Tetanus Toxoid Status and Determinants of Uptake among Women in Etche Local Government Area, Rivers State, Nigeria: A Community Based Study (original) (raw)
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Journal of Complementary and Alternative Medical Research, 2017
Aims: To assess Tetanus Toxoid (TT) vaccination uptake and dosage completion among women of reproductive age in Ilorin west Local Government area of Kwara state. Study Design: A cross-sectional study. Place and Duration of Study: Ilorin west local government, kwara state between Nov 2015 and March 2016. Methodology: The study involved women of reproductive age between 15-49 years in randomly selected in Ilorin west local government of Kwara state. The instrument was contracted to measure participants' level of awareness of TT vaccine, uptake of the vaccine and level of completion of vaccine dosage. Data collected was analysed using Statistical Package for Social Science (SPSS) version 21. Results: There were 377 women in this study. Majority of respondents (75.6%) were between the age of 26 and 35 years old and more than half (68.2%) were married with a proportion of 45.3%
PLOS ONE, 2023
Background Tetanus toxoid vaccination is one of the most effective and protective measures against tetanus deaths among mothers and their newborns. We examined the prevalence and correlates of tetanus toxoid uptake among women in sub-Saharan African (SSA). Materials and methods We analysed pooled data from the Demographic and Health Surveys (DHS) of 32 countries in SSA conducted from 2010 to 2020. We included 223,594 women with a history of childbirth before the survey. Percentages were used to present the prevalence of tetanus toxoid vaccine uptake among the women. We examined the correlates of tetanus toxoid uptake using a multilevel binary logistic regression. Results The overall prevalence of tetanus toxoid uptake was 51.5%, which ranged from 27.5% in Zambia to 79.2% in Liberia. Women age, education level, current working status, parity, antenatal care visits, mass media exposure, wealth index, and place of residence were the factors associated with the uptake of tetanus toxoid among the women. Conclusion Uptake of tetanus toxoid vaccination among the women in SSA was low. Maternal age, education, current working status, parity, antenatal care visits, exposure to mass media, and
Journal of Pregnancy
Background. Maternal and neonatal tetanus remains a public health problem in low-and-middle-income countries despite the increasing investment in tetanus toxoid containing vaccines (TTCV). Nigeria still records fatalities from tetanus, predominantly in women of reproductive age and in newborns. This is largely due to poor access to vaccinations and high rates of unsupervised labour and childbirth. We aim to investigate the antenatal uptake of TTCV and associated factors among first-time pregnant women in Nigeria. Methods. Data obtained from the 2018 Nigeria Demographic Health Survey (NDHS) was used to generate a list of eligible patients who in the last five years had undergone their first childbirth experience. Data was analysed using univariable and multivariable analyses and reported using a 95% confidence interval. Results. A total of 3640 participants were included in the analysis. 59.6% (95% CI, 57.6-61.8) of participants had received at least two doses of TTCV. Uptake of TTCV...
Asian Journal of Applied Sciences, 2019
Tetanus infection has remained a major health problem in the third world countries despite the availability and accessibility of effective antibodies as vaccines. The knowledge of women about the diseases may affect their behavior with regards to prevention of the disease. This was a descriptive cross sectional study to assess the knowledge and behavior towards tetanus toxoid immunization by 252 antenatal clinic attendees in two health facilities Uyo metropolis. The majority of respondents had heard about Tetanus infection 247(98.1%) and tetanus toxoid (97.2%), with Health workers being the main source of information 213 (85.9%). Most, 228(90.5%) knew it is for prevention, while only 80 (31.7%) were aware 5 doses confer lifetime immunity. Most of the women 236 (93.7%) had received at least a dose of TT; 123(52.1%) had up to 5 doses, while 184(78%) claimed they had completed the immunisation schedule. The commonest reason some had not received any was its not being offered to them (...
Journal of Drug Delivery and Therapeutics, 2018
Background: Despite the availability of inexpensive and effective tetanus-toxoid-containing vaccines, elimination of maternal and neonatal tetanus worldwide has become a herculean task, particularly in low-income countries, due to poor immunization coverage. This study aimed to assess the perception and utilization of tetanus toxoid immunization among pregnant women attending a tertiary centre in North-West Nigeria. Materials and Methods: A cross-sectional study was conducted among 254 pregnant women (selected by systematic sampling technique) attending the antenatal clinic of Specialist Hospital, Sokoto, Nigeria. A structured interviewer-administered questionnaire was used to collect data on the research variables. Data were analyzed using IBM SPSS version 20 statistical computer software package. Results: Most, 221 (87.0%) of the 254 respondents had heard of tetanus toxoid immunization. Of these, only about half (51.1%) believed that it protects both mother and newborn baby from t...
