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Background: Low immunization coverage and exclusive breastfeeding coverage are problems in various regions. This program is caused by a lack of maternal knowledge and family support. This problem increases the risk of infection, growth disorders, and impacts the health status of infants. Therefore, the IMASI MOVEMENT (Immunization and Exclusive Breastfeeding Movement) is needed to increase community knowledge and participation regarding infant and toddler health. Method: The methods used include interactive counseling, demonstrations of breastfeeding techniques according to the pink book (KIA), distribution of leaflets, and evaluation through pre-tests and post-tests. Evaluation was carried out on aspects of structure, process, results, and impact of the activity. Results: The results of the activity showed an increase in participants' knowledge scores by ?50–60% after education. Participant attendance reached ?85% of the target, and there was an increase in participation in integrated health post activities compared to the previous month. Discussion: The increase in knowledge scores in the post-test results compared to the pre-test indicates that the educational intervention is effective in increasing mothers' understanding of the benefits of exclusive breastfeeding and the importance of immunization. These findings indicate that community-based health education is an effective strategy to improve maternal health literacy and has the potential to increase the coverage of exclusive breastfeeding and complete basic immunization. Conclusion: This program has proven effective in increasing awareness and health behavior of mothers and toddlers as an effort to prevent stunting and infectious diseases.

Immunization is one of the most cost-effective efforts to improve maternal and child health. The proper use of Buku Kesehatan Ibu dan Anak (KIA) – Mother and Children Health Manual can server as an indicator of the quality of care provided to children in health center services. This study aims to determine the correlation between the use of KIA towards basic immunization compliance in Ulee Kareng Publich Health Center, Banda Aceh. This study employed a quantitative research design using a cross-sectional approach. The population consisted of 521 mothers with babies. The sample was 84 respondents chosen using the probability cluster sampling technique. This study was conducted in Ulee Kareng Publich Health Center from May 27 to June 24, 2025. The data were analyzed using the Chi-Square test.The results showed a correlation between the use of KIA and basic immunization compliance, with a p-value of 0.008 (P<0.05) at Ulee Kareng Public Health Center, Banda Aceh. These results indicated that mothers who used the KIA books had a better understanding of the importance of basic immunization compliance, compared to those who did not utilize them properly. It can be concluded that there is a correlation between the use of KIA books and basic immunization compliance. This study suggests that health workers provide information on the importance of the KIA books and advise mothers to use it properly.

Bacillus Calmette–Guérin (BCG) immunization is a mandatory basic immunization that must be administered to infants before two months of age as a preventive measure against tuberculosis. Timely administration of the BCG vaccine is crucial to ensure optimal protection and to maintain continuity of subsequent immunization schedules. Maternal knowledge is one of the factors influencing the timeliness of immunization. The achievement of BCG immunization at Muara Fajar Community Health Center in 2025 was 76.1%, still below the annual target of 90%. This study aimed to determine the relationship between maternal knowledge and the timely administration of BCG immunization among infants aged 0–2 months in the working area of Muara Fajar Public Health Center, Pekanbaru City. This study employed a quantitative method with a cross-sectional design. A total of 59 mothers with infants aged 0–6 months were selected using accidental sampling. Data were collected through questionnaires assessing maternal knowledge of BCG immunization and the timeliness of BCG vaccine administration. Data analysis was conducted using the Chi-square test with a significance level of p<0.05. The results showed that most mothers were aged 26–35 years (59.3%), had a senior high school education (52.2%), and were housewives (71.2%). Nearly half of the respondents had low knowledge levels (47.5%), while 54.2% of infants received BCG immunization on time. The Chi-square test revealed a significant association between maternal knowledge and timely BCG immunization (p=0.001). This study concludes that maternal knowledge plays a crucial role in ensuring timely BCG immunization in infants.  

