The determinant factors of child’s immunization status: A cross sectional study on the dayak pitap tribe in the district of balangan Indonesia

Background: Even if the immunization coverage in a region is high, but the unimmunized child gathered in one location, then the benefit from herd immunity developed will not be gained by the child in that location so the risk for outbreak vaccine preventable diseases is high. So in order to solve this problem, it is important to reach this under vaccinated population and increase the child’s immunization status of the population. The aims of this research were to describe the immunization status and its determinant factors that influenced the child’s immunization status of Dayak Pitap tribe in the district of Balangan Indonesia Method: A cross sectional study conducted in May to June 2018 which included the interview using a questionnaire with the mother of 12 - 35 month old child in all house hold in Dayak Pitap tribe. The independent variables were the mother’s education level, the mother knowledge about immunization, the history of mother immunization status during pregnancy and the childbirth attendant and the cultural determinant namely the aruh ritual, the papantang and the use of the samban, whereas dependent variable was the child’s basic immunization status. The uni-variable analysis and logistic regression analysis employed as the research analysis method. Result: The complete child’s immunization status coverage was 48%. The determinant factors that significantly influenced on the child’s immunization status were the mother immunization knowledge level (p=0.000), the history of mother immunization during pregnancy (p=0.033), the history of birth attendant (p=0.000) and the using of samban by the children (p=0.012). Conclusion: In order to gain the better child’s immunization status coverage of the Dayak Pitap tribe, it is important to develop combination interventions to give better knowledge about immunization to the mother with the tailor made material, promote birth attendant labor and reach the pregnant mother for immunization.