Department of Public Health and Preventive Medicine, Faculty of Medicine, Udayana University, Denpasar, Indonesia.
Department of Public Health and Preventive Medicine, Faculty of Medicine, Udayana University, Denpasar, Indonesia; and School of Medicine and Psychology, College of Health and Medicine, Australian National University, Canberra, ACT, Australia.
Aust J Prim Health. 2024 Aug;30. doi: 10.1071/PY24014.
Background Understanding community preferences for vaccination services is crucial for improving coverage and satisfaction. There are three main approaches for COVID-19 vaccination in Indonesia: health facility-based, community-based, and outreach approaches. This study aims to assess how the vaccination approaches impact user satisfaction levels. Methods This study was part of a large household survey involving 12,120 respondents across nine districts in Bali Province. The study population comprised all residents aged ≥12years who had received at least one dose of COVID-19 vaccination. Samples were selected through three stages of systematic random sampling. Data were collected through interviews using structured questionnaires, which included socio-demographic characteristics, vaccination services, and satisfaction levels. Analysis was performed using Chi Square test and logistic regression, with the entire process incorporating weighting factors. Results A total of 12,120 respondents reported receiving their first dose of COVID-19 vaccination. The satisfaction level among vaccine recipients (partial, complete, and booster doses) was high (84.31%). Satisfaction within each SERVQUAL dimension was highest in tangibles (96.10%), followed by responsiveness (93.25%), empathy (92.48%), assurance (92.35%), and reliability (92.32%). There was no significant difference in the overall SERVQUAL score between the health facility and community-based approaches. However, the latter slightly improved user satisfaction across three dimensions: tangibles (adjusted odds ratio, AOR=1.52, 95% confidence interval (CI)=1.21-1.90), reliability (AOR=1.67, 95%CI=1.42-1.96), and assurance (AOR=1.26, 95%CI=1.07-1.48). Conclusion During the pandemic, both health facility and community-based approaches resulted in a high satisfaction level. It is recommended that the government prioritise and optimise community-based programs and health facility-based delivery in future vaccination initiatives, especially during public health emergencies.
了解社区对疫苗接种服务的偏好对于提高疫苗接种覆盖率和满意度至关重要。印度尼西亚有三种主要的 COVID-19 疫苗接种方法：基于卫生机构、基于社区和外展方法。本研究旨在评估接种方法如何影响用户满意度水平。
本研究是一项大型家庭调查的一部分，涉及巴厘省 9 个区的 12120 名受访者。研究人群包括所有年龄≥12 岁、至少接种过一剂 COVID-19 疫苗的居民。样本通过三个阶段的系统随机抽样选择。数据通过使用结构化问卷的访谈收集，其中包括社会人口特征、疫苗接种服务和满意度。采用卡方检验和逻辑回归进行分析，整个过程纳入加权因素。
共有 12120 名受访者报告接受了第一剂 COVID-19 疫苗接种。疫苗接种者（部分、完全和加强剂量）的满意度很高（84.31%）。在每个 SERVQUAL 维度内，满意度最高的是有形性（96.10%），其次是响应性（93.25%）、同理心（92.48%）、保证性（92.35%）和可靠性（92.32%）。在整体 SERVQUAL 得分方面，基于卫生机构和基于社区的方法之间没有显著差异。然而，后者在三个维度上略微提高了用户满意度：有形性（调整后的优势比，AOR=1.52，95%置信区间（CI）=1.21-1.90）、可靠性（AOR=1.67，95%CI=1.42-1.96）和保证性（AOR=1.26，95%CI=1.07-1.48）。
在大流行期间，基于卫生机构和基于社区的方法都产生了高满意度。建议政府在未来的疫苗接种计划中优先考虑并优化基于社区的计划和基于卫生机构的疫苗接种服务，特别是在公共卫生紧急情况下。
