Faktor-Faktor yang Mempengaruhi Pemanfaatan Pelayanan Imunisasi Dasar Lengkap pada Bayi di Wilayah Kerja Puskesmas Siabu Kabupaten Mandailing Natal

Abstract

Immunization is an effort to actively increase a person’s immunity against disease. The utilization of complete basic immunization services in the Siabu Health Center work area remains low, as shown by the coverage of only 287 children (44,77%) out of a target of 641. The purpose of this study was to explain the influence of socioeconomics (education, working hours, and knowledge), perceptions about immunization, travel distance, cadre attitudes, and immunization education on the utilization of complete basic immunization services for infants in the Siabu Health Center work area, Mandailing Natal Regency. This research used a quantitative, analytical approach with a cross-sectional design. The study population consisted of all mothers with children aged >12–24 months in the Siabu Health Center area, totaling 487. A sample of 85 was selected using simple random sampling. Data were collected using a questionnaire and analyzed through validity and reliability tests, univariate tests, and multiple logistic regression. The results of the multiple logistic regression analysis test showed that there was no influence of the education variable (p = 0,190), working hours (p = 0,676), travel distance (p = 0,971), cadre attitudes (p = 0,949), and immunization education (p = 0,988) on the utilization of complete basic immunization services. While the knowledge variable (p = <0,001) and Exp (B) 1,111 and perception of immunization (p = 0,001) and Exp (B) 1,489 had an influence on the utilization of complete basic immunization services. The community in the Siabu Health Center work area, especially mothers with babies, are expected to be more active in seeking information about immunization through educational activities, counseling, and other media. The Siabu Health Center can take an innovative approach through interactive, ongoing education and utilize social media to convey information and testimonials from mothers who have successfully completed their children's immunizations.