Contextual Effect of the Integrated Health Post and Social Capital on Completeness of Child Immunization in Pacitan, East Java
| Main Authors: | Prabowo, Puspita Mayangsari, Rahardjo, Setyo Sri, Pamungkasari, Eti Poncorini |
|---|---|
| Format: | Article info eJournal |
| Bahasa: | eng |
| Terbitan: |
Journal of Maternal and Child Health
, 2020
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| Online Access: |
http://thejmch.com/index.php?journal=thejmch&page=article&op=view&path[]=490 |
Daftar Isi:
- Background: Around 2-3 million deaths each yearwere caused by diseases that could be prevented by immunization. Immunization is an effort to actively increase a person's immunity against a disease. Basic immunization can protect infants from diseases that can be prevented by immunization. This study aimed to analyze the factors at the individual level and the integrated health post level that affected the complete basic immunization status of infants.Subjects and Method: This was an observational analytic study with a cross-sectional design. The study was conducted at 25 Integrated Health Posts (posyandu) in Pacitan, East Java. A sample of 200 infants aged 12-23 months was selected randomly. The dependent variable was complete basic immunization. The independent variables were knowledge, self-efficacy, outcome expectations, vicarious learning, health workers support, social capital, and posyandu strata. The data were analyzed using a multiple multilevel logistic regression.Results: Complete basic immunization status increased with good knowledge (OR= 10.16; 95% CI= 1.48 to 69.98; p= 0.019), high self-efficacy (OR= 10.32; 95% CI= 2.01 to 53.13; p= 0.005), positive outcome expectations (OR= 20.40; 95% CI= 3.39 to 123; p= 0.001), vicarious learning (OR= 4.35; 95% CI= 0.90 to 21.10; p= 0.068), strong health workers support (OR= 14.54; 95% CI=2.63 to 80.65; p= 0.002), and strong social capital (OR= 6.54; 95% CI= 1.41 to 30.40; p= 0.017). Integrated Health Post strata had a contextual effect on the complete basic immunization status with Intra-Class Correlation (ICC)=34.15%.Conclusion: Complete basic immunization status increases with good knowledge, high self-efficacy, positive outcome expectations, had done vicarious learning, and strong social capital. Integrated Health Post strata have a contextual effect on the complete basic immunization status.Keywords: basic immunization, contextual effect, social cognitive theory, social capitalCorrespondence: Puspita Mayangsari Prabowo. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: mayangsari37.pm@gmail.com. Mobile: +6287859294881.Journal of Maternal and Child Health (2020), 05(05): 525-536https://doi.org/10.26911/thejmch.2020.05.05.07