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Immunization is one of the most effective and efficient public health efforts in preventing diseases and reducing mortality rates in children such as smallpox, polio, tuberculosis, hepatitis B, diphtheria, measles, rubella, congenital rubella syndrome (CRS), tetanus, pneumonia (lung inflammation) and meningitis (inflammation of the brain membrane) (Nandi & Shet, 2020). Data from the Indonesian Ministry of Health in 2020 showed that vaccination coverage in the 3rd and 4th months was months. However, efforts can be made to increase child vaccination coverage to 80% and that does not include DT, MR2, and HPV vaccinations. As, measles data is only 45%, diphtheria-tetanus (DT) is around 40% (Indonesian Ministry of Health, 2021). To determine the relationship between maternal knowledge and the completeness of basic immunization in children at the Raden Omas Posyandu. This study uses a quantitative research design with a cross-sectional method. The population in this study consisted of mothers who had children aged 12 to 18 months at Posyandu Raden Omas, totaling 36 mothers. The statistical results showed a relationship between maternal knowledge and the completeness of basic immunization in children p-value (0.048). Most respondents had good knowledge, as many as 13 respondents (36.1%). Sufficient knowledge, as many as 13 respondents (36.1%). Insufficient knowledge, as many as 10 respondents or 27.8%. Most respondents had incomplete immunization, namely 18 respondents (50%).

Undernutrition is a severe nutritional deficiency condition caused by inadequate daily intake of energy and protein, which occurs over a considerable period of time. Malnutrition generally affects children under five years old and is influenced by various factors. According to the National Basic Health Research Report (Riskesdas) in 2018, the national proportion of children aged 6–24 months with undernutrition and severe malnutrition was recorded at 17.7%. This study is a case report of a 23-month-old boy living in a village in 2025. The case was observed over a three-week period using a home visit approach. The diagnosis of undernutrition was established based on national guidelines, specifically the Regulation of the Indonesian Minister of Health No. 2 of 2020 concerning child anthropometric standards. Anthropometric measurements showed the child had a height of 81 cm and a weight of 8.12 kg. The child’s nutritional status was classified as underweight based on the Weight-for-Age (W/A) Z-score. Following diagnosis, the patient received nutritional education, supplementary food, appetite-stimulating vitamins, and growth monitoring. The study concluded that several determinants contributed to the underweight condition in this 23-month-old patient, including behavioral factors, incomplete immunization, and recurrent infections.

This study aims to assess the implementation of specific nutrition interventions in an effort to accelerate stunting reduction in Naitae Village, West Fatuleu Sub-district, Kupang Regency in 2023, as well as identify barriers and opportunities for improvement. The research method used was a qualitative approach with a case study design. Data were collected through in-depth interviews with key informants such as the Head of Puskesmas, program managers, Village Head, Posyandu cadres, pregnant women, and mothers of stunted toddlers and those who have completed the intervention. Data were analyzed using thematic analysis techniques through a process of categorization and source triangulation. The results showed that specific nutrition interventions in Naitae Village include the provision of Blood Addition Tablets (TTD), antenatal examinations, complete basic immunization, deworming, macronutrient supplements (PMT). The implementation of these interventions is generally in accordance with national guidelines, but there are still various barriers, such as unreachability of adolescent girls who are not in school, low compliance of pregnant women in consuming TTD, and limited access to services due to distance and local culture. In conclusion, although the intervention was implemented according to procedures, the success of the program was still constrained by individual, geographical, and socio-cultural factors. Efforts to increase education and cross-sector collaboration are needed to accelerate stunting reduction in the region.  

