Please use this identifier to cite or link to this item:
http://dx.doi.org/10.25673/102818
Title: | Barriers to and facilitators of hepatitis B vaccination among the adult population in Indonesia : a mixed methods study |
Author(s): | Bungsu Machmud, Putri Führer, Amand-Gabriel ![]() Gottschick, Cornelia Mikolajczyk, Rafael ![]() |
Issue Date: | 2023 |
Type: | Article |
Language: | English |
Abstract: | To reach the goals of the Global Hepatitis Elimination 2030 program, Indonesia is now preparing a new regulation for hepatitis B vaccinations for adult population. This study aimed to determine the factors influencing vaccine uptake for hepatitis B in the adult population, and identify barriers to, and facilitators of, hepatitis B vaccination programmes. An explanatory sequential mixed methods design was implemented in this study. We conducted a survey involving 893 participants in the general population followed by 14 in-depth interviews with health providers. The survey found that only 15% (95% confidence interval 13–18%) of participants received at least one dose of the hepatitis B vaccine. Factors associated with vaccine uptake were, living in Yogyakarta compared to living in Aceh, having secondary and higher education compared to primary education, working as a health worker compared to working in other sectors, and having health insurance that covered hepatitis B vaccination compared to not having such health insurance. Our qualitative study also identified several barriers to the adult hepatitis B vaccination programme in Indonesia such as the high cost of vaccination, lack of vaccine availability in certain areas, limited human resources to implement the hepatitis B vaccination programme, and the ineffective dissemination of hepatitis B vaccination. This study highlights that accessibility and affordability of vaccinations are important determinants of vaccination uptake that should be taken into account when planning vaccination campaigns. |
URI: | https://opendata.uni-halle.de//handle/1981185920/104771 http://dx.doi.org/10.25673/102818 |
Open Access: | ![]() |
License: | ![]() |
Journal Title: | Vaccines |
Publisher: | MDPI |
Publisher Place: | Basel |
Volume: | 11 |
Issue: | 2 |
Original Publication: | 10.3390/vaccines11020398 |
Appears in Collections: | Open Access Publikationen der MLU |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
vaccines-11-00398-v2.pdf | 841.41 kB | Adobe PDF | ![]() View/Open |