The Relationship Between Basic Immunization Completeness and The Growth and Development of Children Aged 11-24 Months at Srikandi Husada Clinic, Kudus Regency
DOI:
https://doi.org/10.51601/ijhp.v6i1.543Abstract
Children who have completed a complete series of basic immunizations are more likely to have optimal growth status and development in accordance with their age stages, when juxtaposed with children who have not completed the basic immunizations. This phenomenon can be explained by the fact that basic immunization contributes to building the immune system which further allows children to absorb nutrients properly and prevent diseases so that growth and development in children can occur optimally. This study aims to investigate the relationship between basic immunization completeness and the growth and development of children aged 11-24 months. This study uses an analytical observational research design with a cross sectional approach. All children aged 11-24 months at Srikandi Husada Clinic, Kudus Regency involved a population selected as a sample through purposive sampling techniques. The data was analyzed using the Spearman Rho test. The results showed that out of 59 children, 31 children received complete basic immunization and 28 children did not receive complete basic immunization. The percentage of growth increased by 55.9%, the percentage of growth did not increase by 44.1% while the percentage of development in accordance was 54.2%, doubtful by 27.1% and deviation by 18.6%. The results of the analysis indicated that the completeness of basic immunization was related to the growth of children with a p-value of 0.014<0.05 and an r value of 0.319. Meanwhile, in the aspect of child development, a p-value of 0.000<0.05 was obtained with an r value of 0.494 which indicates that the completeness of basic immunization is related to child development. So, it can be concluded that there is a relationship between the completeness of basic immunization and the growth and development of children aged 11-24 months at the Srikandi Husada Clinic, Kudus Regency.
Downloads
References
[1] Adam, F. I., Kadir, S., Abudi, R., Society, J. K., Sports, F., & Health, D. (2022). The Relationship of Body Mass Index (BMI) and Menarche Age in Adolescent Girls DI MTs Negeri 3 Gorontalo Regency. Journal of Health and Science; Gorontalo Journal Health & Science Community, 6(3), 272. https://ejurnal.ung.ac.id/index.php/gojhes/index
[2] Agiwahyuanto, F., Ernawati, D., & Widianawati, E. (2021). The relationship between healthy living behavior of parents and literacy of cards towards health (kms) on the growth and development of toddlers. Health, 9(1), 2–3.
[3] Agustin, M., & Rahmawati, T. (2021). The Relationship between Maternal Knowledge and Complete Basic Immunization in 1 to 5 Year Children. 8(3), 160–165.
[4] Al, I. et. (2025). https://journal.poltekkesaceh.ac.id/index.php/seulanga FACTORS THAT AFFECT THE LOW PROVISION OF COMPLETE BASIC IMMUNIZATION IN THE WORK AREA OF UPTD PUSKESMAS SAMUDERA ACEH NORTH ACEH. 2(2), 62–78.
[5] Amanda Putri Nasution, Ardhana Reswari, Sarah, S., Afni Aspah, Zelita Anggraeni, Jahrona J. Simbolon, & Petti Siti Fatimah. (2025). The Role of Nutrition in Early Childhood Growth and Development. Indonesian Journal of Islamic Early Childhood Education, 9(2), 1–10. https://doi.org/10.51529/ijiece.v9i2.714
[6] A true Dwi Dwi Pangestu. (2025). Tunas Cendekia Journal. S. Scott, 1849, 29–40.
[7] Asep Suryana Abdurrahmat1, Andi Eka Yunianto2*, Dika Betaditya3, Yana Listyawardhani4, Y. S. W. (2023). Intervention for Stimulation of Development and Nutrition Education of MP-ASI on Growth and Development in Stunted Children Under Five. 5(2), 460–472.
[8] Asrianto, & Helis Husuna. (2022). The Relationship of Parental Parenting to the Development of Children Under Five at the Jongaya Health Center, Makassar City in 2021. Journal of Strategic Partners, 12(1), 126–133.
