Faktor-Faktor Yang Mempengaruhi Ibu Melakukan Imunisasi Lengkap Pada Anak Usia 12 Bulan Di Wilayah Puskesmas Permata Sukarame Kota Bandar Lampung

ABSTRACT: THE INFLUENCING FACTORS OF COMPLETE IMMUNIZATION PRACTICE CONDUCTED BY WOMEN FOR 12 MONTH BABIES AT PERMATA HEALTH CENTER OF SUKARAME OF BANDAR LAMPUNG Introduction: Based on a pre-survey conducted on six centers for pre and post-natal health cares at the working area of Permata Health Center of Sukarame, there were 153 out of 346 children receiving complete immunization in their 13, 18, 24 months. The 153 children from six types of natal health care were 36 babies from Mekar Sari II, 59 babies from Aster Kuning, 7 babies from Bahtera, 16 babies BetikHati, 14 babies from Kasih Ibu, and 20 babies from Permata Sukarame. Objective: This study was to identify the influencing factors of complete immunization practice conducted by women for 12-month babies at Permata Health Center of Sukarame of Bandar Lampung in 2019. Method: The study was quantitative. The research design was an analytical survey with a cross-sectional approach. The samples and population of this study consisted of 88 people. The sampling technique was purposive sampling. The statistical analysis was chi-square. Result: The frequency category was presented as 109 women (76,8%) having good knowledge, 76 women (53,5%) having a supportive attitude,83 women (58.5%) having low education level background, 50 women (56.8%) living in supporting surroundings, and 55 babies (38.7%) got complete immunization. The relation varied from knowledge with p-value 0.003 (α<0.05), attitude with p-value 0.001 (α<0.05), education level with p-value 0.001 (α<0.05), and the environment with p-value 0.001 (α<0.05). Conclusion: The result indicated that there were correlations among knowledge, attitude, education level, and environment towards immunization practice for babies. The health practitioners are suggested to provide comprehensible knowledge for the women for vaccine understanding in giving immunization. Keywords: knowledge, attitude, education level, immunization practice INTISARI: FAKTOR-FAKTOR YANG MEMPENGARUHI IBU MELAKUKAN IMUNISASI LENGKAP PADA ANAK USIA 12 BULAN DI WILAYAH PUSKESMAS PERMATA SUKARAME KOTA BANDAR LAMPUNG Pendahuluan: Berdasarkan hasil prasurvey di 12 posyandu Wilayah Puskesmas Permata Sukarame, terdapat 142dari 222 anak yang telah mendapat imunisasi lengkap pada usia 12 bulan, pada posyandu Mekar Sari II sebanyak 24 anak, Aster Kuning 20 anak, Bahtera 14 anak, betik Hati 16 anak, Kasih ibu 18 anak, Permata Sukarame 19 anak, Teratai 16 anak, Sakura II 21 anak, Sakura I 20 anak, Manggis 16 anak, Matahari 17 anak, Nusa indah 21 anak.Tujuan: Untuk mengetahui faktor-faktor yang mempengaruh ibu melakukan imunisasi lengkap pada anak usia 12 bulan di Wilayah Puskesma Permata Hati Sukarame Kota Bandar Lampung Tahun 2019.Metode: Jenis penelitian ini adalah Kuantitatif. Desain penelitian ini Survei Analitik dengan pendekatan cross sectional.Populasi dan sampel yang akan diambil adalah sebanyak 142 orang, pengambilan sampel pada penelitian adalah purposive sampling Uji statistik menggunakan uji chi squareHasil : Kategori frekuensi terbanyak berdasarkan dan pengetahuan kurang baik sebanyak 109 orang (76,8%), sikapmendukung sebanyak 76 orang (53,5%), pendidikan rendah 83 orang (58,5%), imunisas lengkap sebanyak 81 orang (57,0%), hasil uji chi square p-value 0,003 p-value 0.001, p-value 0.001Kesimpulan :Yang artinya terdapat antara hubungan pengetahuan, sikap, pendidikan, dengan pelaksanan imunisasi pada anak. Dapat memberikan atau pengetahuan yang benar kepada masyarakat tentang vaksi sehingga meningkatkan motivasi dalam melakukan imunisasi. Kata Kunci : Pengetahuan, Sikap, Pendidikan, Pelaksanaan Imunisasi

Separating features from functionality: A computational analysis of vaccination apps (Preprint)

