Effectiveness of Mhealth on Immunization Target Tracking Which Affects Drop Out and Left Out Numbers in Rural and Urban Areas at The Public Health Center Level, Indonesia

Authors

DOI:

https://doi.org/10.55489/njcm.140820233143

Keywords:

Drop Out, Left out, Immunization, mhealth, public health center

Abstract

Background: The M-KIA (Mobile-Tracking Immunization Target) has features aimed at reducing the number of DO (Drop Out) and LO (Left Out) children. The purpose of this study was to analyze the effectiveness of using the M-KIA application in urban and rural areas.

Method: We conducted a quasi-experiment with control group non-equivalent. The population were all parents with children aged 0-36 months who are DO or LO in the working area of the Bantaeng Public Health Center (PHC), while the number of samples is 226 people. The sampling technique was multistage random sampling. Data were analyzed by the Fisher exact test using STATA.

Results: There is a significant relationship between the use of M-KIA on DO targets in rural areas (p = 0.000<0.05) and in urban areas (p = 0.002<0.05). On the LO target, the use of M-KIA showed a significant relationship in rural areas (p = 0.015 <0.05) while in urban areas the data was not significant (p = 0.612 <0.05).

Conclusion: This study shows that the use of mhealth can reduce the number of DO and LO. Further research is recommended to be conducted to assess the level of usability to assess retention of use with users and admins.

References

WHO. Immunization agenda 2030. 2021;1-24. Available from: https://www.who.int/immunization/ia2030_Draft_One_English.pdf?ua=1. Accessed : 26 November 2022

WHO. No Title [Internet]. 2022. Available from: https://www.who.int/news-room/fact-sheets/detail/immunization-coverage. Accessed : 26 November 2022

Kemenkes RI. Profil Kesehatan Indo-nesia. Pusdatin.Kemenkes.Go.Id. 2021. Kementrian Kesehatan Republik Indonesia.

Puskesmas Kota. Laporan Tahunan Program Puskesmas Kota. Bantaeng; 2022.

Kemenkes. Pedoman praktis manajemen program imunisasi di Puskesmas. 2021;

Zewdie A, Letebo M, Mekonnen T. Reasons for defaulting from childhood immunization program: A qualitative study from Hadiya zone, Southern Ethiopia. BMC Public Health [Internet]. 2016;16(1):1-9. Doi: https://doi.org/10.1186/s12889-016-3904-1 PMid:27938363 PMCid:PMC5148861

Zaidi S, Shaikh SA, Sayani S, Kazi AM, Khoja A, Hussain SS, et al. Operability, acceptability, and usefulness of a mobile app to track routine immunization performance in rural Pakistan: Interview study among vaccinators and key informants. JMIR mHealth uHealth. 2020;8(2). Doi: https://doi.org/10.2196/16081 PMid:32053115 PMCid:PMC7055833

Hidayat AA. Cara Mudah Menghitung Besar Sampel. Health Books Publishing; 2021.

Genetu M, Id C, Ewunetie GE, Molla A. Determinants of vaccination dropout among children 12-23 months age in north Gondar. 2021;1-13. Doi: https://doi.org/10.1371/journal.pone.0246018 PMid:33556103 PMCid:PMC7869993

Vangola F, Ansobi P, Bokabo E, Bompangue D. Vaccination Dropout Rates Among Children Aged 12-23 Months in the Urban-Rural Health District of Mont Ngafula II , Democratic Republic of the Congo : A Cross-sectional Study. 2020;

Negussie A, Kassahun W, Assegid S, Hagan AK. Factors associated with incomplete childhood immunization in Arbegona district , southern Ethiopia : a case - control study. 2016;1-9. Doi: https://doi.org/10.1186/s12889-015-2678-1 PMid:26757893 PMCid:PMC4711011

Al-lela OQB, Bahari MB, Salih MRM, Al-abbassi MG. Factors underlying inadequate parents ' awareness regarding pediatrics immunization : findings of cross-sectional study in Mosul- Iraq. 2014; Doi: https://doi.org/10.1186/1471-2431-14-29 PMid:24485194 PMCid:PMC3909509

Krishna D, Afiah N, Zulkefli M, Said S, Mahmud A. Sociodemographic and health care factors in determining immunization defaulters among preschool children in Petaling District , Selangor : a cross-sectional study in Malaysia. 2019;1-11. Doi: https://doi.org/10.1186/s12889-019-7561-z PMid:31533790 PMCid:PMC6751745

Singh J, Deepti SS, Mahajan S, Lal M. Assessment of Socio-demographic factors affecting Immunization status of children of age 0-2 years in Slums of Amritsar city. 2018;(May).

