Mother’s Compliance in Providing Basic Immunization for Infants Aged 0–12 Months

  • Teresia Hemelka Master Program in Midwifery Studies, STIKes Guna Bangsa Yogyakarta, Indonesia
  • Blacius Dedi Master Program in Midwifery Studies, STIKes Guna Bangsa Yogyakarta, Indonesia
  • Atik Badi’ah Master Program in Midwifery Studies, STIKes Guna Bangsa Yogyakarta, Indonesia
Keywords: Compliance, Basic Immunization, Mothers, Infants, Phenomenology

Abstract

Basic immunization is an important health intervention to prevent dangerous infectious diseases in infants. However, the coverage of basic immunization in Sungai Raya Village, Pinoh Utara Sub-District, Melawi Regency, West Kalimantan Province is still low, at only 67.8%, far below the national target of 95%. The low compliance of mothers in providing basic immunization is influenced by various internal and external factors. This study aims to explore mothers’ experiences in complying with basic immunization for infants aged 0–12 months, as well as to identify the supporting and inhibiting factors of such compliance. This research used a qualitative method with a phenomenological approach. Informants were selected using purposive sampling, namely mothers who have infants aged 0–12 months and who reside in Sungai Raya Village. Data were collected through in-depth interviews using an interview guide, and were then analyzed thematically. The study revealed several main themes, namely: Mothers' Perceptions of Disease Risk and Immunization Benefits; Level of Compliance and Mothers' Experience in Immunization; Barriers in Fulfilling Basic Immunization; Supporting Factors for Mother’s Compliance; and the Influence of Social Environment and Information. Compliance with basic immunization is influenced by a complex interaction between internal factors (knowledge, attitude, beliefs) and external factors (family support, access to health services, culture). Community-based interventions are needed to strengthen health education, improve service access, and involve community leaders to overcome cultural barriers.

References

Alfiyah, I., & Vernicia, M. (2019). The Relationship between Knowledge and Motivation of Posyandu Cadres in Improving the Quality of Stunting Toddlers in Sumbersari Village, Lowokwaru District, Malang City. Journal of Hospital Management and Services, 1(1), 29-40. https://doi.org/10.1186/s12889-016-2732-7

Ali, R. L., Rohmah, M., & Mufida, R. T. (2024). Achievement of Basic Immunization Seen from the Distance from Home to Health Services and the Affordability of Access to Health Services in the Work Area of Banggai Timur Raya Public Health Center, Banggai Laut Regency, Central Sulawesi Province. Journal of Health Science Community, 4(3), 171-182.

Arcury, T. A., Preisser, J. S., Gesler, W. M., & Powers, J. M. (2005). Access to transportation and health care utilization in a rural region. The Journal of Rural Health, 21(1), 31-38. https://doi.org/10.1111/j.1748-0361.2005.tb00059.x

Betsch, C., Böhm, R., & Chapman, G. B. (2015). Using behavioral insights to increase vaccination policy effectiveness. Policy Insights from the Behavioral and Brain Sciences, 2(1), 61-73.

Brooks, H., Windfuhr, K., Irmansyah, Prawira, B., Desyadi Putriningtyas, D. A., Lovell, K., ... & Bee, P. (2022). Children and young people’s beliefs about mental health and illness in Indonesia: A qualitative study informed by the Common Sense Model of Self-Regulation. PLoS One, 17(2), e0263232. https://doi.org/10.1371/journal.pone.0263232

Datar, A., Mukherji, A., & Sood, N. (2007). Health infrastructure & immunization coverage in rural India. Indian Journal of Medical Research, 125(1), 31-42.

Ekezie, W., Awwad, S., Krauchenberg, A., Karara, N., Dembiński, Ł., Grossman, Z., ... & ImmuHubs Consortium. (2022). Access to vaccination among disadvantaged, isolated and difficult-to-reach communities in the WHO European region: a systematic review. Vaccines, 10(7), 1038. https://doi.org/10.3390/vaccines10071038

Falagas, M. E., & Zarkadoulia, E. (2008). Factors associated with suboptimal compliance to vaccinations in children in developed countries: a systematic review. Current medical research and opinion, 24(6), 1719-1741. https://doi.org/10.1185/03007990802085692

Grodach, C. (2011). Barriers to sustainable economic development: The Dallas–Fort Worth experience. Cities, 28(4), 300-309. https://doi.org/10.1016/j.cities.2011.02.006

Hasanah, D. R., & Tampubolon, E. (2022). Relationship of the motivation of the midwife and the mother’s compliance with complete basic immunization in the Hana Kasih Clinic. International Journal of Clinical Inventions and Medical Science, 4(1), 24–30. https://doi.org/10.36079/lamintang.ijcims-0401.308

