Multivariate Analysis of Determinants of Mothers’ Willingness to Provide BCG Immunization to Children as an Effort to Prevent Tuberculosis in the Working Area of Paya Bakong Health Center

Authors

  • Mhd. Hidayatullah Universitas Abulyatama Author
  • Nurmakiah Nurmakiah Universitas Abulyatama Author
  • Rosalia Putri Universitas Abulyatama Author
  • Hafni Zahara Universitas Abulyatama Author

DOI:

https://doi.org/10.62710/wz317879

Keywords:

BCG, immunization, knowledge, attitude, willingness, mothers

Abstract

BCG immunization is one of the essential basic immunizations that provides protection against severe forms of tuberculosis in children. Mothers’ willingness to provide BCG immunization is an important aspect in achieving optimal immunization coverage. This study aimed to analyze the determinants associated with mothers’ willingness to provide BCG immunization in the working area of Paya Bakong Public Health Center. This study employed a quantitative analytical design with a cross-sectional approach. The study was conducted in December 2025 and involved 195 mothers with infants aged 0–11 months. Participants were selected using an accidental sampling technique. Data were analyzed using univariate analysis, bivariate analysis with the Chi-Square test, and multivariate analysis using binary logistic regression. The results showed that 150 respondents (76.9%) were willing to provide BCG immunization, while 45 respondents (23.1%) were unwilling. Bivariate analysis showed that knowledge (p=0.000) and attitude (p=0.000) were significantly associated with willingness to provide BCG immunization, whereas barriers were not significantly associated (p=0.171). In the multivariate analysis, knowledge (p=0.001) and attitude (p=0.002) remained significantly associated with willingness to provide BCG immunization, while barriers were not significant (p=0.718). The regression model explained 29.2% of the variation in willingness to provide BCG immunization. In conclusion, knowledge and attitudes were significantly associated with mothers’ willingness to provide BCG immunization. Therefore, strengthening health education and communication regarding the benefits and importance of BCG immunization is necessary to increase mothers’ willingness to immunize their children.  

Downloads

Download data is not yet available.

References

Almeida, D. V., Bebengu, Y. B., Syahrul, F., & Hargono, A. (2024). Risk Factor Analysis Of Incomplete Basic Immunization In Children Aged 12-23 Months In East Nusa Tenggara Province . In Indonesian Journal of Public Health (Vol. 19, Issue 2, pp. 289–301). https://doi.org/10.20473/ijph.v19i2.2024.289-301

BAPPEDA. (2024). Perubahan Rencana Kerja Pemerintah Daerah Kabupaten Aceh Utara Tahun 2024. BAPPEDA Kabupaten Aceh Utara.

Causey, K., Fullman, N., Sorensen, R. J. D., Galles, N. C., Zheng, P., Aravkin, A., Danovaro-Holliday, M. C., Martinez-Piedra, R., Sodha, S. V, Velandia-González, M. P., Gacic-Dobo, M., Castro, E., He, J., Schipp, M., Deen, A., Hay, S. I., Lim, S. S., & Mosser, J. F. (2021). Estimating global and regional disruptions to routine childhood vaccine coverage during the COVID-19 pandemic in 2020: a modelling study. Lancet (London, England), 398(10299), 522–534. https://doi.org/10.1016/S0140-6736(21)01337-4

Ernisa, H. S., Darmawan, Saputra, F. F., Duana, M., & Kusumawardani, E. F. (2025). Analisis Theory Planned Behavior (TPB) terhadap Perilaku Ibu dalam Imunisasi Balita di Kecamatan Tenom Kabupaten Aceh Jaya. SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat, 4(3), 887–899. https://doi.org/10.55123/sehatmas.v4i3.5693

Green, L. W., & Kreuter, M. W. (1991). Health Program Planning: An Educational and Ecological Approach (4th (ed.)). McGraw-Hill.

Hidayattullah, M., Karma, T., Nasywa Nabila, & Arsita Wulandari. (2025). Edukasi Pencegahan Tuberkulosis Berbasis Lingkungan dengan Penerapan PHBS di Desa Teubang Phui Baro Aceh Besar: Pengabdian. Jurnal Pengabdian Masyarakat Dan Riset Pendidikan, 4(2 SE-Articles), 8413–8418. https://doi.org/10.31004/jerkin.v4i2.3050

Hidayattullah, M., Putri, R., Amanda, M. F., Maysura, F., & Kurniati, K. (2026). Analisis Determinan Peran Ibu dalam Kesediaan Pemberian Imunisasi BCG Sebagai Upaya Pencegahan Tuberkulosis (TBC) Pada Anak di Wilayah Kerja Puskesmas Matang Kuli. Jurnal Ners, Vol. 10 No. 3 (2026): JULI 2026, 6645–6652. https://journal.universitaspahlawan.ac.id/index.php/ners/article/view/58045/35309

