Munawir H. Usman
Universitas Muhammadiyah Palu

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Determinan Capaian Imunisasi Dasar Lengkap Di Wilayah Kerja Puskesmas Kinovaro Kabupaten Sigi Nur Hikma; Sudirman Sudirman; Munawir H. Usman
Health Research Journal of Indonesia Vol 4 No 5 (2026): Health Research Journal of Indonesia
Publisher : CV. Wadah Publikasi Cendekia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63004/hrji.v4i5.1279

Abstract

Pendahuluan: Cakupan Imunisasi Dasar Lengkap (IDL) di Kabupaten Sigi mengalami penurunan signifikan pada tahun 2024, di mana wilayah kerja Puskesmas Kinovaro mencatat capaian terendah sebesar 35%. Tujuan: Penelitian ini bertujuan untuk menganalisis determinan capaian imunisasi dasar lengkap di wilayah kerja Puskesmas Kinovaro, Kabupaten Sigi. Metode: Jenis penelitian ini adalah kuantitatif dengan desain cross-sectional. Populasi penelitian adalah ibu yang memiliki bayi usia 12–24 bulan sebanyak 236 orang, dengan sampel 148 responden yang dipilih menggunakan teknik proportional stratified random sampling. Pengumpulan data dilakukan melalui wawancara menggunakan kuesioner, kemudian dianalisis menggunakan uji chi-square dan regresi logistik berganda. Hasil: Hasil uji statistik menunjukkan adanya pengaruh yang signifikan antara pengetahuan (p=0,000), sikap (p=0,003), keyakinan (p=0,000), dan keterjangkauan fasilitas kesehatan (p=0,037) terhadap capaian IDL. Sebaliknya, dukungan petugas kesehatan tidak menunjukkan pengaruh signifikan (p=0,356). Analisis multivariat mengonfirmasi bahwa sikap ibu merupakan variabel determinan yang paling kuat dan dominan memengaruhi capaian IDL (skor statistik = 125,324). Capaian IDL di Puskesmas Kinovaro secara dominan dikendalikan oleh faktor sikap ibu. Disarankan kepada pihak puskesmas untuk mengoptimalkan strategi komunikasi kesehatan yang berfokus pada ranah afektif dan konseling interpersonal guna mengubah sikap negatif ibu menjadi patuh terhadap imunisasi.
Factors Influencing Basic Immunization Coverage in the Working Area of Puskesmas Dombusoi, Sigi Regency Suwandi; Sudirman; Munawir H. Usman
Journal of Public Health Indonesian Vol. 3 No. 2 (2026): JULY-JHH
Publisher : PT. Anagata Sembagi Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62872/4xwc3t63

Abstract

The national achievement of Complete Basic Immunization (CBI) in 2024 only reached 83.09%, failing to meet the Strategic Plan (Renstra) target of 100%. This shortfall reflects real barriers in protecting children against Vaccine-Preventable Diseases (PD3I). This study aims to analyze the factors influencing the administration of basic immunization in the working area of UPT Puskesmas Dombusoi. A quantitative study using a cross-sectional design was conducted with 76 maternal respondents. Data were analyzed using bivariate chi-square tests and multivariate multiple logistic regression. The bivariate test detected significant effects of maternal knowledge ( ), maternal attitude ( ), location/distance ( ), and family support ( ) on immunization status. However, multivariate testing demonstrated that all variables lost their partial significance ( ) due to strong interactions and overlaps among the variables in the field. The study concludes that knowledge, attitude, geographical access, and family support contribute simultaneously as a unified determinant of child immunization status. Consequently, Puskesmas Dombusoi must reformulate its intervention strategies by combining persuasive Information, Education, and Communication (IEC) with the optimization of mobile health posts (posyandu keliling) in hard-to-reach areas to achieve national coverage targets.