Hobani, F., & Alhalal, E. (2022). Factors related to parents’ adherence to childhood immunization. BMC Public Health, 22(1), 819. https://doi.org/10.1186/s12889-022-13232-7

Johns, N. E., Hosseinpoor, A. R., Chisema, M., Danovaro-Holliday, M. C., Kirkby, K., Schlotheuber, A., ... & Zimba, B. (2022). Association between childhood immunisation coverage and proximity to health facilities in rural settings: a cross-sectional analysis of Service Provision Assessment 2013–2014 facility data and demographic and Health Survey 2015–2016 individual data in Malawi. BMJ open, 12(7), e061346. https://doi.org/10.1136/bmjopen-2022-061346

Johnson, D. R. (2024). Health Communications Matter: A Comparative Case Study of Best Practices to Combat Misinformation and Disinformation During the COVID-19 Pandemic (Doctoral dissertation, The University of North Carolina at Chapel Hill).

Kassahun, M. B., Biks, G. A., & Teferra, A. S. (2015). Level of immunization coverage and associated factors among children aged 12–23 months in Lay Armachiho District, North Gondar Zone, Northwest Ethiopia: a community based cross sectional study. BMC research notes, 8(1), 239. https://doi.org/10.1186/s13104-015-1192-y

Konwea, P. E., David, F. A., & Ogunsile, S. E. (2018). Determinants of compliance with child immunization among mothers of children under five years of age in Ekiti State, Nigeria. Journal of Health Research, 32(3), 229-236. https://doi.org/10.1108/JHR-05-2018-024

Krokeide, A. (2022). Challanges With the Immunization Program in a Remote Area in Papua New Guinea (Master's thesis, OsloMet-Storbyuniversitetet).

Kusuma, A. N. (2022). The presence of Posyandu as an approach in improving health development in the community. Jurnal EduHealth, 13(01), 137-146.

Lo Moro, G., Ferrara, M., Langiano, E., Accortanzo, D., Cappelletti, T., De Angelis, A., ... & De Vito, E. (2023). Countering vaccine hesitancy: a systematic review of interventions to strengthen healthcare professionals’ action. European Journal of Public Health, 33(5), 905-915. https://doi.org/10.1093/eurpub/ckad134

Luthy, K. E., Beckstrand, R. L., & Peterson, N. E. (2009). Parental hesitation as a factor in delayed childhood immunization. Journal of Pediatric Health Care, 23(6), 388-393. https://doi.org/10.1016/j.pedhc.2008.09.006

Mendel-Van Alstyne, J. A., Nowak, G. J., & Aikin, A. L. (2018). What is ‘confidence’and what could affect it?: A qualitative study of mothers who are hesitant about vaccines. Vaccine, 36(44), 6464-6472. https://doi.org/10.1016/j.vaccine.2017.09.007

Mheidly, N., & Fares, J. (2020). Leveraging media and health communication strategies to overcome the COVID-19 infodemic. Journal of public health policy, 41(4), 410-420. https://doi.org/10.1057/s41271-020-00247-w

Nazri, C., Yamazaki, C., Kameo, S., Herawati, D. M., Sekarwana, N., Raksanagara, A., & Koyama, H. (2015). Factors influencing mother’s participation in Posyandu for improving nutritional status of children under-five in Aceh Utara district, Aceh province, Indonesia. BMC public health, 16(1), 69. https://doi.org/10.1186/s12889-016-2732-7

Ngcobo, S., Scheepers, S., Mbatha, N., Grobler, E., & Rossouw, T. (2022). Roles, barriers, and recommendations for community health workers providing community-based HIV Care in Sub-Saharan Africa: a review. AIDS Patient Care and STDs, 36(4), 130-144. https://doi.org/10.1089/apc.2022.0020

Nuwarda, R. F., Ramzan, I., Weekes, L., & Kayser, V. (2022). Vaccine hesitancy: contemporary issues and historical background. Vaccines, 10(10), 1595. https://doi.org/10.3390/vaccines10101595

Oktafia, R., Rahmayanti, R., & Indriastuti, N. A. (2023, December). Empowering community health volunteers (cadre) as an effort to improve health in postpartum mothers. In Proceeding International Conference of Community Service (Vol. 1, No. 2). https://doi.org/10.18196/iccs.v1i2.214

Olusanya, O. A., Bednarczyk, R. A., Davis, R. L., & Shaban-Nejad, A. (2021). Addressing parental vaccine hesitancy and other barriers to childhood/adolescent vaccination uptake during the coronavirus (COVID-19) pandemic. Frontiers in immunology, 12, 663074. https://doi.org/10.3389/fimmu.2021.663074

Osa-eloka, C. E. (2009). Adverse Events Following Immunization: knowledge and experience of mothers in immunization centres in Enugu State, Nigeria. International Journal of Medicine and Health Development, 14(1), 77-83.

