Buletin Ilmu Kebidanan dan Keperawatan
Vol. 5 No. 02 (2026): Article In Press - Buletin Ilmu Kebidanan dan Keperawatan

Maternal Education and Behavioral Factors as Determinants of Immunization Completeness: A Cross-Sectional Study

Rohati Fataruba (Institute of Technology Science and Health RS dr. Soepraoen Kesdam V/ Brawijaya)
Yuni Asri (Institute of Technology, Science, and Health RS dr. Soepraoen Kesdam V/ Brawijaya)
Ananda Sagita Maharani (Institute of Technology, Science, and Health RS dr. Soepraoen Kesdam V/Brawijaya)



Article Info

Publish Date
09 Jun 2026

Abstract

Childhood immunization remains a fundamental public health intervention to prevent vaccine-preventable diseases and reduce child morbidity and mortality. Maternal characteristics, particularly educational attainment and behavioral factors, are considered important determinants of immunization uptake. This study aimed to analyze the association between maternal education, knowledge, and attitudes and childhood immunization completeness. A cross-sectional design was employed using secondary data from 362 mother–child pairs registered at a primary health care center in Indonesia in 2025. Immunization status was classified as complete or incomplete according to the national immunization schedule. Independent variables included maternal education, knowledge, attitude, age, employment status, parity, and the child’s sex. Data were analyzed using SPSS version 26. Descriptive statistics were presented as frequencies and percentages, while associations were examined using Chi-square or Fisher’s exact tests with a significance level of p<0.05. Overall, 58.6% of children had complete immunization. Maternal education (p<0.001), knowledge (p=0.003), and attitude (p=0.003) were significantly associated with immunization completeness. Strengthening maternal health education may enhance vaccination coverage in primary care settings.

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Journal Info

Abbrev

BIKK

Publisher

Subject

Humanities Education Health Professions Nursing Public Health

Description

Buletin Ilmu Kebidanan dan Keperawatan provides novel peer-reviewed clinical articles that support professional nurses and midwives in their competence as health care providers. Each issue presents articles ranging from clinical topics to political and practice issues. It aims to deepen ...