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Adherence of inactivated polio vaccine immunization for children in Central Java Province Sriatmi, Ayun; Martini, Martini; Patriajati, Sutopo; Budiyono, Budiyono; Handayani, Novia; Kusumawati, Aditya; Armunanto, Armunanto
International Journal of Public Health Science (IJPHS) Vol 13, No 3: September 2024
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v13i3.23793

Indonesia is a country with high-risk polio transmission. Administering inactivated polio vaccination (IPV) after drops-polio or oral polio vaccination (OPV) was a strategy stopping polio transmission because its ability to ward off poliovirus which was very dangerous. The IPV coverage was very low and have never reached the target since it was launched in 2016. The study purpose was analyzing determinants factors of IPV adherence. A cross-sectional survey conducted in 31 districts in Central Java Province. Sample was 685 children aged 11-23 months and selected using purposive and accidental sampling method. Collecting data by interview using structured questionnaire and observation with maternal and child health (MCH) Handbook to identify immunization status. The collected data was analyzed univariate, bivariate, and multivariate. As many as 74.3% of children received IPV. Partially, variables of delivery history, immunization status, knowledge, attitudes, sources of information, and service satisfaction were related to IPV adherence. Simultaneously, immunization status, attitudes, and sources of information influenced IPV adherence with an overall effect 35.2%. Immunization status as the dominant influencing factor. Efforts were needed reducing resistance to IPV through psychological approach that was motivating and personal, also using of social media as a medium for positive information and communication, in addition to improve immunization service system.

Referral Flow for Maternal and Child Health in Central Java Province during Health Crises Management Handayani, Novia; Sriatmi, Ayun; Martini, Martini; Jati, Sutopo Patria; Kusumawati, Aditya; Budiyono, Budiyono; Armunanto, Armunanto; Friska, Erlin; Asfiya, Nissa Atul
Jurnal Kesehatan Masyarakat Vol 20, No 2 (2024)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v20i2.48874

Central Java Province is one of the provinces that often experiences disasters. During the period 1 May 2023 – 31 May 2023, 72 incidents of strong winds, 8 incidents of land moving, 107 incidents of flooding, 94 incidents of landslides, 6 volcanic eruptions, and 2 incidents of fire were recorded. In disaster emergencies, the health needs of mothers and children are often overlooked. This study aims to analyze the flow of maternal and child health referrals in health crisis management in the focus location regencies in Central Java Province. This research is descriptive research with a qualitative approach. Data was collected through Focus Group Discussion (FGD) in March 2023. The research locations were Semarang Regency, Brebes Regency, Grobogan Regency, and Klaten Regency. The sample selection technique used was purposive sampling. The integrated referral system is not yet running optimally. The health referral flow carried out is not yet specialized in treating mothers and children. Pentahelix collaboration is carried out in managing health crises. The supporting factors in disaster management are the existence of policies, the availability of infrastructure for evacuating victims, as well as coordination from various sectors. Meanwhile, the inhibiting factors are the lack of trained human resources, limited logistics, and low public awareness regarding disasters. Thus, there is a need to develop a special referral pathway for maternal and child health involving multi-sectors, increase public awareness of disaster management, and strengthen Pentahelix collaboration in health crisis management.

Parent’s Knowledge and Attitude as Key Determinants of Completeness Childhood Immunization in Central Java, Indonesia Sriatmi, Ayun; Martini, Martini; Jati, Sutopo Patria; Budiyono, Budiyono; Handayani, Novia; Kusumawati, Aditya; Armunanto, Armunanto
Jurnal Kesehatan Masyarakat Vol 20, No 1 (2024)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v20i1.47633

Incomplete basic immunization in children aged 11-23 months has potential to increase contracting dangerous diseases risk due to suboptimal immunity. Parents play an important role in ensuring the success of children immunization. This study purpose was to analyze the completeness of CBI based on parents' knowledge, attitude, perception, and satisfaction in immunizing their children. It’s a quantitative analytic study with cross sectional approach. The population were all children with sample of 685 children taken by purposive sampling technique from 31 districts in Central Java province. Data were collected through interviews and analyzed univariate with frequency distribution, bivariate with Chi-Square test, and multivariate with multiple logistic regression. A total of 38.7% children were not fully immunized, especially in booster immunization (73.4%), IPV (25.7%) and MR (15.9%). Partially, it was proven that parent’s knowledge, attitude, perception, and satisfaction were related to completeness of basic immunization. Simultaneously knowledge and attitude together affect the completeness of basic immunization in children with an overall effect of 42%. Parents' knowledge and attitudes are key factors for completeness of basic childhood immunization. Need to improving literacy and strengthening positive attitudes through structured IEC using personal approach, as well as involving key figures in the community in their support for immunization program. Utilizing communication technology and social media is an alternative that should be considered.

