Electronic Theses and Dissertation

Imunisasi merupakan intervensi kesehatan masyarakat yang efektif untuk menurunkan angka kesakitan dan kematian bayi serta anak. Keberhasilan program imunisasi sangat bergantung pada peran bidan desa sebagai pelaksana utama di lapangan. Penelitian ini bertujuan mengetahui hubungan antara pengetahuan dan sikap bidan desa dengan peran mereka dalam pelaksanaan program imunisasi di wilayah kerja Puskesmas Kota Banda Aceh. Penelitian ini menggunakan desain deskriptif analitik dengan pendekatan cross-sectional. Populasi adalah seluruh bidan desa di wilayah kerja Puskesmas Kota Banda Aceh sebanyak 87 orang yang dijadikan responden melalui total sampling. Data dikumpulkan menggunakan kuesioner mencakup aspek pengetahuan, sikap, dan peran, kemudian dianalisis secara univariat dan bivariat menggunakan uji Chi-Square dengan taraf signifikansi 95% (p < 0,05). Hasil penelitian menunjukkan bahwa sebagian besar responden memiliki pengetahuan baik (50,6%), sikap baik (52,9%), dan peran baik (46,0%). Uji Chi-Square menunjukkan hubungan signifikan antara pengetahuan dan peran bidan (p = 0,002) serta antara sikap dan peran (p = 0,001). Faktor yang memengaruhi peran bidan antara lain kurangnya pelatihan, supervisi, logistik, beban kerja tinggi, serta masih adanya penolakan imunisasi oleh orang tua karena kekhawatiran efek samping. Pengetahuan dan sikap bidan desa berhubungan signifikan dengan peran mereka dalam pelaksanaan imunisasi. Peningkatan peran bidan memerlukan dukungan berupa pelatihan berkelanjutan, supervisi aktif, penyediaan sarana memadai, dan penguatan komunikasi risiko vaksin kepada masyarakat.
Kata kunci: Bidan Desa, Pengetahuan, Peran, Sikap, Program Imunisasi

Immunization is one of the most effective public health interventions to reduce infant and child morbidity and mortality. The success of immunization programs largely depends on the role of village midwives as the main implementers at the primary healthcare level. This study aimed to determine the relationship between the knowledge and attitudes of village midwives and their roles in implementing immunization programs in the working area of Banda Aceh City Health Centers. This research employed a descriptive analytic design with a cross-sectional approach. The population consisted of all 87 village midwives working in Banda Aceh City, selected through total sampling. Data were collected using structured questionnaires covering knowledge, attitude, and role aspects. Data were analyzed using univariate and bivariate methods with the Chi-Square test at a 95% confidence level (p < 0.05). The results showed that most respondents had good knowledge (50.6%), good attitudes (52.9%), and good roles (46.0%). The Chi-Square test revealed a significant relationship between knowledge and role (p = 0.002) and between attitude and role (p = 0.001). Factors influencing the midwives’ roles included limited training opportunities, lack of supervision and logistics, high workload, and parental hesitancy due to concerns about vaccine side effects. Knowledge and attitudes of village midwives were significantly related to their roles in implementing immunization programs. Enhancing midwives’ roles requires comprehensive support through continuous training, active supervision, adequate facilities, and strengthened risk communication about vaccines in the community. Keywords: Attitude, Immunization Program, Knowledge, Midwives, Role