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All Journal Indonesian Journal of Global Health research
Ichwansyah, Fachmi
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Education Health Professions Languange, Linguistic, Communication & Media Nursing Public Health

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Determinants of Parental Rejection in Implementing Immunization in Children Post Covid-19 Fitriani, Henni; Ichwansyah, Fachmi; Abdullah, Asnawi; Marthoenis, Marthoenis; Rani, Hafnidar A
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i4.6607

Abstract

Complete basic immunization coverage in Pidie Regency, Aceh Province, is still very low after the COVID-19 pandemic, which has increased the risk of diseases that can be prevented. This study analyzes the determinants of parental refusal to implement complete basic immunization in children aged 0–2 years. The study used a mixed methods approach with a cross-sectional design for quantitative and in-depth interviews for qualitative. A quantitative sample of 270 respondents was selected using the cluster random sampling method, while qualitative informants were selected using purposive sampling. The analysis showed that the number of children, attitudes, family support, health worker behavior, the role of community and religious leaders, and exposure to information was significantly related to immunization refusal (p <0.05). Qualitative findings revealed that the issue of halal-haram vaccines and the influence of local traditions were the main obstacles. The factors of the number of children (OR=3.47), attitudes (OR=0.19), family support (OR=0.16), and exposure to information (OR=0.24) were the dominant determinants.
Analysis of Risk Factors for Pulmonary Tuberculosis Incidence Hasnita, Nevi; Ichwansyah, Fachmi; Abdurrahman, Faisal bin; Usman, Said; Zahara, Meutia
Indonesian Journal of Global Health Research Vol 7 No 2 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i2.5553

Abstract

Pulmonary tuberculosis (TB) cases in Nagan Raya have increased every year. Efforts to prevent tuberculosis transmission with healthy lifestyle behaviors have been carried out. However, the prevalence of pulmonary tuberculosis is still high and many factors are associated with the incidence of pulmonary tuberculosis—analytical study with a case-control approach to determine risk factors for tuberculosis in the Nagan Raya district. The sample in this study was 290 people consisting of 58 cases and 232 controls. The sampling technique used purposive sampling. Data was collected by interviewing respondents, observing, and reporting TB case records. Multivariate analysis using multiple logistic regression tests with a 95% confidence level. The results showed that the characteristic factors associated with the incidence of pulmonary TB were primary education (p=0.002), not working (p=0.000), and income <REGIONAL MINIMUM WAGE (p=0.001). Environmental factors associated with the incidence of pulmonary TB were the number of household members >4 people (p=0.036) and no ventilation in each room (p=0.000). Health factors associated with the incidence of pulmonary TB were underweight nutritional status (p=0.019), obese nutritional status (p=0.042), and not containing BCG (p=0.014). The most dominant factor associated with the incidence of pulmonary TB is not working (OR = 4.17; 95% CI = 1.36-12.73). Respondents who did not work had a 4.17 times higher risk of experiencing pulmonary TB than those who did not work after controlling for environmental and health factors. For this reason, it is expected that respondents need to increase their income to prevent transmission of pulmonary TB and maintain cleanliness, improve nutritional status and limit contact with TB sufferers
Co-Authors Abdurrahman, Faisal Bin Asnawi Abdullah Hafnidar A. Rani Hasnita, Nevi Henni Fitriani M. Marthoenis Meutia Zahara Usman, Said