[9] Asyik, H., Gunawan, P. E., Sinta, A. Z. P., & Purwoko, M. (2021). Oral Corticosteroid Therapy Affects The Height Of Nephrotic Syndrome Patients In Palembang Hospital While Oral Corticosteroid Therapy Affects The Height Of Nephrotic Syndrome Patients In Palembang Bari Hospital. Journal of Health, 2(3), 22–27.
[10] Awaludin, A. A., Nurrachmawati, A., Fitriani, A. D., & Casia Reski. (2025). The Long-Term Impact of Childhood Stunting on Cognitive Development and Educational Outcomes. Journal of Science Education Research, 11(8), 70–77. https://doi.org/10.29303/jppipa.v11i8.12198
[11] Bayuana, A., Anjani, A. D., Nurul, D. L., Selawati, S., Saiâ€TMdah, N., Susianti, R., & Anggraini, R. (2023). Complications in Pregnancy, Childbirth, Postpartum and Newborns: A Literature Review. Journal of Health Discourse, 8(1), 26. https://doi.org/10.52822/jwk.v8i1.517
[12] Bulan, P. A., Christijani, R., Nurhidayati, N., Research, P., Society, K., & Research, B. (2022). ( THE RELATIONSHIP BETWEEN HEALTH STATUS RISK AND STUNTING. 45(2), 83–90.
[13] Cayaban, R. K. D., Cano, J. V. A., Kut-ing, R. D., D. Francisco, S. L., Ayangan, M. G., & Gapasin, R. B. (2025). Parenting Styles and Students' Character Development. International Journal of Innovative Science and Research Technology, 10(4), 196–203. https://doi.org/10.38124/ijisrt/25apr102
[14] Desyanti, H. H., Arofah, N. L., & Ayu, M. (2024). Resilient Mothers, Protected Babies: Strengthening Capacities for Infection Prevention. 2(6).
[15] Dewi, N. K. D. L. (2024). The relationship between the level of knowledge and the completeness of basic immunization in infants aged 10-12 months at the Kubu II Karangasem Health Center. Journal of Applied Medicine, 7(2), 37–45. https://doi.org/10.54107/medikausada.v7i2.299
[16] Dika. (2025). The Relationship between Mp-Breast Feeding and Nutritional Status of Toddlers. 1–23.
[17] Directorate of Community Nutrition of the Ministry of Health of the Republic of Indonesia. (2021). 613.043 2 Ind p. Technical Instructions for Using the Card for the Healthy (Kms) of Toddlers.
[18] Dorce Sisfiani Sarimin, Elfina Yulidar, Yulianita, Risna Yuningsih, & Fatinah Shahab. (2024). 2314-16016-1-Sm. Encyclopedia of Journal, vol.6 No.3(3), 71–76. https://jurnal.ensiklopediaku.org/ojs-2.4.8-3/index.php/ensiklopedia/article/view/2314/2377
[19] Dr. Arif Rachman, drg., SH., MH., MM., MTr.Hanla., Sp.Pros., CIQnR., Ciq., Dr.(Cand)E. Yochanan., SKM., Skep., MM., MARS., PIA., K., Dr. Ir. Andi Ilham Samanlangi, S.T., M. T., & Hery Purnomo, S.E., M. M. (n.d.). Research Methodology.
[20] Dr. Jomima Batlajery, Mk., Siti Masitoh, S. M., Dina Raidanti, S. S. Mk., & Dr. Maryana, AMKeb., Mk. (n.d.). No Title.
[21] Erman, I., & Damanik. (2021). Early Childhood Development Assessment of the Denver Developmental Screening Test (DDST) II Model. 1:1–16.
[22] Fadholah, A., Tristanti, I., Maryani, T., Mulyani, S., & Pamungkasari, E. P. (2023). Cadre Capacity Training in Accelerating the Reduction of Stunting of Infants and Toddlers in Sragen Regency. SELAPARANG: Journal of Progressive Community Service, 7(1), 583. https://doi.org/10.31764/jpmb.v7i1.13170
[23] Fadlila, R. N. (2022). "Distribution of Nutrition for Pregnant Women." Journal of Community Service of Health Technology, 03(02), 1–3.
