The Impact of Inactivated Polio Vaccine Introduction on the Overall Expanded Program on Immunization Coverage and Timeliness in Yogyakarta Province
Penulis/Author
Prof. dr. Retno Sutomo, Sp.A(K)., Ph.D. (1); Dr. dr. Ida Safitri Laksanawati, Sp.A(K) (2); Prof. dr. Mei Neni Sitaresmi, Sp.A(K)., Ph.D. (3); dr. Citra Indriani, MPH. (4); Dr. dr. Rr. Ratni Indrawanti, Sp.A. (5); Ondrej Mach (6)
Tanggal/Date
2012
Kata Kunci/Keyword
Abstrak/Abstract
Background: Implementation of the expanded program on immunization (EPI) has been excellent in Yogyakarta Province. Since September 2007 this province has piloted the introduction of inactivated polio vaccine (IPV), instead of oral polio vaccine (OPV). The shifting policy raised concern on the possibility that the new program would compromise the performance of the existing EPI. This study was a part of evaluation study on IPV pilot project in this province 2.5 years after its implementation. It was aimed to assess the impact of IPV introduction on coverage and timeliness of immunizations within EPI. Method: We conducted a cross sectional study using WHO standard 30-by-7 cluster sampling to evaluate the EPI program in Yogyakarta Province, both in urban and rural areas. The subjects included children aged 12-23 months old and their parents. A questionnaire was used to get information from parents/caregivers on demographic and socioeconomic characteristics. Along with data on status and date of IPV vaccination, we included those of other EPI. The impact of IPV implementation was evaluated by determining the coverage and timeliness of all immunizations within EPI. We compared the current data with those in period before introduction of IPV. We used Epi InfoTM 2003 software for data entry and analysis. Result: Coverage of vaccinations within EPI is in overall ranged from 92-100%. The coverage is similar between urban and rural areas for all vaccines and doses. There is no difference in EPI coverage before and after the introduction of the IPV. Approximately 89% children have received complete immunization. Average age of immunization for each vaccine was very close to the recommended schedule. However, only 69% children received the immunization timely. Conclusion: The EPI coverage in Yogyakarta Province is excellent and not compromised by the introduction of IPV. The proportion of children received timely immunization is relatively low. We suggest including timeliness, beside the coverage, when evaluating the performance of immunization program
Rumpun Ilmu
Kesehatan Masyarakat
Bahasa Asli/Original Language
English
Level
Nasional
Status
Dokumen Karya
No
Judul
Tipe Dokumen
Aksi
1
2012_JMPK_The impact of inactivated polio vaccine introduction on the overall expanded program on immunization coverage and timeliness in Yogyakarta province.pdf
