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Immunization in the Well Baby Clinic of Dr. Pirngadi Hospital Medan

S Dalimunthe1, G D Tjipta, I Z Lubis

  • 1Department of Child Health, School of Medicine, University of North Sumatera/Dr. Pirngadi Hospital, Medan.

Paediatrica Indonesiana
|January 1, 1990
PubMed

Insights

This study evaluated an immunization program in Medan, Indonesia. Findings reveal low complete immunization rates, particularly for measles and subsequent DPT/polio doses, indicating a need for improved vaccine coverage.

Area of Science:

  • Public Health
  • Pediatrics
  • Epidemiology

Background:

  • Immunization programs are crucial for child survival.
  • Assessing vaccine uptake is vital for public health strategies.
  • The study examines an immunization program in Medan, Indonesia.

Purpose of the Study:

  • To evaluate the coverage and completion rates of a childhood immunization program.
  • To identify drop-off points in the vaccination schedule.
  • To provide data for improving public health interventions.

Main Methods:

  • Retrospective study design.
  • Analysis of 5951 patient visits from January to December 1986.
  • Data collected from the Well Baby Clinic, Child Health Department, University of North Sumatera.

Main Results:

  • 57.6% of newborns received BCG vaccine at birth.
  • Significant drop-off rates observed for subsequent DPT and polio doses (27.1%-49.1%).
  • Only 5.7% of children under one year achieved complete immunization, with 4.1% unimmunized due to schedule non-adherence.

Conclusions:

  • The immunization program demonstrated suboptimal vaccine completion rates.
  • Gaps in timely vaccination, especially for measles and later DPT/polio doses, were evident.
  • Interventions are needed to enhance adherence to the immunization schedule and improve overall vaccine coverage.

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