Tetanus Toxoid Immunization Coverage in Federal Medical Centre, Umuahia, Abia State, South East Zone, Nigeria

2014 ◽  
Vol 4 (12) ◽  
pp. 1268-1277 ◽  
Author(s):  
H. Nwokeukwu ◽  
A. Ukegbu ◽  
U. Emma-Ukaegbu ◽  
K. Nwogu ◽  
N. Nwankwo ◽  
...  
Keyword(s):  
Tetanus Toxoid ◽  
Immunization Coverage ◽  
Medical Centre ◽  
Tetanus Toxoid Immunization

scholarly journals Tetanus Toxoid Vaccination Coverage and Associated Factors among Childbearing Women in Ethiopia: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Jemberu Nigussie ◽  
Bekahegn Girma ◽  
Alemayehu Molla ◽  
Moges Mareg
Keyword(s):  
Systematic Review ◽  
Health Facility ◽  
Tetanus Toxoid ◽  
Associated Factors ◽  
Meta Analysis ◽  
Immunization Coverage ◽  
Educational Status ◽  
Maternal Health Service ◽  
Childbearing Women ◽  
Tetanus Toxoid Immunization

Background. Tetanus is a bacterial disease caused by the Clostridium tetani, which is a highly fatal, noncommunicable, and toxin-mediated disease. Globally, maternal and neonatal tetanus is a public health problem due to low maternal tetanus toxoid immunization. Ethiopia has the highest neonatal mortality and morbidity related to tetanus due to low tetanus toxoid immunization and the high number of home deliveries. The main objective of this systematic review and meta-analysis was to estimate the pooled coverage of at least two doses of tetanus toxoid immunization, and the pooled effect sizes of associated factors in Ethiopia. Methods. Primary studies for this review were searched from the PubMed/MEDLINE online, ScienceDirect, Hinari, Google, and Google Scholar databases. Primary articles published from 2010 up to August 30, 2020, were included in this meta-analysis. Data were extracted in Microsoft Excel format and exported to STATA Version 14.0. A random-effects meta-analysis model was used to estimate the pooled coverage of two or more tetanus toxoid immunizations and its associated factors. Heterogeneity was evaluated by the I 2 test. Egger’s weighted regression test was used to assess publication bias. Results. We retrieved 212 records; of these, 199 articles were excluded for reasons. Finally, 14 studies were included in this meta-analysis. The pooled estimate of receiving at least two doses of tetanus toxoid immunization coverage in Ethiopia was 52.2% (95% CI: 42.47-61.93, I 2 = 98.4 % ). Antenatal care ( OR = 7.8 (95% CI: 3.2, 19.2), I 2 = 96.3 % ), media exposure ( OR = 8.3 (95% CI: 2.1, 33.3), I 2 = 98.1 % ), distance from the health facility ( OR = 2.64 (95% CI: 1.1, 6.6), I 2 = 94.1 % ), educational status of women ( OR = 4.7 (95% CI: 2.07, 9.56), I 2 = 94.2 % ), and educational status of husbands ( OR = 2.995 (95% CI: 1.194, 7.512), I 2 = 92.5 % ) were factors significantly associated with receiving at least two doses of tetanus toxoid immunization coverage in Ethiopia. Conclusions. The coverage of tetanus toxoid immunization among childbearing women was low in Ethiopia. Strengthening maternal health service utilization (antinatal care and institutional delivery) to the nearest health facility even in health posts and empowering education for both women and their husbands is recommended to increase tetanus toxoid immunization coverage in Ethiopia.

scholarly journals Tetanus Toxoid Immunization Status and Associated Factors among Mothers in Hawzen, Eastern Zone of Tigray, Ethiopia, 2019

2020 ◽  
Vol 13 (1) ◽  
pp. 281-288
Author(s):  
Meresa Berwo Mengesha ◽  
Desta Abraha Weldegeorges ◽  
Natnael Etsay Assefa ◽  
Senait Gebreslasie Gebremeskel ◽  
Hagos Degefa Hidru ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Tetanus Toxoid ◽  
Immunization Coverage ◽  
Reproductive Age ◽  
Cross Sectional ◽  
Factors Associated ◽  
Immunization Status ◽  
Eastern Zone ◽  
Future Fertility ◽  
Tetanus Toxoid Immunization

