Women's Empowerment Facilitates Complete Immunization in Indonesian Children: A Cross-sectional Study

Gede Benny Setia Wirawan; Ni Luh Zallila Gustina; Putu Harrista Indra Pramana; Made Yuliantari Dwi Astiti; Jovvita Jonathan; Fitriana Melinda; Teo Wijaya

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자료유형: 학술저널

저자정보: Gede Benny Setia Wirawan (Udayana University) Ni Luh Zallila Gustina (Dokter Debora Medical Care) Putu Harrista Indra Pramana (Udayana University) Made Yuliantari Dwi Astiti (Udayana University) Jovvita Jonathan (Atma Jaya Catholic University of Indonesia) Fitriana Melinda (Udayana University) Teo Wijaya (Wangaya General Hospital)

저널정보: 대한예방의학회 예방의학회지 예방의학회지 제55권 제2호

발행연도: 2022.3

수록면: 193 - 204 (12page)

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Objectives: The primary objective of this study was to examine the effect of women’s empowerment on the immunization of Indonesian children. The secondary objective was to examine the effect of wealth as a factor modifying this association. Methods: We utilized data from the 2017 Indonesian Demographic and Health Survey (IDHS). The subjects were married women with children aged 12-23 months (n=3532). Complete immunization was defined using the 2017 IDHS definition. Multiple components of women’s empowerment were measured: enabling resources, decision-making involvement, and attitude toward intimate partner violence. The primary analysis was conducted using binomial logistic regression. Model 1 represented only the indicators of women’s empowerment and model 2 controlled for socio-demographic variables. Subgroup analyses were conducted for each wealth group. Results: The primary analysis using model 1 identified several empowerment indicators that facilitated complete immunization. The analysis using model 2 found that maternal education and involvement in decision-making processes facilitated complete immunization in children. Subgroup analyses identified that wealth had a modifying effect. The indicators of women’s empowerment were strong determinants of complete immunization in lower wealth quintiles but insignificant in middle-income and higher-income quintiles. Conclusions: To our knowledge, this study is the first to explore women’s empowerment as a determinant of child immunization in Indonesia. The results indicate that women’s empowerment must be considered in Indonesia’s child immunization program. Women’s empowerment was not found to be a determinant in higher wealth quintiles, which led us to rethink the conceptual framework of the effect of women’s empowerment on health outcomes.

#Immunization #Women #Empowerment #Children #Indonesia

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