Stunting is a chronic nutritional problem in toddlers caused by a lack of nutritional intake for a long time so that the child becomes too short for his age. Based on the results of the Indonesian Nutrition Standards Survey (SSGI) in 2022 in Riau province, it reached 17.0%. The prevalence rate of stunting in Pekanbaru reached around 16.8% in 2022. According to the Health Office in 2022, Lima Puluh Health Center recorded the highest prevalence of stunting at 4.47% or 60 cases. One of the risk factors that contributes to stunting is the low coverage of complete basic immunization, which can prevent infectious diseases that can interfere with children's growth and development. However, the lack of public knowledge and awareness of the importance of complete basic immunization increases the risk of infection. The long-term impacts of stunting include cognitive impairment, developmental delays, and low productivity in the future. Knowing the relationship between the completeness of basic immunization and the incidence of stunting in toddlers aged 24-36 months in the Lima Puluh Health Center work area, Pekanbaru City. to determine the relationship between the completeness of basic immunization and the incidence of stunting in toddlers aged 24-36 months in the Lima Puluh Health Center work area, Pekanbaru City. From the results of data analysis, a relationship has been found between the completeness of immunization and the incidence of stunting in toddlers aged 24-36 months in the Lima Puluh Health Center work area (p-value = 0.03; OR of 11.66; (95% CI = 1.22-110.95). Completeness of basic immunization is related and is a risk factor for stunting in toddlers aged 24-36 months in the Limapuluh Health Center work area.

Background: In 2021, there were 38 deaths for every 1000 live births in the world's under-five population. Predisposing factors, enabling resources, need, and health service usage are the three primary elements that make up Andersen's theory and have an impact on health care utilisation. Goal: To ascertain how patient trust and service quality relate to Sekanak Raya Village's whole basic immunisation program. Method: This study is quantitative in nature and uses a cross-sectional, analytical observational methodology. The mothers who had children in Sekanak Raya Village made up the study's population. Tools for gathering data include questionnaires and observation sheets. In data analysis, the chi-square test was employed. Result: The findings indicate that 15 out of 100 underdog moms believe in complete basic immunisation status, whereas 18 out of 100 underdog mothers believe that the quality of service is good with complete basic immunisation status. For patient confidence, the chi square statistical test yielded a p-value of 0.022 < 0.05, whereas for service quality, the p-value was 0.004 < 0.05. In Sekanak Raya Village, UPTD Working Area, Puskesmas, Rear Padang, Batam City, total basic immunisation quality and patient trust are significantly correlated in 2024.

The coverage of complete basic immunization in Indonesia in 2020 during the Covid-19 pandemic had not yet reached the expected target. The province with the lowest coverage was Aceh, with only 41.8%, indicating a significant gap from the national target. This study aims to determine the relationship between parental roles and the coverage of complete basic immunization for infants during the Covid-19 pandemic in the Banda Sakti area. This research used a cross-sectional design with a cluster sampling technique. The univariate analysis showed that most of the children were male, totaling 48 (51.6%). The age of the fathers was mostly between 26–35 years (52 respondents or 55.9%), and the mothers’ age was also mostly between 26–35 years (63 respondents or 67.7%). The majority of both fathers and mothers had a senior high school education, with 49 (52.7%) and 39 (41.9%) respectively. Most of the basic immunization coverage in the Banda Sakti area was incomplete, amounting to 74 infants (79.6%), and the parental role was categorized as poor. The bivariate analysis using the Chi-square test and its alternatives showed a p value < 0.05, indicating a significant relationship between the roles of fathers, mothers, and parents in general, and the coverage of complete basic immunization. The conclusion of this study is that there is a significant relationship between parental roles and the coverage of complete basic immunization for infants during the Covid-19 pandemic in the Banda Sakti area.

