scholarly journals Analysis of Community’s Knowledge of Hepatitis A Disease and Vaccines in Indonesia

Author(s):  
Dwi Endarti ◽  
Irfan Ahmad ◽  
Tri Murti Andayani

Hepatitis A is a viral disease with a high potential for morbidity and mortality which is also the second highest incidence in Indonesia after hepatitis B. The purpose of this research is to measure knowledge of Indonesian community about hepatitis A disease and vaccine and to analyze the factors related to knowledge. This study used an observational survey research design applying a cross-sectional multi-center approach. The number of sample was 500 respondents located in 5 provinces in Indonesia, namely DIY, Lampung, West Java, North Kalimantan, and Central Sulawesi. Data collection was carried out using a questionnaire that was modified from the questionnaire in a similar study before. The results showed that the mean of knowledge score obtained was 75.2% ± 12.2% with a median of 76.9%. There are 2 items of knowledge that were lack understood by respondents, namely treatment of hepatitis A that cannot be treated with antibiotics and immunizations and hepatitis A is not included yet in the national immunization program in Indonesia. Statistical analysis using Mann-Whitney test showed that there were significant differences score of knowledge between groups on the characteristics of the number of dependents (p=0,000), experience of hearing a disease (p=0,000), experience of hearing a vaccine (p=0,000) and the experience of the child being vaccinated (p=0,000). It is recommended that the government conducts education programs for the community of Indonesia to improve knowledge related to hepatitis A diseases and the benefits of using hepatitis Avaccine.

Author(s):  
Irfan Ahmad ◽  
Dwi Endarti ◽  
Tri Murti Andayani

Hepatitis A is a viral disease with a high potential for morbidity and mortality. It is also the second highest viral disease in Indonesia after hepatitis B. Community’s knowledge regarding Hepatitis A disease dan vaccine is required to support such program for eradication of Hepatitis A. The aims of this study was to measure the knowledge of Indonesian community about hepatitis A disease and its vaccine indicated from knowledge score of correct answer towards questionnaire, as well as to analyze the factors that can influence it indicated from difference of mean of knowledge scores among groups of respondents characteristics. This study used an observational survey research design applying a cross-sectional multi-center approach. The number of sample was 500 respondents located in 5 provinces in Indonesia, namely DIY, Lampung, West Java, Central Kalimantan, and Central Sulawesi. Data collection was carried out using a questionnaire that was modified from the questionnaire in a similar previous study. The results showed that public knowledge related to diseases and hepatitis A vaccine in Indonesia was considered sufficient with the mean score obtained was 75.2% ± 12.2%. Statistical analysis using Mann-Whitney test showed that there were significant differences in score of knowledge between groups on the characteristics of experience of hearing a disease (p=0,000), experience of hearing a vaccine (p=0,000) and the experience of the child being vaccinated (p=0,000). There are 2 items of knowledge that werelack understood by respondents, namely treatment of hepatitis A that cannot be treated with antibiotics and immunizations and hepatitis A is not included yet in the national immunization program in Indonesia. It is concluded that community knowledge regarding hepatitis A disease and vaccine was fair (mean knowledge score between 65 – 80%). However, the government still needs to conduct educational programs for the Indonesian community about disease prevention through the vaccination process and provide counseling about the types of vaccines that are not included in the national health insurance program in Indonesia.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Kamel A. Samara ◽  
Hiba J. Barqawi ◽  
Basant H. Aboelsoud ◽  
Moza A. AlZaabi ◽  
Fay T. Alraddawi ◽  
...  

AbstractAnnually, 1.5 million cases of hepatitis A infection occur worldwide. The United Arab Emirates (U.A.E.) has seen a decrease in infection rates and seroprevalence coupled with an increase in the average age of infection. This study aimed to assess the U.A.E. society’s hepatitis A knowledge, and attitudes and vaccination practices, with the applicability of its introduction into the local immunization schedule. A self-administered, 50-item questionnaire was used to collect data from the four most populous cities in the U.A.E., between January and March 2020. A total of 458 responses were collected and analysed using IBM-SPSS-26, R-4.0.0 and Matplotlib-v3.2.1. Females had better attitudes (P = 0.036), practices (P < 0.0005), immunization schedule knowledge (AOR = 3.019; CI 1.482–6.678), and appreciation of the immunization schedule (AOR = 2.141; CI 1.310–3.499). A higher level of perceived knowledge was associated with an actual better knowledge (P < 0.0005), better practices (P = 0.011), and increased willingness to get vaccinated (AOR = 1.988; CI 1.032–3.828). Respondents were more likely to vaccinate their children against HAV if the vaccine were introduced into the National Immunization Program (P < 0.0005). Overall, disease knowledge was lacking but with positive attitudes and poor practices. There is high trust in the National Immunization Program and a potential for improving poor practices through local awareness campaigns.


