Determinants of Measles Rubella Immunization Uptake among Children Under-Five in Pekanbaru, Indonesia

Wahyuni Rosadi1), Endang Sutisna Sulaeman2), Hanung Prasetya3)


1)Masters Program in Public Health, Universitas Sebelas Maret

2)Faculty of Medicine, Universitas Sebelas Maret

3)School of Health Polytechnics, Ministry of Health Surakarta



Background: The Measles-Rubella (MR) immunization campaign is a part of global efforts to reduce illness and deaths due to measles and rubella among children. High MR immunization coverage will create herd immunity and break MR transmission chain. This study aimed to examine determinants of MR immunization uptake among children under-five in Pekanbaru, Indonesia, using health belief model.

Subjects and Method: A cross-sectional study was carried out at 25 integrated health posts (posyandu) in Pekanbaru, Indonesia, from April to May 2019. A sample of 200 mothers who had children aged 9 to 59 months was selected by stratified random sampling. The dependent variable was MR immunization. The independent variables were knowledge, perceived susceptibility, perceived severity, perceived benefit, cues to action, and self-efficacy. The data were collected by questionnaire and analyzed by a multiple logistic regression.

Results: MR immunization uptake increased with good knowledge (b= 2.28; 95% CI=1.11 to 4.68; p= 0.024), high perceived susceptibility (b=2.91; 95% CI= 1.24 to 6.82; p= 0.014), high perceived severity (b= 3.00; 95% CI= 1.35 to 6.66; p= 0.007), strong perceived benefit (b= 2.58; 95% CI= 1.27 to 5.23; p= 0.008), cues to action (b= 2.60; 95% CI= 1.24 to 5.45; p= 0.011), and strong self efficacy (b= 3.66; 95% CI= 1.63 to 8.24; p= 0.002).

Conclusion: MR immunization uptake increases with good knowledge, high perceived susceptibility, high perceived severity, strong perceived benefit, cues to action, and strong self efficacy.

Keywords: measles, rubella, immunization, health belief model

Correspondence: Wahyuni Rosadi. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: Mobile: 085271819193.


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