Irmawati, I., Sulastri, S., & Fatiyani, F. (2025). Faktor – Faktor Yang Mempengaruhi Rendahnya Pemberian Imunisasi Dasar Lengkap Di Wilayah Kerja Uptd Puskesmas Samudera Aceh Utara. Journal Seulanga, 2(2 SE-Articles), 63–78. https://doi.org/10.30867/journalseulanga.v2i2.1192

Jusril, H., Rachmi, C. N., Amin, M. R., Dynes, M., Sitohang, V., Untung, A. S. B., Damayanti, R., Ariawan, I., & Pronyk, P. M. (2022). Factors affecting vaccination demand in Indonesia: a secondary analysis and multimethods national assessment. BMJ Open, 12(8), e058570. https://doi.org/10.1136/bmjopen-2021-058570

Kemenkes. (2017). Peraturan Menteri Kesehatan Republik Indonesia Nomor 12 Tahun 2017 tentang Penyelenggaraan Imunisasi. Kementerian Kesehatan Republik Indonesia.

Kemenkes. (2021). Profil Kesehatan Indonesia 2020. Kementerian Kesehatan Republik Indonesia.

Kemenkes. (2022). Rencana Strategis Kementerian Kesehatan Tahun 2020-2024 (Revisi 2022). Kementerian Kesehatan Republik Indonesia.

Kemenkes. (2023). Strategi Komunikasi Nasional Imunisasi 2022-2025. Kementerian Kesehatan Republik Indonesia.

Kemenkes. (2025). Survei Status Gizi Indonesia (SSGI) 2024 Dalam Angka. Kementerian Kesehatan Republik Indonesia.

Muslim, S. C., Salawati, L., Hajar, S., Yani, M., & Liansyah, T. M. (2024). Analisis Faktor-Faktor yang Memengaruhi Pemberian Imunisasi Campak Rubella pada Balita Usia 9-24 Bulan: Studi Kasus di Puskesmas Banda Raya. Sari Pediatri, 25(6), 378–384. https://doi.org/10.14238/sp25.6.2024.378-84

Raharso, E. R., Ufairah, K. R., Araysi, L. A., Jasin, M. R., Wirahmadi, A., & Gunardi, H. (2025). Parental knowledge, attitude, and practice towards COVID-19 vaccination for children aged 6 to 11 years . In Paediatrica Indonesiana(Paediatrica Indonesiana) (Vol. 65, Issue 3, pp. 197–206). https://doi.org/10.14238/pi65.3.2025.197-206

Sakdah, N., & Ilhami, K. (2024). Hubungan Pengetahuan, Sikap dan Dukungan Keluarga dengan Pemberian Imunisasi Campak pada Bayi di Wilayah Kerja Puskesmas Jeulingke Kota Banda Aceh. Majalah Kesehatan Masyarakat Aceh (MAKMA), 7(3), 86–93. https://doi.org/10.32672/makma.v7i3.3828

Situmorang, B., Kamila, A. N., Harahap, F., Edi, S., & Sipahutar, H. (2025). Strategi Ketercapaian Imunisasi di Pusat Pelayanan Pembantu Pegagan Julu III Kabupaten Dairi. JURNAL BIOSHELL, 14(2 SE-Articles), 179–187. https://doi.org/10.56013/bio.v14i2.3999

Susilowati, L., Sulastriningsih, K., Nurlelawati, E., & Rosmiati, R. (2024). Analisis Hubungan antara Imunisasi BCG dan Kejadian Tuberkolosis pada Anak Usia 1-4 Tahun dengan Metode Purposive Sampling. Technomedia Journal, 9(1). https://doi.org/https://doi.org/10.33050/tmj.v9i1.2227

UNICEF. (2023). The State of the World’s Children 2023: For Every Child, Vaccination. UNICEF.

WHO. (2022). Behavioural and Social Drivers of Vaccination: Tools and Practical Guidance for Achieving High Uptake. World Health Organization.

WHO. (2022). Understanding the Behavioural and Social Drivers of Vaccine Uptake: WHO Position Paper - May 2022. Weekly Epidemiological Record, 97(20), 209–224.

WHO. (2023). Immunization coverage. World Health Organization.

WHO. (2023). Vaccines and immunization. World Health Organization.

Wulanda, A. F., & Delilah, S. (2021). Efektivitas Imunisasi BCG terhadap Kejadian Tuberkulosis Anak di Kabupaten Bangka. Jurnal Kesehatan Poltekkes Kemenkes Ri Pangkalpinang, 9(1 SE-Articles), 37–41. https://doi.org/10.32922/jkp.v9i1.333

Published

2026-08-29

How to Cite

Multivariate Analysis of Determinants of Mothers’ Willingness to Provide BCG Immunization to Children as an Effort to Prevent Tuberculosis in the Working Area of Paya Bakong Health Center. (2026). Public Health Journal, 3(3), 192-206. https://doi.org/10.62710/wz317879