Factor Analysis on Measles after The 2017 Measles Rubella Vaccine Campaign in Magetan District

Tuti Herlina, Triana Septianti Purwanto
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Abstract

Measles is an infectious disease, infecting many children and becomes a major cause of child mortality in Indonesia. This disease is highly contagious, transmitted by viruses through droplets. Undeveloped immunity and low immunization coverage make it potentially epidemic. According to the 2016 Health Profile of Magetan Regency, measles cases were ranked first. Indonesia is committed to achieve the elimination of measles in 2020, with strategies such as the Measles Rubella vaccine campaign for children between 9 months-15 years. The research purpose was to analyze the factor of measles after the 2017 measles rubella vaccine campaign in Magetan Regency. This research used retrospective case control research design, the case sample was all the measles patients after the MR vaccine campaign until July 2018, as many as 16. The control sample was a part of the Magetan Regency population who did not suffer measles, as many as 64, determined with a ratio of 1:4. The research variables were immunization status, gender, exclusive breastfeeding, patient contact history, and knowledge of measles. The results showed that there is an effect of immunization status on the incidence of measles. The probability of someone who was not immunized is 81% for measles infection compared to those who are immunized. There is no influence of gender, exclusive breastfeeding, patient contact history, and knowledge of measles on the incidence of measles. Conclusion: immunization factor is the dominant factor that influence the incidence of measles. Suggestion: to reduce morbidity and mortality rates due to measles, Health Center (Puskesmas) is expected to increase the coverage of measles immunization, supported by highest quality of vaccine and techniques. Keywords: measles, campaign, rubella measles vaccine
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马吉坦区2017年麻疹风疹疫苗接种后麻疹因素分析
麻疹是一种传染病,感染了许多儿童,成为印度尼西亚儿童死亡的一个主要原因。这种疾病具有高度传染性,由病毒通过飞沫传播。不发达的免疫力和低免疫覆盖率使其成为潜在的流行病。根据马吉坦县2016年健康概况,麻疹病例排名第一。印度尼西亚致力于在2020年实现消除麻疹,并制定了针对9个月至15岁儿童的麻疹-风疹疫苗运动等战略。研究目的是分析2017年马吉坦县麻疹风疹疫苗接种后麻疹发生的因素。本研究采用回顾性病例对照研究设计,病例样本为2018年7月MR疫苗接种后所有麻疹患者,多达16例。对照样本为未患麻疹的Magetan reggency人口的一部分,多达64人,以1:4的比例确定。研究变量包括免疫状况、性别、纯母乳喂养、患者接触史和麻疹知识。结果表明,免疫接种状况对麻疹发病有一定影响。与已接种疫苗的人相比,未接种疫苗的人感染麻疹的概率为81%。性别、纯母乳喂养、患者接触史和麻疹知识对麻疹发病率没有影响。结论:免疫因素是影响麻疹发病的主导因素。建议:为了降低麻疹的发病率和死亡率,预计保健中心(Puskesmas)将在最高质量的疫苗和技术的支持下增加麻疹免疫接种的覆盖率。关键词:麻疹,运动,风疹麻疹疫苗
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