Kadar Antibodi Bayi yang Mendapat Imunisasi Difteri, Pertusis dan Tetanus di Rscm, Puskesmas dan Posyandu

Abstract

Expanded immunization program will result in a complete basic immunization coverage of all children, including those in the peripheral areas. However this goal could possibly be hampered by ineffective vaccine resulting from poor performance of the cold chain. To evaluate the effectivenes of this immunization programs a study was conducted on the protective level of antibodies in children who where immunized at Dr. Cipto Mangunkusumo Hospital (RSCM), puskesmas (health center) and posyandu (integrated health services post). The study was conducted from October 1989 through March 1990. A total of 164 babies, age 2-11 months were enrolled, and were devided into 3 groups; 48 babies from RSCM, 53 from puskesmas and 63 from posyandu. All enrolled children received 1 series of the Diptheria - Pertussis - Tetanus (DPT) vaccination of 3 injections with 1 month interval. Blood sample for level of antibody titer for all 3 groups was taken before the first vaccine dose given and 1 month after the last dose. The result showed that protective level for diptheria after completion of vaccination was found in 72,9% of vaccinées from RSCM, 81% from Puskesmas and 68,3% from Posyandu. For pertussis the level was 62,5% from RSCM, 71,7% from Puskesmas and 63,5% from Posyandu. The level for tetanus was 100% from RSCM, 98,1% from Puskesmas and 96,8% from Posyandu. No statistical significant differences were observed between those 3 groups of babies based upon their place of vaccination