Abstract Background: Tetanus–diphtheria-containing vaccine is still recommended for pregnant women even in countries that declared the elimination of neonatal tetanus and consequently the maternal tetanus. Many factors may affect vaccination during pregnancy. Knowledge is a key factor that greatly affects pregnant women. Objective: The objective of this study was to assess the knowledge and attitude of tetanus–diphtheria vaccine among pregnant women and to find any association between vaccine knowledge and attitude and study variables (age, educational status, employment, family income, socioeconomic status [SES], and antenatal care [ANC]). Subjects and Methods: A cross-sectional study was conducted in Baghdad city. Data collection was from March 1, 2023, to May 30, 2023. Thirteen primary health-care centers and two teaching hospitals were chosen conveniently to be included in the study. Total number of participants were 329 primigravida pregnant women. An interview questionnaire was used to collect quantitative data related to the knowledge and attitude of women about tetanus–diphtheria immunization and tetanus infection. Results: the study found that 73.6% of women had an accepted level of knowledge, 11.8% had an optimal level of knowledge, while 14.5% had a poor level of knowledge. Higher knowledge and attitude levels were significantly higher among older age group women and those with higher level of education and SES. ANC attendance and work status showed statistical insignificance regarding the level of knowledge and attitude. Women identify ANC and family members and friends as their primary sources of information about tetanus infection and immunization. Conclusions: Women’s knowledge was acceptable regarding tetanus infection and tetanus–diphtheria immunization. It is possible for proper health education targeting young women to prevent the occurrence of maternal neonatal tetanus. This might be possible with proper use of mass media to increase awareness.
Read full abstract