Implementation of The Basic Immunization Program at The Alabio Health Center, Sungai Pandan Subdistrict, North Hulu Sungai Regency

Abstract

Immunization coverage is a very important factor in the Implementation of the Basic Immunization Program at the Alabio Inpatient Health Center, Sungai Pandan District, Hulu Sungai Utara Regency, including low coverage of IPV immunization for infants before one year of age, low coverage of Penta Boster and MR immunizations for Baduta and there are no sanctions for those who refuse to have their children immunized. This study aims to determine the implementation of the immunization program and the factors that influence the implementation of the immunization program at the Alabio Inpatient Health Center. This study uses a qualitative approach with a descriptive qualitative research type. Data collection techniques are interviews, observation and documentation. Sources of data in this study were taking informants from the Alabio Health Center, the Health Office and the community, totaling 10 people with a purposive sampling technique. After the data is collected, it is then analyzed using techniques including data reduction, data presentation, and drawing conclusions. Data credibility tests include extending observations, increasing persistence, using reference materials and member checking. The results showed that the implementation of the Immunization Program at the Alabio Inpatient Health Center was not optimal, because the clarity of program goals or objectives was not fully understood by the community, some children had not received immunization services based on predetermined targets, there were no regional regulations that supported the immunization program, PMK did not mentioning in detail about the sanctions for refusing immunization, the lack of participation from the community, especially as targeted recipients and AEFI cases that affect social conditions in society. Besides that, the factors that influence the implementation of the Immunization Program at the Alabio Health Center are supporting factors such as the commitment and expertise of policy implementers as administrators of the immunization program. Inhibiting factors include resistance from some communities as target recipients, clarity of regulations regarding sanctions for those who refuse immunization and decreased public trust in immunization due to the influence of AEFI (Post-Immunization Follow-up Events). Implementation of the Immunization Program at the Alabio Health Center in Sungai Pandan District, Hulu Sungai Utara Regency, so that it can be optimal, it is suggested to the Head of the North Hulu Sungai Health Service to make special rules regarding sanctions, to the Head of the Puskesmas to be able to innovate in terms of providing outreach to increase community support or in terms of providing an understanding of AEFI, to the Village Head increasing support and facilitating the immunization program through Posyandu Cadres, so as to increase trust and awareness from the community and lastly for the community to always be aware of the consequences of the dangers of a disease and can be prevented by immunization.