261623 Factors influencing sufficient prenatal tetanus toxoid immunization among women in Kenya

Tuesday, October 30, 2012 : 11:30 AM - 11:50 AM

Zelalem Haile, MPH , Department of Epidemiology, West Virginia University, Morgantown, WV
Ilana Chertok, PhD, MSN , School of Nursing, West Virginia University, Morgantown, WV
Objectives: Although the effectiveness of tetanus toxoid (TT) immunization during pregnancy in preventing maternal and neonatal tetanus is well established, in many developing countries TT immunizations are not utilized as required. The objective of this study is to identify factors associated with sufficient prenatal TT immunization among women in Kenya. Methods: Secondary data analysis was conducted using de-identified data from the 2008-9 Kenyan Demographic and Health Survey (KDHS) for 1,723 female participants who were pregnant during or within the previous year of the cross-sectional survey. Chi-square tests and t-tests were conducted to assess bivariate associations and a multivariate hierarchical logistic regression analysis was used to examine associations before and after adjustment for socio-demographic, cultural, and access to care factors. Results: The main factors contributing to having been sufficiently immunized against tetanus were having three to four live children (OR =1.52; 95% CI, 1.11, 2.09), women's employment (OR = 1.41; 95% CI, 1.08, 1.87), making joint health-related decisions with a partner (OR = 1.46; 95% CI, 1.08, 1.97), higher number of antenatal care visits (OR = 1.17; 95% CI, 1.07, 1.28) and receiving antenatal care in a government or public health facility (OR = 4.71; 95% CI, 1.91, 11.52). Conclusions: Identification of factors contributing to being sufficiently immunized against tetanus can inform health care providers and other professionals involved in development of strategies and interventions aimed at improving immunization rates in the at-risk prenatal population.

Learning Areas:
Advocacy for health and health education
Assessment of individual and community needs for health education
Diversity and culture
Public health administration or related administration
Public health or related research

Learning Objectives:
Identify salient factors influencing sufficient prenatal tetanus toxoid immunization among women in resource limited setting.

Keywords: Maternal and Child Health, Barriers to Care

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have participated in a number of HIV/AIDS and other public health research projects and I have earned MPH from Ohio University where I have also worked as a coordinator for African Health Initiative and as an instructor in Community Health, Epidemiology as well as Health Administration. Currently, I am doing my PhD in Public Health and I am involved in research in international health issues, specifically on maternal and child health in developing countries.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.