Anak-anak yang tidak divaksinasi meningkatkan resiko kesehatan diri mereka sendiri dan
juga orang-orang di sekitarnya karena sifat menular dari penyakit yang dapat dicegah
dengan vaksin. Cakupan pemberian vaksin dasar memberikan indikasi kondisi kesehatan
publik saat ini, serta menunjukkan kemampuan akses masyarakat terhadap sistem
kesehatan setempat. Dengan memanfaatkan Survei Demografi dan Kesehatan Indonesia
2017, penelitian ini mengungkap keterkaitan proses pengambilan keputusan keluarga
dengan kelengkapan imunisasi anak di rumah tangga. Studi ini juga bertujuan memberi
informasi terbaru tentang kepatuhan terhadap kewajiban vaksinasi dasar anak berusia 12
- 35 bulan di Indonesia. Regresi logistik memberikan indikasi bahwa orang tua yang
berdiskusi dalam pembelian besar cenderung mempunyai anak dengan imunisasi dasar
lengkap dalam rumah tangga yang sama. Frekuensi akses media massa ibu, interaksi
mereka dengan medis profesional, dan kepemilikan kartu kesehatan / vaksinasi terkait
positif dengan kepatuhan vaksin dasar. Perbedaan lengkapnya vaksinasi terlihat juga pada
jenis kelamin dan urutan lahir anak. Kebijakan untuk mempengaruhi pengambilan
keputusan vaksinasi keluarga, seperti meningkatkan serapan informasi dan menurunkan
hambatan akses vaksinasi, perlu diterapkan untuk meningkatkan imunisasi dasar anak,
yang akhirnya berdampak pada kesehatan masyarakat dan masa depan bangsa.
Unvaccinated children pose danger not only to themselves but also to others due to the
contagious nature of vaccine-preventable diseases. Coverage on basic vaccines
administration could give an indication on the current state of public health as well as
demonstrates peoples ability to access health care system in the country. This study aims
to provide latest insight on compliance to mandated basic vaccination for children
between 12 to 35 months in Indonesia. The research will also try to uncover the relation
between decision-making processes in the family and immunization completion status for
the children within. This study will make use of the latest data from the 2017 Indonesia
Demographic and Health Survey. Descriptive analysis shows differences of basic
immunization coverage in regions across Indonesia, indicating a correlation between
economic status and knowledge acquisition. Logistic regression suggests that joint
discussion between parents in the households major purchases is more likely to result in
complete basic immunization for their children. In addition, mothers frequency of access
to mass media, their exposure to medical professionals, and their possession of
health/vaccination card are positively associated with the compliance of mandated basic
vaccines administration. Differences in vaccination compliance can also be observed in
childrens characteristics such as their gender and order of birth. Appropriate policies that
could intensify positive knowledge acquisition, lower the barrier of access to vaccination,
and influence the familys decision making on vaccination should be designed in order to
increase childrens basic immunization rate, as it could have effect on public health and
nations future.