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Background: Depok City experienced an increase of 110 cervical cancer cases in 2021-2022. Most cases of cervical cancer are caused by human papillomavirus (HPV) infection. The HPV immunization program in Indonesia is integrated with school immunization. The national HPV coverage in 2021 is 78.5% at dose 1 and 60.6% at dose 2 and the latest coverage data for Depok City in 2023 is 85.3% (below the 90% target). Immunization coverage depends on the role of parents as decision makers for child immunization. This study aims to find the determinants of children's HPV immunization status, especially from the parents' aspect and get information on the reasons why children do not receive the vaccine. Methods: The study design used was cross sectional with cluster random sampling technique. This study conducted univariate analysis using frequency distribution and bivariate analysis using logistic regression. Results: HPV immunization coverage in the sample population was 79.2%. The top two reasons for not vaccinating children were lack of information from the school (41.5%) and sickness or absence from school (26.8%). Bivariate analysis showed that low perceived parental barriers (OR 3.57; 95% CI: 1.69-7.51) and parents who received enough information support from providers (OR 2.86; 95% CI 1.14-7.22) had greater odds of HPV immunization. Conclusions: The high number of uninformed parents/guardians from schools and missed immunizations implies the need to evaluate information delivery procedures and proactively contact parents/guardians of recurrent missed immunizations.
ABSTRAK Nama : R. Lita Ayuningdyah Program Studi : Magister Ilmu Kesehatan Masyarakat Peminatan : Kesehatan Reproduksi Judul : Penerimaan orangtua terhadap vaksinasi Human Papilloma Virus (HPV) melalui kegiatan Bulan Imunisasi Anak Sekolah (BIAS) di Kecamatan Tanah Abang Tahun 2017 Penelitian ini dimaksudkan untuk mengetahui penerimaan orangtua terhadap vaksinasi HPV melalui kegiatan Bulan Imunisasi Anak Sekolah (BIAS) di DKI Jakarta Tahun 2017. Metode penelitian yang digunakan adalah Mix Methods, yaitu secara kuantitatif dengan pengisian kuesioner dan kualitatif dengan wawancara mendalam. Hasil penelitian kuantitatif didapatkan 92,7% orangtua menerima vaksinasi HPV yang diberikan melalui kegiatan BIAS. Sementara itu, pada hasil penelitian kualitiatif ditemukan bahwa penolakan orang tua merupakan salah satu kendala yang ditemui dalam pelaksanaan BIAS HPV tahun 2016. Kurangnya pengetahuan orang tua terkait manfaat vaksin HPV, sangat berkaitan dengan kurangnya dukungan dari petugas kesehatan, terutama perihal sosialisasi program BIAS HPV. Kata Kunci : Penerimaan, Orangtua, Vaksinasi HPV, BIAS.
ABSTRACT Name : R. Lita Ayuningdyah Study Program : Magister of Public Health Peminatan : Reproductive Health Judul : Parental Acceptance of Human Papilloma Virus (HPV) Vaccination through School Students Immunization Month (BIAS) In Tanah Abang, In 2017 The study was designed to explore the Parental Acceptance of Human Papilloma Virus (HPV) Vaccination through School Students Immunization Month (BIAS) In DKI Jakarta in 2017. This study using quantitative method by filling questionnaires dan qualitative method with in-depht interview. The result from quantitative research found that 92,7% of parents accept the HPV vaccination that given through BIAS. Meanwhile, the result from qualitative research found that parental’s rejection is one of the obstacles encountered in the implementation of HPV BIAS 2016. The lack of parental knowledge regarding the benefits of HPV vaccine, is strongly related to the lack of support from healthcare workers, especially regarding the socialization of the HPV BIAS program. Keywords : Acceptance, Parental, Vaccination, HPV, BIAS