2021 ◽  
Vol 14 (11) ◽  
Author(s):  
Mariana Dias de Borba ◽  
Carlos Eduardo da Cunha Nascimento ◽  
Gabriel Mael Sussuarana Silva Lobo ◽  
Lucca Gonçalo de Castro Lima ◽  
Camila Lays Winter ◽  
...  

Brazil has the National Immunization Program for disease prevention that offers nineteen vaccines, yet it is known that vaccination coverage according to age is not always reached. Thus, this study aimed to evaluate the vaccination coverage in the municipality of Sinop, in the Mato Grosso state and in the Brazil for meningococcal C conjugate vaccines and Hepatitis B in the period from 2015 to 2019. Method: This is a descriptive, retrospective and cross-sectional study, with data available in the Information System of the National Immunization Program. Results: Vaccination coverage for mingococcal C in children under one year in Sinop was above the target in 2015 and 2018, Mato Grosso was above only in 2015, for the booster dose only Sinop was above the target in 2016. Coverage for hepatitis B in children under 30 days of life demonstrated that Sinop had coverage above the state of Mato Grosso, which in turn was above Brazil. For children under 1 year old, only in 2016 and 2019 the state presented greater vaccination coverage at the expense of Sinop and Brazil. Conclusion: The results demonstrate that there is hesitation on the part of the population regarding vaccination, being greater in vaccines such as meningococcal C. Strengthening childcare is the key to improving the panorama of vaccine coverage.


2020 ◽  
Vol 11 (3) ◽  
Author(s):  
Jéssica Oliveira da Cunha ◽  
Mateus Meneses Bispo ◽  
Lays Hevércia Silveira de Farias ◽  
Glebson Moura Silva ◽  
Andreia Freire de Menezes ◽  
...  

Objetivo: avaliar as salas públicas de vacinação do município de Aracaju conforme o Programa Nacional de Imunização. Metodologia: estudo avaliativo, transversal realizado em 42 unidades públicas de saúde em 2018 por meio de entrevista semiestruturada com abordagens referentes a estrutura, processo. Resultados: todas as salas armazenavam os imunobiológicos em geladeiras domésticas e mais de 60% não mantinham a temperatura adequada da sala; 45% tinham objetos de decoração em suas paredes, 50% das seringas e agulhas de uso diário não estavam acondicionadas adequadamente e 73% não realizavam o tratamento das vacinas compostas com microrganismos vivos antes do descarte e  69% não usavam os cartões controles como forma de monitoramento para realizar busca ativa. Conclusão:  as salas de vacinação apresentam um índice geral regular e que os fatores que interferem no monitoramento dos imunobiológicos precisam ser melhor investigados/avaliados e há uma necessidade crescente do município instituir a prática de avaliação no serviço para um melhor acompanhamento e controle das atividades realizadas, isso permitirá aos gestores uma melhor visualização das potencialidades e fragilidades das salas de vacina sob a sua responsabilidade.Descritores: Pesquisa sobre Serviços de Saúde; Vacinas; Equipe de Enfermagem; Avaliação em Saúde; Centros de Saúde.ANALYSIS OF PUBLIC VACCINATION UNITS IN THE MUNICIPALITY OF ARACAJU/SEObjective: to evaluate the public vaccination rooms of the municipality of Aracaju according to the National Immunization Program. Methodology: evaluative, cross-sectional study conducted in 42 public health units in 2018 through semi-structured interviews with approaches related to structure, process. Results: all rooms stored immunobiologicals in household refrigerators and more than 60% did not maintain the room's adequate temperature; 45% had decorative objects on their walls, 50% of the daily syringes and needles were not properly packed and 73% did not treat vaccines composed with living microorganisms before disposal and 69% did not use the Cards controls as a way of monitoring to perform active search. Conclusion: It is concluded that the vaccination rooms of the municipality presents a regular general index and there is a growing need of the municipality to institute the practice of evaluation in the service for better planning and monitoring of activities.Descriptors: Health services research; Vaccines; Nursing team; Health Evaluation; Health centers.ANÁLISIS DE LAS SALAS PÚBLICAS DE VACUNACIÓN DEL MUNICIPIO DE ARACAJU/SE Objetivo: evaluar las salas públicas de vacunación del municipio de Aracaju de acuerdo con el Programa Nacional de Vacunación. Metodología: estudio consultivo y transversal realizado en 42 unidades de salud pública en 2018 a través de entrevistas semiestructuradas con enfoques relacionados con la estructura, el proceso. Resultados: todas las habitaciones almacenaban inmunobiológicas en refrigeradores domésticos y más del 60% no mantenían la temperatura adecuada de la habitación; El 45% tenía objetos decorativos en sus paredes, el 50% de las jeringas y agujas diarias no estaban debidamente embaladas y el 73% no trataba las vacunas compuestas con microorganismos vivos antes de la eliminación y el 69% no Las tarjetas controlan como una forma de supervisión para realizar la búsqueda activa. Conclusión: Se concluye que las salas de vacunación del municipio presentan un índice general regular y existe una creciente necesidad del municipio de instituir la práctica de evaluación en el servicio para una mejor planificación y seguimiento de las actividades.Descriptores: Servicios de salud Investigación; Vacunas; Equipo de enfermería; Evaluación de la salud; Centros de salud.