BACKGROUND Vaccines and immunizations are among the greatest public health accomplishments in disease prevention. Vaccinations not only protect the vaccinated individual but also others in the community. However, inadequate access to healthcare, a fragmented vaccine delivery system, vaccine hesitancy, and lack of vaccine literacy are some of the barriers for vaccination delivery faced by medical professionals and public health agencies. With information technology (IT) at the forefront of delivering quality healthcare, emerging vaccine mHealth technology can positively impact vaccination and immunization practice and benefit individuals, families, and the community. Smartphone apps focused on vaccination and immunizations have proliferated in the digital healthcare market, though their functionality, features, user reviews and limitations have not been comprehensively studied or evaluated. OBJECTIVE This study aims to evaluate available vaccine apps on their functionality and features through a rigorous and systematic review with content analysis. Furthermore, we seek to identify potential limitations and drawbacks in the app's design, readability, and information exchange ability. Lastly, we propose recommendations and innovations that can be incorporated in current and future vaccine apps for improved user experience and user acceptance. METHODS Vaccine related apps from Android and iOS platforms were systematically searched and selected from the period between January to December 2019. A total of 119 apps were included in this review with 42 features evaluated according to the codebook guidelines. The apps selected were a mix of apps used in the United States and some used internationally, though Homebrew and Sideload apps were excluded. A comprehensive code book was developed to conduct content analysis on app functionalities and app features. We used principal component analysis (PCA) to reduce the dimensionality of the data. Further, cluster analysis was used with unsupervised machine learning to determine patterns within the data to group the apps based on pre-selected features. RESULTS The results indicate that readability (quality of being easy to read and understand) of the apps were highly correlated features. When examining the apps star rating score, iOS apps had an average star rating of 0.83 per Mobile App Rating Scale (MARS) as compared to 2.63 for Android. Both the iOS and Android based apps had the privacy statements available with an average of 824.91 words. Cluster one of the K-means analysis contained 27 apps; they were shown to have the most expert involvement, personalized recommendations, and readability among all five clusters. CONCLUSIONS The study concluded that most of the apps evaluated were well received by end users. Privacy and security concerns around collection, storage and sharing of health data were addressed. Collaboration with health providers and public health officials during design and development can improve the overall functionality of the apps.

Impact of educational intervention on the best immunization practices among practicing health care professionals in a south Indian city

Background and Aims: Maintaining the quality and safety of immunization is as important as the efficacy of vaccines in vaccine-preventable diseases (VPD) programs. The aim of this study was to determine the problems associated with different stages of vaccine use and to assess the outcome of an educational intervention on safety and quality use of vaccines among health care providers. Methods: A pilot prospective interventional study was conducted over a period of 2 years at 271 sites in Mysuru, India. The study population was health care professionals (HCPs) involved in immunization and a sample of parents (one per site). A validated questionnaire was used as a study tool. An educational intervention on best immunization practice was conducted for the enrolled HCPs and the impact of the educational intervention was assessed using the study tool after 3 weeks. Results: The total number of the study population was 594 (323 HCPs and 271 parents). Of these, 41.49% were working at community health care facility and 33.13% were enrolled from primary care centers. There were statistically significant improvements in post interventional assessment of all stages of the immunization process including storage ( p −0.001), transportation ( p −0.001), administration ( p 0.001), monitoring and reporting of adverse events following immunization (AEFIs) ( p −0.001), knowledge of AEFIs ( p 0.001), and HCP-parent communication ( p 0.001). AEFI reporting improved by 30% in the post education phase. Conclusion: Continuous education and motivation can result in positive behavioral changes on best immunization practices amongst HCPs involved in immunization, which may help to improve and maintain the safety and quality use of vaccines in immunization centers irrespective of the type of facility.

Effect of Post-splenectomy Booster Vaccine Program on Vaccination Compliance in Trauma Patients

Objective In 2012, the Centers for Disease Control and Prevention (CDC) Advisory Council on Immunization Practice recommended an additional post-splenectomy booster vaccine at 8 weeks following the initial vaccine. The objective of this study was to evaluate our vaccination compliance rate and what sociodemographic factors were associated with noncompliance following this recommendation. Materials and Methods A retrospective review of a performance improvement database of trauma patients eligible for post-splenectomy vaccination (PSV) at a level I trauma center was carried out between 2009 and 2018. Overall and institutional compliance with PSV was compared before and after the addition of booster vaccine recommendation. Factors associated with booster noncompliance were also identified. Results A total of 257 patients were identified. PSV compliance rate in the pre-booster was 98.4%, while overall and institutional post-booster compliance rate were significantly lower at 66.9% ( P ≤ .001) and 50.0% ( P ≤ .001), respectively. Compared to booster institutional compliers, institutional noncompliers lived farther from the trauma center (48 vs. 86 miles, P = .02), and though not statistically significant, these patients were generally older (34.9 vs. 40.5, P = .05). Discussion PSV booster compliance is low even with the current educational materials and recommendations. Additional approaches to improve compliance rates need to be implemented, such as sending letters to the patient and their primary care providers (PCPs), collaborating with rehab/long-term acute care centers, communicating with city and county health departments and city pharmacies, or mirroring other countries and creating a national database for asplenic patients to provide complete information.

