Abstract

Background: Cases and deaths due to Tetanus Neonatorum (TN) in Jember District within the period of 2005 to 2009 with a Case Fatality Rate (CFR) were greater than 50%. CFR with a rate of more than or equal to 50% indicates a high share of deaths. Jember District Health Office implemented a screening program for childbearing women’s TT status in early 2010. However, not until the end of 2010 there were already 6 cases and 3 deaths due to TN (CFR = 50%). This suggested that the implementation of the screening program had already been running but not optimal; thus, an evaluation for this program needed conducting. Objective: To evaluate the screening program for childbearing women’s TT status by describing the capacity and motivation of personnel, implementation and results of the screening program in Jember District in 2010. Method: This was a descriptive-evaluation study. It was conducted in January-February 2011 in five health centers of Jember District. The population was midwives as persons in charge of implementing the screening program. Result: Most respondents (59%) had a moderate level of capacity. Most respondents had a high level of intrinsic and extrinsic motivation, namely 71% and 53%, respectively. The screening implementation for childbearing women’s TT status by the respondents had not been in accordance with the two operational procedures. The results of the screening program showed that five health centers were still experiencing the same problem, i.e., not identified TT status of all women and unmet target coverage of T5 childbearing women and T2 plus pregnant women. Conclusion: Technically, some obstacles in the implementation of the screening program are still present; therefore, there is a need for conducting training procedures for the personnel of the screening program for childbearing women’s TT status and conducting an evaluation for the program periodically and continuously. Keywords: evaluation, tetanus toxoid, childbearing women

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