Factors influencing TT immunization coverage and protection at birth coverage in Tselemti District, Ethiopia

Kidane, Teklay

doi:10.4314/ejhd.v18i3.9950

Cited by 11 publications

(18 citation statements)

References 3 publications

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“…Our finding indicated TT immunization utilization status was relatively lower compared to the national 49% reported by the Ethiopian Demographic and Health Survey (EDHS) of 2016 [ 17 ] and a prevalence of 60.8% from other parts of the country [ 19 ]. This disparity might be due to lack of uniform performance commitment to implement TT vaccination services in all regions of the country.…”

Section: Discussionmentioning

confidence: 60%

“…We collected data by using a semi-structured interviewer administered questionnaire. The questionnaire was adopted from the Ethiopian demographic and health survey and other related literature [ 10 , 19 , 20 , 24 – 26 ]. We employed a face-to-face interviewer administered data collection technique.…”

Section: Methodsmentioning

confidence: 99%

“…Evidences show that a range of determinant factors affect the utilization of TT immunization. For instance, women’s education and their wealth index can impose variations in immunization coverage [ 17 , 19 , 20 ]. Mothers’ immunization status also differs from urban to rural as well as from one part of the country to the other [ 21 , 22 ].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Determinants and perceptions of the utilization of tetanus toxoid immunization among reproductive-age women in Dukem Town, Eastern Ethiopia: a community-based cross-sectional study

Anatea

Mekonnen

Dachew

2018

BMC Int Health Hum Rights

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BackgroundMaternal and neonatal tetanus (MNT) is still the major public health problem in about 25 countries, mainly in Africa and Asia. However, the utilization of intervention strategies, like tetanus toxoid (TT) immunization remains low in these countries. In Ethiopia, only 49% of the pregnant mothers received TT2+ in 2016. This study was designed to evaluate perceptions and factors affecting the utilization of TT immunization among reproductive-age women in Dukem town, Eastern Ethiopia, 2016.MethodsWe conducted a community-based cross-sectional study from May to October 2016. A simple random sampling method was employed to select samples of 422 women. Data were collected using a, pretested semi-structured and a face-to-face interviewer-administered questionnaire. We entered data in to Epi Info version 7 and analyzed them by SPSS version 20 software. Odds ratios and a 95% CI at 0 < 0.05 p-value were calculated to ascertain the significance of associations.ResultsResponse rate was 98.6% (N = 416). Mean age with standard deviation was 29.25± 5.11 years, and average family size was 4.19. Our study showed the utilization of TT immunization was 39.2% (N = 163). Of the participants, 33.9% (N = 141) had never been vaccinated. ANC follow up service [AOR: 2.56, 95% CI: (1.18, 5.49)], distance from health facilities [AOR: 2.27, 95% CI: (1.27, 4.09)], knowing vaccination date [AOR: 1.98, 95% CI: (1.23, 3.18)], having a TV set in the house [AOR: 1.80, 95% CI: (1.11, 2.917)], maternal education [AOR: 1.41, 95% CI: (1.84, 2.30), and place of delivery [AOR: 1.19, 95% CI: (1.00, 1.43)] were factors significantly associated with the utilization of TT immunization.ConclusionsThis study indicated the utilization of TT immunization was low. ANC service follow up, distance from health facilities, knowing vaccination date, having a TV in the house, mothers’ educational status, and place of delivery were significant predictors. Our study suggests that policymakers and other stakeholders should consider the need for increasing access to maternal education, like basic adult education, ANC follow up services, providing accessible health facilities, improving varieties of communication media, promoting female occupational status, and providing appropriate vaccination cards.

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Section: Discussionmentioning

confidence: 60%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Determinants and perceptions of the utilization of tetanus toxoid immunization among reproductive-age women in Dukem Town, Eastern Ethiopia: a community-based cross-sectional study

Anatea

Mekonnen

Dachew

2018

BMC Int Health Hum Rights

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“…Four studies assessing patient barriers to TTV uptake in two SSA countries (Kenya [27] and Ethiopia [28]) and two Asian countries (Bangladesh [29] and India [30]) were used for this review. These studies identified factors having a significant association with receiving at least 2 doses of TTV by multivariable logistic regression analysis (Table 3).…”

Section: Patient Barriersmentioning

confidence: 99%

“…An explanation is that in rural areas, outreach activities call out all women to immunization sites whereas urban mothers receive TTV when voluntarily attending ANC leading to variations in vaccine coverage between urban and rural areas [28]. This is an important aspect to consider for maternal immunization to ensure adequate coverage in both urban and rural areas.…”

Section: Patient Barriersmentioning

confidence: 99%

Determinants of maternal immunization in developing countries

Pathirana¹,

Nkambule²,

Black³

2015

Vaccine

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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

Gessesse

Yismaw

et al. 2021

Clinical Epidemiology and Global Health

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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,) 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.

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Factors influencing TT immunization coverage and protection at birth coverage in Tselemti District, Ethiopia

Cited by 11 publications

References 3 publications

Determinants and perceptions of the utilization of tetanus toxoid immunization among reproductive-age women in Dukem Town, Eastern Ethiopia: a community-based cross-sectional study

Determinants and perceptions of the utilization of tetanus toxoid immunization among reproductive-age women in Dukem Town, Eastern Ethiopia: a community-based cross-sectional study

Determinants of maternal immunization in developing countries

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

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