[24] Farhan Julianto. (2025). The Role of Parents in Preventing Exposure to Cigarette Smoke in Early Childhood. World Inspiration: Journal of Education and Language Research, 4(1), 257–262. https://doi.org/10.58192/insdun.v4i1.2919
[25] Fauzul Husna1, Riadinata Shinta P2, Yulia Adhisty3, F. P. (n.d.). Supplemental feeding to children.
[26] Gannika, L. (2023). The Relationship of Nutrition Statsu and the Development of Children Aged 1-5 Years : LITERATURE REVIEW. 7, 668–674. http://journal.universitaspahlawan.ac.id/index.php/ners
[27] Guan, H., Chen, X., Zhang, L., Zhang, Y., Ding, Y., & Yue, A. (2025). Gender differences in early childhood development in rural China : a sibling structure perspective.
[28] Hendrawan, M. A., Hernawan, A. D., & Saleh, I. (2021). Factors that affect the growth and development of children (age 4-6 years) in 6 Early Childhood Schools in Kuala Dua Village, working areas of the Sungai Durian Health Center. Cell Journal of Health Research, 8(1), 24–38. https://doi.org/10.22435/sel.v8i1.4701
[29] Hirfa, T., & Rosyati, H. (2023). The relationship between basic immunization administration and infant growth and development at the Sawah Besar District Health Center in 2021. Scientific Journal of Midwifery, 7(1), 20–26. www.e-journal.ibi.or.id
[30] Id, J. L., Yoon, S. J., Shin, J. E., Han, J. H., Min, S., Id, L., Eun, S., Park, M. S., & Park, K. I. (2021). Growth failure of very low birth weight infants during the first 3 years : A Korean neonatal network. 1–12.
[31] Insani, A. F. (2025). Jurnal+ATtika+-+Attika+Firli+Insani+(1). That is why we need to be careful not to overdo it, even if we don't have the resources to do
[32] Janatri, S., Kartika, D., Dewi, R., Novianty, L., Study, P., Nursing, S., High, S., Health, I., & Key, K. (2022). The relationship between family support and maternal motivation with maternal compliance in providing basic immunizations to infants 1,2,3,4. 11(2), 66–75.
[33] Jannah, M. and K. Z. P. (2021). The Influence of Genetic Factors on Early Childhood Development. Bunayya: Journal of Child Education, 7(2), 53–63. https://jurnal.ar-raniry.ac.id/index.php/bunayya/article/view/10425/5811
[34] Johns, N. E., Santos, T. M., Arroyave, L., Cata- preta, B. O., Heidari, S., Kirkby, K., Munro, J., Schlotheuber, A., Wendt, A., Brien, K. O., Gupta, A., Barros, J. D., & Hosseinpoor, A. R. (2022). Gender-Related Inequality in Childhood Immunization Coverage : A Cross-Sectional Analysis of DTP3 Coverage and Zero-Dose DTP Prevalence in 52 Countries Using the SWPER Global Index. 1–14.
[35] Johri, M., Ng, E. S. W., Sharkey, A., Rieutort, D. B.-, Kone, G. K., & Subramanian, S. V. (2023). Effects of zero- dose vaccination status in early childhood and level of community socioeconomic development on learning attainment in preadolescence in India : a population- based cohort study. https://doi.org/10.1136/bmjph-2023-000022
[36] Katharina, T., & Ita, M. (2021). Counseling for Growth and Development for Toddlers in Teluk Kapuas Village, Kubu Raya Regency in 2021. Journal of Community Midwifery PKM, 4, 218–223. http://stipaba.ac.id/pkm1/index.php/pkm/article/view/67
[37] Khoirunnisa, F. N., Indanah, I., Kusumastuti, D. A., & Ika, N. (2020). Correlation of food and environmental variations with the diet of school-age children. Indonesia Journal of Midwifery, 4(1), 14.
[38] Kuswaningsih, Yunariyah, B., & Jannah, R. (2024). Overview of Mother's Knowledge and Attitude Regarding the Provision of Complete Basic Immunization for Toddlers in Bangilan Village, Bangilan Health Center Working Area. Scientific Journal of Educational Vehicles, 2024(5), 514–520. https://doi.org/10.5281/zenodo.10530825.
