Abstract:
Tetanus toxoid vaccine is one of the most effective ways to protect mother and newborn from the disease. World health organization at 2017 recognized Ethiopia was on track to eliminate maternal and neonatal by made magnitude of protective dose of TT greater than 80% but different study conducted in Ethiopia show that protective dose of TT vaccine is still low. Therefore, knowing the reliable estimate of protective dose of tetanus toxoid vaccine and associated factors would probably help us to generate supplementary strengthen and accelerate current efforts to eliminate maternal and Neonatal tetanus and important to take corrective action on the intervention of increasing coverage of tetanus toxoid vaccination
Objective: To determine the level of Tetanus Toxoid vaccine uptake and associated factors among mothers who give birth in the last 12 month in Kedida Gamela woreda, Southern Ethiopia from March 8-30/2020.
Method: Community based cross-sectional study was used among 598 mothers. Stratified sampling technique was used, then to select the study participants systematic sampling technique applied. The collected Data was`` entered into EpiData Version 3.1 and for analysis exported to Statical package of Social Science version 24. Variables having p-value < 0.25 during bi variable analysis was entered into a multivariable logistic regression model to control for all possible confounders. Level of statistical significance was at p-value < 0.05.
Result: The magnitude of protective dose of TT vaccine was found to be 45.8%. Maternal knowledge [(AOR=2.9,95%CI (1.6-5.4)], ANC service users [(AOR=5.8,95%CI (2.3-14.5)], Place of delivery [(AOR=7.1,95%CI (3.7-13.8)], maternal education level [(AOR=4.2, 95% CI (2-8.95)], and mothers home visit by health extension workers [(AOR=3.1,95% CI (1.59-6.04)] were significantly associated with protective dose of Tetanus Toxoid vaccination.
Conclusion: The magnitude of mothers vaccinated for protective dose of TT was found to be low. Maternal knowledge, ANC service users, Place of delivery, Mothers Visited by health extension workers and maternal education were identified as explanatory of the TT vaccination status.