 Immunisation is the stage of prevention of infectious diseases such as ‘hepatitis, tuberculosis, polio, tetanus, diphtheria, pertussis, and measles’ Knowledge of parents, especially mothers, plays an important role in the success of immunisation programmes, where education level affects knowledge about the importance of immunisation. The following study aimed to analyse the correlation between parents' education level and knowledge in providing complete basic immunisation to children. The following quantitative approach uses a Cross Sectional design, on 88 respondents selected through Purposive Proportional Random Sampling using a questionnaire in the form of a questionnaire and obesrvasion. Data were collected through questionnaires and analysed using the Chi-Square test. The results showed a significant relationship between education level and parental knowledge in providing complete basic immunisation at Bangetayu Health Centre, Semarang City (p-value <0.05). Thus, the higher the level of education of parents, the better their knowledge in providing complete basic immunisation to children. This study highlights the importance of complete basic immunisation to prevent disease. Health offices and health centres need to improve education through counselling and information distribution. Parents' awareness plays an important role in ensuring children are fully immunised. This study is useful for parents in increasing knowledge, health centres in improving services, and researchers as a reference for further studies.  

Every baby is expected to receive five complete basic immunizations. Complete basic immunization coverage is the percentage of babies aged 0-11 months who have received five complete basic immunizations according to the number and time of basic immunization. This study aims to find the relationship between husband's support as an independent variable and the mother's attitude in infant immunization as a dependent variable, each of which data is collected at the same time. The sample in this study were 45 babies registered at the Gebang Health Center, Langkat Regency for May to July 2021, with the research sample method being total sampling. This research was conducted at the Gebang Health Center, Langkat Regency. From the results of the study, there is a significant relationship between husband's support and the mother's attitude in providing infant immunization in the Gebang Health Center work area, Jl.Jendral Sudirman No.104 Langkat. The correlation strength (r) is 0.730, indicating the relationship between the two variables in the strong degree category. The direction of the positive correlation (+) indicates that the greater the husband's support, the more positive the mother's attitude in providing infant immunization. The results and discussion of the study are expected to be a reference for nursing students in: Conducting further research on factors that can influence mothers' attitudes in providing infant immunization.

Mothers' knowledge and attitudes play a crucial role in the success of the basic immunization program for infants. This study aimed to analyze the effect of counseling using the discussion method on improving mothers' knowledge and attitudes regarding basic immunization for infants aged 0-12 months. The study used a pre-experimental one-group pretest-posttest design with a sample of 30 mothers selected through purposive sampling. The research instrument consisted of a knowledge and attitude questionnaire that had been tested for validity and reliability. The intervention was conducted through a 60-minute focus group discussion, which included an initial presentation, active discussion, scientific clarification, and conclusion drawing. The results showed a significant increase in knowledge, from an average score of 9.13 to 13.47 (p = 0.000), and in attitudes, from an average score of 31.50 to 41.30 (p = 0.000). The distribution of categories also showed a significant shift towards better knowledge and attitudes after the intervention. This study concluded that the discussion method was effective in improving mothers' understanding and forming positive attitudes towards basic immunization, making it worthy of recommendation as an educational method in health care facilities.

Backround: Basic immunization is a crucial step in preventing communicable diseases that can be controlled through vaccination in infants. However, the coverage of basic immunization in Indonesia has not yet reached the desired target. One of the factors influencing immunization coverage is the low level of maternal knowledge about immunization. This issue was identified in a preliminary study conducted at PMB Suratni. The objective of this study is to evaluate the effectiveness of health education using audio-visual media in improving mothers' knowledge about basic immunization at PMB Suratni.Methods: This study employed a quasi-experimental design with a control group. A total of 50 mothers with infants aged 0–12 months at PMB Suratni were selected as respondents. The intervention group received health education using audio-visual media, while the control group was given conventional lecture-based education. Data were collected through pretest and posttest questionnaires and analyzed using the Wilcoxon test and N-Gain score.Results: Expert evaluations of the material and media categorized them as appropriate. The study results from both interventions indicated a significant improvement in maternal knowledge in the group that received audio-visual education compared to the control group. The average N-Gain score in the intervention group was 0.72 (high category), whereas the control group scored 0.45 (moderate category). The Wilcoxon test showed a p-value of <0.05, indicating a significant difference between the two groups.Conclusion: Health education using audio-visual media is proven to be more effective in enhancing mothers' knowledge about basic immunization compared to the lecture method. Audio-visual health education can serve as an interactive and informative alternative in health education programs to improve basic immunization coverage in infants.  

