Claim Missing Document
Check
Articles

Evaluation of the Measles/MR Supplemental Immunization Program for Children Under Two Years in the Palu City Health Office Working Area Rau, Muhammad Jusman; Laba, Stefiani Bengan; Syahadat, Dilla Srikandi; Marselina, Marselina; Buchair, Nur Hikmah; Sari, Nur Fadhilah; Azzahra, Nur Azizah
Journal of Health and Nutrition Research Vol. 5 No. 1 (2026)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v5i1.879

Abstract

Measles and rubella (MR) remain significant public health concerns in Indonesia, with outbreaks linked to low immunization coverage. A notable measles outbreak in October 2023 underscored the urgency of achieving herd immunity through high vaccination rates. The Ministry of Health targets 100% coverage for supplemental MR immunization; however, in 2022 Central Sulawesi reached only 30.4%, and in 2024 Palu City recorded 57.8%, both far below the target. This study aimed to evaluate the implementation of the measles/MR supplemental immunization program in 14 CHCs under the Palu City Health Office. A descriptive, quantitative, evaluative approach was employed to identify the program's strengths and weaknesses, which were assessed across input, process, and output dimensions using questionnaires. Regarding input, 100% of the CHCs had immunization officers with relevant educational qualifications, and 93% had received immunization-specific training. The process showed high compliance with SOP documentation: 100% of CHCs recorded vaccine temperature, inflow/outflow, and calculated remaining stock at every issuance, while 93% maintained individual stock cards, documented VVM status, and recorded equipment such as needles, syringes, and cold chain devices by type and quantity. However, only 86% recorded immunization logistics in general logbooks. The output showed that 86% of CHCs failed to meet the 100% immunization coverage target. Overall, these findings highlight gaps in training, service delivery, and community awareness that must be addressed to improve coverage and prevent future outbreaks. The MR supplemental immunization program in Palu City should be strengthened by ensuring annual training for immunization officers, enforcing complete SOP documentation, including vaccine stock and logistics recording, and implementing targeted outreach to improve coverage in CHCs that failed to meet the 100% target.
Co-Authors - Nurfiana Abd Rahman Abd. Rahman Adhar Arifuddin Agustianingsih, Rizka Alfisyah, Finni Annisa Fitri Rositadinyati Annisa Raudhatul Jannah Ardayani, Adinda Banilai, Puti Andalusia Sarigando Basir, Muafiah Buchair, Hikmah Buchair, Nur Hikma Buchair, Nur Hikmah Burhan liputo Cornelis, Leonard Crystianmars Dg Sirata, Moh. Fikram Dilla Srikandi Syahadat Edy Kurniawan elvaria mantao Elvaria Mantao Eviyulianti, Ni Made Fadjriah, Rasyika Nurul Febi Dwi Handayani Firmansyah Firmansyah Firmansyah Firmansyah Gilang Ramadhan Randalembah, Gilang Ramadhan Hadi jah, Hadi Handayani, Febi Dwi Hardayanti, Kiki Rezky Hardiyanti, Nurnidya Hardiyanti, Nurnidya Hartiansi Sarapang Hartini, Diah Ayu Hasanah Hasanah Hasanah Hasanah Hasanah Hasanah Hasanah Hasanah Hazanah, Uswatun Herawanto Herawanto Herawanto Herawanto Herawanto Hermiyanty Hermiyanty Hermiyanty Hermiyanty, Hermiyanty I Made Tangkas Iqrima Staddal Irfanita Dwi Yuniarti Jannah, Annisa Raudhatul Kiki Sanjaya Krisnasari, Sendhy Lisdayanthi Anggraini, Lisdayanthi Litha Purwanti Magfira Marselina Marselina Marselina Palinggi Marselina, Mareselina Meliana, Relin Meliyana, Relin Moh. Fikram Dg Sirata Muafiah Basir Mufydah Mufydah, Mufydah Muh. Fadil Nursyawal Muhammad Aji Satria Muhammad Aji, Muhammad Muhammad Ryman Napirah Muhammad Sabri Syahrir Nadia Soraya Ni Luh Konis Sintia Dewi, Ni Luh Konis Sintia Ni Made Arinda Wahyuni Ni Made Eviyulianti Nikmah Utami Dewi Nisa, Nur Ainun Novita, Sri Nur Azizah Azzahra Nur Fadhilah Sari Nur Hikma Buchair Nur Hikmah Buchair Nur Mifta Huldjannah Nurdin Nurdin Nurfiana Nurfiana Nurhayati, Sitti Nurilah Sandi Citra Jiwa Pamenang Timumun, Nurilah Sandi Citra Jiwa Pamenang Nurjannah Nurjannah Nurjannah Nurjannah Palinggi, Marselina Pitriani Pitriani Pitriani Pitriani, Pitriani Putri Trisnowati Putri Yulianingsih Rahmania Rahmania Rahmania Rahmania Rasyika Nurul Fadjriah Rendhar Putri Hilintang Rezky Hardayanti, Kiki Rosmala Nur Royana, Nurul Vida Sadli Syam Sari, Nur Fadhilah Simbaju, Deiske Siti komaria Siti Komariyah Sitti Radhiah Soraya, Nadia Stefiani Bengan Laba Sulistiana Syahrir Sumarni Sumarni Syahadat, Dilla Srikandi Trisnowati, Putri Umar, Mutmainnah