Main Article Content

Abstract

Nowadays, diphtheria cases always increase from year to year. Until now, no drug has been found to cure diphtheria, but there is the most effective way of prevention through immunization. It is known that diphtheria sufferers who don’t get immunizations increase every year. The purpose of this study is to determine the individual and contextual factors that influence the status of DPT immunization in Indonesia and its trends and to know the diversity between cities. The data used in this study are Susenas KOR and consumption and expenditure (KP) modules. The results of multilevel binary logistic regression analysis indicate that individual factors that influence the status of DPT immunization are residence classification, highest maternal education, ownership of immunization cards, birth order, and household poverty status. While the contextual are the ratio of posyandu to 100,000 population and PDRB. Characteristics of children aged 12-59 who do not get immunizations tend to live in rural areas, have mothers with the highest education in junior high school, don’t have immunization cards, who born late in households with many children, and come from poor households. Besides that, there is a diversity of characteristics between cities, which amounted to 22,19%.

Keywords

Diphteria DPT Immunization Logistic Regression Binary Multilevel

Article Details

How to Cite
Resti Wahyuni, & Titik Harsanti. (2021). Individual and Contextual Factors Affecting DPT Immunization in Indonesia. Parameter: Journal of Statistics, 2(1), 21-31. https://doi.org/10.22487/27765660.2021.v2.i1.15677

References

  1. Bappenas. (2015). Rencana Pembangunan Jangka Menengah Nasional Tahun 2015-2019. Bappenas
  2. Goldstein, H. (1995). Multilevel Statistical Models. London, Edward Arnold. New York, Halsted Press
  3. Hosmer, D.W. dan S. Lemeshow, (2000). Applied Logistic Regression. Second Edition, John Willey & Sons, New York.
  4. Hox, J.J., 2010. Multilevel Analysis Techniques and Applications. 2nd ed. New York, USA: Routledge.
  5. Irawati, Dian. (2011). Faktor Karakteristik Ibu yang Berhubungan dengan Ketepatan Imunisasi DPT Combo dan Campak di Pasuruan. Hospital Majapahit, 3(1).
  6. Kemenkes RI. (2015). Rencana Strategis Kementerian Kesehatan Tahun 2015-2019. Kemenkes RI
  7. Kemenkes RI. (2013). Imunisasi Murah dan Efektif Imunisasi Melindungi Anak Indonesia dari Wabah, Kematian atau Kecacatan. Kemenkes RI. Retrieved from https://sehatnegeriku.kemkes.go.id/baca/rilis-media/20130418/477668/imunisasi-murah-dan-efektif-imunisasi-melindungi-anak-indonesia-dari-wabah-kematian-atau-kecacatan/
  8. Kemenkes RI. (2015). Profil Kesehatan Indonesia 2015. Kemenkes RI
  9. Kemenkes RI. (2016). Profil Kesehatan Indonesia 2016. Kemenkes RI
  10. Kemenkes RI. (2017). Profil Kesehatan Indonesia 2017. Kemenkes RI
  11. Kemenkes RI. (2018). Pemerintah Optimis KLB Difteri Bisa Teratasi. Kemenkes RI. Retrieved from https://www.kemkes.go.id/article/view/18011500004/pemerintah-optimis-klb-difteri-bisa-teratasi.html
  12. Kemenkes RI. (2017). Imunisasi Efektif Cegah Difteri. Kemenkes RI. Retrieved from http://p2p.kemkes.go.id/imunisasi-efektif-cegah-difteri/
  13. Lakew, Yihunie dkk. (2015). Factor Influencing Full Immunization Coverage among 12-23 Months of Age Children in Ethiopia Evidence from the National Demographic and Health Survey in 2011. BMC Public Health, 15:728.
  14. Mubarak. (2007). Promosi Kesehatan. Graha Ilmu. Yogyakarta.
  15. Nainggolan, Olwin dkk. (2016). Pengaruh Akses ke Fasilitas Kesehatan terhadap Kelengkapan Imunisasi Baduta (Analisis Riskesdas 2013). Media Libangkes, 26(1),15-28.
  16. Notoatmodjo, Soekidjo. (2010). Ilmu Perilaku Kesehatan. Jakarta: Rineka Cipta
  17. Phukan, Rup Kumar dkk (2008). Factors Associated with Immunization Coverage of Children In Assam, India: Over the First Year of Life. Oxford University Press
  18. Rahmawati, Sri Pinti. (2007). Analisis Faktor Sumber Daya Manusia yang Berhubungan dengan Hasil Kegiatan Imunisasi Dasar Bayi oleh Petugas Imunisasi Puskesmas di Kabupaten Blora Tahun 2006 [Tesis]. Semarang: Universitas Diponegoro.
  19. Topuzoglu, A dkk. (2005). Assesment of Sociodemographic Factors and Socio-Economic Status Affecting the Coverage of Compulsory and Private Immunization Services in Istanbul, Turkey. Public Health, 119, 862-869.