Maternal Tetanus Toxoid Vaccination in Benin: Evidence from the Demographic and Health Survey

Tetanus toxoid vaccination is critical for improving maternal and child health. Yet, the prevalence and correlates of maternal tetanus toxoid vaccination coverage remain largely underexplored in Benin where infant and child mortality rates are high. Using the 2017–18 Benin Demographic and Health Sur...

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Main Authors: Daniel Amoak, Nancy Osei Kye, Florence Wullo Anfaara, Yujiro Sano, Roger Antabe
Format: Article
Language:English
Published: MDPI AG 2022-12-01
Series:Vaccines
Subjects:
Online Access:https://www.mdpi.com/2076-393X/11/1/77
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author Daniel Amoak
Nancy Osei Kye
Florence Wullo Anfaara
Yujiro Sano
Roger Antabe
author_facet Daniel Amoak
Nancy Osei Kye
Florence Wullo Anfaara
Yujiro Sano
Roger Antabe
author_sort Daniel Amoak
collection DOAJ
description Tetanus toxoid vaccination is critical for improving maternal and child health. Yet, the prevalence and correlates of maternal tetanus toxoid vaccination coverage remain largely underexplored in Benin where infant and child mortality rates are high. Using the 2017–18 Benin Demographic and Health Survey, we apply logistic regression analysis to address this void in the literature. We find that overall maternal vaccination coverage is 69%. A range of demographic, health care, and socioeconomic factors are associated with maternal tetanus toxoid vaccination coverage. Women aged 20–34 (OR = 0.84, <i>p</i> < 0.05) and 35–49 (OR = 0.63, <i>p</i> < 0.01) are less likely to receive tetanus toxoid vaccination in comparison to those aged 15–19. Health care factors are also significantly associated with maternal tetanus toxoid vaccination, indicating that women who deliver at home (OR = 0.20, <i>p</i> < 0.001) and visit antenatal care fewer than eight times (OR = 0.62, <i>p</i> < 0.001) are less likely to receive tetanus toxoid vaccination than their counterparts who deliver in a health facility and visit antenatal care eight times or more. We also find that women with secondary (OR = 0.54, <i>p</i> < 0.05), primary (OR = 0.47, <i>p</i> < 0.01), and no education (OR = 0.47, <i>p</i> < 0.01) are less likely to receive tetanus toxoid vaccination compared to their counterparts with higher education. Based on these findings, we discuss several implications for policymakers.
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spelling doaj.art-8a7b95b8d1ae4ebe86bb7fa1fc6728b02023-12-01T01:01:39ZengMDPI AGVaccines2076-393X2022-12-011117710.3390/vaccines11010077Maternal Tetanus Toxoid Vaccination in Benin: Evidence from the Demographic and Health SurveyDaniel Amoak0Nancy Osei Kye1Florence Wullo Anfaara2Yujiro Sano3Roger Antabe4Department of Geography and Environment, Western University, London, ON N6A 3K7, CanadaDepartment of Gender, Sexuality, and Women’s Studies, Western University, London, ON N6A 3K7, CanadaDepartment of Gender, Sexuality, and Women’s Studies, Western University, London, ON N6A 3K7, CanadaDepartment of Sociology, Nipissing University, North Bay, ON P1B 8L7, CanadaDepartment of Health and Society, University of Toronto Scarborough, Toronto, ON M5S 1A1, CanadaTetanus toxoid vaccination is critical for improving maternal and child health. Yet, the prevalence and correlates of maternal tetanus toxoid vaccination coverage remain largely underexplored in Benin where infant and child mortality rates are high. Using the 2017–18 Benin Demographic and Health Survey, we apply logistic regression analysis to address this void in the literature. We find that overall maternal vaccination coverage is 69%. A range of demographic, health care, and socioeconomic factors are associated with maternal tetanus toxoid vaccination coverage. Women aged 20–34 (OR = 0.84, <i>p</i> < 0.05) and 35–49 (OR = 0.63, <i>p</i> < 0.01) are less likely to receive tetanus toxoid vaccination in comparison to those aged 15–19. Health care factors are also significantly associated with maternal tetanus toxoid vaccination, indicating that women who deliver at home (OR = 0.20, <i>p</i> < 0.001) and visit antenatal care fewer than eight times (OR = 0.62, <i>p</i> < 0.001) are less likely to receive tetanus toxoid vaccination than their counterparts who deliver in a health facility and visit antenatal care eight times or more. We also find that women with secondary (OR = 0.54, <i>p</i> < 0.05), primary (OR = 0.47, <i>p</i> < 0.01), and no education (OR = 0.47, <i>p</i> < 0.01) are less likely to receive tetanus toxoid vaccination compared to their counterparts with higher education. Based on these findings, we discuss several implications for policymakers.https://www.mdpi.com/2076-393X/11/1/77tetanusmaternal tetanus toxoid vaccinationBenindemographic and health survey
spellingShingle Daniel Amoak
Nancy Osei Kye
Florence Wullo Anfaara
Yujiro Sano
Roger Antabe
Maternal Tetanus Toxoid Vaccination in Benin: Evidence from the Demographic and Health Survey
Vaccines
tetanus
maternal tetanus toxoid vaccination
Benin
demographic and health survey
title Maternal Tetanus Toxoid Vaccination in Benin: Evidence from the Demographic and Health Survey
title_full Maternal Tetanus Toxoid Vaccination in Benin: Evidence from the Demographic and Health Survey
title_fullStr Maternal Tetanus Toxoid Vaccination in Benin: Evidence from the Demographic and Health Survey
title_full_unstemmed Maternal Tetanus Toxoid Vaccination in Benin: Evidence from the Demographic and Health Survey
title_short Maternal Tetanus Toxoid Vaccination in Benin: Evidence from the Demographic and Health Survey
title_sort maternal tetanus toxoid vaccination in benin evidence from the demographic and health survey
topic tetanus
maternal tetanus toxoid vaccination
Benin
demographic and health survey
url https://www.mdpi.com/2076-393X/11/1/77
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