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All Journal SIGn Journal of Public Health Nurse Performance Based on Clinical Pathway in Inpatient Room
Nurul Fauziah
CV. Social Politic Genius (SIGn), Indonesia
Nursing Public Health

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Determinants of Basic Immunization Completeness among Infants: An Analysis of Maternal Socio-Demographics, Knowledge, Attitudes, and Practices Lelin Julita Putri; Greiny Arisani; Nurul Fauziah
SIGn Journal of Public Health Vol 4 No 1 (2025): Januari – Juni
Publisher : CV. Social Politic Genius (SIGn)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37276/sjph.v4i1.680

Abstract

The administration of basic immunization constitutes a fundamental public health intervention in mitigating infant morbidity and mortality rates associated with Vaccine-Preventable Diseases (VPDs). Despite its pivotal role, the achievement of Universal Child Immunization (UCI) in Palangka Raya City remains fluctuating and consistently falls below national targets. This study aims to comprehensively describe the determinants influencing the status of basic immunization completeness among infants at the Independent Midwifery Practice (IMP) “W” in Palangka Raya City. A descriptive quantitative research design with an observational approach was employed. The sample consisted of 53 respondents drawn from the population using the Slovin formula, with primary data collection conducted through a calibrated questionnaire exhibiting a high reliability coefficient (Cronbach’s Alpha 0.86). Data were processed using univariate statistical analysis to describe frequency distributions and proportions. The results revealed that 62.26% of infants had received complete immunization, while the remaining 37.74% were incomplete. Significant findings indicated that respondents with tertiary education, income exceeding the Regional Minimum Wage (UMP), and those with “Good” knowledge, attitude, and practice categories achieved an absolute completeness rate of 100.00%. Conversely, adolescent mothers (< 20 years) and those with primary education showed a 100.00% incompleteness rate. Geographical accessibility within a radius of < 1 km recorded higher completeness (73.68%) compared to a radius of > 2 km (55.88%), while the Dayak ethnicity demonstrated the highest completeness rate (83.33%). The study concludes that economic factors, education levels, physical accessibility, and maternal knowledge and attitudes are decisive determinants in achieving immunization status. Policy implications are directed toward strengthening personalized education and active home-visit service strategies to eliminate spatial and sociocultural barriers at the primary healthcare level.
The Service Capacity of Posyandu Cadres in Stunting Mitigation Programs: A Qualitative Literature Review Nurul Fauziah
SIGn Journal of Public Health Vol 4 No 2 (2025): Juli – Desember
Publisher : CV. Social Politic Genius (SIGn)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37276/sjph.v4i2.724

Abstract

The prevention of stunting in Indonesia relies heavily on the service capacity readiness of Community Health Workers (CHWs) as the primary unit of primary health care; however, in practice, they continue to face multidimensional barriers that degrade the quality of basic services. This qualitative literature review aims to analyze and formulate a typology of service capacity barriers for CHWs within cognitive-procedural, interactional-behavioral, and structural-administrative dimensions in stunting mitigation programs. The method employed is a descriptive, qualitative literature review, examining secondary data comprising three textbooks and 17 reputable journal articles with active DOIs on Crossref, which were analyzed using thematic synthesis. The synthesis results indicate that weaknesses in CHWs’ anthropometric procedural capacity stem from disparities in basic education, sociopsychological tensions in the form of parental rejection due to stigma, and the administrative workload of digital reporting unmatched by infrastructure and clear boundaries of clinical authority. In conclusion, strengthening CHW capacity requires a transition from incidental training to a continuous, multidisciplinary team mentoring model, supported by the Ministry of Health’s simplification of clinical modules and the assurance of consistent village fund budget allocations from relevant ministries to guarantee the sustainability of primary health care services at the village level.
The Service Capacity of Posyandu Cadres in Stunting Mitigation Programs: A Qualitative Literature Review Nurul Fauziah
SIGn Journal of Public Health Vol 4 No 2 (2025): Juli – Desember
Publisher : CV. Social Politic Genius (SIGn)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37276/sjph.v4i2.724

Abstract

The prevention of stunting in Indonesia relies heavily on the service capacity readiness of Community Health Workers (CHWs) as the primary unit of primary health care; however, in practice, they continue to face multidimensional barriers that degrade the quality of basic services. This qualitative literature review aims to analyze and formulate a typology of service capacity barriers for CHWs within cognitive-procedural, interactional-behavioral, and structural-administrative dimensions in stunting mitigation programs. The method employed is a descriptive, qualitative literature review, examining secondary data comprising three textbooks and 17 reputable journal articles with active DOIs on Crossref, which were analyzed using thematic synthesis. The synthesis results indicate that weaknesses in CHWs’ anthropometric procedural capacity stem from disparities in basic education, sociopsychological tensions in the form of parental rejection due to stigma, and the administrative workload of digital reporting unmatched by infrastructure and clear boundaries of clinical authority. In conclusion, strengthening CHW capacity requires a transition from incidental training to a continuous, multidisciplinary team mentoring model, supported by the Ministry of Health’s simplification of clinical modules and the assurance of consistent village fund budget allocations from relevant ministries to guarantee the sustainability of primary health care services at the village level.
Co-Authors Greiny Arisani Lelin Julita Putri