Minggu, 26 Juli 2009

IMMUNIZATION

Immunization is the easiest way and most effective way to prevent death and disability at the age child. Unfortunately, more than 40 percent of Indonesian children have not been getting the full immunization. "Said the UNICEF representative in Indonesia, Gianfranco Rotigliano, in the launch immunization campaign" Life Saving Partnership for Children "in Jakarta.
Long disease infection has become a beam. In Indonesia, for example, measles kills 30,000 children every year. Similarly hepatitis that attack more than 20 percent of children inRata Penuh some areas.
In 2005, for the first time in this decade of hundreds of children with the risk of polio paralysis, disability and even death. In Indonesia, the immunization program has been running about 30 years and successfully shut down a number of diseases can be prevented by immunization. Among others, measles, polio, diphtheria, tetanus, pertussis (whooping cough), tuberculosis, and hepatitis B. Haemophilus influenza type B and pneumococcal also can be prevented through immunization since early.
Based on the results of the vaccination in 1992, 1997, Indonesia experienced a decrease in the number of people with diphtheria, pertussis, measles, and tetanus. The provision of immunization can prevent the death of around 2.7 babies per year.
(Department of Child Health Sciences FKUI / RSCM Jakarta, Dr Hardiono D Pusponegoro SpA (K)).
Population in Indonesia in 2007 was 220 million pass and also suspected that the fast-paced population growth, not in accordance with the original calculation. According to Haryono Suyono, controlling population growth is only focused on a pair of fertile age is so poor that notabene very small amount, namely 19% of the total number of couples in fertile age.
Calculation of 2006 said that population growth will continue to go down even in the year 2020 - 2025 is possible to reach 0.92%. But in reality this rate of growth of adult population in Indonesia has reached a quite high 1.3%. Number of children under 15 years is still a faction of the population is very large, ie approximately 70 million (30.26%) and the age of five 23.7 million (10.4%).
Other important issues and less concern is the increase in various corners of the nutrition of Indonesia. When nutrition is less 37.5% in 1998 successfully pressed to reach 19.3%, in 1999, malnutrition 6.3%, in the year 2000 does not successfully pressed even after the year 2002 berprevalensi to be more than 10% we can see the end of -end of this. It is less posyandu functioning in the community in the past, the monetary crisis since 1997, natural disasters that come repeatedly in the ground water and our political and security situation is not conducive.
With the revitalization program and KB posyandu expected public health situation and population growth can be controlled again. Posyandu decreasing function, the children get less attention that is reflected in the decrease of child health in general, especially the poor nutrition and infection, which some years ago have been calm the children back as Poliomyelitis, tifoid fever, diphtheria, measles, dengue fever, and other .
Long-term national development focuses on the quality of human life that prime. For that we concentrate on the younger generation who need care and protection against diseases that may hamper the growth of adult kembangnya high quality in order to continue the development of the national long-term.
Epidemiologis in Indonesia's image as the level of health in the community still need special attention, namely,
1. Rough death rate (CMR): 7.51 per 1000 / year
2. Infant mortality (IMR): 48 per 1000 live birth / year
3. Five mortality (U5MR): 56 per 1000 live birth / year
4. Maternal mortality (MMR): 470 per 100,000 live birth / year
5. Immunization coverage: BCG 85%, 64% DTP, Polio 74%, 91% HBI, 84.4% HB2, HB3 83.0%, TT pregnant women: 84% TT1 and TT2 77% (WHO)
Infant mortality (IMR or akb) in the last two decades shows a significant decrease. When in 1971 until 1980 to require ten years from 142 akb menurunka be 112 per 1000 live births; then only within a period of five years, namely 1990 until 1985, Indonesia successfully akb down from 71 to 54 and even data from the 2001 figures have shown 48 per 1000 live births (Indonesia Health Profile 2001). The decline was followed by a decrease of mortality or the number AKABA that has reached 56 per 1000 live births.
The brilliant achievements of others are not is because the use of appropriate technology for that, which is utilized with both a health card to monitor accurately the flower children grow, increasing the use of breastmilk, the fluid immediately in each case oralit diarrhea in children and the provision of immunization in children under five according Immunization Program (PPI), namely BCG, Polio, Hepatitis B, DTP and measles, even in 1990 India has achieved Universal Child Imunization (UCI) with a coverage of 90% in children under five. The program is strengthened with the movement PIN (National Immunization Week) of the polio disease in the years 1985-1986-1987 in consecutive and simultaneous ground water throughout the polio cases during the ten years (1997-2005).
But then because of a polio outbreak that began in West Java undertaken special measures to prevent spreading more wild polio in Indonesia in intensife with the repetition of PIN in 2005 and 2006 are expected to successfully control. On kesmpatan and crash through the measles vaccination program against tetanus and measles are given in the hope that can reduce the pain and death because of both disease. (I.G.N Ranuh, 2008)
One of the obstacles that may affect the achievement of immunization coverage is the basic education level of mothers who are still relatively low. Level of education relevant to the knowledge of the disease and the behavior for them. This is closely related to the level of maternal education and a caring mother of the complaint with the clinical symptoms of early prevention of a serious disease in children so that the low level of maternal education raises the limited influence participation in maternal health programs.

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