Protective doses of tetanus toxoid immunization and its associated factors among mothers in southern Ethiopia

ABSTRACTThe World Health Organization recommends tetanus toxoid immunization before or during pregnancy for all women of childbearing age. The goal is to reduce maternal and neonatal mortality due to tetanus. According to the 2016 Ethiopia Demographic and Health Survey (EDHS) report, more than half...

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Main Authors: Maycas Gembe, Teklu Wosenyeleh, Wubishet Gezimu
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Human Vaccines & Immunotherapeutics
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/21645515.2024.2320501
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author Maycas Gembe
Teklu Wosenyeleh
Wubishet Gezimu
author_facet Maycas Gembe
Teklu Wosenyeleh
Wubishet Gezimu
author_sort Maycas Gembe
collection DOAJ
description ABSTRACTThe World Health Organization recommends tetanus toxoid immunization before or during pregnancy for all women of childbearing age. The goal is to reduce maternal and neonatal mortality due to tetanus. According to the 2016 Ethiopia Demographic and Health Survey (EDHS) report, more than half (51%) of women did not receive protective doses of tetanus immunization. To the best of our knowledge, this study uniquely tried to assess the level of protective doses of tetanus toxoid immunization in southern Ethiopia. A community-based cross-sectional study was conducted among 580 randomly selected participants. Variable with p-value of less than .25 in the bivariate analysis were included in the multivariable logistic regression analysis. Finally, statistical significance was declared at a p-value of less than .05. The proportion of protective doses of tetanus toxoid immunization uptake in the area was found to be 41.9% (95% CI: 38–46%). Being enrolled in formal education [AOR = 6.55, 95% CI: 3.23–9.01], having at least two postnatal care visits [AOR = 3.82; 95% CI: 1.78–6.40], having at least four antenatal care visits [AOR = 2.56; 95% CI: 1.41–4.34], and being visited by Health Extension Workers [AOR = 2.66; 95% CI: 1.42–4.01] were found to be factors enhancing the uptake of protective doses of tetanus toxoid immunization. Generally, the uptake or prevalence of the protective doses of tetanus toxoid immunization in the area was lower than the World Health Organization’s target. Therefore, all responsible bodies, including healthcare providers, need to strengthen counseling mothers to enhance the uptake of tetanus toxoid immunization.
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spelling doaj.art-6674fead43a546d6ac80493fbe67bbbd2024-03-11T20:24:56ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2024-12-0120110.1080/21645515.2024.2320501Protective doses of tetanus toxoid immunization and its associated factors among mothers in southern EthiopiaMaycas Gembe0Teklu Wosenyeleh1Wubishet Gezimu2Department of Nursing, College of Health Science, Mattu University, Mattu, EthiopiaDepartment of Nursing, College of Health Science, Mattu University, Mattu, EthiopiaDepartment of Nursing, College of Health Science, Mattu University, Mattu, EthiopiaABSTRACTThe World Health Organization recommends tetanus toxoid immunization before or during pregnancy for all women of childbearing age. The goal is to reduce maternal and neonatal mortality due to tetanus. According to the 2016 Ethiopia Demographic and Health Survey (EDHS) report, more than half (51%) of women did not receive protective doses of tetanus immunization. To the best of our knowledge, this study uniquely tried to assess the level of protective doses of tetanus toxoid immunization in southern Ethiopia. A community-based cross-sectional study was conducted among 580 randomly selected participants. Variable with p-value of less than .25 in the bivariate analysis were included in the multivariable logistic regression analysis. Finally, statistical significance was declared at a p-value of less than .05. The proportion of protective doses of tetanus toxoid immunization uptake in the area was found to be 41.9% (95% CI: 38–46%). Being enrolled in formal education [AOR = 6.55, 95% CI: 3.23–9.01], having at least two postnatal care visits [AOR = 3.82; 95% CI: 1.78–6.40], having at least four antenatal care visits [AOR = 2.56; 95% CI: 1.41–4.34], and being visited by Health Extension Workers [AOR = 2.66; 95% CI: 1.42–4.01] were found to be factors enhancing the uptake of protective doses of tetanus toxoid immunization. Generally, the uptake or prevalence of the protective doses of tetanus toxoid immunization in the area was lower than the World Health Organization’s target. Therefore, all responsible bodies, including healthcare providers, need to strengthen counseling mothers to enhance the uptake of tetanus toxoid immunization.https://www.tandfonline.com/doi/10.1080/21645515.2024.2320501Protective dosestetanus toxoidimmunizationmotherssouthern Ethiopia
spellingShingle Maycas Gembe
Teklu Wosenyeleh
Wubishet Gezimu
Protective doses of tetanus toxoid immunization and its associated factors among mothers in southern Ethiopia
Human Vaccines & Immunotherapeutics
Protective doses
tetanus toxoid
immunization
mothers
southern Ethiopia
title Protective doses of tetanus toxoid immunization and its associated factors among mothers in southern Ethiopia
title_full Protective doses of tetanus toxoid immunization and its associated factors among mothers in southern Ethiopia
title_fullStr Protective doses of tetanus toxoid immunization and its associated factors among mothers in southern Ethiopia
title_full_unstemmed Protective doses of tetanus toxoid immunization and its associated factors among mothers in southern Ethiopia
title_short Protective doses of tetanus toxoid immunization and its associated factors among mothers in southern Ethiopia
title_sort protective doses of tetanus toxoid immunization and its associated factors among mothers in southern ethiopia
topic Protective doses
tetanus toxoid
immunization
mothers
southern Ethiopia
url https://www.tandfonline.com/doi/10.1080/21645515.2024.2320501
work_keys_str_mv AT maycasgembe protectivedosesoftetanustoxoidimmunizationanditsassociatedfactorsamongmothersinsouthernethiopia
AT tekluwosenyeleh protectivedosesoftetanustoxoidimmunizationanditsassociatedfactorsamongmothersinsouthernethiopia
AT wubishetgezimu protectivedosesoftetanustoxoidimmunizationanditsassociatedfactorsamongmothersinsouthernethiopia