Tetanus toxoid [TT-2] coverage and its associated socio-demographic factors among married women of reproductive age in urban and slum areas of hyderabad

ABSTRACT

Neonatal tetanus is vaccine preventable infection and a cause of neonatal mortality in our country. TT- vaccination of women at child bearing age can safeguard women and reduce neonatal mortality. To assess the TT-2 coverage among women at reproductive age in Hyderabad urban and slum areas. To determine the socio-demographic risk factors influencing the TT-vaccination coverage. A community based cross sectional study. This study was conducted in Hyderabad city areas [Gari Khata, Noorani Basti], Latifabad Unit No 5, 11, 12 and Qasimabad [Phase I, Sehrish Nagar, Nasim Nagar] from 15[th] June-15[th] August 2014. 220 women of child bearing age were approached through convenience sampling. Questionnaire based interviews and examining the vaccination cards were study tools. Data comprised of categorical and continuous variables and was analyzed by SPSS Version 16. Categorical variables were analyzed by chi-square test; mean and standard deviation was calculated for continuous variables and were analyzed by applying student t-test. The p-value associations. TT-2+ coverage was 40.9 percent; 29.1% women were not ever TT-vaccinated. Significant associations were observed between TT-2 coverage and ante-natal visits [p=0.04], educational level [p=0.05]; socio-economic class [p=0.02] and women's working status [p=0.01]; Age and parity were not associated [p= 0.09 and 0.31 respectively]. Most common reason for non-vaccination was unawareness about TT-vaccination schedule [30.5%]. Low TT-2 coverage in slum areas of Hyderabad demands attention of health care providers to help improve the situation