Pelatihan Konselor Sebaya Dalam Upaya Peningkatan Kesehatan Remaja di Kota Pekalongan dan Kabupaten Rembang Handayani, Novia; Sriatmi, Ayun; Martini, Martini; Kusumawati, Aditya; Nuridzin, Dion Zein; Camellia, Arta; Armunanto, Armunanto; Okta Hardiyanti, Tutut
Jurnal Mandala Pengabdian Masyarakat Vol. 6 No. 1 (2025): Jurnal Mandala Pengabdian Masyarakat
Publisher : Progran Studi Farmasi Universitas Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35311/jmpm.v6i1.578

Masa remaja merupakan masa transisi yang rentan terhadap berbagai masalah kesehatan seperti kesehatan reproduksi, penyalahgunaan NAPZA, kekerasan dan gangguan mental. Remaja di Indonesia memiliki potensi besar, akan tetapi mereka harus menghadapi tantangan seperti minimnya pengetahuan tentang kesehatan dan terbatasnya akses ke layanan kesehatan yang ramah remaja, yang diperburuk oleh stigma dan penilaian negatif dari lingkungan sekitar. Pendekatan konseling sebaya dinilai mampu mengatasi permasalahan remaja, mengingat remaja cenderung lebih terbuka kepada teman sebayanya dibandingan dengan orang tua. Tujuan dari kegiatan ini yaitu untuk memperkuat kapasitas remaja dalam menyampaikan informasi kesehatan yang akurat, menjadi pendamping yang responsif terhadap permasalahan kesehatan yang dialami teman sebayanya, memiliki kemampuan untuk mengarahkan mereka dalam mengakses layanan kesehatan yang sesuai serta menjadi garda terdepan dalam memberikan bantuan awal bagi temannya yang mengalami permasalahan. Penilaian kegiatan ini dilakukan menggunakan kuesioner pretest dan posttest. Kegiatan pengabdian masyarakat ini dilaksanakan melalui pelatihan konselor sebaya bagi remaja, dengan metode pretest-posttest, pemberian materi, simulasi peran (roleplay), dan penyusunan rencana tindak lanjut sebagai bentuk komitmen peserta. Hasil posttest menunjukkan bahwa 75% peserta di Kota Pekalongan dan 74,07% peserta di Kabupaten Rembang mengalami peningkatan pengetahuan. Berdasarkan hasil evaluasi melalui pretest dan posttest, dapat disimpulkan bahwa pelatihan konselor sebaya yang diselenggarakan berhasil meningkatkan tingkat pengetahuan para peserta.

Peningkatan Kapasitas Petugas Vaksinator Melalui Kegiatan Refreshing dalam Implementasi Vaksin Baru: PCV, Rotavirus, dan HPV di Kabupaten Karanganyar dan Kabupaten Sukoharjo Sriatmi, Ayun; Martini, Martini; Kusumawati, Aditya; Handayani, Novia; Erlin Friska; Petosutan, Kenny; Armunanto, Armunanto
Jurnal Mandala Pengabdian Masyarakat Vol. 6 No. 1 (2025): Jurnal Mandala Pengabdian Masyarakat
Publisher : Progran Studi Farmasi Universitas Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35311/jmpm.v6i1.585

