Lansia merupakan kelompok rentan akan penyakit Coronavirus Disease 2019 (Covid-19). Berbagai upaya pencegahan dan peningkatan kesehatan masyarakat kelompok lansia dalam menanggulangi Covid-19 telah diupayakan, salahsatunya adalah dengan dijadikan sebagai sasaran prioritas program vaksinasi Covid-19. Pada pertengahan program yang mana ditargetkan mencapai 90% cakupan dosis 1 pada bulan Juni, baru sekitar 31% lansia di Kota Bandung yang menerima vaksin dosis 1. Cakupan program di kecamatan Astanaanyar hingga bulan Juni sendiri baru mencapai 23%. Rendahnya cakupan program ini dapat disebabkan oleh berbagai faktor yang perlu penjabaran. Penelitian ini merupakan studi kualitatif dengan metode Rapid Assessment Procedure dengan informan 10 orang lansia dan informan kunci 4 orang pendamping lansia dan 4 orang penanggung jawab program vaksinasi Covid-19 di Puskesmas yang bertujuan untuk mengetahui analisis determinan pemanfaatan layanan vaksinasi Covid-19 pada Lansia di Kecamatan Astanaanyar Tahun 2021. Berdasarkan penelitian didapatkan hasil bahwa faktor yang paling berperan dalam pemanfaatan layanan vaksinasi Covid-19 pada lansia di Kecamatan Astanaanyar adalah faktor predisposisi (kepercayaan terhadap layanan) dan kebutuhan (persepsi mengenai penyakit dan kerentanan), daripada faktor pendukung (ketersediaan sumber daya keluarga, ketersediaan sumber daya pendukung layanan dan aksesibilitas). Disarankan kepada puskesmas untuk melakukan advokasi, pembinaan serta pemberdayaan kepada masyarakat dan pemerintah kelurahan/kecamatan untuk meningkatkan keikutsertaannya dalam mendorong program.

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The elderly are a vulnerable group for Coronavirus Disease 2019 (Covid-19). Various efforts to prevent and improve the health of elderly in order to tackling Covid-19 have been pursued, including made those group as a priority target for the Covid-19 vaccination program. In the middle of the program, which is targeted to reach 90% coverage of first dose in June, only about 31% of the elderly in the Bandung city has been received first dose of the vaccine. The low coverage of this program can be caused by various factors that needed to be explained. This research is a qualitative study using the Rapid Assessment Procedure method with 10 elderly informants, 4 elderly companions and 4 people in charge of the Covid-19 vaccination program at the public health center as key informants. This study aims to determine the analysis of determinants of utilization of Covid-19 vaccination services for the elderly in Astanaanyar district in 2021. Based on the research, it was found that the factors that most played a role in the utilization of Covid-19 vaccination services for the elderly in Astanaanyar District were predisposing factors (trust in services) and needs (perceptions of disease and vulnerability), rather than enabling factors (availability of family resources, availability of enabling resources of services and accessibility). It is suggested to the public health center to do advocacy, coaching and empowering the community and the sub-district/district government to increase their participation in supporting and encouraging the program.