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FACTORS AFFECTING MATERNAL COMPLIANCE IN GIVING MULTIPLE IMMUNIZATION INJECTIONS TO TODDLERS AT MEDOKAN AYU HEALTH CENTER IN SURABAYA Samson, Kristoforus; Husada, Dominicus; Muthmainnah, Muthmainnah
Jurnal Biometrika dan Kependudukan Vol. 14 No. 1 (2025): JURNAL BIOMETRIKA DAN KEPENDUDUKAN
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbk.v14i1.2025.1-10

Abstract

Maternal compliance as determining factor in increasing the coverage of double immunization injections for children <2-years-old at the Medokan Ayu Health Center in Surabaya. Based on local monitoring data, the average immunized child is still below the target of 90% which is certainly at high risk of exposure to hepatitis-B, tuberculosis, whooping cough, and diphtheria in children. This study aimed to analyze the factors that affect maternal compliance in administering double immunization injections to children <2-years-old at the Medokan Ayu Surabaya Health Center. This was observational research with a cross-sectional study design. Data was collected using questionnaires distributed directly to respondents. The population in this study was mothers who have children <2-years-old at the Medokan Ayu Health Center in Surabaya. Sample selected using the Multistage Random Sampling technique. There was no influence between demographic factors on maternal compliance in administering double immunization injections to children <2-years-old at the Medokan Ayu Health Center in Surabaya (p=0.855). There were effects of perceived vulnerability, perceived severity, perceived benefits, perceived obstacles, belief in success (self-efficacy), and signals to action on maternal compliance in administering double immunization injections to children <2-years-old at the Medokan Ayu Surabaya Health Center (p< 0.05). Mothers who have perceived obstacles, as well as disbelief in the success of double immunization injections tend to disobey in providing immunization injections to their children. The latest program from the Health Center which is home immunization visits is a to increase the coverage of double immunization injections for children <2-years-old.
Implementation of Nursing Ethical Principles in Action Services at Hewokloang Health Center: Qualitative Case Study Mane, Gabriel; Samson, Kristoforus; Kristaviani3, Sisila Bernadetha
Journal of Innovative and Creativity Vol. 6 No. 1 (2026)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v6i1.6732

Abstract

The application of ethical principles is the main foundation in nursing practice to ensure patient safety, service quality, and protection of patients' rights, especially in first-level health services. However, findings suggest that the application of ethical principles, especially patient autonomy, still faces obstacles in daily nursing practice. The study purpose was to describe the application of the principles of nurse ethics in the action room of the Hewokloang Health Center. Materials and methods. The research used a Qualitative case study approach with in-depth thematic analysis. The informants consisted of six people consisting of three patients as the main informant and three nurses as supporting informants. Data was collected through in-depth interviews and in-depth thematic analysis, with stages of data reduction, data presentation, and conclusion drawn. Results. The results of the study showed that the application of most of the ethical principles of nurses in the action room of the Hewokloang Health Center was relatively good (>80%), especially beneficence, non-maleficence, justice, as well as aspects of professional responsibility and honesty. However, the principle of patient autonomy is still not optimal due to the limitations of therapeutic communication, so it is necessary to strengthen information provision and patient involvement in nursing decision-making. Conclusions. The application of the principles of nurse ethics in the Hewokloang Health Center action room is generally good, but it is still necessary to strengthen therapeutic communication to increase respect for patient autonomy and the quality of ethical nursing services.