvia Dinakahayu