[39] Laan, M. J. Van Der, Hubbard, A. E., Rosete, S., Malenica, I., Hejazi, N., Sofrygin, O., Cai, W., Li, H., Nguyen, A., Pokpongkiat, N. N., Djajadi, S., Seth, A., Jung, E., Chung, E. O., Jilek, W., Subramoney, V., Hafen, R., Häggström, J., Norman, T., ... Growth, C. (2023). Causes and consequences of child growth faltering in low-resource settings. 621(September). https://doi.org/10.1038/s41586-023-06501-x
[40] Leibovitz, Z., Lerman-Sagie, T., & Haddad, L. (2022). Fetal Brain Development: Regulating Processes and Related Malformations. Life, 12(6). https://doi.org/10.3390/life12060809
[41] Lestari, Y. D. (2023). Hypothyroid Complications in Pregnancy: A Systematic Review. Journal of Medicine and Health, 19(2), 187. https://doi.org/10.24853/jkk.19.2.187-196
[42] Linda Fitria Nuraini, Delta Rahma Dela, Nining Tunggal Sri Sunarti, & Reni Tri Lestari. (2024). Monitoring Growth and Development as an Effort to Early Detect Stunting in Toddlers in Bibis Hamlet, Timbulharjo Village, Kapanewon Sewon, Bantul Regency. NUSANTARA Journal of Community Service, 4(1), 119–125. https://doi.org/10.55606/nusantara.v4i1.2378
[43] Luwitasari, M. E., & Wigati, A. (2024). The Relationship of Supplementary Feeding with Menu Variations on Weight Gain in Undernourished Toddlers. 5(12), 5707–5717.
[44] Marchamah, DNS; Arum, H. (2022). Effectiveness of the Use of Cards Towards Health (KMS) and Denver Developmental Screening Test (DDST) at Integrated Service Posts (Posyandu). BULLET: Journal of Multidisciplinary Science, 1(1), 67–75. https://journal.mediapublikasi.id/index.php/bullet/article/view/2037
[45] Masthura, S., Safwan, L., & Iskandar, I. (2022). The Relationship between Immunization, Exclusive Breastfeeding, and the Role of Cadres with the Growth and Development of Toddlers at the Jeulingke Health Center in 2021. Journal of Pearl Ners, 5(1), 48–56. https://doi.org/10.51544/jmn.v5i1.2249
[46] Maulusi & Rahagia. (2022). The Impact of Gadget Radiation on Child Growth and Development. 5(November), 178–191.
[47] Mega, U., & Palopo, B. (2025). Community: Journal of Community Service: Journal of Service.2(3),379–385.
[48] Mega, U., Palopo, B., & Makassar, P. (2021). BASIC IMMUNIZATION OF INFANTS 0-12 MONTHS AT PATTINGALOANG HEALTH CENTER PRELIMINARY is called antibodies. Therefore, for the highest health in 2013 is the province of Java, the immunization rate in Indonesia is quite high, the coverage rate is below standard (.XIV(1).
[49] Mnir, E. D., Amseke,F.V.,Snae,D.,&Yumina.(2023).Training on Improving Children's Growth and Development Knowledge Through Hearing Tests and Vision Tests. Journal of Community Service, 4(2),115–122.
[50] Mustikaati, W., Okthaviani, A., Insari, I. P., Syifa, M., & Nuralmira, S. (2026). Analysis of Child Development Stages in Optimizing Self-Potential at the Age of 2-6 Years. Multidisciplinary Scientific Journal,3(4), 180–186.
[51] Nasution, S. B., Syahputra, G., & Purba, M. O. (2024). Home Environmental Sanitation Counseling and History of Infectious Diseases as Risk Factors for Stunting in Toddlers. 4(6), 1817–1824.
[52] Nugrahaeni, S. R., & Sugiharti, L. (2022). The influence of demographic and non-demographic factors on fertility in Indonesia. Indonesian Population Journal, 17(1), 15. https://doi.org/10.14203/jki.v17i1.679
[53] Nuraisya, W., & Khodariyah, I. (2025). Complications of childbirth in pregnant women who are at high risk. pp. 4(03), 1434–1443.
