Electronic Theses and Dissertation

Imunisasi merupakan langkah krusial dalam mencegah penyakit menular dan menjadi prioritas utama Kementerian Kesehatan dalam mencapai Sustainable Development Goals (SDGs). Cakupan Imunisasi Dasar Lengkap di Kabupaten Aceh Besar masih belum mencapai target nasional. Bidan memiliki peran sentral sebagai garda terdepan dalam pelayanan imunisasi di tingkat desa. Penelitian ini bertujuan untuk mengetahui hubungan antara tingkat pengetahuan dan sikap dengan peran bidan desa dalam program imunisasi di puskesmas wilayah Kabupaten Aceh Besar. Penelitian ini merupakan penelitian analitik observasional dengan pendekatan cross-sectional. Populasi penelitian berjumlah 445 bidan desa, dengan 363 bidan yang memenuhi kriteria inklusi dan menjadi sampel melalui teknik total sampling. Data dikumpulkan melalui tiga kuesioner yang mengukur tingkat pengetahuan, sikap terhadap imunisasi, dan peran bidan desa. Analisis data bivariat dilakukan menggunakan uji chi-square. Hasil penelitian menunjukkan bahwa sebagian besar responden memiliki tingkat pengetahuan yang kurang baik (53,4%), sikap yang kurang baik (54,5%), dan peran yang masih kurang baik (59,2%). Uji bivariat menunjukkan tidak terdapat hubungan antara tingkat pengetahuan dengan peran bidan desa (p-value= 0,393), namun terdapat hubungan yang signifikan antara sikap dengan peran bidan desa (p-value < 0,001). Disimpulkan, sikap bidan terhadap program imunisasi berpengaruh terhadap perannya dalam pelaksanaan program imunisasi.

Kata Kunci : tingkat pengetahuan, sikap, program imunisasi, bidan desa

Immunization is a crucial strategy for preventing communicable diseases and is a primary priority of the Ministry of Health in achieving the Sustainable Development Goals (SDGs). The coverage of Complete Basic Immunization in Aceh Besar District has not yet met the national target. Midwives play a central role as the frontline providers of immunization services at the village level. This study aimed to determine the relationship between the level of knowledge and attitudes with the role of village midwives in the immunization program at primary health centers in Aceh Besar District. This research employed an observational analytic design with a cross-sectional approach. The study population consisted of 445 village midwives, of whom 363 met the inclusion criteria and were selected as the sample through total sampling. Data were collected using three questionnaires measuring knowledge level, attitudes toward immunization, and the role of village midwives. Bivariate analysis was conducted using the chi-square test. The results showed that most respondents had inadequate knowledge (53.4%), negative attitudes (54.5%), and suboptimal roles (59.2%). Bivariate analysis indicated no significant relationship between knowledge level and the role of village midwives (p-value = 0.393). However, a significant relationship was found between attitudes and the role of village midwives (p-value < 0.001). In conclusion, the attitudes of midwives toward the immunization program influence their role in implementing immunization activities Keywords : knowledge level, attitude, immunization program, village midwives