Background: Compliance with routine infant immunization is essential for the success of vaccination programs and the prevention of vaccine-preventable diseases. However, adherence to immunization schedules remains suboptimal due to limited parental knowledge, concerns about vaccine safety, and the limited effectiveness of conventional health education. Audio-visual media offer a promising solution by delivering information in a more engaging, clear, and consistent manner. Objective: This study aimed to evaluate the effectiveness of audio-visual educational media in improving adherence to basic immunization among infants in the service area of the Rum Balibunga Community Health Center. Methods: A quasi-experimental design with a one-group pretest-posttest approach was used. The sample included 40 mothers with infants aged 0-12 months selected through purposive sampling. Participants received an educational video on basic immunization. Adherence was assessed before and after the intervention based on completeness and timeliness according to the national schedule. Data were analyzed using univariate and bivariate methods, with the McNemar test for paired categorical data. Results: There was a significant improvement in immunization adherence after the intervention. Statistical analysis confirmed a meaningful difference before and after exposure, indicating the effectiveness of audio-visual media. Conclusion: Audio-visual education is an effective strategy to improve infant immunization adherence and can be widely applied in primary healthcare settings.

The coverage of Complete Basic Immunization (Imunisasi Dasar Lengkap or IDL) in Maharani Village remains low at 38.8%, falling short of the national target of 95%. This condition increases the health risk of toddlers contracting Vaccine-Preventable Diseases (PD3I). This study aimed to determine the relationship between mothers' knowledge and husbands' support regarding the completeness of basic immunization for toddlers in Maharani Village, within the working area of Rumbai Bukit Public Health Center. This research employed a quantitative analytic method with a cross-sectional design. The population in this study comprised all mothers with toddlers in the area, with a sample of 73 respondents selected using the purposive sampling technique. Data collection was conducted using validated questionnaires and observation of Maternal and Child Health (KIA) books, followed by univariate and bivariate analysis using the Chi-square statistical test. The results indicated that the majority of toddlers had incomplete immunization status (61.6%), mothers had a low level of knowledge (61.6%), and respondents did not receive support from their husbands (58.9%). Statistical test results confirmed a very significant relationship between mothers' knowledge (p-value = 0.000) and husbands' support (p-value = 0.000) with the completeness of basic immunization. The conclusion confirms that knowledge and husband's support are the main determinant factors. It is suggested that Rumbai Bukit Public Health Center implement a more inclusive health promotion strategy by involving the active role of husbands in monitoring child health.

Stunting is a chronic nutritional problem characterized by a child’s height being inappropriate for their age, particularly among children under five years old. One of the interventions implemented to prevent stunting is immunization. However, immunization coverage, especially complete basic immunization, has not yet reached the target, including in Medan City. Therefore, this literature study aims to explore the determinants of complete basic immunization coverage in Medan City using the Google Scholar database. The literature search identified nine articles that were extracted and discussed in this study. The determinants of complete basic immunization coverage include individual maternal factors such as age, education level, knowledge, attitudes, and mothers’ beliefs or perceptions toward immunization; social support factors including family support, economic conditions, and prevailing norms and cultural practices within families and communities; as well as health service factors. Comprehensive and integrated interventions are urgently needed to achieve optimal complete basic immunization coverage in Medan City.

Basic immunization helps to prevent infectious diseases in toddlers. It increases immunity and reduces morbidity and mortality. However, full basic immunization coverage is low in several areas, including the Darul Imarah Health Center, Aceh Besar. Family support is considered one of the influencing factors. This support can be emotional, informational, instrumental, or appraisal. The purpose of this study was to determine the relationship between family support and the completeness of basic vaccinations for toddlers in the service area of ​​the Darul Imarah Community Health Center in Aceh Besar. This study used a quantitative cross-sectional design. Using a probability random sampling method, the sample size was 90 respondents out of 817 respondents in the population. The research was conducted from May 5th to 24th, 2025. The study used both bivariate and univariate analyses. The data collection was analyzed using the Chi-Square test. The results showed a relationship between family support and toddler immunization completion, with a P-value of 0.003 (p<0.05). The conclusion indicates a relationship between family support and immunization completion. Therefore, this research provides insight for the family's role in improving basic immunization coverage for toddlers. The findings may help the Darul Imarah Health Center and healthcare workers design strategies for socialization and family support to reach complete immunization targets.

