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Analisis Determinan Kegagalan Imunisasi Dasar Lengkap dan Zero Dose serta Efektivitas Strategi Imunisasi Kejar dalam Mitigasi Kejadian Luar Biasa Penyakit yang Dapat Dicegah Dengan Imunisasi: Analysis of Determinants of Complete Basic Immunization Failure and Zero Dose, and the Effectiveness of Catch-Up Immunization Strategies in Mitigating Extraordinary Events of Vaccine-Preventable Diseases Setyowati, Lisus; Perwiraningrum, Dhyani Ayu; satya, Malinda Capri Nurul; Rahmawati, Ira
Jurnal Abdi Keperawatan dan Kedokteran Vol 5 No 1 (2026): Jurnal Abdi Kesehatan dan Kedokteran
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/jakk.v5i1.160

Abstract

Complete Basic Immunization (CBI) coverage refers to the percentage of children who have received all scheduled basic immunizations according to the national program, usually before 12 months of age. Cumulative CBI coverage in Jember Regency as of July 2025 remains low, reaching only 39.76% of the target. This study aimed to analyze the low CBI coverage and the high proportion of Zero Dose (ZD) children as key determinants of Extraordinary Events (Outbreaks) of Vaccine-Preventable Diseases (VPDs) in Jember Regency, and to evaluate the effectiveness of catch-up immunization interventions. A descriptive-analytical approach was employed using secondary immunization program data from Jember Regency between January 2024 and July/August 2025, obtained from the local Health Office.  Epidemiological analysis revealed suspected and confirmed cases of diphtheria and measles-rubella (MR), including the declaration of a measles outbreak in seven community health centers (Puskesmas) in 2025. Low coverage was influenced by a complex set of risk factors, including vaccine hesitancy among families and structural challenges. Catch-up immunization was a critical strategy to close immunity gaps, with 1,129 children immunized with DPT-HB Hib as of August 2024, from a target population of 3,464. These findings highlight the need for integrated interventions targeting the root causes of vaccine hesitancy, improving tracking of migrant children, and optimizing cross-sectoral collaboration to achieve herd immunity and the elimination of VPDs.
Faktor-Faktor yang Mempengaruhi Penyalahgunaan Narkoba Pada Remaja di Wilayah Pesisir Jember: Studi Fenomenologi Malinda Capri Nurul Satya; Lisus Setyowati; Faiqatul Hikmah; Yoswenita Susindra; M. Nur Khamid
ARTERI : Jurnal Ilmu Kesehatan Vol 7 No 2 (2026): Februari
Publisher : Puslitbang Sinergis Asa Professional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37148/arteri.v7i2.759

Abstract

Drug abuse among adolescents remains a critical public health concern, especially in coastal areas with socioeconomic challenges and limited parental supervision. This study aimed to explore the predisposing factors influencing adolescents’ behavior against drug abuse, focusing on knowledge, beliefs, and cultural perceptions. This study used predisposing factors as the main variable based on the PRECEDE–PROCEED theory. A qualitative phenomenological approach was conducted involving five junior high school students (Grades VII–IX) from a coastal school in Jember, with inclusion criteria ever used drugs, willingness to participate as respondents, and the ability to communicate effectively. The participants were selected using purposive sampling. Data were collected through in-depth interviews, observations, and document reviews, and analyzed using Interpretative Phenomenological Analysis (IPA). Results showed that adolescents possessed limited and often inaccurate knowledge, mostly obtained from peers. Although they recognized religious prohibitions, moral beliefs were weakly internalized and failed to prevent substance use. Cultural normalization of smoking, alcohol, and drug availability reinforced permissive attitudes. This study concludes that knowledge, beliefs, and cultural perceptions influence drug abuse behavior among coastal adolescents in Jember. Although these adolescents are aware of the dangers of drugs, their limited understanding, weak internalization of religious and moral values, and permissive cultural norms make them more vulnerable. Furthermore, a peer-dominated environment and the easy accessibility of drugs further exacerbate the problem.