2020 ◽  
Vol 73 (4) ◽  
Author(s):  
Brener Santos Silva ◽  
Kátia Cristina de Souza ◽  
Ronimara Gonçalves de Souza ◽  
Samuel Barroso Rodrigues ◽  
Valéria Conceição de Oliveira ◽  
...  

ABSTRACT Objectives: to analyze structural and process conditions in National Immunization Program Information System establishment. Methods: a cross-sectional study conducted in 307 vaccination rooms in the state of Minas Gerais in 2017. For data collection, a multidimensional questionnaire was used. Descriptive data analysis was performed. Results: vaccination rooms have basic inputs necessary for System establishment. The greatest problems relate to professional practice. Low enrollment of population, failures in the active search for absentees, vaccine scheduling and absence of reports to monitor vaccination coverage were identified. Training was considered insufficient and ineffective. Conclusions: Immunization Information System is an essential technological innovation for the management of immunization actions. However, the production of timely records and the use of information are still challenges. Investments in training are required to ensure System’s management and operationalization activities.


2018 ◽  
Vol 9 (2) ◽  
pp. 107-118
Author(s):  
Dumilah Ayuningtyas ◽  
Ni Nyoman Dwi Sutrisnawati

Latar Belakang: Menurut WHO, dua dari 10.000 wanita di Indonesia hidup dengan kanker serviks dan diperkirakan 26 wanita meninggal setiap hari akibat kanker serviks. Berdasarkan kondisi ini, pemerintah Indonesia berencana menambahkan vaksin HPV ke dalam program imunisasi nasional. Tujuan penelitian adalah untuk menilai kemungkinan kesiapan Indonesia untuk menerapkan vaksin HPV wajib untuk usia sekolah dan faktor-faktor yang dapat mempengaruhinya.   Metode: Metode yang digunakan  adalah systematic review. Melalui artikel terkait vaksin HPV yang terbit di jurnal terakreditasi dan scopus-indeks selama 10 tahun terakhir dengan kata kunci "Implementasi untuk Imunisasi HPV", ditemukan sebanyak 17.000 hasil pencarian. Setelah itu, penilaian kritis pada artikel yang dipilih dilakukan dengan menggunakan metode PRISMA. Hasil: Ditemukan bahwa kesadaran masyarakat, terutama orang tua, tentang vaksin HPV masih kurang, namun penerimaan mereka terhadap vaksin ini cukup positif. Ada beberapa faktor lain yang menjadi keberatan mereka terhadap vaksin, seperti harga tinggi, ketakutan akan efek samping, seksualitas, gender, dan sistem perawatan kesehatan. Saat ini di Indonesia vaksin HPV harus dibeli atas inisiatif mereka sendiri dan bukan merupakan program wajib dari pemerintah pusat dan juga tidak diberikan secara gratis melalui program JKN. Namun demikian, Kementerian Kesehatan telah memulai proyek percontohan untuk menyediakan vaksinasi HPV gratis di beberapa daerah dalam Program Bulan Imunisasi untuk Usia Sekolah menggunakan kombinasi sumber daya pusat dan daerah. Kesimpulan: Telah ada peraturan dan pedoman teknis untuk pelaksanaan proyek percontohan vaksinasi HPV gratis, namun masih perlu penyesuaian dan dukungan dari Pemerintah jika akan dilaksanakan secara nasional dan disesuaikan dengan kondisi di daerah dengan fasilitas dan akses terbatas. Dibutuhkan peran pemerintah dalam memberikan informasi yang baik tentang vaksin HPV bagi masyarakat. Keyword: Vaksin HPV, Kesiapan Implementasi, Program Imunisasi Nasional Abstract Background: According to WHO, two out of 10,000 women in Indonesia live with cervical cancer and an estimated 26 women die each day from cervical cancer. Indonesian government is planning to add the HPV vaccine into the national immunization program. The objective is to assess the possibility