Complete basic immunization for infants is an important effort in preventing infectious diseases and improving public health. However, certain regions still have subpar vaccination rates, which may be due to parents' ignorance and attitudes. Children who do not receive all recommended vaccinations are more vulnerable to illness and, worse, may die from it. This study was conducted at the Jikohay Community Health Center in the West Obi District to examine the impact IEC on mothers' attitudes and knowledge on the provision of full basic immunizations for newborns. Maternal and child health books (KIA) and a questionnaire approach were used in this qualitative study. The purpose of this study is to ascertain how IEC affects mothers' knowledge and attitudes on giving their babies the recommended basic vaccinations at the Jikohay Health Center in the West Obi District. There were 60 individuals in the population and 40 responders in the sample. Purposive sampling was used for the sample process. The Wilcoxon test was utilized for data analysis. According to the study's findings, 20 respondents had good attitudes, 20 had sufficient attitudes, and 29 had good knowledge, 10 had sufficient knowledge, and 1 had insufficient knowledge after receiving counseling on parental attitudes and knowledge in providing full basic immunizations to infants. At the Jikohay Health Center in the West Obi District, the results of the statistical test with a p-value of 0.000 indicated that IEC had an impact on mothers' attitudes and knowledge toward giving their infants all of the recommended basic vaccinations.

Background: Globally, stunting in children under five years old in 2022 is around 22.3% or 148 million children under 5 years old. In Southeast Asia alone, the prevalence of stunting is 26.4% or 14.4 million. Objective: This study was to determine the correlation complete basic immunization and the incidence of stunting in toddlers in the Working Area of UPT Puskesmas Batu Aji Batam City. Methods: This research is a quantitative study observational analytic design with a case control approach. The sample is 42 toddlers and using purposive sampling technique. Data collection tools use observation sheets and the chi-square test. Findings: The results of the chi square statistical test obtained a p-value of 0.005 <0.05 (OR = 6.400 (95% CI (1.654 - 24.770)). There is a significant relationship between complete basic immunization and the incidence of stunting in toddlers in the Working Area of UPT Puskesmas Batu Aji Batam City. Implication: Complete basic immunization has a significant impact on the growth and development of toddlers

The coverage of complete basic immunization (CBI) in Indonesia has experienced a significant decline, dropping from 93.7% in 2019 to 84.5% in 2021. Aceh Province was recorded as one of the lowest regions nationwide, achieving only 39.4% and ranking among the bottom three provinces. Low public awareness and knowledge, particularly in rural areas, have become the main factors contributing to the low participation in immunization programs. This study aimed to evaluate the effectiveness of door-to-door education in improving the knowledge and awareness of mothers with toddlers and its impact on immunization participation in Mukhan Village, Indrajaya Subdistrict, Aceh Jaya District. The research applied a quasi-experimental method with a pre-test design and no control group, involving 25 mothers of toddlers who were directly visited through a one-month door-to-door program. Data were collected using structured questionnaires and by recording the immunization status of the toddlers. The findings revealed that before the intervention, only 36% of toddlers had received complete basic immunization, while 64% had incomplete immunization. After the educational intervention, there was a positive shift in attitudes among several mothers who had previously doubted or refused immunization, including one mother who later agreed to participate in catch-up immunization. Door-to-door education proved effective in enhancing knowledge and awareness, as it enabled direct communication that clarified myths and addressed concerns about immunization. Although overall immunization coverage remains low, the observed positive change in attitudes highlights the potential for increased participation through continuous efforts, multi-stakeholder collaboration, and the active involvement of health cadres and local community leaders.

Malnutrition is a condition in which the body does not receive enough essential nutrients, such as protein, vitamins, calories, and minerals, which causes various health problems, especially wasting and stunting, making it a serious concern in children. According to the Basic Health Research, the prevalence of malnourished children in Indonesia remained stable at 17.8% between 2016 and 2017 but decreased to 13.8% in 2018. This case study focuses on a 23-month-old girl from Kuala Keureuto Village, who was observed for three weeks through home visits in 2025. The diagnosis of malnutrition was made in accordance with national guidelines outlined in the Indonesian Minister of Health Regulation No. 2 of 2020, regarding child anthropometric standards. Anthropometric measurements showed that the child's height was 78.3 cm and her weight was 8.8 kg. Based on these measurements, her nutritional status was assessed as follows: A height/age Z-score between -2 and -3 SD indicates stunting, a weight/age Z-score between -2 and -3 SD indicates underweight, while a weight/age Z-score below -2 SD and a BMI/age Z-score below -2 SD are considered well-nourished. After confirming the diagnosis, the patient received nutrition education, supplemental feeding, appetite-stimulating supplements, and growth monitoring. In addition, analyses were conducted to identify factors influencing her condition, concluding that the malnutrition observed in this 23-month-old patient was influenced by parenting behavior, parental knowledge, medical history, incomplete immunizations, and environmental factors.

