Implementation Of The 5 M And Health Protocol Determinants Of Vaccination Covid-19 Events In The Region Central City Health Center

Herni Alwin Pakaja, Irwan Irwan, Herlina Jusuf
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Abstract

The Indonesian government through the Ministry of Health has made various preventive efforts to reduce the transmission rate of COVID-19 in Indonesia, including implementing the 5M health protocol and promoting the COVID-19 vaccination program for all levels of society. This research was conducted to determine the effect of implementing the 5M health protocol and the determinants of vaccination on the incidence of COVID-19 in the Kota Tengah Public Health Center area, Gorontalo City. This type of research is an analytic survey, cross sectional design, with Chi-Square test and logistic regression test. The independent variables are the 5M Health protocol (Wearing Masks, Washing hands, Keeping distance, Avoiding crowds, Reducing mobility) and the determinants of vaccination (age, sex, education level, occupation, comorbidities, completeness of vaccinations), while the dependent variable is the incidence of COVID-19 . The research was conducted in November and December 2022 with a total sample of 392 people. The sampling technique used was proportional stratified random sampling. The results of the analysis found that of the 11 variables that had been tested, all of them had a significant relationship with the incidence of COVID-19, but only 5 variables had a significant influence on the incidence of COVID-19 in the Kota Tengah Public Health Center area with a P-value = < 0.05 , namely wearing a mask (0.000), keeping a distance (0.000), reducing mobility (0.000), gender (0.012) and completeness of vaccination (0.000). The conclusion from this study I that the variable that has the most influence on the incidence of COVID-19 in the Kota Tengah Public Health Center area is reduced mobility (p-value 0.000; OR 9.560; CI = 4.657-19.626), which means that respondents who never or occasionally reduce their mobility have a 9.6 times risk of being infected with COVID-19. The community should self-awarely adhere to the 5M health protocol and vaccinate so that it can prevent the spread of COVID-19.
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在区域中心城市卫生中心实施Covid-19疫苗接种事件的5m和卫生协议决定因素
印度尼西亚政府通过卫生部采取了各种预防措施,以降低COVID-19在印度尼西亚的传播率,包括实施“500万人健康方案”,并在社会各阶层推广COVID-19疫苗接种方案。本研究旨在确定哥伦塔洛市哥打登加公共卫生中心地区实施5M卫生方案的效果和接种疫苗的决定因素对COVID-19发病率的影响。这类研究采用分析调查,横断面设计,采用卡方检验和logistic回归检验。自变量是5M健康方案(戴口罩、洗手、保持距离、避开人群、减少流动性)和疫苗接种决定因素(年龄、性别、教育水平、职业、合并症、疫苗接种的完整性),因变量是COVID-19的发病率。该研究于2022年11月和12月进行,共有392人参与。抽样方法为比例分层随机抽样。分析结果发现,在已检测的11个变量中,所有变量都与COVID-19发病率有显著关系,但只有5个变量对Kota Tengah公共卫生中心区域的COVID-19发病率有显著影响,p值= < 0.05,即戴口罩(0.000)、保持距离(0.000)、减少活动(0.000)、性别(0.012)和疫苗接种完整性(0.000)。本研究的结论是:对哥打登加公共卫生中心区域COVID-19发病率影响最大的变量是减少流动性(p值0.000;或9.560;CI = 4.657-19.626),这意味着从未或偶尔减少活动的受访者感染COVID-19的风险是其9.6倍。社区应自觉遵守500万人健康方案,接种疫苗,以防止新冠病毒的传播。
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