Determinants of first dose measles immunization in four districts, Indonesia 2017

Background: Measles is a major cause of child mortality worldwide. High measles immunization coverage is required in reducing the child mortality. The study aimed to identify the determinants of first dose measles immunization in four districts in Indonesia. Method: This cross sectional study used secondary data of The Assessment of Second Dose Measles Immunization and Immunization for School Children Coverage in Two Provinces in Indonesia in 2017. Sample were total of 1,200 respondents whose children aged 12-37 months in the survey. Bivariate and multivariate analysis were used to examine the predisposing, enabling, need, and reinforcing factors associated with the immunization. Results: Factors that statistically associated with the immunization were attitudes toward immunization service quality PR=1,35 (95%CI 1,02-1,79); information on immunization PR=3,17 (95%CI 2,37-4,22); perceived needs of immunization PR=1,55 (95%CI 1,13-2,13); and family support PR=9,07 (95%CI 5,76-14,28). The dominant determinant was the family support. Conclusion: All the factors associated to the first dose measles immunization have important role in the child immunization. Therefore, stakeholders were expected to intervent all the factors in increasing the immunization coverage.