Peretti‐Watel, P., Ward, J. K., Vergelys, C., Bocquier, A., Raude, J., & Verger, P. (2019). ‘I think I made the right decision… I hope I'm not wrong’. Vaccine hesitancy, commitment and trust among parents of young children. Sociology of health & illness, 41(6), 1192-1206. https://doi.org/10.1111/1467-9566.12902

Pulido, C. M., Villarejo-Carballido, B., Redondo-Sama, G., & Gómez, A. (2020). COVID-19 infodemic: More retweets for science-based information on coronavirus than for false information. International sociology, 35(4), 377-392. https://doi.org/10.1177/0268580920914755

Putri, N. S., Firmanti, T. A., & Syahbana, A. (2022). Community Empowerment Through Holistic Healthy Living Culture As An Effort To Achieve Health Imunity Post-Covid-19 Pandemic: Pemberdayaan Masyarakat Melalui Budaya Hidup Sehat Holistik Sebagai Upaya Mencapai Health Imunity Pasca Pandemi Covid-19. Jurnal Pengabdian Masyarakat Kesehatan, 8(2), 200-203. https://doi.org/10.33023/jpm.v8i2.1121

Sanou, A., Simboro, S., Kouyaté, B., Dugas, M., Graham, J., & Bibeau, G. (2009). Assessment of factors associated with complete immunization coverage in children aged 12-23 months: a cross-sectional study in Nouna district, Burkina Faso. BMC international health and human rights, 9(Suppl 1), S10. https://doi.org/10.1186/1472-698x-9-s1-s10

Simas, C., Paterson, P., Lees, S., & Larson, H. J. (2021). “From my phone, I could rule the world”: Critical engagement with maternal vaccine information, vaccine confidence builders and post-Zika outbreak rumours in Brazil. Vaccine, 39(33), 4700-4704. https://doi.org/10.1016/j.vaccine.2021.06.039

So, S. L. T., Asenci, J. C. G., Lee, S., Sia, N. E. M., Wong, J. R. D., & Dumlao, H. T. I. I. I. (2021). A Scoping Review on the Forms of Health Communication and Strategies that Promote Vaccine Confidence, Vaccine Trust, and Vaccine Uptake among Adults, Ages 20 to 59 years old, Living in High, Upper-middle, and Low-middle Income Countries. Journal of Asian Medical Students' Association, 9, 2-2. https://doi.org/10.52629/jamsa.v9i.226

Sugiyono, D. (2013). Metode penelitian pendidikan: Pendekatan kuantitatif, kualitatif, dan R&D. Alfabeta.

Sultan, M. I. (2025). The Experiences of Women in Supporting Posyandu Programs as a Form of Community Health Empowerment in Urban Indonesia. Servina: Jurnal Pengabdian kepada Masyarakat, 1(2), 59-65.

Trifunović, V., Bach Habersaat, K., Tepavčević, D. K., Jovanović, V., Kanazir, M., Lončarević, G., & Jackson, C. (2022). Understanding vaccination communication between health workers and parents: a Tailoring Immunization Programmes (TIP) qualitative study in Serbia. Human vaccines & immunotherapeutics, 18(1), 1913962. https://doi.org/10.1080/21645515.2021.1913962

Wawomeo, A., Taneo, N., & Kambuno, N. (2019). Relationship between the level of knowledge and attitudes of mother towards compliance with basic immunization. Jurnal Kesehatan, 4, 84–91. https://doi.org/10.31965/jkp

Yanti, D. A. (2023). The influence of the social environment on mother’s compliance in implementing basic immunization in babies. Jurnal Kesmas dan Gizi (JKG), 6(1), 155–160. https://doi.org/10.35451/jkg.v6i1.1936

Yanti, D. A. (2023). The Influence Of The Social Environment On Mother's Compliance In Implementing Basic Immunization In Babies. Jurnal Kesmas Dan Gizi (Jkg), 6(1), 155-160.

Zewdie, A., Letebo, M., & Mekonnen, T. (2016). Reasons for defaulting from childhood immunization program: a qualitative study from Hadiya zone, Southern Ethiopia. BMC public health, 16(1), 1240. https://doi.org/10.1186/s12889-016-3904-1

Published
2025-10-21
How to Cite
Hemelka, T., Dedi, B., & Badi’ah, A. (2025). Mother’s Compliance in Providing Basic Immunization for Infants Aged 0–12 Months. Journal La Medihealtico, 6(5), 1226-1247. https://doi.org/10.37899/journallamedihealtico.v6i5.2583