Coverage and determinants of protective dose tetanus toxoid vaccine among postnatal women delivered at university of Gondar comprehensive specialized hospital, northwest Ethiopia, 2019

Gessesse, Dereje Nibret; Yismaw, Ayenew Engida; Yismaw, Yazachew Engida; Workneh, Tadesu Wondu

doi:10.1016/j.cegh.2021.100814

Cited by 12 publications

(15 citation statements)

References 19 publications

(45 reference statements)

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“…Specifically, urban women in Benin and the rest of SSA enjoy improved access to health information and health care facilities and personnel. This urban bias in access to health care resources may work to increase their chances of receiving the range of vaccinations including TT before and during pregnancy and after birth relative to their rural counterparts where such health care facilities and personnel are mostly lacking [ 25 , 26 , 27 ].…”

Section: Discussionmentioning

confidence: 99%

Maternal Tetanus Toxoid Vaccination in Benin: Evidence from the Demographic and Health Survey

et al. 2022

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Tetanus toxoid vaccination is critical for improving maternal and child health. Yet, the prevalence and correlates of maternal tetanus toxoid vaccination coverage remain largely underexplored in Benin where infant and child mortality rates are high. Using the 2017–18 Benin Demographic and Health Survey, we apply logistic regression analysis to address this void in the literature. We find that overall maternal vaccination coverage is 69%. A range of demographic, health care, and socioeconomic factors are associated with maternal tetanus toxoid vaccination coverage. Women aged 20–34 (OR = 0.84, p < 0.05) and 35–49 (OR = 0.63, p < 0.01) are less likely to receive tetanus toxoid vaccination in comparison to those aged 15–19. Health care factors are also significantly associated with maternal tetanus toxoid vaccination, indicating that women who deliver at home (OR = 0.20, p < 0.001) and visit antenatal care fewer than eight times (OR = 0.62, p < 0.001) are less likely to receive tetanus toxoid vaccination than their counterparts who deliver in a health facility and visit antenatal care eight times or more. We also find that women with secondary (OR = 0.54, p < 0.05), primary (OR = 0.47, p < 0.01), and no education (OR = 0.47, p < 0.01) are less likely to receive tetanus toxoid vaccination compared to their counterparts with higher education. Based on these findings, we discuss several implications for policymakers.

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Section: Discussionmentioning

confidence: 99%

Maternal Tetanus Toxoid Vaccination in Benin: Evidence from the Demographic and Health Survey

et al. 2022

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“…The overall TT vaccination coverage among pregnant women in Ethiopia was 42.4% which is lower than the study conducted at the University of Gondar Comprehensive Specialized Hospital, Ethiopia 69.8% [ 17 ], in Southern Ethiopia 51.8 [ 13 ], 72.5% [ 14 ], India 68% [ 2 ], Sudan 60% [ 18 ] and Sera Leon 82.12% [ 19 ]. The finding from this study is also far below the WHO recommendation, which states 80% immunization coverage to achieve neonatal tetanus elimination [ 7 ].…”

Section: Discussionmentioning

confidence: 94%

Spatial distribution and determinants of tetanus toxoid immunization among pregnant women in Ethiopia using data from Ethiopian demographic and health survey 2016