Malkar VR. Indian Medical Gazette Assessment of Sociodemographic Factors Affecting Immunization Status of Children in Age Group of 12-23 Months in a Rural Area Assessment of Sociodemographic Factors Affecting Immunization Status of Children in Age Group of 12-23 Mon. 2018;(June).

Giannakou K, Kyprianidou M, Hadjikou A, Fakonti G, Photiou G, Tzira E, et al. Knowledge of mothers regarding children ' s vaccinations in Greece : an online cross- sectional study. 2021;1-13. Doi: https://doi.org/10.1186/s12889-021-12179-5 PMid:34794423 PMCid:PMC8600348

Kayembe-Ntumba HC, Vangola F, Ansobi P, Kapour G, Bokabo E, Mandja BA, et al. Vaccination dropout rates among children aged 12-23 months in Democratic Republic of the Congo: a cross-sectional study. Arch Public Heal. 2022;80(1):1-10. Doi: https://doi.org/10.1186/s13690-021-00782-2 PMid:34986887 PMCid:PMC8728983

Dadari I, Belt R V, Iyengar A, Ray A, Hossain I, Ali D, et al. Achieving the IA2030 Coverage and Equity Goals through a Renewed Focus on Urban Immunization. Vol. 11, Vaccines. 2023. Doi: https://doi.org/10.3390/vaccines11040809 PMid:37112721 PMCid:PMC10147013

Nchinjoh SC, Saidu Y, Agbor VN, Mbanga CM, Jude Muteh N, Njoh AA, et al. Factors Associated with Zero-Dose Childhood Vaccination Status in a Remote Fishing Community in Cameroon: A Cross-Sectional Analytical Study. Vol. 10, Vaccines. 2022. Doi: https://doi.org/10.3390/vaccines10122052 PMid:36560465 PMCid:PMC9784537

Nguyen NT, Vu HM, Dao SD, Tran HT, Nguyen TXC. Digital immunization registry: evidence for the impact of mHealth on enhancing the immunization system and improving immunization coverage for children under one year old in Vietnam. mHealth. 2017;3:26-26. Doi: https://doi.org/10.21037/mhealth.2017.06.03 PMid:28828373 PMCid:PMC5547172

Chen L, Du X, Zhang L, Van Velthoven MH, Wu Q, Yang R, et al. Effectiveness of a smartphone app on improving immunization of children in rural Sichuan Province, China: A cluster randomized controlled trial. BMC Public Health [Internet]. 2016;16(1). Doi: https://doi.org/10.1186/s12889-016-3549-0 PMid:27581655 PMCid:PMC5006404

Mutua MK, Kimani-Murage E, Ngomi N, Ravn H, Mwaniki P, Echoka E. Fully immunized child: Coverage, timing and sequencing of routine immunization in an urban poor settlement in Nairobi, Kenya. Trop Med Health [Internet]. 2016;44(1):1-12. Doi: https://doi.org/10.1186/s41182-016-0013-x PMid:27433132 PMCid:PMC4940963

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Published

2023-08-01

How to Cite

1.
Pattah S, Arsunan AA, Maria Leida Ida, Ansariadi, Hasanuddin I, Aminuddin S. Effectiveness of Mhealth on Immunization Target Tracking Which Affects Drop Out and Left Out Numbers in Rural and Urban Areas at The Public Health Center Level, Indonesia. Natl J Community Med [Internet]. 2023 Aug. 1 [cited 2024 Nov. 21];14(08):491-8. Available from: https://njcmindia.com/index.php/file/article/view/3143

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Original Research Articles