[54] Oktania, A., Ayudia, F., & Hasnah, F. (2026). Warehouse of Health Sciences Journal of Factors Related to Complete Basic Immunization Completeness in Children Aged 12-24 Months in the Padang Pasir Health Center Working Area in 2025. And I think that's why I think it's important to be able to do that, and that's what we're trying to do
[55] Padilah, AlfikaL, & Linmus. (2024). Village Community Deliberation (MMD I and MMD II) and the Practical Implementation of Community Preparedness Profession in RW 10 RT 01-06, Priuk District, Tangerang. Health Sciences, 4(1), 1–6. https://doi.org/10.5455/mnj.v1i2.644xa
[56] Patel, N., Chaudhari, K., Patel, D. J., Joshi, J. S., & Jyotsna, G. (2024). TORCH (Toxoplasmosis, Other, Rubella, Cytomegalovirus, Herpes Simplex Virus) Infection and the Enigma of Anomalous Fetal Development: Pregnancy Puzzles. Cureus, 16(1), 1–6. https://doi.org/10.7759/cureus.51534
[57] Devotion, M., & Community, K. (2025). THE APPLICATION OF JIGSAW PUZZLE GAMES TO IMPROVE CHILDREN'S MOTOR SKILLS. 4(02), 110–114.
[58] Praštalo, M. Ž., Pokimica, B., & Arsi, A. (2025). Current Evidence on the Impact of Diet , Food , and Supplement Intake on Breast Cancer Health Outcomes in Patients Undergoing Endocrine Therapy. 1–36.
[59] Purwanti, E. D., Masitoh, S., & Ronoatmodjo, S. (2025). Association Between Basic Immunization Status and Stunting in Toddlers Aged 12-59 Months in Indonesia. Sec. 298–306.
[60] Putri, A. (2025). Impact of Malnutrition on Child Development : The Association Between Stunting and Cognitive Delays.
[61] Rahma Puspita Kusumaningrum. (2025). Journal of Professional Nurse Research. 7, 15–22.
[62] Rantina, M., Hasmalena, H., & Karmila Nengsih, Y. (2021). Development of ICT-Based Early Childhood Growth and Growth and Detection Awareness Book. Golden Age: Scientific Journal of Early Childhood Growth and Development, 6(3 SE-Articles), 155–168. https://doi.org/10.14421/jga.2021.63-05
[63] Rauf, F. H., Winarti, E., Haryuni, S., & Alimansur, M. (2024). Factors Affecting the Incidence of Stunting at the Wayabula Health Center, South West Morotai District in 2023. Journal of Health Sciences, 12(2), 206. https://doi.org/10.32831/jik.v12i2.678
[64] Risa Risdiana, Irawati Indrianingrum, Ummi Kulsum, I. T. (2025). The effect of giving beads holder games on fine motor development in children aged 4-5 years at Bawu Kindergarten, Jepara Campus 1). 3(2), 48–55.
[65] Rizka Zulfikar, Fifian Permata Sari, A. F., Kartika Wandini, Tati Haryati, Sri Jumini, N., Selvi Annisa, Oktavy Budi Kusumawardhani, R. M., & Alexander Indrakusuma Linggi, H. F. (n.d.). No Title.
[66] Rosyidah, I. N., Arisandi, A., & Farid, A. (2021). The Angel Journal. Journal of Sakti, IV(1), 45–49. http://www.journal.uim.ac.id/index.php/bidadari/article/view/1178
[67] Sabillah, N., Hiddayaturrahmi, Rosmawaty, Yuni, H., & Annisa, M. L. (2024). Factors Affecting the Growth and Development of Children Aged 0-2 Years : A Review of the Literature. Scientific Journal, 3(4), 221–231.
