Factors Associated with the Uptake of Antenatal Tetanus Toxoids Containing Vaccine by First-Time Mothers in Nigeria: Findings from the 2018 Nigerian Demographic Health Survey

Abstract

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 irrespective of current marital status was independently associated with number of and place of antenatal care. Other factors associated with receiving two doses of TTCV in all participants were ownership of mobile phones and region of residence. Among the currently married participants, wealth quintiles, region of residence, and having a polygamous family were additional associated factors. Conclusion. There was low uptake of the minimal required dosage of TTCV among first-time pregnant women with the lowest uptake in Northern regions relative to Southern regions. We recommend mixed methods studies to further explore the motivation behind TTCV uptake in pregnant women which can help guide future policies and interventions to improve uptake of tetanus immunization in Nigeria.

Prevalence and factors associated with rural mothers’ protection against tetanus: a cross-national analysis in 33 sub-Saharan African countries

“… 2 However, the result contradicts the findings of a multicountry study 16 that found that adults were more likely to be protected against tetanus than adolescent girls. Also, the finding contrasts with a related study from Nigeria 17 that found no significant association between age and the likelihood of being protected against tetanus. A plausible explanation for this association could be that health education on vaccination against tetanus often targets adolescent girls and young women due to their likelihood of engaging in risky behaviours such as unprotected sex and having multiple sexual partners.…”

Prevalence and correlates of tetanus toxoid uptake among women in sub-Saharan Africa: Multilevel analysis of demographic and health survey data

“…This finding corroborates with previous studies that found higher likelihood of tetanus toxoid vaccination uptake among women who were employed or working [17,40,41]. The financial earnings of working women could have empowered them with the purchasing power to afford transportation to the facility and cost of health services in situations where the services were not entirely free or not covered by health insurance [26,40,[42][43][44][45].…”

Early Initiation Breastfeeding Determinant Among Postpartum Mother in Tangerang City

“…Masih rendahnya angka cakupan IMD dalam penelitian ini dibandingkan angka cakupan provinsi dan nasional perlu mendapatkan perhatian karena keberhasilan IMD menjadi faktor penting keberhasilan dan keberlangsungan praktik ASI Eksklusif. 18,19 Selain itu IMD juga penting untuk mencegah mortalitas dan morbiditas bayi baru lahir karena dalam kolostrum yang dikonsumsi bayi saat Determinan Inisiasi Menyusui Dini Pada Ibu Postpartum Di Kota Tangerang (Apriningsih, dkk) IMD banyak mengandung protein whey dan mineral,dan probiotik yang sangat bermanfaat untuk imunitas bayi. 20 Ibu post partum yang berhasil melakukan IMD juga terhindar dari risiko menderita depresi post partum.…”