Maternal compliance with complete basic immunization: The role of knowledge, family support, and anxiety
DOI:
https://doi.org/10.35335/midwifery.v13i5.2164Keywords:
Anxiety, Complete Basic Immunization, Family Support, Knowledge, Maternal ComplianceAbstract
Complete basic immunization plays a crucial role in public health efforts to protect infants from infectious diseases and to decrease child morbidity and mortality. Despite its importance, the coverage of complete basic immunization in the Socah Community Health Center area remained low at 44.7%, which did not meet the national standard. This situation reflects inadequate maternal adherence in providing immunizations for their children. The present study aimed to examine the association between maternal knowledge, family support, and anxiety levels with their adherence to complete basic immunization. An analytic observational design with a cross-sectional approach was utilized. Eighty-three mothers with children aged 12–24 months were chosen through proportionate cluster random sampling. Data collection was conducted using structured questionnaires and immunization record reviews, and analyzed through the Chi-square test at a significance level of 0.05. Findings revealed significant associations between knowledge (p = 0.005), family support (p = 0.039), and anxiety (p = 0.007) and maternal adherence to immunization. Mothers possessing better knowledge, stronger family backing, and lower anxiety levels tended to follow the immunization schedule more consistently. The study suggests strengthening educational interventions and psychological support programs for mothers and families to enhance complete basic immunization coverage in the community.
Downloads
References
Atmojo, J. T., Widiyanto, A., Nurhayati, I., & Yuniarti, T. (2024). Promosi Kesehatan Dalam Keperawatan. Penerbit Tahta Media. https://tahtamedia.co.id/index.php/issj/article/view/1057
Carolina, A. R., Efendi, D., & Maria Dyah Kurniasari. (2021). Determinant Factor of Childhood Basic Immunization Compliance during the COVID-19 Pandemic in Jambi City, Jambi Province, Indonesia. Journal Of Nursing Practice, 5(1), 77–88. https://doi.org/10.30994/jnp.v5i1.154
Centers for Disease Control and Prevention (CDC). (2023). Global Immunization Strategic Framework 2023-2030. U.S. Department of Health and Human Services. https://www.cdc.gov/global-immunization/about/strategic-framework.html
Dinas Kesehatan Provinsi Jawa Timur. (2024). Profil kesehatan Provinsi Jawa Timur tahun 2023. https://dinkes.jatimprov.go.id/userfile/dokumen/PROFIL%20KESEHATAN%20PROVINSI%20JAWA%20TIMUR%20TAHUN%202023.pdf
Fajriah, S. N., Munir, R., & Lestari, F. (2021). Hubungan Pengetahuan Ibu Tentang Imunisasi Dasar Dengan Kepatuhan Ibu Melaksanakan Imunisasi Dasar Pada Bayi 1-12 Bulan. Journal of Nursing Practice and Education, 2(1), 33–41. https://doi.org/10.34305/jnpe.v2i1.359
Gavi, the V. A. (2022). Annual Progress Report 2022. Gavi, the Vaccine Alliance. https://www.gavi.org/progress-report-2022
Hafid, W., Martini, S., & Devy, S. R. (2017). Determinant Factor Status In Infants Are Fully Immunized In The Konang and Geger Clinic. Jurnal Wiyata, 3(1), 38–45. https://doi.org/10.56710/wiyata.v3i1.69
Halimah, Sativa Yan, L., & Renylda, R. (2024). Maternal Anxiety with Infant Pain During Immunization. Jurnal Ilmiah Kesehatan, 6(2), 278–284. https://salnesia.id/jika/article/view/721/400
Hudhah, M. H., & Hidajah, A. C. (2018). Perilaku Ibu Dalam Imunisasi Dasar Lengkap di Puskesmas Gayam Kabupaten Sumenep. Jurnal PROMKES, 5(2), 167. https://doi.org/10.20473/jpk.V5.I2.2017.167-180
Kementrian Kesehatan Indonesia. (2024a). Buku Panduan Pekan Imunisasi Tahun 2023. https://share.google/zLLFYqSAq70G0zfgI
Kementrian Kesehatan Indonesia. (2024b). Profil Kesehatan Indonesia 2023. https://kemkes.go.id/id/profil-kesehatan-indonesia-2023
