Factors associated with complete immunizations coverage among Indonesian children aged 12–23 months

• Published in: Children and youth services review 2020-01, Vol.108, p.104651, Article 104651
• Main Authors: Efendi, Ferry, Pradiptasiwi, Dwida Rizki, Krisnana, Ilya, Kusumaningrum, Tiyas, Kurniati, Anna, Sampurna, Mahendra Tri Arif, Berliana, Sarni Maniar
• Format: Article
• Language: English
• Subjects: Access; Age groups; Blood diseases; Childhood; Children; Complete coverage; Cost analysis; Disability; First born; Health care; Health care expenditures; Health problems; Health services; Health surveys; Hepatitis; High risk; Illnesses; Immunization; Infectious diseases; Mothers; Prenatal care; Provinces; Sampling; Vaccine
• ISSN: 0190-7409; 1873-7765
• DOI: 10.1016/j.childyouth.2019.104651

•Poor family need greater attention to the complete immunization services.•Encouraging mother to deliver at health facilities increase the likelihood to complete immunization.•Skilled attendants at birth is positive predictor of immunization completion. Immunization is one of the most cost-effective health interventions to prevents illness, disability and death associated with communicable disease. This study aimed to identify factors associated with completed recommended childhood immunizations in children aged 12–23 months in Indonesia. This study used data from the Indonesia Demographic and Health Survey 2012 with a multistage cluster sampling procedures. A total data from 3,231 mothers with children of 12–23 months of age were extracted from dataset. Mothers’ self-reported data along with vaccination cards determined vaccine coverage. This study found the prevalence of complete immunization status for their age cohort was 37.4%. The highest immunization coverage was BCG (86.9%) and the lowest coverage was hepatitis B3 (46.2%). The multiple logistic regression showed that mothers with a first born child are 2.84 times more likely to fully vaccinate their children compared to mothers with ≥6 children. Mothers in the lowest economic level, delivered in non-health facilities, attended antenatal care less than four were less likely to fully vaccinate these children. Meanwhile, mother who delivered by professional assistants was significantly associated with complete immunization status of their children. Appropriate strategies should be designed targeting high-risk group including culturally approached to address immunization completion and improved accessibility in various provinces within the country.