Perbedaan titer antitoksin tetanus anak wanita kelas VI SD di desa risiko tinggi dan nonrisiko tinggi tetanus neonatorum yang belum dan sudah di imunisasi TT pada,The Differece of Antitoxin Titre among Grade Sixth Fem..=

ABSTRACT Tetanus neonatorum was still a public health problem in the developing countries, including Indonesia. Since 1984, Toxoid Tetanus immunization was given to girls, i.e. grade-six female students and the brides. Since 1996, the immunization program had introduced 5-dose TT, beginning from 15-to-39 females with high risk of tetanus neonatorum and it was extended to school children and TT immunization for pregnant mothers. Earlier the immunization for children was aimed at providing basic immunization, at present the aim was to improve immunity. The rescheduling of the immunization program for school children was begun on November 14, 1997 that was later called as school children immunization month. The antitoxin level considered as preventing from tetanus was >0,01 u/ml. Basic data on the immunity status against tetanus at the age of 10-13 years old and antibody measurement had not been conducted after the immunization month. This study was aimed at learning the difference of antitoxin tetanus among female school children grade 6 both in the high-risk villages and non-high-risk villages, those who were and were not immunized. This study was conducted using cross-sectional, observational method and was done at several villages covered by Salam Babaris community health centers and Banua Padang in Tapin district. The subjects were female school children grade 6. Blood samples were 2 cc, and then antitoxin titre was measured. The toxin was measured by way of pasive hemaglutination assay (PHA), conducted by Pusat Penelitian Penyakit Menular Badan Penelitian dan Pengembangan Kesehatan Departement of Health, Jakarta. The result of the study showed that there was difference between antitoxin titre and immunity level toward tetanus among female school children in the high-risk villages and non non-high-risk villages, between those immunized and not immunized at the time of immunization for school children (