Abstract
BackgroundTetanus vaccination is an indispensable component of the antenatal care (ANC) and is considered one of the most effective and protective measures against tetanus deaths. However, data on antenatal tetanus vaccination in Sudan are scarce. We aimed to explore the level of antenatal tetanus vaccination and to identify the influencing factors in a nationally representative population sample.MethodsWe used the latest available data (2014) of the Sudan Multiple Indicator Cluster Survey (MICS), developed by the United Nations Children’s Fund (UNICEF). We assessed the level of antenatal tetanus vaccination among women of childbearing age who gave at least one birth preceding the survey and defined adequate antenatal tetanus vaccination according to the World Health Organization (WHO) recommendations. Data analysis was performed using descriptive statistics, bivariate analysis, and multivariate logistic regression analysis.ResultsThe total number of women of childbearing age involved in this analysis was 5433. Most of the participants (28.6%) were 25–29 years old, and vast majority of them (73.7%) live in rural areas. The prevalence of mothers who had adequate tetanus vaccination was 60.0%. Antenatal tetanus vaccination was significantly associated with higher level of mothers’ education (AOR = 1.70, 95% CI 1.25–2.32), higher household wealth index (AOR = 1.89, 95% CI 1.41–2.54), having four or more ANC visits (AOR = 1.49, 95% CI 1.30–1.71), and living in areas with low intensity of armed conflicts (AOR = 1.34, 95% CI 1.14–1.57).ConclusionsSocioeconomic status had a significant impact on adequate antenatal tetanus vaccination. The results indicate the existence of variable rates and unequal access to tetanus vaccination among women of childbearing age in Sudan.
Highlights
Tetanus, a vaccine-preventable disease is caused by the anaerobic bacterium Clostridium tetani
Description of the dataset This study was performed based on an analysis of the latest accessible data available from the Sudan Multiple Indicator Cluster Survey (MICS), a nationwide survey was conducted from August to December 2014 [17]
Sudan MICS is a part of the worldwide MICS program developed by United Nations Children’s Fund (UNICEF) and the survey was funded by several international collaborators, including the World Health Organization (WHO), World Food Program (WFP), and the United Nations Population Fund (UNFPA) [13]
Summary
A vaccine-preventable disease is caused by the anaerobic bacterium Clostridium tetani. Though it can affect all age groups, neonates and pregnant women remain at higher risk of infection, when deliveries occur under unsanitary conditions [1,2,3]. Findings of Global Burden of Disease study conducted in 2015 revealed that there were 56,743 deaths due to tetanus and 19,937 of these deaths occurred in neonates. Of these neonatal tetanus deaths, 44% occurred in sub-Saharan Africa [3]. We aimed to explore the level of antenatal tetanus vaccination and to identify the influencing factors in a nationally representative population sample
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