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Barriers and facilitators to improving routine vaccination coverage in East Aceh during the COVID-19 pandemic: a qualitative study Okfriani, Coraima; Martha, Evi
BKM Public Health and Community Medicine Vol 39 No 05 (2023)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v39i05.7139

Abstract

Purpose: East Aceh is one of the districts in Aceh Province that has a low rate of routine vaccination of children, especially in a pandemic situation. It is essential to research to understand more about the challenges in providing vaccination services due to COVID-19. Methods: This study used a qualitative approach with Rapid Assessment Procedure. Data was collected in three Puskesmas in East Aceh with the lowest vaccination coverage areas. The targeted participants in this study were: Caregivers, Health workers, Community cadres, Vaccine coordinators, and Vaccine advisors. Result: The phenomenon of COVID-19 vaccine refusal influenced caregivers’ to also refuse routine vaccination. Husband or father had a big role in determining whether children could get vaccinated. Caregivers were also afraid of vaccine side effects and vaccination methods using syringes as they often heard negative rumors about it. The lack of influential figure support also affected communities' perception of vaccination. On the other hand, several things might influence caregivers to bring their children to get vaccinated. Regular reminders from village midwives might influence caregivers to visit posyandu to get their children vaccinated. Good knowledge of the benefits of immunization for children is also important to raise caregivers’ awareness. Conclusion: This study recommends stakeholders and health professionals improve routine immunization programs, particularly in pandemic situations. The findings are anticipated to guide the creation of health campaign strategies encouraging caregivers to bring their children in for vaccinations.
ANALISIS SPASIAL KEPADATAN PENDUDUK TERHADAP KASUS TUBERKULOSIS DI PROVINSI JAWA BARAT 2019-2021 Lestari, Andini Ayu; Makful, Martya Rahmaniati; Okfriani, Coraima
Jurnal Cahaya Mandalika ISSN 2721-4796 (online) Vol. 3 No. 2 (2022)
Publisher : Institut Penelitian Dan Pengambangan Mandalika Indonesia (IP2MI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36312/jcm.v3i2.1663

Abstract

Indonesia merupakan negara ke-3 dengan kasus TB tertinggi di dunia. Jawa Barat merupakan salah satu provinsi di Indonesia yang dilaporkan memiliki jumlah kasus tertinggi. Salah satu factor yang menyebabkan penyebaran TB yaitu kepadatan penduduk. Penelitian ini bertujuan untuk mempelajari sebaran analisis spasial kasus baru TB berdasarkan faktor risiko kepadatan penduduk di Provinsi Jawa Barat tahun 2019-2021. Penelitian ini merupakan studi ekologi dengan menggunakan Exploratory Spatial Data Analysis (ESDA). Variabel yang digunakan dalam penelitian ini adalah kasus baru (insiden) TB dan kepadatan penduduk di Jawa Barat tahun 2019-2021. Hasil perhitungan nilai indeks moran terhadap hubungan kasus baru TB dengan kepadatan penduduk menunjukkan hasil bahwa terdapat autokorelasi positif. Uji LISA menunjukkan tiga wilayah yang masuk kategori High-high untuk penyebaran TB berdasarkan kepadatan penduduk pada tahun 2019-2021 yaitu: Kota Depok, Kota Bogor, dan Kota Bekasi. Ketiga wilayah tersebut disarankan menjadi wilayah prioritas intervensi program TB untuk Provinsi Jawa Barat.