MacDonald, N., Mohsni, E., Al-Mazrou, Y., Kim Andrus, J., Arora, N., Elden, S., Madrid, M.-Y., Martin, R., Mahmoud Mustafa, A., Rees, H., Salisbury, D., Zhao, Q., Jones, I., Steffen, C. A., Hombach, J., O’Brien, K. L., & Cravioto, A. (2020). Global vaccine action plan lessons learned I: Recommendations for the next decade. Vaccine, 38(33), 5364–5371. https://doi.org/10.1016/j.vaccine.2020.05.003
Mahachi, K., Kessels, J., Boateng, K., Jean Baptiste, A. E., Mitula, P., Ekeman, E., Nic Lochlainn, L., Rosewell, A., Sodha, S. V., Abela-Ridder, B., & Gabrielli, A. F. (2022). Zero- or missed-dose children in Nigeria: Contributing factors and interventions to overcome immunization service delivery challenges. Vaccine, 40(37), 5433–5444. https://doi.org/10.1016/j.vaccine.2022.07.058
Noor Baihaqi, R. A., Sari, F. K., Byandra, N., Hasna, S. H., Wahyuningtyas, A. R., Zakiyya, R. R., Gamar, F. H. I., Kristiani, A. D., Amanda, N. N., Setyawan, Rr. E., Sidiq, K. A., Hamidah, N. N., & Nita, Y. (2024). Hubungan Pengetahuan Ibu tentang Imunisasi Dasar terhadap Kelengkapan Imunisasi Dasar Anak. Jurnal Farmasi Komunitas, 11(2), 163–169. https://doi.org/10.20473/jfk.v11i2.52741
Samson, K., Husada, D., & Muthmainnah, M. (2025). Factors Affecting Maternal Compliance In Giving Multiple Immunization Injections To Toddlers At Medokan Ayu Health Center In Surabaya. Jurnal Biometrika Dan Kependudukan, 14(1), 1–10. https://doi.org/10.20473/jbk.v14i1.2025.1-10
Sigdel, B., Jin, Y., Dhakal, P., Luitel, T., Ghimire, P. K., & Wasti, S. P. (2023). Factors affecting on compliance of childhood immunization in Ilam District of Nepal; A case-control study. Dialogues in Health, 2, 100140. https://doi.org/10.1016/j.dialog.2023.100140
Triningsih, R., Mien, M., & Ananda, S. H. (2025). Hubungan Pengetahuan dan Dukungan Keluarga dengan Ketepatan Waktu Pemberian Imunisasi pada Bayi. Jurnal Ilmiah Karya Kesehatan, 5(01), 8–13. https://doi.org/10.46233/jikk.v5i01.799
Unicef. (2023). The State of the World’s Children 2023 - UNICEF DATA. Unicef Data: Monitoring the Situation of Children and Women. https://data.unicef.org/resources/sowc-2023/
Utomo, B. B. E. P. (2022). Hubungan Dukungan Keluarga Dengan Status Imunisasi Dasar Lengkap Pada Bayi : Studi Meta Analisis. Preventif : Jurnal Kesehatan Masyarakat, 13(1), 80–97. https://doi.org/10.22487/preventif.v13i1.263
Wahyuningsih, H. P., Murti, B., Lestari, E., Reviono, R., Margono, M., & Putri, D. F. (2022). The Influence of Implementation of Health Promotion Model Precede-Proceed Towards Growing Child, Nutritional Status, and Quality of Life of Children. Indonesian Journal of Pharmacy. https://doi.org/10.22146/ijp.2473
Warner, L. M., & Schwarzer, R. (2020). Selfâ€ÂÂEfficacy and Health. In The Wiley Encyclopedia of Health Psychology (pp. 605–613). Wiley. https://doi.org/10.1002/9781119057840.ch111
WHO. (2024). Global immunization efforts have saved at least 154 million lives over the past 50 years. Geneva: World Health Organization. https://www.who.int/news/item/24-04-2024-global-immunization-efforts-have-saved-at-least-154-million-lives-over-the-past-50-years
WHO. (2025). Immunization coverage. Geneva: World Health Organization. https://www.who.int/news-room/fact-sheets/detail/immunization-coverage
Wulandari, N. (2020). Faktor-Faktor Yang Mepengaruhi Kepatuhan Ibu Dalam Pemberian Imunisasi Dasar Lengkap: Literature Review. https://id.scribd.com/document/748350743/b1af3400-1fef-4ac7-aaf5-0c6d4cbff9bd
Zafirah, F. (2021). Faktor Yang Mempengaruhi Kurangnya Cakupan Imunisasi Dasar Lengkap Pada Bayi Yang Berumur 29 Hari-11 Bulan di Wilayah Kerja Puskesmas Jaddih Kabupaten Bangkalan. Jurnal Ilmiah Indonesia, 1(4), 341–348. http://cerdika.publikasiindonesia.id/index.php/cerdika/index-341-
Zulkifli, S. N., Minhat, H. S., & Lim, P. Y. (2022). The Factors Of Primary Childhood Immunization Uptake Among The Urban Poor Children In Malaysia. Malaysian Journal of Public Health Medicine, 22(3), 53–62. https://doi.org/10.37268/mjphm/vol.22/no.3/art.1550