Basic immunization is one of the main pillars in the effort to control infectious diseases, which is important for the health of children from an early age. In order to achieve optimal health, immunization helps prevent diseases such as diphtheria, tetanus, whooping cough, polio, and measles that can cause serious complications or even death. The immunization program implemented at Posyandu Terkini 1 in Mario Village has a positive impact on public health, with an immunization coverage rate showing 97.90% in the South Sulawesi region. This study focuses on factors that influence the utilization of basic immunization at Posyandu Terkini 1 in Mario Village. In a quantitative research design with a cross-sectional approach, researchers involved the entire population consisting of 89 infants and toddlers in Mario Village through a total sampling method. Using the Chi Square test, this study identified factors related to the utilization of immunization services, namely maternal knowledge, maternal attitudes, family support, and support from health workers. The results showed that these factors significantly influenced the utilization of basic immunization, while access to immunization services did not show a significant relationship. This research makes an important contribution to the development of public health policies, particularly in increasing community participation in immunization programs. With a more integrated approach, particularly in educating the community about the benefits of immunization and the importance of support from families and health workers, it is hoped that immunization coverage in villages will be broader and more equitable. These findings will be published in the Jurnal Kesehatan (Health Journal) to provide further insights for relevant stakeholders in improving the quality of immunization services. Furthermore, this study also emphasizes the importance of the active role of health workers in educating parents, especially mothers, about the benefits of immunization and the vaccine schedule.

The high mortality and morbidity rates of infants in Indonesia remain a serious public health problem. One of the main causes of this condition is the emergence of infectious diseases that can actually be prevented through basic immunization. Diseases such as diphtheria, pertussis, tetanus, tuberculosis, poliomyelitis, measles, and hepatitis B are types of diseases that can be prevented by immunization, yet many children still have not received complete immunizations. This study was conducted to determine the relationship between maternal knowledge levels and the completeness of basic immunization status of children aged 12–24 months in RW 13 Kp. Sapan, Sumbersari Village. This study used a quantitative approach with a cross-sectional design and was conducted in August 2024. A total of 39 mothers with children aged 12–24 months became the study respondents through a total sampling technique. Data collection was carried out using a questionnaire, and the data obtained were analyzed using the Chi-square test. The results showed that the majority of mothers had a sufficient level of knowledge, namely 21 mothers (53.8%). In addition, the majority of toddlers, 28 children (71.85%), had received complete basic immunizations. The results of statistical analysis showed a significant relationship between maternal knowledge and the completeness of children's basic immunizations with a p value of 0.006 (p < 0.05). This indicates that the higher the mother's knowledge regarding the importance of immunization, the greater the likelihood of the child receiving complete basic immunizations. Therefore, it is important for mothers to continue to increase their knowledge about immunizations through various sources of information such as books, counseling, or consultations with health workers, so that efforts to prevent infectious diseases in children can be optimally achieved.

The coverage of complete basic immunization remains a serious public health concern, particularly in rural areas such as Suka Raya Village, Pancur Batu Subdistrict, where only 26.2% of infants have received full basic immunizations. Low maternal knowledge and negative attitudes are among the primary barriers contributing to this issue. This community service activity was designed to increase the knowledge and attitudes of mothers regarding the importance of complete basic immunization through structured health education. The activity involved 42 mothers with infants aged 9–12 months and was conducted in July 2025 at the Suka Raya Village Hall. The method consisted of interactive lectures, distribution of educational leaflets, and direct discussions facilitated by health educators. Pre- and post-intervention questionnaires were used to assess changes in knowledge and attitudes. The results showed a significant improvement: mothers with good knowledge increased from 47.6% to 85.7%, and those with positive attitudes increased from 42.9% to 83.3%. The findings support that community-based health education interventions can effectively enhance maternal understanding and behavioral intentions toward completing their children's immunization schedules. It is recommended that similar educational activities be regularly implemented and supported by local health institutions and cadres. This initiative demonstrates the importance of empowering mothers at the grassroots level to improve child health outcomes.

