Jurnal Berkala Epidemiologi
ISSN 2301-7171
Vol. 1 / No. 1 / Published : 2013-05
Order : 7, and page :76 - 86
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Original Article :
Cold chain system related to diphtheria cases in puskesmas surabaya
Author :
- Yeliastuti Ike Marliana*1
- Muhammad Atoillah Isfandiari*2
- Departemen Epidemiologi Fakultas Kesehatan Masyarakat Universitas Airlangga
- Departemen Epidemiologi Fakultas Kesehatan Masyarakat Universitas Airlangga
Abstract :
The incidence of diphtheria in Surabaya continues to increase, indicating a failure in the implementation of immunizationprogram. If Cold chain system did not work properly would lead to reduced vaccine effectiveness. It would cause vaccinecouldn’t prevent disease or even a vaccination would caused disease. This study aims to identify the cold chain systemincludes the practitioners, procedures and facilities in Puskesmas of Surabaya city related to the incidence of diphtheria.The research method used a descriptive cross-sectional study design. This research subject were at Puskesmas in Surabayaas much as 38 puskesmas based on the accessibility of licensing. The results show, the cases of diphtheria occur in 20Puskesmas from 38 Puskesmas have been studied in Surabaya. The Knowledge of Practitioner mostly had good level(68.4%). Practitioner attitudes shown mostly positive attitude (52.6%). The Conditions of vaccine fridge mostly good(55.3%) and vaccines location in refrigerator mostly in appropriate procedure (89.5%). Majority (92.1%) of recordingand reporting of cold chain system and immunization had good level for Puskesmas which was studied. However, theavailability of supporting infrastructure for cold chain was enough (79.0%). The conclusion is diphtheria cases in thisstudy occurred at Puskesmas which have good cold chain system. Therefore, it is necessary to monitor and evaluatevaccine management in other health care that provide levels which give immunization services and improve monitoringand evaluating of the vaccine cold chain program.
Keyword :
cold chain system, vaccine, diphtheria,
References :
Andayani, F,(2012) Hubungan kematian difteri pada anak dengan status imunisasi di Provinsi Jawa Timur Tesis. Yogyakarta : Universitas Gadjah Mada
Dinas Kesehatan Kota Surabaya,(2012) Profil Kesehatan Tahun 2011 Surabaya : Pemerintah Kota Surabaya, Dinas Kesehatan
Noor, N.N,(2008) Epidemiologi Jakarta : PT Rineka Cipta
Notoatmodjo, S,(2002) Metodologi Penelitian Kesehatan Jakarta : PT Rineka Cipta
Widoyono,(2011) Penyakit Tropis Epidemiologi, Penularan, Pencegahan dan Pemberantasannya Jakarta : Penerbit Erlangga
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