Background: Immunization aims to reduce morbidity, mortality, and disability due to vaccine-preventable diseases. Many children in Indonesia have not received any immunization, or their immunization status is incomplete. Efforts should be made to raise awareness of parents to participate in completing their child's immunization. This study aimed to analyze the behavioral factors that influence the completeness of immunization in infants Subjects and Method: A cross-sectional study conducted at 21 health centers in Karanganyar, Central Java, from January to March 2020. Subjects were 200 mothers with children aged 12-23 months that were selected using a fixed disease sampling technique. The dependent variable was the completeness of immunization. The independent variables at level 1 were education, knowledge, information and education, perceived benefits, perceived barriers, intentions, subjective norms, and attitudes. The independent variables at level 2 were the contextual health center. The data were collected by questionnaire and analyzed using a multilevel analysis. Results: Complete immunization in infants probably occurred with high maternal education (OR = 24.02; 95% CI = 1.61 to 359.17; p = 0.021), information obtained (OR = 52.31; 95% CI = 1.35 to 2021.69; p = 0.034), good knowledge (OR = 49.20; 95% CI = 71.54 to 1574.62; p = 0.028), high perceived benefit (OR= 31.26; 95% CI= 1.28 to 762.77; p= 0.035), strong intention (OR= 17.84; 95% CI= 1.59 to 199.83; p= 0.019), supportive subjective norm (OR = 94.69; 95% CI = 1.91 to 4683.14; p = 0.022), positive attitude (OR= 68.71; 95% CI= 2.40 to 1967.08; p= 0.013). Completeness of immunization in infants decreased with big perceived barrier (OR= 0.02; 95% CI= 0.01 to 0.67; p= 0.028). Health center accreditation showed a contextual effect on the level of completeness of immunization with Intra-Class Correlation (ICC)= 20.42%. Conclusion: Immunization completeness in infants increases with high maternal education, good knowledge, high perceived benefits, strong intentions, supportive subjective norms, positive attitudes. Completeness of immunization decreased with a big perceived barrier. Health centers have a large contextual influence on the completeness of immunization in infants. Keywords: immunization completeness, health center context, multilevel analysis Correspondence: Maharani Ulfah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: maharaniulf[email protected]. Mobile: +628213558003557.
Factors Affecting the Use of Visual Inspection Acetic Acid Test: Multilevel Analysis on the Contextual Effect of Health Center