Background: Neonatal tetanus remains a significant avertable cause of morbidity and mortality in neonates. Adequate vaccination strategies, including at least two doses of tetanus toxoid for reproductive age women, can decrease neonatal mortality. In Ethiopia, a few numbers of neonates were protected at birth through this proactive intervention. Therefore, this study aimed to determine factors associated with the low coverage of tetanus toxoid immunization. Objective: This study aimed to determine the status of Tetanus Toxoid immunization coverage and factors associated with it. Methods: Community-based cross-sectional study design was implemented among 515 mothers in Hawzen, Eastern zone of Tigray. The data were entered into Epi data manager version 3.5.1 and exported to Statistical Package for Social Science version 20 software for analysis. Bivariate and multivariate logistic regression was used to identify factors significantly associated with tetanus toxoid immunization coverage. Results: Two hundred and seven (40.2%) mothers were protected against tetanus at last birth. Mothers whose age was less than 20 years [AOR 0.19(0.10, 0.32), had no future plan for fertility [AOR 0.30(0.17, 0.53)], mothers attended once for antenatal care visits [AOR 0.38(0.18, 0.82)] and who got information from media [AOR 4.49(1.82, 11.07] were independent predictors of tetanus toxoid immunization status of mothers. Conclusion: More than half of the mothers were not protected against tetanus at the time of last birth. This study found the age of mothers, future fertility plans, numbers of antenatal care visits and mothers who got information from media; these were significant factors associated with the likelihood of tetanus toxoid immunization of mothers.

Tetanus toxoid immunization Coverage and associated factors in Ethiopia: A systematic review and meta-analysis.

2020 ◽  
Author(s):  
Jemberu Nigussie ◽  
Bekahegn Girma ◽  
Alemayehu Molla ◽  
Moges Mareg
Keyword(s):  
Systematic Review ◽  
Health Facility ◽  
Tetanus Toxoid ◽  
Associated Factors ◽  
Meta Analysis ◽  
Immunization Coverage ◽  
Educational Status ◽  
Neonatal Tetanus ◽  
Maternal Health Service ◽  
Tetanus Toxoid Immunization

Abstract Background: Tetanus is a bacterial disease caused by the bacterium Clostridium tetanus which is a highly fatal, non-communicable, and toxin-mediated disease. Globally, both maternal and neonatal tetanus is a public health problem due to low maternal tetanus toxoid vaccination. The main strategies for the prevention of maternal and neonatal tetanus at birth were vaccination of the mothers with a protective dose of tetanus toxoid and clean delivery. Ethiopia has the highest neonatal mortality and morbidity related to tetanus in the world due to low tetanus toxoid immunization coverage and a higher number of home-deliveries. The main aim of this systematic review and meta-analysis was to estimate the pooled tetanus toxoid immunization coverage and associated factors in Ethiopia. Methods: The primary studies for this review were searched from PubMed/MEDLINE online, Science Direct, and Hinari databases. We retrieved 212 records; of these, 199 articles were excluded due to different reasons, and 13 studies were included in the systematic review and this meta-analysis. The data were extracted in Microsoft Excel format and exported to STATA Version 14.0 statistical software for analysis. Heterogeneity was evaluated by the I2 test. A random-effect meta-analysis model was used to estimate the pooled coverage of two or more tetanus toxoid immunization and its associated factors. Egger’s weighted regression and Begg’s rank correlation test were used to assess publication bias at a 5% significance level. Result: The pooled estimate of at least two dose of tetanus toxoid immunization coverage was 52.6% (95% CI 41.4%–63.8%). Ante-natal care (ANC) visits [OR = 7.8 (95% CI; 3.2, 19.2)], media exposure [OR = 8.3 (95% CI; 2.1. 33.3), distance from the health facility [OR = 2.635 (95% CI; 1.1, 6.6)], educational status of mothers [OR = 0.225 (95% CI; 0.105, 0.483) and husband educational status [OR = 0.184 (95% CI; 0.104, 0.323)] were significantly associated factors for tetanus toxoid immunization coverage in Ethiopia.Conclusion: The tetanus toxoid immunization coverage among childbearing women was low in Ethiopia. Strengthening maternal health service utilization (ANC, institutional delivery) to the nearest health facility including in health posts and empowering education is recommended to increase tetanus toxoid immunization coverage. Additionally, awareness creation on the advantage of taking tetanus toxoid immunization should be emphasized.

