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Developmental Behavioral & Community Pediatrics

P-DBCP-037
Impact of COVID-19 Pandemic on Basic Immunization Coverage in South
Sumatera

Septian Tri Muhari, Yulia Iriani, Ariesti Kamila
Department of Child Health, Faculty of Medicine Universitas Sriwijaya/Dr. Mohammad Hoesin General Hospital,
Palembang, South Sumatera, Indonesia

Abstract
Background The COVID-19 pandemic has an impact on various aspects of life. Large-scale social restrictions
were demanded, including the system of health facilities services, and in the end, it can affect basic
immunization coverage. Objective To identify the basic immunization coverage in South Sumatera before
and during the COVID-19 pandemic. Methods We reviewed the monthly report of immunization coverage
from South Sumatera Provincial Health Office immunization data from 2019 until 2020. The COVID-19
pandemic in South Sumatera started in April 2020. The target for basic immunization coverage was 95%
per year or 23.7% per 3 months. Results The basic immunization coverage in 2019 was 99.4% and 91.4%
in 2020; the average coverage per 3 months in 2019, 2020, and during the pandemic was 24.8% (SD=0.7),
22.8% (SD=2.9), and 22.8% (SD=2.9), respectively. HB0, BCG, DPT/HB-HiB3, IPV and MR vaccination
coverage in 2020 compared to the pandemic was 94.8% vs. 90.8%, 98% vs. 91.2%, 100.8% vs. 92.1%,
81.2% vs. 27.9% and 100.2% vs. 92.4%, respectively. In the period of April-June 2020, the coverage of
HB0 was 20.9%, BCG 20.3%, Polio4 18.3%, DPT/HB-HiB3 18.2%, IPV 1.4% and MR 18.8%. Compared
to the other period, April-June 2020 had the lowest coverage. Conclusion Basic immunization coverage in
South Sumatera is not reaching the target during the COVID-19 pandemic. The lowest vaccination coverage
occurs at the beginning of the COVID-19 pandemic, i.e., in April-June 2020.
Keywords: COVID-19 pandemic; basic immunization coverage; South Sumatera

P-DBCP-038
Changes in Childhood Immunization during the COVID-19 Pandemic
in Primary Health Care Facility

Gufron Nugroho, Henri Aprilio Purnomo
Scientific Journal Section, Hanuro Clinic, Bekasi, West Java, Indonesia
Abstract
Background A study of COVID-19 impact on adherence to a childhood immunization schedule. The
COVID-19 pandemic has affected parent awareness of their children immunizations, which need further
study, especially in primary health care facility. Objective To compare the percentages of children who were
immunized before the pandemic, at the beginning of pandemic and to date, respectively. Methods This
retrospective observational study evaluated the number of childhood immunizations given to pediatric patient
at the Hanuro clinic as a primary health care facility during the period 2019 to 2021, especially in routine
immunization. Results In Hanuro Clinics, we found a decrease in childhood immunizations especially in
March and April 2020. Before national emergency declaration for COVID-19 pandemic on March 31, 2020.
In early march the decrease become more significant as the child grow older. Overall, the comparison between
immunization in 2020 to 2019 decreased by 78%. In early 2021, vaccine awareness began to increase again
due to the decrease number of COVID-19 cases and the recommendation for a follow-up vaccine for children
by 59%, but immunization decreased again during the delta variant of the COVID-19 attack at July 2021.
Conclusion The COVID-19 pandemic significantly affects the childhood immunization in primary health
care facility. Thus, an electronic surveillance system, homecare facility immunization activities, follow-up
immunizations and health education for parents are needed to encourage childhood immunizations on time
to prevent other diseases than COVID-19.

Keywords: immunization; children; pandemic; clinic

102 KONIKA XVIII Abstract Book