Background : Outbreak of diphtheria was announced in Indonesia included Palembang in 2017. In 2016, data from WHO shows DPT3 coverage was 79%. It falls below the MDGs target of ? 93%. In order to control the diphtheria, an outbreak response of immunization (ORI) was done in outbreak areas since December 2017. This study aims in determining the association of knowledge, attitude, and behavior of parents about diphtheria ORI.
Material : A cross sectional study was conducted among parents of children from 1-18 years as outpatient/hospitalized patient in Pediatric Department of Moh Hoesin Hospital Palembang during April 2018. Parents were asked to fill out questionnaire which consisted queries about general characteristics, knowledge, attitude and behavior in enactment of diphtheria ORI. Data was analyzed by Chi-Square test to identify association between parents knowledge, attitude with their behavior.
Results : Out of 61 parents surveyed, 17 (28%) children had received ORI. Most children (56%) did not received ORI because their parents did not know locations where ORI is available. The mean age of the parents was 35.51 years. Majority of parents (85%) did not complete higher education and most were housewives (56%). Most parents did not aware of ORI (61%). Only 2 (3,3%) parents did not agree with ORI. There was no association between knowledge, attitude and behavior in enacting ORI (p value of 0.443 and p 0.478 respectively). There was a higher proportion of parents in 31-40 year old age group (46.87%; p 0.07) and those with higher education (60%; p 0.013) who had positive behavior towards diphtheria ORI.
Conclusions : Parental knowledge and attitude are not associated in the behavior on enacting diphtheria ORI. Significant associations are found between age group, higher educational level and behavior of parents for implementing diphtheria ORI.