Legal Analysis of Mandatory Basic Immunization for Children: Parental Rights Vs Child Interests
DOI:
https://doi.org/10.15575/jis.v5i4.58610Keywords:
child rights protection, dispute resolution, mandatory immunization, social assistance programAbstract
Basic immunization constitutes both a child's right and state obligation in fulfilling public health standards. Mandatory immunization policy creates tension between state authority and parental rights to determine children's healthcare. Resistance from certain communities due to religious beliefs, vaccine side-effect concerns, and anti-vaccination movement influence threatens herd immunity and child health. Research problems examine how juridical construction of mandatory basic immunization addresses conflicts between parental autonomy rights and best interests of the child, and how law enforcement mechanisms and sanctions can be implemented proportionally and justly. This normative juridical research analyzes legislation, international legal instruments, and legal literature using primary legal materials including the 1945 Constitution, Law Number 17 of 2023 on Health, Law Number 35 of 2014 on Child Protection, Ministry of Health Regulation Number 12 of 2017, and Convention on the Rights of the Child. Research findings indicate mandatory immunization possesses strong constitutional legitimacy, where parental rights are relative and may be proportionally limited when endangering child health based on best interests of the child principle. However, law enforcement mechanisms remain weak due to absence of explicit sanctions and firm conflict resolution mechanisms. Research novelty lies in comparative analysis with Australia and Italy, and recommendation of hybrid model for Indonesia. Required are regulatory strengthening with tiered sanctions, integration with social assistance programs, development of responsive dispute resolution mechanisms, enhancement of evidence-based health literacy, and cross-sectoral collaboration to optimize child rights protection through immunization.
References
Akbar, J. H., Yusriyadi, Y., & Priyatna, S. (2022). Analisis Hukum Bagi Pekerja Yang Menolak Vaksinasi Covid-19 Di Indonesia [Legal Analysis for Workers Who Refuse Covid-19 Vaccination in Indonesia]. Masalah-Masalah Hukum, 51(1), hlm.1-9. https://doi.org/10.14710/mmh.51.1.2022.1-9 [in Indonesian]
Attwell, K., Navin, M. C., Lopalco, P. L., Jestin, C., Reiter, S., & Omer, S. B. (2018). Recent vaccine mandates in the United States, Europe and Australia: A comparative study. Vaccine, 36(48), hlm.7377-7384. https://doi.org/10.1016/j.vaccine.2018.10.019
Efendi, F., Pradiptasiwi, D. R., Krisnana, I., Kusumaningrum, T., Kurniati, A., Sampurna, M. T. A., & Berliana, S. M. (2020). Factors associated with complete immunizations coverage among Indonesian children aged 12–23 months. Children and Youth Services Review, 108(2), 104651. https://doi.org/10.1016/j.childyouth.2019.104651
Fadhillah, A., Farizki, A. R. N., & Ircham, H. H. (2025). Tanggung Jawab Negara terhadap Jaminan Kesehatan dalam Perspektif Hak Asasi Manusia [State Responsibility for Health Coverage from a Human Rights Perspective]. AHKAM, 4(1), 32–40. https://doi.org/10.58578/ahkam.v4i1.4611 [In Indonesian]
Firdaus, S. U. (2022a). The urgency of legal regulations existence in case of COVID-19 vaccination refusal in Indonesia. Journal of Forensic and Legal Medicine, 91(14), 102401. https://doi.org/10.1016/j.jflm.2022.102401
Firdaus, S. U. (2022b). The urgency of legal regulations existence in case of COVID-19 vaccination refusal in Indonesia. Journal of Forensic and Legal Medicine, 91(2), 102401. https://doi.org/10.1016/j.jflm.2022.102401
Frastika, I., Rahayu, S. N. D., Agustin, T., & Kartika, L. (2020). Persepsi dan Sikap Orang Tua tentang Pemberian Imunisasi Anak [Parents’ Perceptions and Attitudes regarding Child Immunization]. Jurnal Ilmiah Ilmu Keperawatan Indonesia, 10(02), hlm.24-30. https://doi.org/10.33221/jiiki.v10i02.493 [in Indonesian]
Giambi, C., Fabiani, M., D’Ancona, F., Ferrara, L., Fiacchini, D., Gallo, T., Martinelli, D., Pascucci, M. G., Prato, R., Filia, A., Bella, A., Del Manso, M., Rizzo, C., & Rota, M. C. (2018). Parental vaccine hesitancy in Italy - Results from a national survey. Vaccine, 36(6), hlm.779-787. https://doi.org/10.1016/j.vaccine.2017.12.074
Haryanto, I., Wahdah, A. N., Almagfira, A., Amelia, D. P., Mulya, I. I., & Tambunan, J. C. C. (2024). Konsep Perlindungan Hukum bagi Anak Turut Serta dalam Melakukan Tindak Pidana Berdasarkan Hukum Positif Indonesia [The Concept of Legal Protection for Children Participating in the Commission of a Criminal Offense under Indonesian Positive Law]. Media Hukum Indonesia (MHI), 2(3), hlm.186. https://doi.org/10.5281/zenodo.11623459 [In Indonesian]
Helps, C., Leask, J., Barclay, L., & Carter, S. (2019). Understanding non-vaccinating parents’ views to inform and improve clinical encounters: A qualitative study in an Australian community. BMJ Open, 9(5), hlm.1-13. https://doi.org/10.1136/bmjopen-2018-026299
Marzuki, P. D. M. (2017). Penelitian Hukum: Edisi Revisi [Legal Research: Revised Edition]. Prenada Media.
