Achmad Hilal
University of East Indonesia, Indonesia

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Obstacles And Challenges In Implementing Immunization In Coastal Communities Achmad Hilal; Rahmat Pannyiwi
International Journal of Health Sciences Vol. 4 No. 1 (2026): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/ijhs.v4i1.1087

Abstract

Immunization is an effective promotive and preventive measure in preventing infectious diseases. However, immunization coverage in some coastal areas is still suboptimal. Geographical, social, and cultural conditions, as well as limited access to health services, are factors that influence immunization implementation. This study aims to identify obstacles and challenges to immunization implementation in coastal communities. This study used quantitative methods with a descriptive analytical design and a cross-sectional approach. Sectional. The research sample was mothers who have toddlers in coastal area X. Data were collected using questionnaires and analyzed univariately and bivariately. The results showed that the main obstacles to immunization implementation include access to health services, maternal knowledge, perceptions of immunization, and family support. The conclusion of this study is that the implementation of immunization in coastal communities still faces various obstacles that require integrated interventions.
Epidemiological Analysis of Stunting Incidence in Toddlers Based on Family Socioeconomic and Nutritional Factors in Indonesia Achmad Hilal; Rezqiqah Aulia Rahmat
International Journal of Health Sciences Vol. 3 No. 4 (2025): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/ijhs.v3i4.889

Abstract

Stunting is a chronic nutritional problem that remains a public health challenge in Indonesia. This study aims to analyze the relationship between socioeconomic factors and family nutrition on the incidence of stunting in toddlers. This study design is an observational analytic with a cross-sectional approach, using simulated hypothetical data from 500 households with toddlers aged 24–59 months. Bivariate analysis was conducted using the chi-square test, while multivariate analysis used multiple logistic regression. The simulation results show that the most influential factors on the incidence of stunting are maternal education level (p<0.01), family income (p<0.05), and toddler energy-protein intake (p<0.01). Toddlers from families with low socioeconomic status have a 3.5 times higher risk of stunting than families with middle to upper economic status. The conclusion of this study is that socioeconomic determinants and family nutrition play an important role in determining the nutritional status of toddlers in Indonesia. Prevention efforts need to be directed at improving nutritional education and family economic empowerment.