Immunization Completeness base is an immunization that must be given to children from birth so that their bodies are protected from dangerous diseases. Complete basic immunization coverage in Suka Raya Village, Pancur Batu District reached 80.7%: the low coverage of basic immunization is related to the knowledge and attitudes of mothers. This study aims to determine the relationship between maternal knowledge and attitudes and the completeness of basic immunization in infants. Data collection from primary and secondary data, data were analyzed using the chi-square test with a 95% confidence level. This type of research is analytical with a Cross Sectional approach , the population in this study were all mothers who had babies aged 9-12 months who visited Suka Raya Village, namely 42 people. The sampling technique is Total Sampling. Collection data For about complete basic immunization data analysis with Chi Square statistical test . The results of the study showed that there was a relationship between maternal knowledge and attitudes with the completeness of basic immunization with a p value for the knowledge variable of 0.003 and a p value for the attitude variable of 0.000. Then, maternal knowledge and attitudes influenced the completeness of basic immunization in infants, mothers with good knowledge and positive attitudes were more likely to complete their infants' basic immunization according to the specified schedule. It is recommended for Pancur Batu Village to further improve the provision of counseling to mothers about complete basic immunization and for health workers in Pancur Batu Village to improve maternal knowledge about the completeness of basic immunization

Basic immunization is one of the prevention programs for communicable diseases to children. Immunization coverage rates in regions have not yet reached the target. This is caused by many factors. This study aimedto analyze factorsthatinfluencingto maternal behavior in fulfilling basic immunization for children aged 0-12 months in the Work Areaof the Sumobito Health Center in Jombang.The factors analyzed are not only internal factors of the individual, but also external factors, both family environment and the availability ofservices, whichare also determinants ofbehavior.This research was observational analytic with cross sectional approach. Data analysis used logistic regressiontest. The results of this study indicated that factorsinfluencedmaternal behavior in fulfilling childbasic immunization wereattitude (p = 0,000), trust (p = 0,002), family support (p = 0.006), access (p = 0,000), and information (p=0,000), while age (0,718) and work status (0,844) did not influence to maternal behavior in fulfilling child basic immunizationThis is because, during the COVID-19 pandemic, mothers worked at home so they had time to deliver their children to immunization

the role of Posyandu (Integrated Service Post) in Hamlet III Sei Glugur Village in supporting community health programs, especially for mothers and children. Posyandu provides various activities such as immunizations, health education, and monitoring children's growth and development, which facilitates community access to basic health services. Even though there is enthusiasm and positive benefits felt by the community, especially young mothers, the main challenge faced is the lack of public awareness. This research recommends improving facilities, cadre training, and support from the government and community to increase Posyandu participation and effectiveness.

Maternal and child health issues are still a serious concern for the government today. The high maternal, infant and toddler mortality rates make KIA a top priority in the Ministry's program.Health problems at the Kalibobo Health Center are still the center of attention where in 2023 there were 2 child deaths including nutritional problems. Objective: To analyze the achievement of indicators of the nutritional health program, mothers and children against the healthy family index in Kalibobo Village, Nabire Regency. Method: Observational research is descriptive. Using the Community Diagnosis (Needs Assessment) method with a cross-sectional approach. The sample size120 familiesusing cluster random sampling method. The interview results were collected and data reduction, data presentation and conclusion drawing were carried out. Results: ANC examination 74% (national target 95%), complete basic immunization 89% (national target 90%), infants aged 0-6 months who received exclusive breastfeeding 67% (national target 60%) and toddlers whose growth was monitored 75% (national target 85%). Conclusion: Based on the 4 indicators evaluated, there are 2 indicators that can be said to be successful, namely the achievement of toddlers who received complete basic immunization and infants aged 0-6 months who received exclusive breastfeeding. Suggestion: to establish cross-sector cooperation in the community so that community knowledge, attitudes, and behavior can be better in utilizing existing health services, especially maternal and child health services.

