School of Pharmacy, University of Otago, Dunedin, New Zealand.
Faculty of Pharmacy, Universitas Gadjah Mada, Yogyakarta, Indonesia.
Glob Public Health. 2020 Aug;15(8):1168-1181. doi: 10.1080/17441692.2020.1751229. Epub 2020 Apr 14.
In 1983, the Indonesian government established (Integrated Health Post) - commonly known as , an outreach programme for improving mothers' and children's health, including immunisation. However, child immunisation coverage is still far below national and world targets. There is also wide variation among regions, with low rates found in areas outside Java. This study aimed to explore mothers' experiences in immunising their children through in East Nusa Tenggara, and West Sumatera, two provinces located outside Java Island. Fifty-three mothers were involved in six Focus Group Discussion (FGDs). The discussions were recorded and transcribed verbatim in the original language. The transcripts were translated into English, coded with Nvivo, and analysed for common themes. This study showed that the success of the immunisation programme through relied on the role of community-based health workers. Their ability to integrate with the community increased people's trust. This trust encouraged mothers to immunise their children, despite their limited knowledge about immunisation. The other barrier often encountered by the mothers in immunising their children was that the fathers did not allow them to do so. Therefore, collaborative work with the whole community is needed to improve the performance of an outreach programme.
1983 年，印度尼西亚政府建立了（综合卫生所）——通常称为，这是一个改善母婴健康的外展项目，包括免疫接种。然而，儿童免疫接种覆盖率仍远低于国家和世界目标。各地区之间也存在很大差异，爪哇岛以外地区的覆盖率较低。本研究旨在探索东努沙登加拉省和西苏门答腊省的母亲通过（综合卫生所）为其子女进行免疫接种的经验，这两个省都位于爪哇岛以外。共有 53 名母亲参加了 6 次焦点小组讨论（FGD）。讨论内容以原声记录并逐字转录。将这些抄本翻译成英文，用 Nvivo 进行编码，并分析共同的主题。本研究表明，通过（综合卫生所）开展免疫规划的成功依赖于社区卫生工作者的作用。他们融入社区的能力增加了人们的信任。这种信任鼓励母亲为子女接种疫苗，尽管她们对免疫接种的了解有限。母亲在为子女接种疫苗时经常遇到的另一个障碍是父亲不允许她们这样做。因此，需要与整个社区合作，以提高外展项目的绩效。
