Title : Tetanus toxoid immunization coverage and associated factors among postnatal mothers
Abstract:
The risk of neonatal tetanus infection will be reduced while the pregnant women took two doses of maternal tetanus toxoid vaccine. However, low levels of immunization coverage, mostly due to missed opportunities, are a concern. This study was conducted among 505 mothers who had given birth in the last 12 months. A two-stage stratified sampling technique was applied and the participants were selected using a systematic random sampling technique. Bivariable and multivariable logistic regression analysis was performed. Adjusted odds ratios (AORs) at 95% CIs were used to identify factors associated with tetanus toxoid immunization. The total tetanus vaccine intake (TT+2) doses were found 71.2 %. Mothers who were attended primary school [AOR: 0.07,95% CI: (0.01-0.6)], mothers whose husbands had secondary education [ AOR: 0.26, 95% CI: (0.08-0.84)], mothers attended 2-3 for antenatal care(ANC) visit [AOR: 0.05,95% CI: (0.01-0.3)], good quality service [AOR: 2.8, 95% CI: (1.05-7.5)], appropriate behavior of health workers [AOR: 6.2, 95% CI: (2.2-18.7)] and who visited with health extension workers [AOR: 7.6, 95% CI: (2.3-25.3)] were significantly associated with TT vaccine utilization. In conclusion, only three out of four pregnant women received the current TT vaccine during their previous pregnancy. The most influencing factors in TT vaccine utilization were the mother and her husband’s low educational level, 2-3 times ANC visit during pregnancy, the standard of health care service, the health care provider's behavior, and the mother's visit with health extension staff.
