Dewasa ini di Indonesia, campak masih merupakan masalah kesehatan masyarakat. Imunisasi campak telah dimulai tahun 1982 dan cakupan imunisasi mengalami peningkatan. Meskipun demikian, di beberapa daerah masih terdapat Kejadian Luar Biasa (KLB) campak, seperti halnya yang terjadi di Kabupaten Majalengka.Berdasarkan atas kenyataan ini, dilakukan penelitian yang mengkaji tentang faktor-faktor yang berhubungan dengan cara pemberian imunisasi campak sesuai dengan SOP Imunisasi di Kabupaten Majalengka, tahun 2002, yang terdiri atas beberapa variabel, antara lain : lama masa kerja, pendidikan, pengetahuan, pelatihan, sikap, perilaku, jarak, transportasi, kelengkapan imunisasi, vaksin campak yang dipergunakan oleh petugas kesehatan di Puskesmas dan insentif.Penelitian dilakukan di Kabupaten Majalengka tahun 2002 dengan mempergunakan disain studi potong-lintang (cross sectional), serta mempergunakan data primer yang diperoleh melalui observasi dan wawancara, dengan responden yang berjumlah 209 orang yang merupakan seluruh populasi yang telah memenuhi kriteria sampel yang dimaksudkan. Analisis data meliputi analisis univariat, bivariat, multivariat dan deskriptif.Hasil penelitian menunjukkan, bahwa 4 (empat) dari 11 (sebelas) variabel yang diperoleh adanya hubungan yang bermakna secara statistik, antara lain : pelatihan petugas (OR = 3,54; 95% CI = 1,42 - 8,82; p = 0,007), pengetahuan (OR = 5,69; 95% CI = 2,10 - 15,44; p = 0,001), sikap (OR = 3,45; 95% CI = 1,40 - 8,50; p = 0,009), dan perilaku (OR 2,26; 95% CI = 0,94 - 5,45; p = 0,068). Selanjutnya, pada penelitian ini tidak ditemukan adanya interaksi pada faktor risiko yang berhubungan dengan cara pemberian imunisasi campak.Dari hasil penelitian ini disarankan, bahwa masih perlu adanya peningkatan pelatihan bagi petugas kesehatan. Dengan demikian, diharapkan akan mampu trampil dalam memberikan pelayanan imunisasi campak kepada sasaran, terutama dalam hal cara pemberian imunisasi campak kepada sasaran. Di samping itu, dengan adanya pelatihan akan dapat menjawab masalah kebutuhan tenaga imunisasi campak di Puskesmas, Kabupaten Majalengka. Adanya peningkatan pendidikan dan pengetahuan juga perlu diperhatikan. Selain itu, perlu dipertimbangkan adanya upaya-upaya untuk meningkatkan pengetahuan. Dengan kata lain masalah pelatihan, pendidikan dan pengetahuan petugas perlu dipertimbangkan secara khusus.Factors Related to the Staff Obedience to the Measles Immunization Method in Accordance with the SOP of Immunization the Regency of Majalengka in 2002In Indonesia, recently measles is a public health problem. Through measles immunization in Indonesia, which had been established since 1982, it has been, increased the coverage gradually. However, it can be seen that measles outbreak in some areas, such as in the Regency of Majalengka has been occurred in other rural and urban areas.

Based on these facts, a study was carried on investigating the factors related to the staff obedience to the measles immunization method in accordance with the SOP of Immunization, the Regency of Majalengka in 2002. The variables consist of: occupational period, education, knowledge, training, attitude, behavior, distance, transportation, completeness of measles immunization, measles vaccine used by staff in the Public Health and incentive.

The study in the Regency of Majalengka in 2002, made use the cross-sectional design study, and primary data has been accepted through observation and interview, with 209 respondent, namely the whole population meeting the sample criteria mentioned above. Data were analyzed by univariate, bivariate, multivariate and descriptive analysis.

The results of study showed, 4 (four) of 11 (eleven) variables was statistically significant correlation, those are: training (OR = 3.54; 95% CI = 1.42 - 8.82; p = 0.007), knowledge (OR = 5.69; 95% CI = 2.10 - 8.82; p = 0.001), attitude (OR = 3.45; 95% CI = 1.40 - 8.50; p = 0.009), and behavior (OR = 2.26; 95% CI = 0.94 - 5.45; p = 0.068). Furthermore, this study did not show any interaction of risk factors related of the measles immunization.

Based on the research, it is necessary suggested to improve training for the staff gradually. In this way, as was mentioned above, hope to be able to skilled up the staff in order to make a better measles immunization service, mainly in relation to the measles immunization of the target. In addition, by the training, it is hope, the problem of the need of measles immunization staff in the Public Health; the Majalengka Regency can be applied properly. It was also considered necessary to improve knowledge and education efforts. The other words, training, knowledge and education of the staff are necessary given a special attention.