Fentie,

Alemu,

Techane

et al. 2023

BMC Pregnancy Childbirth

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Introduction Tetanus is a major public health problem caused by clostridium tetani. Although it is vaccine-preventable, the case fatality rate among neonates in areas with poor immunization coverage and limited access to clean deliveries reaches 80-100%. Vaccination of pregnant mothers with the tetanus toxoid (TT) vaccine is the most effective way to protect against neonatal tetanus. This study aimed to examine the spatial distribution and determinants of tetanus toxoid immunization among pregnant mothers using the 2016 EDHS data. Method Secondary analysis of the Ethiopia Demographic and Health Survey 2016 was done to assess the spatial distribution and determinants of tetanus toxoid vaccine among pregnant women in Ethiopia. Spatial autocorrelation analysis and hot spot analysis were used to detect spatial dependency and spatial clustering of the tetanus toxoid vaccine in Ethiopia. Spatial interpolation was used to predict the tetanus toxoid vaccine coverage in unsampled areas. The multilevel binary logistic regression model was fitted to identify factors associated with tetanus toxoid vaccination. An adjusted odds ratio with 95% CI was calculated and used as the measure of association and a p-value less than 0.05 were considered statistically significant. Result From the total of 7043 pregnant women, 42.4% of them have taken at least two doses of tetanus toxoid immunization. Spatial clustering of TT immunization was observed in the Northern, Southwestern and Southwestern parts of Ethiopia. Whereas, low TT coverage was observed in the Eastern and Western parts of the country. Increased ANC visits and the richest economic status favored TT immunization, whereas living in Addis Ababa and Dire Dewa cities decreased the TT immunization coverage. Conclusion The finding of this study reveals that TT immunization had spatial dependency, with the highest immunization coverage observed in the Northern, Southwestern and Southeastern parts of the Country. Thus, geographically targeted interventions should be implemented particularly in the eastern and western parts of the country.

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“…Of the socio-demographic factors, maternal literacy, 12–14 young age, 12–15 higher family income, 14 and dwelling in an urban area 16 , 17 were factors that positively influenced the uptake of TT immunization. Higher numbers of antenatal care (ANC) visits, 12–15 , 18 multiparty, 12 , 16 giving birth in a health facility, 12 having a postnatal care (PNC) visit, 18 and having a plan for childbirth were obstetric factors that positively influenced the uptake of TT immunization. 15 In addition, maternal knowledge about TT immunization, 17 , 19 , 20 being exposed to information about TT immunization, 13 , 15 and long distances to a health facility 13 , 16 were also found to be factors predicting the utilization of TT immunization.…”

Section: Introductionmentioning

confidence: 99%

Protective doses of tetanus toxoid immunization and its associated factors among mothers in southern Ethiopia

Gembe,

Wosenyeleh,

Gezimu

2024

Human Vaccines & Immunotherapeutics

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The World Health Organization recommends tetanus toxoid immunization before or during pregnancy for all women of childbearing age. The goal is to reduce maternal and neonatal mortality due to tetanus. According to the 2016 Ethiopia Demographic and Health Survey (EDHS) report, more than half (51%) of women did not receive protective doses of tetanus immunization. To the best of our knowledge, this study uniquely tried to assess the level of protective doses of tetanus toxoid immunization in southern Ethiopia. A community-based cross-sectional study was conducted among 580 randomly selected participants. Variable with p -value of less than .25 in the bivariate analysis were included in the multivariable logistic regression analysis. Finally, statistical significance was declared at a p -value of less than .05. The proportion of protective doses of tetanus toxoid immunization uptake in the area was found to be 41.9% (95% CI: 38–46%). Being enrolled in formal education [AOR = 6.55, 95% CI: 3.23–9.01], having at least two postnatal care visits [AOR = 3.82; 95% CI: 1.78–6.40], having at least four antenatal care visits [AOR = 2.56; 95% CI: 1.41–4.34], and being visited by Health Extension Workers [AOR = 2.66; 95% CI: 1.42–4.01] were found to be factors enhancing the uptake of protective doses of tetanus toxoid immunization. Generally, the uptake or prevalence of the protective doses of tetanus toxoid immunization in the area was lower than the World Health Organization’s target. Therefore, all responsible bodies, including healthcare providers, need to strengthen counseling mothers to enhance the uptake of tetanus toxoid immunization.

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Coverage and determinants of protective dose tetanus toxoid vaccine among postnatal women delivered at university of Gondar comprehensive specialized hospital, northwest Ethiopia, 2019

Cited by 12 publications

References 19 publications

Maternal Tetanus Toxoid Vaccination in Benin: Evidence from the Demographic and Health Survey

Maternal Tetanus Toxoid Vaccination in Benin: Evidence from the Demographic and Health Survey

Spatial distribution and determinants of tetanus toxoid immunization among pregnant women in Ethiopia using data from Ethiopian demographic and health survey 2016

Protective doses of tetanus toxoid immunization and its associated factors among mothers in southern Ethiopia

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