Imunisasi merupakan upaya preventif yang efektif dalam menurunkan angka kesakitan dan kematian akibat penyakit menular, terutama pada bayi dan balita. Dalam rangka mendukung program imunisasi nasional dan pencapaian Sustainable Development Goals (SDGs) 2030, pemerintah telah menambahkan tiga jenis vaksin baru, yakni Pneumococcal Conjugate Vaccine (PCV), Rotavirus, dan Human Papillomavirus (HPV). Implementasi vaksin baru menuntut kesiapan petugas vaksinator, baik dari segi pengetahuan, keterampilan teknis, hingga komunikasi efektif. Kegiatan pengabdian ini bertujuan untuk meningkatkan kapasitas vaksinator melalui pelatihan penyegaran (refreshing) di Kabupaten Karanganyar dan Kabupaten Sukoharjo. Metode pelaksanaan terbagi dua tahap, yaitu audiensi persiapan dan pelaksanaan kegiatan refreshing. Materi yang disampaikan dalam kegiatan refreshing meliputi informasi terkait vaksin baru, teknik penyuntikan yang aman (safety injection), dan komunikasi efektif. Kegiatan diikuti oleh 49 petugas vaksinator dari dua kabupaten. Hasil diskusi kelompok menunjukkan bahwa secara umum kesiapan sumber daya manusia dan logistik telah memadai, namun masih terdapat kendala seperti keterbatasan tenaga IT, keterlambatan distribusi vaksin, serta tantangan dalam penerimaan masyarakat akibat informasi yang salah. Program refreshing ini dinilai penting untuk memperbarui kompetensi vaksinator, memperkuat pelaksanaan imunisasi vaksin baru, dan meningkatkan mutu layanan imunisasi di tingkat puskesmas.

PENGUATAN KAPASITAS PETUGAS PUSKESMAS DALAM PENGGUNAAN TOOLS EFFECTIVE VACCINE MANAGEMENT PROGRAM IMUNISASI DI KABUPATEN BANJARNEGARA Sriatmi, Ayun; Martini, Martini; Handayani, Novia; Kusumawati, Aditya; Friska, Erlin; Peetosutan, Kenny; Armunanto, Armunanto
JMM (Jurnal Masyarakat Mandiri) Vol 9, No 4 (2025): Agustus
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v9i4.32397

Abstrak: Keberhasilan program imunisasi sangat bergantung pada pengelolaan vaksin yang efektif, mulai dari penyimpanan, distribusi, hingga manajemen stok. Effective Vaccine Management (EVM) merupakan alat bantu yang dikembangkan oleh WHO dan UNICEF untuk menilai dan meningkatkan kualitas rantai pasok vaksin. Kegiatan pengabdian ini bertujuan untuk memperkuat kapasitas petugas puskesmas dalam penggunaan tools EVM di Kabupaten Banjarnegara. Kegiatan terbagi dalam tiga tahap, yakni tahap persiapan pada Desember 2024, tahap pelaksanaan pelatihan dan tahap evaluasi pada Januari 2025 yang melibatkan pengelola program imunisasi dari 35 puskesmas sebanyak 35 orang dan Dinas Kesehatan Kabupaten Banjarnegara sebanyak 4 orang. Kegiatan pelatihan mencakup pemberian materi sembilan kriteria EVM, diskusi, praktik langsung, serta evaluasi melalui pre-test dan post-test. Hasil menunjukkan adanya peningkatan rata-rata skor pengetahuan peserta dari 80,2 menjadi 90,4. Diskusi juga mengungkapkan berbagai permasalahan lapangan seperti minimnya alat pemantau suhu, tidak adanya SOP darurat vaksin, serta keterbatasan fasilitas distribusi dan perawatan peralatan. Pelatihan ini memberikan dampak positif terhadap peningkatan pemahaman peserta serta menghasilkan kesepakatan tindak lanjut berupa penyebaran tools EVM ke seluruh puskesmas dan monitoring tahunan oleh Dinas Kesehatan. Kegiatan ini menunjukkan pentingnya pelatihan terstruktur dalam mendukung kualitas layanan imunisasi.Abstract: The success of immunization programs highly depends on effective vaccine management, encompassing proper storage, distribution, and stock control. Effective Vaccine Management (EVM) is a tool developed by WHO and UNICEF to assess and enhance the quality of vaccine supply chains. This community service project aimed to strengthen the capacity of primary health center (puskesmas) personnel in using EVM tools in Banjarnegara Regency. The activity is divided into three phases: a preparation phase in December 2024, the training implementation phase, and the evaluation phase in January 2025, involving 35 immunization program officers from 35 puskesmas and 4 person from Banjarnegara District Health Office. The training included presentations on nine EVM assessment criteria, discussions, hands-on practice, and evaluation through pre- and post-tests. Results showed an improvement in participants’ knowledge, with average scores increasing from 80.2 to 90.4. Discussions revealed several challenges in the field, such as limited temperature monitoring devices, lack of emergency SOPs, and inadequate facilities for vaccine distribution and cold chain equipment maintenance. The activity had a positive impact on participants’ understanding and resulted in follow-up plans, including the distribution of EVM tools to all puskesmas and annual monitoring by the District Health Office. This initiative highlights the importance of structured training in supporting immunization service quality.

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