Abstract
Background: The prevention of Clostridium tetani bacterial infection through the administration of the tetanus toxoid (TT) vaccine in women is important. The purpose of this study was to determine the regional disparities and factors associated with TT vaccine coverage in women aged 15-49 years in Indonesia. Methods: The Indonesian Demographic Health Survey (IDHS) 2017 data was used in this study. A total of 36,028 women, aged 15-49 years were recruited using the two-stage stratified cluster sampling technique. The questionnaire used was based on the DHS Questionnaire Phase 7. Chi-squared and binary logistic regression were used in this study as part of the analysis. Results: We found that the TT vaccine coverage was 75.32% and that the majority were spread across several provinces. The provinces of Bali and Nusa Tenggara, the richer respondents, living in a rural area, visiting the health facility, having health insurance, and those currently working were factors making it more likely that the women would receive the TT vaccine. The respondents aged 15-24 years with a primary education level and the respondents who were divorced were less likely to receive the TT vaccine. Conclusion: The coverage of the TT vaccine among women can be increased by considering the regional disparities in Indonesia and the socio-economic demographic details of the respondents. Strengthening the policies from the central government in the local governments can improve the screening process and vaccine delivery outcomes. In addition, the importance of giving the TT vaccine to women needs to be relayed through health education in collaboration between health workers and the public.
Highlights
Neonatal tetanus (NT) is a disease that can be prevented
In this study, we found that the coverage of the tetanus toxoid (TT) vaccine in Indonesia reached 75.32% out of the 36,028 respondents
In this study, we found there to be a gap in the TT vaccine uptake among women aged –49 years old in Indonesia
Summary
It has become a global health problem with both high case and high fatality rates among neonates.[1] NT refers to tetanus that occurs at 28 days of early life.[2] NT occurs due to the toxins produced by Clostridium tetani alongside an unhygienic labor agent It spreads through the umbilical cord.[3] One of the efforts to prevent the incidence of NT is the provision of an adequate tetanus toxoid (TT) vaccine for women of reproductive age.[4] In 2006, WHO developed guidelines for the TT vaccine for pregnant women to prevent NT.[5] The Indonesian government through the Ministry of Health Regulation number 42 of 2017 launched the TT vaccine program as an advanced vaccine with a national and regional vaccine target coverage of at least 90% and 80%, respectively.[6]. The importance of giving the TT vaccine to women needs to be relayed through health education in collaboration version 2
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