El apoyo de los esposos en sinergia con la distancia al centro de vacunación asociado con el cumplimiento de la vacunación infantil durante la pandemia de COVID-19 en Indonesia
Resumen
Introducción: Durante la pandemia de COVID-19, disminuyó el cumplimiento de la inmunización infantil en Indonesia.
Objectivo: Determinar los factores independientes y la relación entre el efecto sinérgico del apoyo de los maridos y la distancia a los centros de vacunación sobre el cumplimiento de la vacunación infantil durante la pandemia.
Materiales y Métodos: Un total de 506 madres en la provincia de Jambi, Indonesia, participaron en un estudio transversal desde Marzo hasta Mayo de 2021. Las asociaciones entre los factores se analizaron mediante regresión logística. A partir de las variables más contribuyentes, los investigadores hicieron variables ficticias (2x2) para investigar la asociación sinérgica sobre el cumplimiento de la vacunación infantil del apoyo del marido y la distancia a los centros de vacunación.
Resultados: Entre las variables con correlaciones positivas con la vacunación infantil, el apoyo de los esposos y la menor distancia a los centros de vacunación tuvieron un efecto sinérgico en el cumplimiento de la vacunación (AOR IC del 95 % = 4,10 [2–8,41]). Los grupos que recibieron menos apoyo del esposo y la distancia <4 km, así como los grupos que recibieron el apoyo del esposo, pero la distancia > 4 km tuvieron menos cumplimiento (AOR IC del 95 % = 2,47 [1,22–4,97]; 2,83 [1,18–6,81]).
Conclusiones: El apoyo familiar y la accesibilidad a la inmunización infantil deben aumentar durante las campañas de vacunación.
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UNICEF, The Indonesian Ministry of Health. Imunisasi rutin pada anak selama pandemi COVID-19 di Indonesia: Persepsi orang tua dan pengasuh [Internet]. 2020. Available from: www.unicef.org/indonesia/reports/rapid-assessment-immunization-services-indonesia]
UNICEF. Immunizations [Internet]. 2022. Available from: https://www.unicef.org/immunization
The Indonesian Ministry of Health. Petunjuk teknis: Pelayanan imunisasi pada masa pandemi Covid-19. 2020. Available from: https://covid19.kemkes.go.id/protokol-covid-19/petunjuk-teknis-pelayanan-imunisasi-pada-masa-pandemi-covid-19
UNICEF, The Indonesian Ministry of Health. Penilaian cepat: Dampak pandemi COVID-19 terhadap layanan imunisasi di Indonesia [Internet]. 2020 [cited 2022 Sep 8]. Available from: https://www.unicef.org/indonesia/media/4871/file/Penilaian%20Cepat:%20Dampak%20Pandemi%20COVID-19%20terhadap%20Layanan%20Imunisasi%20di%20Indonesia.pdf
Efendi F, Pradiptasiwi DR, Krisnana I, Kusumaningrum T, Kurniati A, Sampurna MTA, et al. Factors associated with complete immunizations coverage among Indonesian children aged 12–23 months. Child Youth Serv Rev. 2020 Jan;108:104651. DOI: 10.1016/j.childyouth.2019.104651
Herliana P, Douiri A. Determinants of immunisation coverage of children aged 12–59 months in Indonesia: a cross-sectional study. BMJ Open. 2017 Dec 22;7(12):e015790. Available from: https://bmjopen.bmj.com/content/7/12/e015790
Adenike OB, Adejumoke J, Olufunmi O, Ridwan O. Maternal characteristics and immunization status of children in north central of Nigeria. Pan African Medical Journal [Internet]. 2017;26:1–15. Available from: https://dx.doi.org/10.11604%2Fpamj.2017.26.159.11530
Aldakhil H, Albedah N, Alturaiki N, Alajlan R, Abusalih H. Vaccine hesitancy towards childhood immunizations as a predictor of mothers’ intention to vaccinate their children against COVID-19 in Saudi Arabia. J Infect Public Health [Internet]. 2021 Oct 1;14(10):1497–504. Available from: https://pubmed.ncbi.nlm.nih.gov/34481723/
Tanjung ICD, Rohmawati L, Sofyani S. Complete basic immunization coverage in children and the factors influencing it. Sari Pediatri [Internet]. 2017;19(2):86. Available from: https://dx.doi.org/10.14238/sp19.2.2017.86-90
Carolina AR, Efendi D, Kurniasari MD. Determinant factor of childhood basic immunization compliance during the COVID-19 pandemic in Jambi City, Jambi Province, Indonesia. Journal of Nursing Practice [Internet]. 2021 [cited 2021 Nov 24];5(1):77–88. Available from: https://doi.org/10.30994/jnp.v5i1.154
Ilhami I, Afif M. The Influence of family support on providing complete primary immunizations. Jurnal PROMKES: The Indonesian Journal of Health Promotion and Health Education. 2020 Sep 24;8(2):198. Available from: https://e-journal.unair.ac.id/PROMKES/article/view/16282
Vaezghasemi M, Öhman A, Ng N, Hakimi M, Eriksson M. Concerned and conscious, but defenceless - the intersection of gender and generation in child malnutrition in Indonesia: a qualitative grounded theory study. Glob Health Action. 2020 Dec 31;13(1):1744214. Available from: https://www.tandfonline.com/doi/full/10.1080/16549716.2020.1744214
Bangura JB, Xiao S, Qiu D, Ouyang F, Chen L. Barriers to childhood immunization in sub-Saharan Africa: A systematic review. Vol. 20, BMC Public Health. BioMed Central; 2020. Available from: https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-020-09169-4
Erynda RF, Sulaeman ES, Pamungkasari EP. Contextual effect of the integrated health post and other determinants on completeness of basic child immunization: A multilevel analysis evidence from Jember, East Java. Journal of Maternal and Child Health [Internet]. 2020;5(2):154–66. Available from: https://thejmch.com/index.php?journal=thejmch&page=article&op=view&path%5B%5D=375&path%5B%5D=pdf
Silveira MF, Tonial CT, Goretti K. Maranhão A, Teixeira AMS, Hallal PC, Maria B. Menezes A, et al. Missed childhood immunizations during the COVID-19 pandemic in Brazil: Analyses of routine statistics and of a national household survey. Vaccine [Internet]. 2021 Jun 8;39(25):3404–9. Available from: https://pubmed.ncbi.nlm.nih.gov/33941406/
Yunusa U, Irinoye O, Bello UL, Timothy G. Determinants of parental compliance with routine childhood immunization schedule in Nassarawa State, Nigeria. International Journal of Nursing & Care. 2017 Aug 30;1(3):1–7. DOI: 10.33425/2639-9474.1017
Jambi Public Health Office. Laporan Akuntabilitas Kinerja Instansi Pemerintah (LAKIP) Program Pencegahan dan Pengendalian Penyakit Satker Dekonsentrasi 05 [Internet]. 2020. Available from: https://e-renggar.kemkes.go.id/file2018/e-performance/1-109002-2tahunan-619.pdf
Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: Test for correlation and regression analyses. Behav Res Method [Internet]. 2009;41(4):1149–60. Available from: https://link.springer.com/content/pdf/10.3758/BRM.41.4.1149.pdf
Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. New York: Lawrence Erlbaum Associates; 1988.