scholarly journals A case of biopsy-proven eosinophilic myocarditis related to tetanus toxoid immunization

2018 ◽  
Vol 37 ◽  
pp. 54-57 ◽  
Author(s):  
Hiroyuki Yamamoto ◽  
Toru Hashimoto ◽  
Keiko Ohta-Ogo ◽  
Hatuse Ishibashi-Ueda ◽  
Kyoko Imanaka-Yoshida ◽  
...  
Keyword(s):  
Tetanus Toxoid ◽  
Eosinophilic Myocarditis ◽  
Tetanus Toxoid Immunization

Maternal Antibodies Partly Inhibit an Active Antibody Response to Routine Tetanus Toxoid Immunization in Infants

1992 ◽  
Vol 165 (5) ◽  
pp. 977-979 ◽  
Author(s):  
H. Sarvas ◽  
S. Kurikka ◽  
I. J. T. Seppala ◽  
P. H. Makela ◽  
O. Makela
Keyword(s):  
Antibody Response ◽  
Tetanus Toxoid ◽  
Maternal Antibodies ◽  
Tetanus Toxoid Immunization

Tetanus Toxoid Immunization

1941 ◽  
Vol 88 (4) ◽  
pp. 371-374
Author(s):  
L. R. Newhouser
Keyword(s):  
Tetanus Toxoid ◽  
Tetanus Toxoid Immunization

scholarly journals The economic value of increasing geospatial access to tetanus toxoid immunization in Mozambique

Vaccine ◽  
2016 ◽  
Vol 34 (35) ◽  
pp. 4161-4165 ◽  
Author(s):  
Leila A. Haidari ◽  
Shawn T. Brown ◽  
Dagna Constenla ◽  
Eli Zenkov ◽  
Marie Ferguson ◽  
...  
Keyword(s):  
Tetanus Toxoid ◽  
Economic Value ◽  
Tetanus Toxoid Immunization

Immunization for the Migrant Fulani: Identifying an Under-Served Population in Southwestern Nigeria

1994 ◽  
Vol 15 (1) ◽  
pp. 21-32 ◽  
Author(s):  
Manasseh Y. J. Dao ◽  
William R. Brieger
Keyword(s):  
Local Government ◽  
Minority Group ◽  
Immunization Coverage ◽  
Target Population ◽  
Rural Populations ◽  
Culturally Appropriate ◽  
Southwestern Nigeria ◽  
Child Bearing ◽  
Full Immunization ◽  
Tetanus Toxoid Immunization

Rural populations are often at a disadvantage for receiving health services. Although Nigeria launched its Expanded Programme of Immunization in 1978, and has revised it twice since then, rural immunization coverage is still low. These problems may be compounded when the population is nomadic; thus a study was designed to learn about immunization coverage among a minority group of nomadic Fulani cattle herders living in southwestern Nigeria. It was necessary to conduct a census of the target population first because local government maps and records did not reflect their presence in study area, Ifeloju Local Government Area (LGA) of Oyo State. Sixty Fulani settlements were located and contained 2197 residents, 22.1 percent of whom were below five years of age and 21.5 percent of whom were women of child bearing age. Only 2.6 percent of children below twenty-four months of age (the EPI target group in Nigeria) had received full immunization, compared to an estimated coverage of 48 percent among all target age children in the LGA. Only 2.1 percent of the women had at least two tetanus toxoid immunization contacts. Immunization coverage was associated with proximity to a town, length of residence in the LGA and awareness of the settlement's leader about EPI. The latter factor gave rise to suggestions that greater outreach efforts should be targeted at Fulani leaders, using staff of the local nomadic education center to help design culturally appropriate health education programs.

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