Naseem Khan Afridi, Juanita Hatcher, Sadia Mahmud, Debra Nanan.
Coverage and factors associated with Tetanus Toxoid vaccination status among females of reproductive age in Peshawar
J Coll Physicians Surg Pak Jul 2005;15(7):391-5.
Peshawar

Objective: To estimate the coverage and determine the factors associated with tetanus toxoid vaccination status among females of reproductive age. Design: Cross-sectional study. Place and Duration of Study: District Peshawar, NWFP, from July to September 2002. Patients and Methods: A total of 646 females of reproductive age (15-49) years were selected from both urban and rural areas of Peshawar through stratified cluster sampling. A pre-tested structured questionnaire was administered to females. Two logistic regression models were built, one for all females and one for married females only. Results: Overall 65.0% females were vaccinated (95% confidence interval (CI) (61.3%, 68.6%). For all females, the variables that were significantly associated with vaccination status were marital status (OR= 8.5, 95% CI (4.7, 15.6)), source of information regarding tetanus toxoid (TT) vaccination, knowledge regarding TT vaccination, visits of lady health worker (LHW) to a household (OR = 2.3, 95% CI (1.4, 3.9) and restriction on TT vaccination (OR = 28.7, 95% CI (3.5, 237.9)). For the married females, the variables that were significantly associated with vaccination status were source of information; visits of LHW to a household (OR = 2.8, 95% CI (1.5 to 5.2)) and an interaction between knowledge regarding TT vaccination and antenatal care visits. Conclusion: These findings are of public health concern as a majority of females is not vaccinated according to WHO recommendations. It is recommended that maternal and neonatal tetanus (MNT) vaccination campaigns should include lady health workers at implementation stage.

Category: Community Medicine
Keywords: Tetanus. Vaccination. Pregnancy. Tetanus Toxoid.

Click here for Full Text Article

This article has been viewed 417 times

Submit your Research Synopsis for Free Expert analysis - Search- Feedback - Drug Index
Post and View Comments on this Article