Background: Basic immunization services for children in Indonesia have been integrated starting from Posyandu, Community Health Centers and hospitals, however the overall basic immunization coverage is still below the target set by the government. Data from the Hamparan Perak Community Health Center shows that coverage of all types of complete basic immunization did not reach the target, and Deli Serdang Regency with the lowest IDL coverage in North Sumatra Province is Deli Serdang Regency. Objective: This study aims to analyze the factors that influence maternal compliance in providing complete basic immunization in Hamparan Perak sub-district, Deli Serdang district. Method: The research used quantitative research methods with a cross sectional study design which was carried out in the work area of ​​the community health center in Hamparan Perak sub-district, Deli Serdang district, starting from preparing the thesis to obtaining research results. The population in this study were mothers aged ≥ 18 years in the working area of ​​the health center in Hamparan Perak sub-district, Deli Serdang district. The sampling technique used in this research is probability sampling using simple random sampling with a sample size of 73 respondents. Results: The results of the study showed a significant influence between knowledge (p=0.03) and maternal compliance in providing immunizations, and there was no influence between perception (p=0.47), quality of immunization services (p=0.10), number children (p=0.46), distance to health services (p=0.74) and maternal compliance in providing complete basic immunization in Hamparan Perak sub-district, Deli Serdang district. Conclusion: the factor that most influences maternal compliance in providing complete basic immunization is knowledge. Suggestion: It is necessary to increase the role of health workers in providing good information to the public about the importance of immunization for babies, and it is hoped that this can also increase the public's positive perception of immunization.

Immunization Completeness base is an immunization that must be given to children from birth so that their bodies are protected from dangerous diseases. Complete basic immunization coverage in Suka Raya Village, Pancur Batu District reached 80.7%: the low coverage of basic immunization is related to the knowledge and attitudes of mothers. This study aims to determine the relationship between maternal knowledge and attitudes and the completeness of basic immunization in infants . Data collection from primary and secondary data, data were analyzed using the chi-square test with a 95% confidence level. This type of research is analytical with a Cross Sectional approach , the population in this study were all mothers who had babies aged 9-12 months who visited Suka Raya Village, namely 42 people. The sampling technique is Total Sampling . Collection data For about complete basic immunization data analysis with Chi Square statistical test . The results of the study showed that there was a relationship between maternal knowledge and attitudes with the completeness of basic immunization with a p value for the knowledge variable of 0.003 and a p value for the attitude variable of 0.000. Then, maternal knowledge and attitudes influenced the completeness of basic immunization in infants, mothers with good knowledge and positive attitudes were more likely to complete their infants' basic immunization according to the specified schedule. It is recommended for Pancur Batu Village to further improve the provision of counseling to mothers about complete basic immunization and for health workers in Pancur Batu Village to improve maternal knowledge about the completeness of basic immunization  

Knowledge and the role of posyandu (integrated service post) cadres are crucial and strategically important in providing health education to the community. According to 2023 data, the coverage of complete basic immunization at posyandu is significantly below the target. Surveys revealed that some cadres have insufficient knowledge and a minimal role in immunization services, such as providing counseling, encouraging, and motivating mothers to immunize their children. This study aims to determine the relationship between knowledge and the role of posyandu cadres in achieving complete basic immunization in the working area of Puskesmas Bahaur Hilir, Pulang Pisau District. Method: This research is a correlational study with a quantitative method using a cross-sectional approach. The sampling technique employed was total sampling, with 65 respondents. Data were collected using a questionnaire, and statistical analysis was performed using the Spearman correlation test. Results: The data analysis revealed a significant relationship between knowledge and the role of cadres, with a significance value (p-value) of 0.000 < 0.05 and a strong correlation coefficient of 0.642. Conclusion: There is a significant relationship between knowledge and the role of cadres, with a strong correlation coefficient. It is recommended that posyandu cadres enhance their knowledge and active participation in posyandu activities and communicate information to the community to improve health outcomes.

