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Coverage and Determinants of Second-Dose Measles Vaccination Among Under-Five Children in Aceh Jaya District, Aceh Province, Indonesia Maulida, Rizka; Rahmartani, Lhuri Dwianti; Hairani, Lila K; Wahyono, Tri Yunis Miko
Jurnal Epidemiologi Kesehatan Indonesia Vol. 2, No. 1
Publisher : UI Scholars Hub

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Abstract

Indonesia is aiming for measles elimination status by 2020. However, high number of measles cases are still prevalent and there are still coverage differences among provinces. Measles immunization coverage also varies among surveys and routine coverage report. With the addition of second dose measles vaccination (MCV2), measles infections in the country is expected to decrease. However, MCV2 coverage has been low after 2 years of implementation. Aceh Province was chosen for this study because its low coverage. This study aimed to measure the coverage and investigate the determinants of MCV2 in Aceh Jaya, Aceh Province. Dataset from “Assessment of the New 2nd Dose Measles Policy and the School-based Immunization Program in 2 Provinces (Aceh and South Sulawesi)” was used. There were a total of 300 children aged 25 – 37 months with coverage of MCV2 54% in Aceh Jaya District, Aceh Province. After further selection, 129 observations underwent bivariate and multivariate analysis using logistic regression. After controlling all variables, only experience of prompt service at the healthcare provider was associated with child receiving MCV2. We suggest future studies to look more into health care services and willingness to get vaccination. Additionally, with this result we hope the government could improve health care services in their facilities in order to achieve higher coverage.
Association Between Knowledge of Condom Functions and Condom Use among Sexually-Active Unmarried Male Adolescents in Indonesia Rahmartani, Lhuri Dwianti; Adisasmita, Asri
Jurnal Epidemiologi Kesehatan Indonesia Vol. 2, No. 2
Publisher : UI Scholars Hub

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Background: Premarital sex is culturally unacceptable in Indonesia and education on safe sex practice remains controversial. Meanwhile, Indonesia Demographic and Health Surveys (IDHS) show gradual increase in the prevalence of sexually-active adolescents nationwide, particularly among unmarried males. Unfortunately, condom use is low among this population and it is unclear whether it relates to inadequate knowledge on safe sex practice including condoms. Objective: to see whether there is an association between knowledge on condom functions and condom use among adolescents.Method: cross-sectional study of 913 Indonesian unmarried males aged 15 – 24 who have had sex (IDHS Adolescent Reproductive Health 2012 dataset). The independent variable is knowledge on condom functions while the dependent variable is the use of condoms. Statistical analysis is performed using Chi Square and Cox regression.Result: The prevalence of condom use is about twice higher in respondents with sufficient knowledge on condom functions (31%), than in respondents without (15.1%); adjusted PR 2.38 (95%CI 1.47 3.85). Conclusion: Having knowledge about condoms is positively associated with safer sex practice among sexually active adolescents. Banning information on condoms may place sexually-active adolescents into unprotected sex. Education on safe sex practice is needed but should be cautiously tailored to meet cultural values