International Journal of Health Sciences and Research

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Original Research Article

Year: 2018 | Month: January | Volume: 8 | Issue: 1 | Pages: 148-154

Tetanus Toxoid Vaccination Coverage and Associated Factors among Pregnant Women in Duguna Fango District, Southern Ethiopia

Wolde Facha1, Bereket Yohannes1,2,3, Geleta Duressa4

1School of Public Health, Wolaita Sodo University, Wolaita Sodo, Ethiopia
2School of Public and Environmental Health, Hawassa University, Hawassa, Ethiopia
3Centre for International Health, University of Bergen, Bergen, Norway
4Duguna Fango District Health office, Bitana, South Ethiopia

Corresponding Author: Wolde Facha


Two doses of maternal tetanus toxoid vaccination to pregnant women can reduce much of neonatal tetanus infection. However, low level of this immunization coverage often due to missed opportunities is a problem in Ethiopia. Therefore, this study aimed to assess tetanus toxoid vaccination coverage during pregnancy and associated factors among women in Duguna Fango district, Southern Ethiopia. We conducted a community based survey in April, 2016 involving 462 women. A multi-stage cluster sampling was used to select the study participants. Data was collected by using interviewer administered questionnaire, entered in Epi info version 3.5.4, and analyzed in SPSS version 20. Bivariate and multivariate logistic regression was applied to identify predictors after adjusting for potential confounders. We reported Adjusted Odds Ratio (AOR) with 95% confidence intervals (CI). About 69.3% women who had child birth in the last one year had two and more tetanus toxoid vaccination. Women who received advice on tetanus toxoid vaccination [AOR=7.15 (CI: 3.29, 15.52)], recent child birth at health facility [AOR=1.87(CI= 1.22, 2.87)], and good knowledge on tetanus toxoid vaccination [AOR=2.45(1.59, 3.75)] were independent predictors for tetanus toxoid vaccination coverage in this study. About 49.4% of children who were born in the last pregnancy were protected from tetanus at birth. Institutional delivery, maternal knowledge and health workers advice on tetanus vaccination were major predictors for tetanus toxoid vaccination coverage among women in their recent pregnancy. Tetanus toxoid vaccination and institutional delivery should be strengthened for women to protect their children at birth against neonatal tetanus.

Key words: Tetanus Toxoid; vaccination; immunization; missed opportunities

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