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THE INFLUENCE OF MOTHER'S KNOWLEDGE AND ATTITUDE ON BASIC IMMUNIZATION COVERAGE Herlina, Nina; erik ekowati; Dhea firanti, Alfida Faqih; Hildatrian, Elsya; Prudencia, Fairy; Wanelis, Wanelis; Ramadhani, Nabilla
Indonesian Midwifery and Health Sciences Journal Vol. 8 No. 2 (2024): Indonesian Midwifery and Health Sciences Journal, April 2024
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v8i2.2024.171-182

Abstract

Background: Basic Immunization is the administration of vaccines to infants aged 0-18 months. The success of the basic immunization program in infants is supported by the important role of parents who are responsible for their babies Objective: To determine the influence of mothers' knowledge and attitudes on basic immunization coverage. Methods: The research design used was correlational analysis with a cross sectional approach. The sampling technique used is total sampling. The population and sample of all babies aged 12-59 months at the Mande Health Center in September 2023 amounted to 58 people. The instruments used are questionnaires and leaflets. Analyze data with Chi Square. Results: 58 mothers who had babies were obtained in 14 babies with incomplete immunization status, there were 3 (21.4%) mothers who had less knowledge and 11 (78.6%) mothers who had good knowledge. Meanwhile, in 44 mothers with complete immunization status, 42 (95.5%) mothers have a confident attitude towards immunization, while 2 (4.5%) mothers have an unsure attitude towards immunization. Conclusion: There is an influence of maternal knowledge and attitudes with basic immunization status in Jamali Village.
Trends And Patterns of Maternal Referrals from Ciawi Community Health Center To Referral Facilities In 2024 Anastasya, Prischa; Prudencia, Fairy
Panakeia Journal of Epidemiology Vol. 2 No. 2 (2025): Panakeia Journal of Epidemiology
Publisher : Universitas Mulawarman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30872/y47cjx26

Abstract

Maternal referral is a vital component of maternal healthcare systems, particularly at the primary care level such as community health centers (Puskesmas). This study aims to analyze the trends and referral patterns of maternal cases from Puskesmas Ciawi to higher-level healthcare facilities throughout the year 2024. The method used is descriptive quantitative research based on secondary data collected from monthly records of childbirth services (partus) and referral forms for pregnant and laboring mothers. Analysis focuses on the number of deliveries and referrals per month, the most common medical indications, and the frequently referred-to facilities. The results show monthly fluctuations in maternal referrals, with the highest peak in December. The number of referrals does not always correlate with the number of births, suggesting that clinical risks are the main drivers of referral decisions. The most frequent diagnoses include preeclampsia, premature rupture of membranes (PROM), obstructed labor, and antepartum hemorrhage. Most patients were referred to RSUD Ciawi as the primary network hospital. The study also found that BPJS (National Health Insurance) covered the majority of deliveries and referrals, highlighting its essential role in facilitating maternal care access. In conclusion, the maternal referral system at Puskesmas Ciawi functions fairly effectively, although strengthening the referral network, logistics, and staff capacity remains necessary. Recommendations include periodic evaluation of the referral system, regular training for healthcare workers, and the optimization of technology-based referral coordination.