Factors of Measles-Rubella Immunization Resilience of Districts/Municipalities in Indonesia, 2022-2023
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Abstract
Measles Rubella immunization resilience is one of the important indicators in supporting the achievement of equitable and sustainable immunization coverage in Indonesia. This study aims to analyze the factors that influence the resilience of Measles Rubella immunization at the district/city level in 2022-2023. This study used a quantitative approach with survey method, involving 286districts/citiesas research sites. Data were obtained from national immunization reports, MR surveillance, and interviews with health workers. Logistic regression was used to evaluate the influence of socioeconomic, geographical, health resources, and community participation on immunization resilience. The results showed that access to health facilities, measles rubella vaccine coverage, andimmunization/surveillance program budgethad a significant influence on immunization resilience. In addition, geographical differences and urbanization levels were also found to be a challenge in equitable vaccine distribution. This study recommends a collaborative strategy involving local government, health sector, and local communities to improve Measles Rubella immunization coverage across Indonesia.