Associated Factors to Immunization Timeliness and Completion in Preterm and Low Birth Weight Infants at Essos Hospital Center Yaounde

Introduction. Vaccination is very often delayed in premature and low birth weight infants. However, timely vaccination is even more important in the latter because of their increased susceptibility to infection.Objective. To assess immunization practice and factors associated with vaccine promptness and completeness in former preterm and low-birth-weight infants.Methods. We conducted a retrospective analytical cross-sectional study (January 2017 to February 2019). Main measurement : Promptness and completeness at each contact, Statistical analysis was performed using R software version 3.6.2, logistic regression was used to estimate the Odds Ratio (OR) and their 95% Confidence Interval (CI).Results. We recruited 310 children aged 12 to 36 months born before 37 weeks with low birth weight, 163 (52.6%) of whom were female. Two hundred and fifty-three had received the vaccines at the indicated age, with promptness rate of 81.6%, and 97.7% had completed routine immunization at 9 months. The mean age at vaccination initiation was 6 days ±11 and the mean weight at vaccination initiation was 2233g ±494. High prematurity and very low birth weight were associated with a high rate of vaccine delay: 61.5% [OR: 15.56; (CI: 3.22-118.52; p=0.002)] and 66.7% [OR: 19.19; (CI: 4.67-92.52; p<0.001)] respectively. Distance > 5 km with HEC [OR: 3.48; (CI: 1.68-7.47; p=0.001)] was associated with poor vaccination. Women in common-law unions had the lowest vaccine readiness rate (60.6%), (OR: 3.36; CI: 1.006-10.70; p=0.038). The frequency of occurrence of post immunization adverse events was 24.5%, with fever type in 94.7%.Conclusion. Nearly all premature and/or low-birth-weight children hospitalized at Essos Hospital Center had completed routine immunization at 9 months, and the majority had received the vaccines in a timely manner. Similar study is needed in rural area.

Pediatric Immunization Practice During Coronavirus Disease-2019 Pandemic

At the end of 2019, coronavirus disease-2019 (COVID-19) started to spread worldwide and caused a pandemic in March 2020. Epidemiologic data of COVID-19 in the pediatric population are not certain. The pandemic also decreases routine immunization coverage in children which lead to increased risk of vaccine-preventable disease outbreak. Routine immunization practice should be continued with due regard to health protocol. Children in contact with COVID-19 patients or children who previously have COVID-19 may be immunized after 14 days of symptom-free or confirmed negative by two polymerase chain reaction tests at a minimum interval of 24 h. Bacillus Calmette–Guerin, influenza, and pneumococcal immunization give a positive effect on COVID-19. Until present, there is no available vaccine for COVID-19.

Awareness and attitude regarding postnatal care and immunization practice among antenatal mothers

Background: Under 5 mortality is a key indicator of health status of the country. Optimum care in postnatal period with immunization as per recommended schedule and exclusive breastfeeding with appropriate technology are the most essential factors for optimum growth and development of the child and to prevent under five mortality. The study was done to assess the knowledge and attitude of antenatal mothers on vaccination and postnatal care.Methods: Total 150 pregnant women were required to answer a series of questionnaire related to demographic data, awareness and attitude towards postnatal care, breastfeeding and immunization.Results: Total 90% of the women are aware regarding immunization at birth, 87% of them got the information from a person, who is directly related to health system. Statistically 97.3% mother were aware about importance to keep the baby covered. Every 3 out of 4 women knew that breastfeeding to be started within 1 hour of life. Only 40% were aware that prelacteal feed should never be given to newborns and 74% of the women think that jaundice in newborn requires evaluation.Conclusions: There is a need to educate antenatal mothers about various aspects of immunization and postnatal care including breastfeeding.

Global outbreak of deadly measles in 2019

Measles is an infection of the respiratory system caused by a virus, especially a Paramyxovirus of the genus Morbillivirus, a single stranded negative sense RNA virus. Infants younger than 12 months, school-aged children or young adults depending upon local immunization practice are highly susceptible for the disease.