[68] Sari, P., Sayuti, S., & Andri, A. (2022). Factors Related to the Provision of Basic Immunization to Infants in the Working Area of the PAAL X Health Center, Jambi City. Journal of Kemmas Jambi, 6(1), 42–49. https://doi.org/10.22437/jkmj.v6i1.16514
[69] Setyarini, T. K., Purwira Mikasyanti, L., Narhadina, G. S., & Prihandani, R. (2025). The Relationship between Basic Immunization Completeness and Child Growth and Development Aged 12-36 Months at Winong I Health Center, Pati Regency. Journal.Hasbaedukasi.Co.Id, 2, 175–188. https://journal.hasbaedukasi.co.id/index.php/at-taklim/article/view/239
[70] Sinuraya, R. K., Alfian, S. D., Abdulah, R., Postma, M. J., & Suwantika, A. A. (2024). Comprehensive childhood vaccination and its determinants_ Insights from the Indonesia Family Life Survey (IFLS). Journal of Infection and Public Health, 17(3), 509–517. https://doi.org/10.1016/j.jiph.2024.01.007
[71] Siti Aminah, & Ratnawati. (2022). Recognizing Speech Delay as a Speech Delay Disorder in Children (Psycholinguistic Study). JALADRI : Scientific Journal of Sundanese Language Study Program, 8(2), 79–84. https://doi.org/10.33222/jaladri.v8i2.2260
[72] Sumarmi Sumarmi, Erida Fadila, & Titi Sri Suyanti. (2025). Empowerment of Health Cadres Through Health Counseling on the Golden Age Period For Golden Generation in the Talun Health Center Area, Cirebon Regency. Community Transformation: Journal of Social Innovation and Service, 2(1), 153–161.
[73] Sundari, N., & Scientific, W. S. (2025). The Relationship between Basic Immunization History and Growth Status of Babies Aged 09 – 24 Months at PMB Wiwik Indriani Sungai Ulin. Sec. 5.
[74] Against, K., & Mother, P. (2023). Education on the detection of toddler development based on the kpsp application on mother's knowledge. 11(4), 953–960.
[75] This, E., Family, I., Survey, L., & Program, V. M. (2025). Impact of Childhood Vaccination on Human Capital Formation in Later Life : Evidence from Indonesia. 42(3), 279–311.
[76] Wanda, Y. D., Elba, F., Didah, D., Susanti, A. I., & Rinawan, F. R. (2021). Basic immunization status history is related to the incidence of stunting in toddlers. Malahayati Journal of Midwifery, 7(4), 851–856. https://doi.org/10.33024/jkm.v7i4.4727
[77] Widyowati, E., Almaini, A., & Purnama Eka Sari, W. I. (2023). Factors related to the completeness of basic immunization in infants at the Embong Ijuk Health Center, Kepahiang Regency in 2023. Journal Of Midwifery, 11(2), 215–226. https://doi.org/10.37676/jm.v11i2.5105
[78] Wright, L., Shireby, G., Morris, T. T., Davies, N. M., & Bann, D. (2025). The association between parental BMI and offspring adiposity: A genetically informed analysis of trios. PLOS Genetics, 21(8 August), 1–19. https://doi.org/10.1371/journal.pgen.1011775
[79] Yang, Y., Lin, J., Lu, X., Xun, G., Wu, R., Li, Y., Ou, J., & Shen, Y. (2021). Anesthesia , sex and miscarriage history may influence the association between cesarean delivery and autism spectrum disorder. 1–10.
[80] Yolanda, N., Pulungan, N. Z., Nursanti, D., Yarni, L., Negeri, U., Djamil, S. M., & Bukittinggi, D. (2023). Jurnal+Neysa+Sindoro. Sindoro: Scholar of Education, 1(3). https://doi.org/10.9644/scp.v1i1.332
[81] Yusuf. (2022). BRAIN DEVELOPMENT AND COGNITIVE FUNCTION OF CHILDREN: THE ROLE OF THE Biomedical Science Study Program, Faculty of Medicine, Andalas University, Indonesia INTRODUCTION The human brain has about 86 billion neuronal cells, which have the function of transmitting signals or imputing. 10(2), 1036–1045.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Erra Ardika, Ika Tristanti, Diah Andriani Kusumastuti
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
