Knowledge, attitudes and practices related to tetanus toxoid vaccination in women of childbearing age: A cross-sectional study in peri-urban settlements of Karachi, Pakistan

Shafiq, Yasir; Khowaja, Asif Raza; Yousafzai, Mohammad Tahir; Ali, Syed Asad; Zaidi, Anita K. M.; Saleem, Ali Faisal

doi:10.1177/1757177416689722

Cited by 17 publications

(19 citation statements)

References 21 publications

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“…This may be a function of their knowledge of the vaccine as found in this study and others [16,28]. While age and educational status were positive predictors for tetanus toxoid uptake in some studies, one study showed an inverse relationship between protective immunity for tetanus and increasing maternal age [29,30]. The differences in findings may be a function of the variation in the studied population characteristics and differences in study designs.…”

Section: Discussionsupporting

confidence: 51%

Knowledge and Behaviour Towards Tetanus Toxoid Immunisation in South-South, Nigeria: Findings from Antenatal Clinic Attendees

Abah

Asuquo²,

Inyang-Etoh³

2019

AJAS

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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.Â 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 (31.3%). There was a global positive attitude towards TT immunisation. The level of education but not age of respondents was statistically associated with being immunized (P=0.001).The study showed a fairly good awareness of tetanus infection and immunisation withÂ Â misconceptions and a good disposition unmatched by practice. There is therefore the need for proper health education especially on the number of doses, intervals/ schedules, the protection offered, as well as need for the evaluation of the content of health enlightenment information provided by health personnel to mothers attending ANCs

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Section: Discussionsupporting

confidence: 51%

Knowledge and Behaviour Towards Tetanus Toxoid Immunisation in South-South, Nigeria: Findings from Antenatal Clinic Attendees

Abah

Asuquo²,

Inyang-Etoh³

2019

AJAS

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“…The analysis revealed that age of the woman increased the odds of TT vaccine uptake. This was found also in two studies done in Ethiopia which concluded the signi cance of age in uptake of TT vaccine (15,16).…”

supporting

confidence: 61%

Predictors for Uptake of Tetanus Toxoid Vaccination During Pregnancy Among Women of Reproductive Age in Tanzania; An Analysis of Data from the 2015-16 Tanzania Demographic and Health Survey and Malaria Indicators Survey

Tungaraza¹,

Moshi²

2020

Preprint

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Background: Tetanus is a vaccine preventable disease. Tanzania through its Ministry of Health, Community Development, Gender, Elderly and Children (MoHCDGEC) recommend all women should receive at least five TT doses in their reproductive life. Little is known on predictors of TT uptake during pregnancy among women of reproductive age in TanzaniaMethod: The study used data from the 2015-16 Tanzania Demographic and Health Survey and Malaria Indicators Survey (2015-16 TDHS-MIS). A total of 6924women of active reproductive age from 15 to 49 were included in the analysis. Both univariate and multiple regression analyses were used to determine the predictors of TT uptake during pregnancy among women of reproductive age in Tanzania.Results: More than half, 3480 (50.3%) of the study population had either no or one tetanus injection. A total of 3444 (49.7%) had two or more tetanus injection during pregnancy. After adjusted for confounders, predictors of uptake of tetanus vaccination were early antenatal booking (AOR=1.174 at 95% CI=1.033-1.335, p=0.014), age group of women [ 20 to 34 years (AOR=1.433 at 95% CI= 1.155-1.778, p=0.001), more than 34 years (AOR=1.379 at 95% CI=1.065-1.786, p=0.015)], wealth index [ rich (AOR=1.261 at 95% CI= 1.083-1.468, p = 0.003)], parity [para 2-4 (AOR=0.401 at 95% CI=0.343-0.468, p<0.001), para 5 and above (AOR=0.217 at 95% CI=0.178-0.265, p<0.001)], level of education [ primary level, (AOR=0.864 at 95% CI=0.754-0.99, p=0.035)] zones [Unguja Zanzibar Island (AOR=0.434 at 95% CI=0.309-0.609, p<0.001), Pemba (Pemba Island) (AOR=0.34 at 95% CI=0.226-0.512, p<0.001)] and adequate ANC visits (AOR=0.649 at 95% CI=0.582-0.723, p<0.001)Conclusion: Antenatal care service utilization, including both timeliness and the number of ANC visits attended were found important predictors for TT vaccine uptake. Therefore, the responsible ministry of health in the country should strengthen the strategies in place to increase maternal awareness on importance of ANC service utilization.

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“…17 In addition to poor care-seeking for antenatal visits during pregnancy, the lower vaccination status is also influenced by inadequate vaccination-related knowledge, family structure, and decision-making in the local communities of Pakistan. 18 Similarly, the lack of awareness about the importance of TT vaccination was reported as the most common reason for low vaccination status. 14 Adequate knowledge and a better understanding of TT vaccination at the individual, community, and national levels may significantly help to improve TT coverage in Pakistan.…”

Section: Discussionmentioning

confidence: 99%

Increasing Frequency of Antenatal Care Visits May Improve Tetanus Toxoid Vaccination Coverage in Pregnant Women in Pakistan

Iqbal

Ali

Ekmekçioğlu

et al. 2020

Human Vaccines & Immunotherapeutics

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Objective Maternal and neonatal tetanus (MNT) elimination in low-income countries is a major aim of public health endeavors, due to poor vaccination status, lack of antenatal care, and unhygienic birth practices. The objective of this study, thus, was to assess the present state and factors associated with maternal tetanus toxoid (TT) vaccination in Pakistan. Methods Overall, 80 pregnant women (26 ± 4 y) during their last trimester were recruited from the district hospital Khanewal, Pakistan. The prevalence of vaccination was ascertained through clinical interviews and examination of health records from each participant. A questionnaire-based interview was conducted to assess the education level, antenatal visits, and sociodemographic variables related to vaccination coverage. A generalized linear model was used for statistical analyses. Results Seventy-nine percent of pregnant women were vaccinated with two doses of TT vaccine, while 16% of women were unvaccinated. Overall, 66% of pregnant women received two or more antenatal visits. Two and more than two antenatal visits during pregnancy were associated with significantly increased odds ratios for sufficient TT vaccination (OR = 1.60, CI [95%] 1.34–1.92 and OR = 1.61, CI [95%] 1.32–1.97, respectively) as compared to no or only one antenatal visit. Conclusion Regular antenatal care can improve vaccination coverage during pregnancy. Hence, reducing barriers for visiting antenatal care facilities could be key to reach the goal for MNT elimination.

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Knowledge, attitudes and practices related to tetanus toxoid vaccination in women of childbearing age: A cross-sectional study in peri-urban settlements of Karachi, Pakistan

Abstract: Low coverage of TT vaccine is largely influenced by poor knowledge, family structure and family decision-making in the local communities of Pakistan.

Cited by 17 publications

References 21 publications

Knowledge and Behaviour Towards Tetanus Toxoid Immunisation in South-South, Nigeria: Findings from Antenatal Clinic Attendees

Knowledge and Behaviour Towards Tetanus Toxoid Immunisation in South-South, Nigeria: Findings from Antenatal Clinic Attendees

Predictors for Uptake of Tetanus Toxoid Vaccination During Pregnancy Among Women of Reproductive Age in Tanzania; An Analysis of Data from the 2015-16 Tanzania Demographic and Health Survey and Malaria Indicators Survey

Increasing Frequency of Antenatal Care Visits May Improve Tetanus Toxoid Vaccination Coverage in Pregnant Women in Pakistan

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