Tetanus vaccination status and its associated factors among women attending a primary healthcare center in Cairo governorate, Egypt

Hassan, Azza; Shoman, Ahmed E.; Abo-Elezz, Nahla F.; Amer, Marwa M.

doi:10.1097/01.epx.0000491267.30015.2a

Cited by 13 publications

(17 citation statements)

References 6 publications

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“…In this study mothers having primary, and secondary and above education were more likely to have births protected against NT as compared to those mothers with no formal education. This finding is in line with studies done in Egypt [15], Nigeria [17], and Ethiopia [18]. The possible explanation might be that educated mothers might generally have greater knowledge and awareness regarding the benefits of immunization.…”

Section: Discussionsupporting

confidence: 91%

“…Evidences revealed different determinants of births protected against NT such as maternal age [14], maternal education [15][16][17][18], maternal occupation [17,19], marital status [17,20], wealth status [19][20][21], birth order [19], antenatal care (ANC) [19,22,23], distance from the health facility [16,21,23], media exposure [22,[24][25][26], residence [14], and region [24,27,28].…”

Section: Introductionmentioning

confidence: 99%

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Determinants of births protected against neonatal tetanus in Ethiopia: A multilevel analysis using EDHS 2016 data

Teshale

Tesema

2020

PLoS ONE

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Background Even though there is low coverage of maternal health services such as antenatal care and skilled birth attendant delivery as well as poor sanitary practice during delivery in Ethiopia, the proportion of births protected by the tetanus vaccine is low. Thus, this study aimed to investigate the determinants of births protected against neonatal tetanus in Ethiopia. Objective To assess the determinants of births protected against neonatal tetanus in Ethiopia. Method The study was based on secondary data analysis of the Ethiopian Demographic and Health Survey 2016 data. A weighted sample of 7590 women who gave birth within five years preceding the survey was used for analysis. We conducted a multilevel analysis, due to the hierarchical nature of the data. Variables with p-value <0.05 in the multivariable analysis were declared to be significantly associated with having births protected against neonatal tetanus. Result In this study, mothers with primary education [adjusted odds ratio (AOR) = 1.23; 95%CI: 1.04, 1.44] and secondary and above education [AOR = 1.36; 95%CI: 1.06, 1.73], media exposure [AOR = 1.35; 95%CI: 1.15, 1.58], not perceiving distance from the health facility as a big problem [AOR = 1.24; 95%CI: 1.08,1.42], one antenatal care (ANC) visit [AOR = 1.56; 95%CI: 2.71, 4.68], two to three ANC visit [AOR = 11.82; 95%CI: 9.94,14.06], and four and more ANC visit [AOR = 15.25; 95%CI: 12.74, 18.26], being in Amhara [AOR = 0.59; 95%CI: 0.38,0.92], Afar [AO = 0.41; 95%CI: 0.25,0.66], and Harari [AOR = 1.88; 95%CI: 1.15,3.07] regions, being in communities with higher level of women education [AOR = 1.25; 95%CI: 1.03,1.52], and higher level of media exposure [AOR = 1.22; 95%CI: 1.01,1.48] were significant predictors of having a protected birth against neonatal tetanus. Conclusion In this study, both individual level and community level factors were associated with having protected birth against neonatal tetanus. Therefore, strengthening maternal health services such as ANC visits and interventions related to increasing media campaigns regarding tetanus could increase the immunization against tetanus among reproductive-age women. In addition, it is also better to give attention to those reproductive age group women from remote areas and also better to distribute maternal services fairly and equally between regions.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Determinants of births protected against neonatal tetanus in Ethiopia: A multilevel analysis using EDHS 2016 data

Teshale

Tesema

2020

PLoS ONE

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“…A significant relationship was found between TTV intake and socio-economic level in the current study and in a previous Egyptian study conducted in 2016 [15]. Our findings showed that low socio-economic level was a significant predictor of being immune (TTV2+), which gives a hint that different messages are given to pregnant women according to their socio-economic level and intended place of delivery, where women who were expected to deliver in non-equipped hospitals were advised to take the vaccine, while those who were expected to deliver in relatively well-equipped hospitals are advised otherwise.…”

Section: Discussionsupporting

confidence: 78%

“…Although TTV intake among these women was relatively high (41%), only 27.7% were immune (achieved TT2+ injections as recommended by WHO). This figure is much lower than those identified in other studies in Egypt, Cairo [15] and Dakahlia [14] governorates (42.6% and 63.2% respectively), and outside Egypt, in Pakistan (40.4 to 65%) [20] and in Ethiopia (39.2% of all child-bearing age women living in Dukem town) [21]. This low uptake of TTV among women in Alexandria may be attributed to different factors such as the following: poor knowledge of the majority of the studied women about MNT and/or TTV, their low perception of being susceptible to MNT, perceiving several barriers to TTV, including the misconception that the vaccine could result in congenital anomalies for babies, and the influence of health care providers.…”

Section: Discussioncontrasting

confidence: 74%

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Knowledge and health beliefs of reproductive-age women in Alexandria about tetanus toxoid immunization

Mehanna

Ali

Kharboush

2020

J. Egypt. Public. Health. Assoc.

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Background: Maternal neonatal tetanus is a substantial public health problem in many developing countries. In 2017, nearly, 30,848 newborns died of neonatal tetanus; thus, high immunization coverage remains a necessity. This study aims to assess knowledge and health beliefs of reproductive-age women in Alexandria about tetanus toxoid immunization. Methods: A cross-section survey of 700 females attending health offices in Alexandria was done using an interview questionnaire to collect data regarding women's knowledge and beliefs about tetanus toxoid vaccine (TTV) and maternal and neonatal tetanus (MNT). Nine health offices were selected using multi-stage random sampling. Results: Most of studied women (83.6%) had poor knowledge of MNT and TTV. The highest percentage of women had low perception of susceptibility to MNT (48.0%), moderate perception of severity of MNT (57.4%) and barriers to TTV (58.9%), high perception of benefits of TTV (86.6%), and high self-efficacy in taking the vaccine (76.2%). Less than one-third of the sampled women (27.7%) were immune by (TT2+). Logistic regression models showed that the place of antenatal care, level of knowledge, perceived barriers, and socioeconomic level were significant predictors of immunity status (p = 0.008, p = 0.032, p = 0.011, and p = 0.001, respectively). Conclusion: Women lacked information about MNT/TTV and may even have been discouraged by their private obstetricians from taking the vaccine. Perceived barriers to receiving tetanus toxoid vaccination were shown to be an important predictor of immunization behavior

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Tetanus vaccination in pregnant women: a systematic review and meta-analysis of the global literature

et al. 2021

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Tetanus vaccination status and its associated factors among women attending a primary healthcare center in Cairo governorate, Egypt

Cited by 13 publications

References 6 publications

Determinants of births protected against neonatal tetanus in Ethiopia: A multilevel analysis using EDHS 2016 data

Determinants of births protected against neonatal tetanus in Ethiopia: A multilevel analysis using EDHS 2016 data

Knowledge and health beliefs of reproductive-age women in Alexandria about tetanus toxoid immunization

Tetanus vaccination in pregnant women: a systematic review and meta-analysis of the global literature

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