Ownership of mother and children’s health book and complete basic immunization status in slums and poor population

• Arief Hargono
  Department of Epidemiology, Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia.
• Hario Megatsari
  Department of Health Promotion and Behavior Sciences, Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia.
• Kurnia Dwi Artanti
  Department of Epidemiology, Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia.
• Triska Susila Nindya
  Department of Nutrition, Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia.
• Ratna Dwi Wulandari
  Department of Health Administration and Policy, Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia.

ABSTRACT

Background: The percentage of complete immunization in urban areas is higher than rural areas. The purpose of the study was to analyze the relationship between ownership of Maternal and Child Health (MCH) books with Complete Basic Immunization (CBI) coverage in slums and poor areas.

Design and Methods: A rapid survey was conducted in selected slums and poor groups based on medical records from Public Health Center. Informants were mothers with a sample of 325 infants aged 12 to 23 months.

Results: The lowest coverage of CBI for slum and poor residents is Pasuruan, which is 55.4%. The results of statistical analysis showed that there was a significant relationship between ownership of MCH books and the complete coverage of basic immunization in Malang (P=0.000; PR=3.682); Pasuruan (P=0.002; PR=1.854); Sidoarjo (P=0.000; PR=4.042); Surabaya (P=0.000; PR=2.425).

Conclusions: It is recommended that the government should improve access to complete immunization programs in slums and poor population.