Abstract
The 2015 Inter-Census Population Survey showed Maternal Mortality Rate (MMR) of Indonesia 305/100,000KH, in Central Sulawesi Province AKI in 2017 was as many as 89 cases/100.000KH, of which 3.3% was caused by Tetanus Neonatorum infection by Clostridium tetani bacteria. The coverage of Tetanus Toxoid (TT) immunization in Palu City during 2018 was 87.6% which was conducted in the Tawaeli Health Center. TT immunization coverage in 2015 was (51.4%), in 2016 amounted to (41.96%), in 2017 amounting to (39.5%), this is one indication of the potential for maternal mortality due to infection is still a threat. The objective of the research was to determine the determinants of compliance with TT immunization for pregnant women and their impact on maternal and infant mortality in the Tawaeli Community Health Center work area. The study used quantitative with a cross sectional approach. The population was pregnant women and postpartum mothers who were in the area of the Tawaeli Community Health Center with 74 people taken by accidental sampling. The results of the study showed that mothers who obeyed complete TT immunization were 33 respondents (44.6%) and those who did not comply with complete TT immunization were 41 respondents (55.4%). The chi-square test results showed that the level of knowledge (p = 0.017), attitude (p = 0,000), family support for compliance with TT immunization of pregnant women (p = 0.016). In conclusion, the determinants of adherence to TT immunization for pregnant women are knowledge, attitudes and family support. We recommend that midwives and cadres do IEC regarding the importance of TT immunization for pregnancy and increase coverage by swiping TT immunization into the homes of pregnant women.
Highlights
One of the causes of maternal death and infant mortality is tetanus infection caused by Clostridium tetani bacteria as a result of unsafe/sterile labor or from wounds obtained by pregnant women before giving birth
The 2015 Intercensal Population Survey showed that Indonesian Maternal Mortality Rate (MMR) 305/100,000KH, in Central Sulawesi Province MMR in 2017 as many as 89 cases/100.000KH, of which 3.3% is Tetanus Neonatorum Infection caused by Clostridium bacteria tetani, Tetanus neonatorum infection can be prevented through Tetanus Toxoid (TT) immunization both before (WUS) and during the mother's pregnancy
The results of the analysis show that knowledge is one of the factors that influence the compliance of TT immunization in pregnant women in the working area of the Tawaeli Health Center
Summary
One of the causes of maternal death and infant mortality is tetanus infection caused by Clostridium tetani bacteria as a result of unsafe/sterile labor or from wounds obtained by pregnant women before giving birth. The 2015 Intercensal Population Survey showed that Indonesian Maternal Mortality Rate (MMR) 305/100,000KH, in Central Sulawesi Province MMR in 2017 as many as 89 cases/100.000KH, of which 3.3% is Tetanus Neonatorum Infection caused by Clostridium bacteria tetani, Tetanus neonatorum infection can be prevented through TT immunization both before (WUS) and during the mother's pregnancy. The target set by the Indonesian government regarding the Tetanus Toksoid immunization program during pregnancy is set at a minimum of 90% for the national level and 85% for the district/city. Immunization until TT2 + in Central Sulawesi Province in 2017 as many as 56.72% of pregnant women who are immunized [2]
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