of Indonesia's readiness to implement the HPV vaccine mandatory for school age and factors that may affect it. Methods: The method was a systematic review through articles related to HPV vaccine which have been published in accredited and scopus-indexed journals for the last 10 years. With keywords "Implementation for HPV Immunization", founded 17,000 search results. Afterwards, a critical appraisal on the selected articles is conducted using PRISMA method. Results: It is found that the awareness of community, especially parents, about HPV vaccine is still lacking, but their acceptance of this vaccine is quite positive. There are other factors into their objection to vaccines, such as the high price, fear of the side effects, sexuality, gender, and healthcare systems. Currently in Indonesia HPV vaccine must be purchased on their own initiative and is not a mandatory program of the central government. Neither has it been given free of charge through JKN program. Nevertheless, The Ministry of Health has begun a pilot project to provide free HPV vaccination in some areas within Immunization Month for School Age program using a combination of central and regional resources. Conclusion: Although there have been regulations and technical guidelines for the implementation of the pilot project of free HPV vaccination, it still needs adjustment and support from the Government if it will be implemented nationally and adapted to conditions in areas with limited facilities and access. The role of the government is needed in providing good knowledge about the HPV vaccine for the community. Keyword: HPV Vaccine, Implementation Readiness, National Immunization Program


Author(s):  
Arpita Rai ◽  
. Nishant ◽  
Anshul Kumar ◽  
D. K. Singh ◽  
Nitin Madan Kulkarni ◽  
...  

Background: People's adherence to control measures is imperative in the fight against COVID-19. The present study was done to evaluate knowledge, attitudes, and practices towards COVID-19 among residents of Jharkhand and to assist the government in deciding further course of action during the COVID-19 outbreak. Methods: This study was an online cross-sectional survey. The link to the questionnaire was displayed on the official website of Rajendra Institute of Medical Sciences, Ranchi, National Health Mission, Jharkhand, official website of all districts under Jharkhand state administration, Integrated Disease Surveillance Programme and Information & Public Relations department. Participation of residents in the survey was extensively propagated using mass media mainly local television networks, radio channels and newspapers. Results: A total of 4683 responses were received from all districts of Jharkhand. The majority of the participants were young adults (47.5%) and the number of male participants was more than the females (81.4%). The mean correct knowledge score for participants of this study was 10.73+2.2 (maximum attainable score was 14) while the mean practice score for the participants was 4.5+0.69 (maximum attainable score was 5). The knowledge score of the participants was significantly associated with their age, education status and economic class (p<0.0001). The participants largely held an optimistic attitude and healthy practices towards COVID-19. Conclusion: Participants had a positive attitude but were also logically worried and uncertain about the near future. Adequate knowledge of participants was visible in their practices. There was however a gap across age groups, gender, literacy and income levels which should be addressed in future campaigns.


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