Complete basic immunization, including DPT-HB 1,2,3, plays a vital role in reducing infant morbidity and mortality from vaccine-preventable diseases. However, immunization coverage remains suboptimal, partly influenced by maternal knowledge and attitudes. This study aims to determine the relationship between mothers’ knowledge and attitudes and the provision of DPT-HB 1,2,3 immunization at Mersip Public Health Center in 2023. This quantitative research used a descriptive analytic method with a cross-sectional approach. The study involved 134 respondents selected through purposive sampling. Bivariate analysis using the chi-square test showed a significant relationship between mothers' knowledge (p = 0.000) and attitudes (p = 0.008) with the administration of DPT-HB 1,2,3 immunization. The study concludes that better maternal knowledge and positive attitudes are associated with a higher likelihood of complete DPT-HB 1,2,3 immunization for their babies. These findings highlight the need for enhanced health promotion by healthcare providers targeting mothers in the Mersip area.

This research was carried out at the Multipurpose Health Center, Sako District, Palembang City. The purpose of this study is to find out the health services provided to Healthy Indonesia Card (KIS) patients at the multivehicle health center and to find out what factors are obstacles in providing maximum service to Healthy Indonesia Card (KIS) patients at the health center. The method used in this study is a descriptive method with a qualitative approach. Data collection techniques include primary data collection in the form of interviews and field observations, as well as secondary data collection in the form of documentation and literature studies. The determination of informants in this study uses the purposive sampling technique. The result of the analysis of this study is Health Services for KIS Patients at the Multiwahana Health Center, Sako District, Palembang City based on PERMENKES Number 04 Article (3) of 2019 concerning Minimum Service Standards (SPM). Health is assessed from the number of quality goods/services, quantity and quality of infrastructure. Health human resources and procedures for meeting standards are running well, this can be seen from the free services provided to KIS participants, namely KIS participants get basic health services at the Puskesmas free of charge, including examinations, treatments, immunizations and maternal and child health services. The provision of medicines at the Puskesmas ensures the availability of essential medicines needed by KIS participants. However, the flow of procedures and services at the multipurpose health center is quite clear, simple, not convoluted, and the officers are friendly. Then, the inhibiting factor in providing services to KIS patients is that there are still many people or patients who are not interested in the Healthy Indonesia Card program.

Immunization is an effort to provide immunity to infants and children by introducing vaccines into the body. This vaccine stimulates the body to produce antibodies that function to prevent certain diseases. The coverage of Complete Basic Immunization in Banda Aceh City/District from 2022 to 2024 has decreased each year by (43.9%) in 2022, (37.8%) in 2023, and (34.9%) in 2024. The immunization coverage is still very low and below the national target of (95%). To determine the factors influencing maternal behavior in basic immunization within the working area of the Banda Aceh City Health Center. Research. Quantitative research with a Cross Sectional Study approach using primary data. The population in this study consists of all mothers with infants aged 6-11 months within the working area of the Banda Aceh City Health Center. The sample in this study consisted of 200 respondents, with data collection methods using questionnaires and analyzed univariately to describe the distribution and proportion, as well as bivariately. Bivariate data analysis with Spearman correlation test. This study found a relationship between each variable and maternal behavior regarding basic immunization with the variables Attitude Toward Immunization (p=0.000), Subjective Norm of Immunization (p=0.000), Perceived Behavioral Control of Immunization (p=0.000), Actual Behavioral Control of Immunization (p=0.000). All variables are related to maternal behavior in basic immunization within the working area of the Banda Aceh City health center.

Immunization is the basis for effective disease prevention in children under the age of five to protect a person from dangerous diseases before coming into contact with disease-causing agents, Efforts to actively increase a person's immunity to a disease so that if one day they will get sick or only experience mild illness. The purpose of this study was to determine the Relationship between Completeness of Basic Immunization and Children Aged 1-5 Years in Sukomulyo Village. This study uses the Correlational Analytical method using the Cross-sectional approach where data collection is only carried out at one time or once. The sample is some children aged 1-5 years, totaling 137 using the Random Sampling Technique. The instrument used is the KIA book record. The results of this study indicate that the status of completeness of basic immunization in Sukomulyo village is mostly complete (33.8%), and the health status of children in Sukomulyo village is mostly sick (50.4%). based on the results of the chi-square statistical test, a p-value of 0.000 was obtained, which means that there is a Relationship between Completeness of Basic Immunization and the Health of Children Aged 1-5 Years in Sukomulyo Village. Advice for people who have children to carry out complete basic immunization so that they know the importance of children's health and the knowledge of mothers in immunizing their children.

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.