Immunization via injection can cause immediate pain in children. Pain that occurs as a result of immunization injections, if not managed properly, can have a negative impact on the child's emotional aspects such as crying and fear. This research uses a quasi-experimental method with a one group pretest-posttest design approach. The sample involved in this research was 64 respondents, selected using Probability Sampling techniques. The research results show that based on the Paired T-Test statistical test, the p-Value value for the influence of the 5S Method (Swaddling, Side-Stomach, Shushing, Swinging, Sucking) is 0.000. Because p < 0.05, the Alternative Hypothesis (Ha) is accepted and the Null Hypothesis (H0) is rejected. Thus, it can be concluded that the 5S Method (Swaddling, Side-Stomach, Shushing, Swinging, Sucking) has a significant influence on the Infant's Pain Response After Basic Immunization at the Dahlia Makassar Community Health Center. The suggestion is that the 5s method be an alternative for treating pain experienced by babies as an effort to minimize pharmacological therapy.

Background: Complete Basic Immunization (IDL) is an indicator in the immunization program. IDL aims to actively gain early immunity. IDL data at Puskesmas X in 2021 was 83.5% and there was a decrease in the percentage rate in 2022 to 82.87%. Based on an initial survey, on May 9-19, 2023, it was found that out of 73 mothers who brought their children to the posyandu for immunization, around 22 children (30%) were not fully immunized. Objective: Knowing the factors that influence the completeness of immunization in the working area of Puskesmas X Pekanbaru City. Methods: Using analytic observational study design, with cross sectional research design. This research was conducted at Puskesmas X Pekanbaru city. The sampling technique was done by accidental sampling. Variables of knowledge level, and education were analyzed using Kendall Tau test, while variables of employment, family support, mother's attitude and number of children used contingency coefficient test. Results:  The results of the Kendall Tau test analysis of the variable level of knowledge, and education obtained a p value of 0.001 and 0.392 respectively. While in the contingency coefficient test the variables of employment, family support, maternal attitudes and number of children obtained a p value of 0.889; 0.000; 0.000 and 0.455 respectively. Conclusion: There is a significant relationship between the level of knowledge, mother's attitude and family support with the completeness of basic immunization of infants aged 12-24 months in the working area of Puskesmas X Pekanbaru City.

Achievement of Complete Basic Immunization (IDL) in eleven Indonesian provinces in 2022 is still below the national target of 90%. The eleven provinces in question are West Sulawesi, Southeast Sulawesi, Maluku, East Nusa Tenggara, North Kalimantan, Riau, West Kalimantan, West Papua, West Sumatra, Papua and Aceh.The type of research used in this research is descriptive observational research. The data used in this study is secondary data, namely monthly reports on the results of routine immunizations for babies. It was found that the majority of basic immunization coverage for babies born in January 2022 was higher than for babies born in January 2023. Coverage for basic immunization types for babies was highest in 2022. (73.3%) was obtained from Hepatitis B, BCG, and Polio 1 immunization. The highest coverage of basic types of infant immunization in 2023 was obtained from Hepatitis B immunization (73.3%). Hepatitis B immunization received a high score for babies born in January 2022. Coverage of basic immunization types for babies born in January 2022 for types DPT-HB-Hib 1, 2, 3, Polio 2, 3, 4, received 36.7% -73, 3%, and Measles-Rubella got 33.3%. The frequency of immunization against PVC-1 (23.3%), RV-1 (6.7%), and IPV-1 (13.3%) is still low due to not visiting posyandu and giving immunizations past the immunization deadline. The average value of basic immunization coverage for babies born in January 2023 (10%) is lower than babies born in January 2022 (43.3%) with a difference of 33.3%.