Oyesigye F. Factors affecting compliance of childhood routine immunization and dropout rate in KABUYANDA Town Council-ISINGIRO District. Int J Innov Sci Res Technol [Internet]. 2018;3(2). Available from: www.ijisrt.com
Arikunto S. Prosedur Penelitian: Suatu Pendekatan Praktik. Rinek Cipta; 2013.
Zuliani. Pengaruh peran suami dan Puskesmas terhadap pengetahuan dan sikap ibu dalam pemberian imunisasi dasar di wilayah kerja Puskesmas Langsa Lama Kota Langsa Aceh Tahun 2016 [Internet]. S2 Ilmu Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Sumatera Utara; 2016 [cited 2021 Nov 28]. Available from: https://repositori.usu.ac.id/handle/123456789/19622
Waroux OLP de, Schellenberg JRA, Manzi F, Mrisho M, Shirima K, Mshinda H, et al. Timeliness and completeness of vaccination and risk factors for low and late vaccine uptake in young children living in rural southern Tanzania. Int Health [Internet]. 2013;5(2):139–47. Available from: https://doi.org/10.1093/inthealth/iht006
Kurniasari MD, Karwur FF, Rayanti RE, Dharmana E, Rias YA, Chou KR, et al. Second-hand smoke and its synergistic effect with a Body-Mass Index of >24.9 kg/m2 increase the risk of Gout Arthritis in Indonesia. Int J Environ Res Public Health. 2021 Apr 19;18(8):4324. Available from: https://www.mdpi.com/1660-4601/18/8/4324
The Indonesian Ministry of Health. Profil direktorat surveilans dan karantina kesehatan tahun 2016. 2016.
Sodik MA, Simon MMN. Relations role of health promotion and support husband with attitude of couples childbearing age in following family planning program in health. Journal of Global Research in Public Health [Internet]. 2017;2(2):82–9. Available from: https://www.neliti.com/id/publications/225038/the-role-of-health-promotion-and-family-support-with-attitude-of-couples-childbe
Ayuningtiyas I, Ropitasari. The correlation between the support husband with attitude of wife on early detection cervical cancer used iva test in Public Healthy Center of Jaten II Karanganyar. PLACENTUM Jurnal Ilmiah Kesehatan dan Aplikasinya [Internet]. 2018;6(2):33–40. Available from: https://jurnal.uns.ac.id/placentum/article/view/22854/16954
Susanti S, Ningrum WM, Sulistiyoningsih H. Description of factors of husband and health workers’ support towards cervical cancer detection behaviour in the child-bearing age at Singaparna Health Centre, Tasikmalaya Sub-District. Healthy and Active Ageing [Internet]. 2019;798–805. Available from: http://prosiding.respati.ac.id/index.php/PIC/article/view/156
Glatman-Freedman A, Nichols K. The effect of social determinants on immunization programs. Hum Vaccin Immunother [Internet]. 2012 Jul;8(7):916–20. Available from: https://pubmed.ncbi.nlm.nih.gov/22327490/
Hardhantyo M, Chuang YC. Urban-rural differences in factors associated with incomplete basic immunization among children in Indonesia: A nationwide multilevel study. Pediatr Neonatol. 2021 Jan 1;62(1):80–9. Available from: https://www.sciencedirect.com/science/article/pii/S1875957220301443
Moïsi JC, Kabuka J, Mitingi D, Levine OS, Scott JAG. Spatial and socio-demographic predictors of time-to-immunization in a rural area in Kenya: Is equity attainable? Vaccine [Internet]. 2010 Aug;28(35):5725–30. Available from: https://pubmed.ncbi.nlm.nih.gov/20600489/
Alshammari TM, Subaiea GM, Hussain T, Moin A, Yusuff KB. Parental perceptions, attitudes and acceptance of childhood immunization in Saudi Arabia: A cross sectional study. Vaccine [Internet]. 2018 Jan 2;36(1):23–8. Available from: https://pubmed.ncbi.nlm.nih.gov/29174681/
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