Maya, D., Simangunsong, S., & Saragih, L. F. (2024). Evaluasi Kebijakan Hukum Tentang Vaksinasi Wajib dalam Perspektif Hak Asasi Manusia dan Kesehatan Publik [Evaluation of Legal Policy on Mandatory Vaccination from the Perspective of Human Rights and Public Health]. Judge: Jurnal Hukum, 05(04), hlm.1-9. https://doi.org/10.54209/judge.v5i04.1037 [In Indonesian]
Mulderry, C., Jackson, B. N., & Purdy, S. C. (2024). Children’s speech, language and communication skills and parental knowledge in the growing up in New Zealand cohort. International Journal of Language & Communication Disorders, 59(5), 1850–1864. https://doi.org/10.1111/1460-6984.13035
Nasiliu, T., Kasim, N. M., & Rahim, E. I. (2023). Pengadaan Dan Pelaksanaan Vaksinasi Ditinjau Dari Perspektif Hak Asasi Manusia (Tantangan Dan Prospek) [Pengadaan Dan Pelaksanaan Vaksinasi Ditinjau Dari Perspektif Hak Asasi Manusia (Tantangan Dan Prospek)]. Philosophia Law Review, 3(2), hlm.171-188. https://doi.org/10.56591/pilar.v3i2.23519 [In Indonesian]
Natasya, O. R., & Lailiyah, S. (2024). Literature Review: Analisis Implementasi Kebijakan Pemberian Imunisasi Polio bagi Anak Usia 0–9 Bulan di Indonesia [Tinjauan Pustaka: Analisis Implementasi Kebijakan Pemberian Imunisasi Polio bagi Anak Usia 0–9 Bulan di Indonesia]. Jurnal Kesehatan Tambusai, 5(4), 11361–11371. https://doi.org/10.31004/jkt.v5i4.34484 [In Indonesian]
Nurlaelasari, E. (2024). Pengetahuan, Sikap dan Dukungan Keluarga dan Hubungannya dengan Perilaku Melengkapi Imunisasi Dasar Lengkap pada Bayi Usia 0-11 Bulan [Knowledge, Attitudes, and Family Support and Their Relationship with the Completion of Basic Immunization in Infants Age. Indonesia Journal of Midwifery Sciences, 3(3), hlm.475-485. https://doi.org/10.53801/ijms.v3i3.178 [In Indonesian]
Rusharyati, D., Novianto, W. ., & Imanullah, M. N. (2017). Perlindungan Hak Anak Dalam Pelaksanaan Program Imunisasi Di Kabupaten Karanganyar (Kajian Kasus Penolakan Imunisasi Anak Di Kabupaten Karanganyar) [Protection of Children’s Rights in the Implementation of the Immunization Program in Karanganyar Regency (. Jurnal Hukum Dan Pembangunan Ekonomi, 5(2). https://doi.org/10.20961/hpe.v5i2.18266 [In Indonesian]
Smith, L. E., Hodson, A., & Rubin, G. J. (2021). Parental attitudes towards mandatory vaccination; a systematic review. Vaccine, 39(30), hlm.4046-4053. https://doi.org/10.1016/j.vaccine.2021.06.018
Soekanto, S. (2022). Penelitian hukum normatif: suatu tinjauan singkat [Normative legal research: a brief overview]. Penerbit CV. Rajawali.
Trismayanti, N. M. R., -, I., & Setiawan, P. A. H. (2022). Informed Consent (Persetujuan Tindakan Kedokteran) Oleh Orang Tua Terhadap Anak Kandung Untuk Mewujudkan Perlindungan Anak [Informed Consent by Parents for Their Biological Children to Ensure Child Protection]. Simbur Cahaya, XXIX(2), hlm.185-196. https://doi.org/10.28946/sc.v29i2.2347 [In Indonesian]
Undang-Undang Republik Indonesia. (1945). Naskah Sesuai Lembaran Negara Republik Indonesia, No. 75, 1959 [Manuscript in accordance with the State Gazette of the Republic of Indonesia, No. 75, 1959].
Undang-Undang Republik Indonesia. (2009). Nomor 36 Tahun 2009 Tentang Kesehatan [Number 36 of 2009 concerning Health].
Undang-Undang Republik Indonesia. (2014). Nomor 35 Tahun 2014 Tentang Perubahan Atas Undang-Undang Nomor 23 Tahun 2002 Tentang Perlindungan Anak [Number 35 of 2014 concerning Amendments to Law Number 23 of 2002 concerning Child Protection].
Wahab, S., Idrus, I., Muliana, H., & Azzahra, N. (2023). Regulations for Organizing Immunizations in Indonesia. SOEPRA, 9(1), 9–20. https://doi.org/10.24167/sjhk.v9i1.5938
Wirasmi, S., Achadi, A., & Yulianto, A. (2022). Implementasi Manajemen dalam Program Imunisasi Dasar Lengkap di Puskesmas Jagasatru [Implementation of Management in the Complete Basic Immunization Program at the Jagasatru Community Health Center]. Gorontalo Journal of Public Health, 5(2), hlm.192-203. https://doi.org/10.32662/gjph.v6i1.2653 [In Indonesian]
Witri, R., & Putra, M. D. (2025). Immunization Rejection as a Parental Right and Children’s Right to Health in the Perspective of Health Law in Indonesia. Rechtsvinding, 3(1), hlm.11-16. https://doi.org/10.59525/rechtsvinding.v3i1.648
Zen, D. N., & Ramdani, D. R. (2020). Hubungan Tingkat Pengetahuan Ibu Tentang Imunisasi Campak Dengan Ketercapaian Imunisasi Campak di Wilayah Kerja Puskesmas Cipaku Kabupaten Ciamis Tahun 2020 [The Relationship Between Mothers’ Knowledge Levels Regarding Measles Immunization and Measles Imm. Jurnal Keperawatan Galuh, 2(2), 53. https://doi.org/10.25157/jkg.v2i2.4533 [In Indonesian]
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