Similarity Index, Internet Sources, Student Papers: Factors Affecting The Coverage Of Hb0 Immunization In Primary Health Centre (Phc)

Background: according to the World Health Organization (WHO) Hepatitis B is a world health problem that affects 257 million people worldwide. Based on Riskesdas in 2018, the death rate showed that 887,000 people died because of hepatitis B. Based on the results of the 2018 Riset Kesehatan Dasar (Riskesdas), the percentage who had received HB0 immunization in Indonesia was 83.1% (Riskesdas, 2018). Based on the results of the HB0 immunization coverage in Indonesia reported by Riskesdas 2018 above, it can be seen that the achievement of the HB0 immunization coverage target is still below the UCI sub-district target set by the Indonesian Ministry of Health, which is at least 94.4% of the total number of babies (0-7 days). villages have received HB0 immunization (Kemenkes RI, 2015).

Purpose: to know the factors that influence the coverage of HB0 immunization in Health Centers in Medan.

Methods: a quantitative analytic survey using a cross sectional study design was used. The population were all health workers who provide immunization services at the Health Centers in Medan with the sampling technique using purposive random sampling with a total of 55 respondents. The data used included primary data and secondary data. Data analysis used bivariate and multivariate approaches.

Results of this study indicated that there was an effect of motivation on HB0 immunization coverage with p =0.030, meaning that there was an effect of supervision on HB0 immunization coverage with p = 0.001, and there was an effect of length of service on HB0 immunization coverage with p = 0.041. Supervision was the most dominant variable affecting HB0 immunization coverage with an Exp (B) 10,000 value (95% CI: 2,580-38,756).

Conclusion: there was an influence of motivation, supervision, length of work, on the coverage of HB0 immunization at the Medan City Health Center in 2020.

Suggestion It is recommended that the leadership improve and improve the quality of supervision, and add incentives, so that health workers can improve their performance, especially immunization officers, so that later it will have an impact on increasing immunization coverage.