Evaluation Implementation of Immunization Program: A Qualitative Study
DOI:
https://doi.org/10.37287/ijghr.v8i4.1445Keywords:
evaluation, immunization, programAbstract
Some infectious diseases that can be prevented by vaccination include, especially pneumonia, respiratory diseases, and sepsis, causing approximately 23% of neonatal deaths globally. However, in implementation, there are still many health centers that have not been able to achieve the target of immunization for children. Evaluation of program implementation is needed to find obstacles and opportunities in improving achievements. The purpose of this study is to analyze and evaluate the implementation of immunization programs based on CIPP theory. This research is qualitative with a case study approach. The study was conducted in 8 villages in the working area of the Bandung Health Center in July 2025. The informant was 25 person selected by purposive sampling. Analysis based on the CIPP approach with input, process, and output indicators. Data will be collected through in-depth interviews. The questionnaire will be used to collect qualitative. The instrument was valid and reliable by expert test. The informants in this study consisted of the head of the health center, cadres, village midwives, and the community. Data analysis uses Miles and Huberman’s principles and a matrix. Obstacles to the immunization program include: the number of Human Resources (HR) is still not ideal, the availability of vaccines is often late and limited, supervision is still not optimal and the budget does not involve the private sector, immunization schedules are tentative according to conditions, training and supervision that are not routinely carried out and still lie in the doubts and rejections of a small part of the community as well as limited service coverage in certain areas. Conclusion: Efforts to solve problems must emphasize 6 main points, namely: strengthening human resources, optimizing and validating data, strengthening cold chains, increasing community participation, strengthening cross-sectoral coordination, and equitable distribution of immunization services.
References
WHO, "Global health observatory data- neo-natal mortality," World Health Organization, p. http://www.who.int/gho/child_health/mortality/neonatal/en/, 2018.
Sobanjo- ter Meulen, A., Duclos, P., McIntyre, P., Lewis, K. D., Van Damme, P., O'Brien, K. L., & Klugman, K. P. (2016). "Assessing the evidence formaternal pertussis immunization: a report from the bill & melindagates foundation symposium on pertussis infant disease burden inlow- and lower-middle-income countries," Clin Infect Dis, pp. 63:S123–S33. doi:10.1093/cid/ciw530.
Laupèze, B., Del Giudice, G., Doherty, M. T., & Van der Most, R., "Vaccination as a preventative measure contributing to immune fitness," Npj Vaccines, pp. 6(1). https://doi.org/10.1038/s41541-021-00354-z, 2021.
Akri, Y. J., & Rahmawati, Y "The Acceptance Rate of Complete Immunization and Its Factors Among Children: A Systematic Review of the Role of Pharmacists," ASSYIFA: Journal of Health Sciences, pp. 2(3), 556-565, 2024.
Sari, M., Fairuza, F., Aziza, N. N., & Setiati, D., "Extraordinary incidence of poliomyelitis in Indonesia in 2022-2023: A review," Journal of Trimedika Act, pp. 1(1), 66-83, 2024.
Peters, D. H., Adam, T., Alonge, O., Agyepong, I. A., & Tran, N, "Implementation research: what it is and how to do it," Bmj, p. 347, 2013.
Qamarya, N., Zamli, Z., Hafsah, H., Nopianto, N., & Rahmah, L., (2004). "Analysis of the Achievement of Complete Basic Immunization in Health Centers," Encyclopedia of Journal, pp. 6(3), 18-23.
Yulianti, A., & Indriasih, E. (2018). "Funding of Basic Immunization Programs in 71 Regencies/Cities in Indonesia in 2013-2014," Journal of Health Service Research and Development, pp. 121-132.
Qamarya, N., Zamli, Z., Hafsah, H., Nopianto, N., & Rahmah, L. (2024). Analysis of the achievement of complete basic immunization at the health center. Encyclopedia of Journal, 6(3), 18-23.
Yuliana, R. U., Rosalina, A. I., & Rahayu, E. P. (2024). Optimizing Covid-19 Vaccine Supervision and Management at Jakarta Health Centers: Effective Strategies and Follow-ups. Journal of Research Applications in Community Service, 3(2), 55-65.
Amallia, A. (2024). Health Digitalization in Improving the Quality of Health Services. Medical Journal of Nusantara, 3(3), 151-158.
WHO. (2020). Global Vaccine Action Plan: Monitoring, Evaluation, and Accountability Framework. Geneva: World Health Organization.
Hidayat, S., & Woyanti, N. (2021). The effect of GDP per capita, regional spending, dependency ratio, poverty, and technology on HDI in Indonesia. Journal of Economics, Business and Accounting (JEBA), 23(4), 122-137.
Arfananda, M. G., Romdoni, S., Prabowo, J. D. E., Muhammadi, R., & Sumarsono, M. M. (2025). Community Participation in Family Planning Programs: A Case Study in Sukadana Village, Cimanggung District, Sumedang Regency. Writing: Journal of Nusantara Research, 1(6), 1112-1122.
Rutchanagul, P., & Sangnimitchaikul, W. (2022). Knowledge and skill needs in e-course training of an expanded program for immunization staff in Thailand: A mixed-method design. The Open Nursing Journal, 16(1).
Prihanto, E. S. D. (2024). Training on Public Awareness against Drug-Resistant Tuberculosis at the Ternate City Marine Health Center. Indonesian Literacy Journal, 1(12), 1-7.
Yulviana, R. (2018). Factors Related to Incompleteness of Basic Immunization in Infants. Journal of Forikes Voice Health Research, 9(1), 78-80.
Dila, A. N., Pangaribuan, H. U., & Sutarjo, U. S. (2022). Multi-Sectoral Collaboration to Improve the COVID-19 Vaccine Acceptance in Indonesia. Journal of Policy Analysts, 6(2), 29-48.
Scott, Y. B. (2025). Behavioral Change Communication and Vaccine Acceptance: A Framework for Strengthening Public Trust in Health Interventions. Journal of Nutrition and Health Care, 47-54.
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