Regional disparities and their contribution to the coverage of the tetanus toxoid vaccine among women aged 15–49 years in Indonesia

Abstract

Background: The prevention of Clostridium tetani bacterial infection through the administration of the tetanus toxoid (TT) vaccine in women is important. The purpose of this study was to determine the regional disparities and factors associated with TT vaccine coverage in women aged 15–49 years in Indonesia. Methods: The Indonesian Demographic Health Survey (IDHS) 2017 data was used in this study. A total of 36,028 women, aged 15–49 years were recruited using the two-stage stratified cluster sampling technique. The questionnaire used was based on the DHS Questionnaire Phase 7. Chi-squared and binary logistic regression were used in this study as part of the analysis. Results: We found that the TT vaccine coverage was 75.32% and that the majority were spread across several provinces. The provinces of Bali and Nusa Tenggara, the richer respondents, living in a rural area, visiting the health facility, having health insurance, and those currently working were factors making it more likely that the women would receive the TT vaccine. The respondents aged 15–24 years with a primary education level and the respondents who were divorced were less likely to receive the TT vaccine. Conclusion: The coverage of the TT vaccine among women can be increased by considering the regional disparities in Indonesia and the socio-economic demographic details of the respondents. Strengthening the policies from the central government in the local governments can improve the screening process and vaccine delivery outcomes. In addition, the importance of giving the TT vaccine to women needs to be relayed through health education in collaboration between health workers and the public.

Health Systems Determinants of Delivery and Uptake of Maternal Vaccines in Low- and Middle-Income Countries: A Qualitative Systematic Review

“…Reports on the effect of contextual variables such as level of maternal education, access to transport and place of residency (urban versus rural) varied across the included studies. In South American countries, Kenya and Ethiopia , increased vaccine coverage was associated with urban residency, as pregnant women in rural areas reported extreme distances to ANC facilities [48,52,86,87], whereas in Indonesia [88], rural residency was associated with increased coverage and uptake. In Kenya, a higher level of education among pregnant women was associated with low acceptance of vaccination services [59].…”

Tetanus Toxoid Injection During Last Pregnancy Among Women in Reproductive Age in Nepal

“…In Ethiopia, knowledge and uptake of the TT vaccine among reproductive age women have been assessed, revealing that barriers to access, especially to the monovalent tetanus vaccine, pose challenges in achieving universal coverage of the vaccine (Gelaw et al, 2022;Xu et al, 2021;Teshale & Tesema, 2020). Moreover, regional disparities have been identified as contributing to the coverage of the tetanus toxoid vaccine among women aged 15-49 years in Indonesia, indicating that geographical factors may act as barriers to vaccination (Arifin et al, 2021).…”

Relationship between nurses knowledge level and workload about implementation of patient identification

“…5 There are several factors that can influence patient identification, including policies or regulations, standard operating procedures (SOPs), nurse knowledge, nurse skills, and patient education. 6,7 One important factor that can affect patient safety is the knowledge level of nurses. 8 When nurses have good knowledge about the identification process and understand when and how to perform patient identification, it is crucial for successful patient identification.…”