Annals of Health Research
Background: Maternal anti-tetanus vaccination is required to prevent maternal and neonatal tetanus. In the absence of lifetime protective dosing, repeat vaccination in every new pregnancy is needed to achieve protection of the newborn against tetanus. Objectives: To determine maternal anti-tetanus vaccination schedule completion rates and the reasons for non-completion of the schedule. Methods: This cross-sectional survey was conducted among Nigerian antenatal clinic attendees using an interviewee-administered questionnaire. Results: Most (291/347; 83.9%) respondents had received a TT vaccine in the index pregnancy, and 280/347 (80.7%) received their first TT injection at the booking visit. In comparison, 202/238 (84.9%) of those eligible had received tetanus toxoid protective immunisation (TTPDI) in the index pregnancy. Although a majority (301/347; 86.7%) of the respondents had received at least a dose of TT in a previous pregnancy, only 23/246 (9.3%) eligible pregnant women had r...
Coverage and determinants of protective dose tetanus toxoid vaccine among postnatal women delivered at university of Gondar comprehensive specialized hospital, northwest Ethiopia, 2019, 2021
Background: Even though there have been tremendous strides globally in reducing the burden of tetanus, neonatal deaths due to tetanus have reported annually, and most deaths occur in sub-Saharan Africa which accounts for nearly half of the global neonatal mortality by tetanus. Immunization of pregnant women or women of childbearing age with at least two doses of tetanus toxoid is estimated to reduce mortality from neonatal tetanus by 94%. Despite its importance, immunization programs are suboptimal in Ethiopia, where more than 85% of the population have resides in rural districts. Therefore, this study has been used to determine the coverage and determinants of protective dose tetanus vaccine among postnatal women and design a strategy to maximize the service. Methods: Institution-based cross-sectional study was conducted from December 20-June 20, 2019. The sample was taken using a systematic random sampling method. To collect data from the study participants, a semistructured interviewer-administered and pre-tested questionnaire was used. The data were entered into Epi info version 7.0 and then exported to SPSS version 20.0 for analysis. Logistic regressions analysis was conducted and the level of statistical significance was determined by a p-value of less than 0.05. Results: The proportion of immunization with Tetanus toxoid protective dose was 69.8% (95% CI: 65.2-74.0). Urban residence (AOR = 3.626, 95%CI: 1.510-8.707), husband's having secondary education (AOR = 7.397, 95%CI: 1.873-29.211), husband's having tertiary education (AOR = 9.539, 95%CI: 2.277-39.969), women stated that the provision of TT vaccine service was good (AOR = 3.978, 95%CI 1.303-12.146) and mother stated health care workers who provide TT vaccine were good in their behavior (AOR = 4.259, 95%CI: 1.913-9.484) were factors influencing utilization of TT protective dose immunization. Conclusion: The proportion of TT protective dose immunization in the study area was found to be low. Being Urban residence, secondary and tertiary levels of the husband's educational status, women who stated that 'the provision of TT vaccine service was good' and "health care workers who provide TT vaccine were good in their behavior were statistically significant factors influencing TT protective dose immunization. Thus, it is better to strengthening education and empowering women to enhance vaccine utilization. Besides, promoting husband's education and creating community awareness particularly rural residents are better options to increase utilization of TT protective dose vaccine.
BMC Public Health, 2020
Background Immunization of women during pregnancy to protect them and their infants against tetanus, pertussis and influenza is recommended by the World health Organization (WHO). However, there is limited information about the coverage rate and associated factors in low-income countries. The aim of this study was to measure the prevalence and predictors of taking tetanus toxoid among pregnant women in Sierra Leone. Methods This study was based on the fifth round of Multiple Indicator Cluster Survey (MICS 5) conducted in Sierra Leone in 2017. In total 8722 women aged between 15 and 49 years were included in this study. Outcome variable was taking of Tetanus Toxoid vaccination during the last pregnancy. Data were analyzed using cross-tabulation and logistic regression methods. Results The overall prevalence of receiving TT immunization during women’s last pregnancy was 96.3% and that of taking at least two doses was 82.12%. In the regression analysis, women from Mende ethnicity had a...
Advances in Preventive Medicine
Introduction. Tetanus vaccination plays an important role in the fight against neonatal mortality. Our study aimed to determine the noncompletion rate of the 3rd dose of tetanus toxoid vaccine (TTV) and to analyze the associated factors in pregnant women. Methods. This was a cross-sectional study conducted in 2 hospitals of Dschang Health District and targeting all women at least in their second gestation coming for antenatal consultation. Upon informed consent by the participant, a prepared questionnaire was administered. The collected data was analyzed using SPSS v22.0 with results presented in means and proportions. Logistic regression was used at two levels to identify independently associated factors for noncompletion of the third dose of TTV with a significance set at 5%. Results. A total of 380 pregnant women were recruited in this study of mean age 27 ± 5.2 yrs, 70% being married, more than 80% having at least secondary education, and 31.8% of them being students. It was not...