Assessment of the associated factors of measles immunization dropout: A community-based study in a high-dropping region
Journal Title: Journal of Public Health and Development - Year 2025, Vol 23, Issue 1
Abstract
Measles is a viral disease that can be prevented through vaccination and is a leading cause of childhood mortality. Immunizing children against measles is a highly effective and cost-efficient public health intervention. However, there are still gaps in vaccination coverage; some children do not receive complete immunization. We aimed to describe caregivers' factors and identify determinants of vaccine dropout. We used community-based participatory research and in-depth interviews. The study included 430 caregivers of infants aged between 12 and 36 months. Most infants came from low-income families, had only one sibling, and lived more than 1 km from the vaccination centers. The study found that lack of support from family (Adj. PR=4.23; 2.82 – 6.33; p<0.001) and social support (Adj. PR=2.43; 1.33 – 4.45; p= 0.04) was the main reason for vaccine dropout, followed by the distance from the vaccination centers (Adj. PR= 1.47; 1.07 – 2.00; p= 0.02), and low socioeconomic status (Adj. PR= 1.40; 1.05 – 1.88; p= 0.02). In conclusion, the absence of support from family, and local leaders, and the distance of households from measles vaccination providers were the determinants of the measles vaccine dropout rate. To address these issues, the study recommends that healthcare workers engage local leaders in collaborative efforts to deliver integrated health education in the local dialect. This will help to ensure that all children receive the full course of immunization against measles, and reduce the risk of childhood mortality.
Authors and Affiliations
Jaleha Jaleha, Bagoes Widjarnarko, Henry Setyawan Susanto, Ani Margawati, Soeharyo Hadisaputro, Suhartono Damas, Kholisotul Hikmah, Eko Dian Septiawan
Keywords
Related Articles
- EP ID EP754470
- DOI 10.55131/jphd/2024/230105
- Views 6
- Downloads 0
The impact of digital health interventions on HIV testing uptake among adolescents: a systematic review and meta-analysis of randomized controlled trials
While digital media has been widely employed for promoting sexual health, its application in boosting HIV testing rates among adolescents remains relatively restricted. This systematic review seeks to gauge the efficacy...
Evaluation of physical health condition of primary school students in Abadan of Iran in comparison with WHO standard
This study aimed to investigate the physical condition of students in Abadan. This cross-sectional study was conducted on 3522 elementary school students in Abadan city in 2018. The participants were selected using conve...
The effect of sanitation risk on toddler stunting incident with geographically weighted regression approach in Malang Regency, Indonesia
Stunting is a fundamental problem in Indonesia's human development. The risk factors for stunting are very complex, including inadequate environmental sanitation. This study aims to analyze and map the influence of spati...
Prediction model for composite adverse pregnancy outcomes: Indonesia demographic health survey analysis
Adverse Pregnancy Outcome (APO) is the leading cause of infant mortality, particularly in low and middle-income countries. Despite no significant change in neonatal mortality rates in Indonesia over the past fi...
Disparities in sugar-sweetened beverage expenditures: insights from Indonesian urban and rural households
Excessive consumption of sugar-sweetened beverages (SSBs) poses a significant health risk because of their poor nutritional content. This study investigates SSB expenditure among Indonesian households with the goal to an...