TETANUS IMMUNIZATION STATUS AND KNOWLEDGE AMONG UNIVERSITY FEMALES AND DOCTORS AT WAD-MEDANI, SUDAN: A DESCRIPTIVE CROSS-SECTIONAL STUDY.

Omnia Motassem; Rehab Abdien; Alaa Alnour; Hagir Moawia; Doaa Abdalla; Doaa Moawia; Abrar Yousif; Shorooq Ali; Essra Awad; Marwa Ragb; Maha Ais; Musab Abdelrahim

doi:10.51168/sjhrafrica.v5i12.1447

Authors

Omnia Motassem Nursing Program, Wad-Medani College of Medical Sciences and Technology
Rehab Abdien Nursing Program, Wad-Medani College of Medical Sciences and Technology
Alaa Alnour Nursing Program, Wad-Medani College of Medical Sciences and Technology
Hagir Moawia Nursing Program, Wad-Medani College of Medical Sciences and Technology
Doaa Abdalla Nursing Program, Wad-Medani College of Medical Sciences and Technology
Doaa Moawia Nursing Program, Wad-Medani College of Medical Sciences and Technology
Abrar Yousif Nursing Program, Wad-Medani College of Medical Sciences and Technology
Shorooq Ali Nursing Program, Wad-Medani College of Medical Sciences and Technology
Essra Awad Nursing Program, Wad-Medani College of Medical Sciences and Technology
Marwa Ragb Nursing Program, Wad-Medani College of Medical Sciences and Technology
Maha Ais Medical Laboratory Sciences Program, Wad-Medani College of Medical Sciences and Technology
Musab Abdelrahim Pharmacy Program, Wad-Medani College of Medical Sciences and Technology

DOI:

https://doi.org/10.51168/sjhrafrica.v5i12.1447

Keywords:

Childbearing age, Immunization, Tetanus, Vaccination

Abstract

Background

Tetanus is a bacterial disease with the majority of reported cases being birth-associated due to unhygienic deliveries and lack of routine maternal vaccination, however, it can be prevented by routine vaccination. The current study aimed to determine tetanus vaccination status and knowledge among university females of childbearing age and the doctors who comprise an important category of maternal healthcare service delivery at Wad-Medani City, Sudan, based on the recommended WHO guidelines.

Methods

A descriptive cross-sectional survey was conducted using two types of researcher-administered questionnaires.

Results

The majority of the surveyed females were never (41.6%) or didn’t know (22.4%) whether they were vaccinated or not, while some were incompletely vaccinated (26.4%), and few (9.6%) were completely vaccinated with the 5 doses of tetanus vaccine. The main reason for none or incomplete vaccination among the females was the lack of awareness (77.4%). On the other hand, 31% of the respondent doctors knew the correct target population to achieve maternal tetanus elimination as recommended by the documented guidelines with only 25% who knew the complete set of vaccine doses, while 63% were under the misconception that it should target only pregnant women or patients with wounds. Further analysis showed that females who have given birth to children or had a history of pregnancy were more likely to receive the complete 5 doses of the vaccine, while correct knowledge was found higher among doctors with advanced years of experience.

Conclusion

Tetanus vaccination coverage was relatively poor, and the main reason was the lack of knowledge about the vaccination program and its importance.

Recommendation

Improving public knowledge through media sources along with other guidance at healthcare facilities can play a vital role in imparting immunization. It is also necessary to ensure the availability of the vaccine and its accessibility for all females.

References

Ranadip Chowdhury, Abhijit Mukherjee, Saibendu Kr Lahiri. A Study on the knowledge of tetanus immunization among internees in a government medical college of Kolkata. Nat J Community Med. 2011; 2(3): 432-439.

Alex-Hart BA, Okoh BAN. Awareness and status of tetanus toxoid vaccination among female undergraduate students in a Nigerian university. Int J Trop Dis Health. 2015; 7(1): 615.http://doi.org/10.9734/IJTDH/2015/15468

Martha H Ropera, Jos H Vandelaerb, François L Gassec. Maternal and neonatal tetanus. Lancet. 2007; 370: 1947-1959. http://doi.org/10.1016/S0140-6736(07)61261-6

Hasnian S, Sheikh NH. Causes of low tetanus toxoid vaccination coverage in pregnant women in Lahore district, Pakistan. East Mediterr Health J. 2007: 13(5): 1142-1152. http://doi.org/10.26719/2007.13.5.1142

Ahmet Doğan, Ahmed Mohamed Alİ, Mukhtar Abdullahi Alİ, Havva Orul. Assessment of tetanus Immunization among healthcare workers in Mogadishu, Somalia. Hum Vaccin Immunother. 2023; 19(1): 2202128. http://doi.org/10.1080/21645515.2023.2202128

Sagad Omer Obeid Mohamed, Esraa Mohammed Ahmed. Prevalence and determinants of antenatal tetanus vaccination in Sudan: a cross sectional analysis of the multiple indicator cluster survey. Tropical Medicine and Health. 2022; 50(7): 1-6. http://doi.org/10.1186/s41182-022-00398-4

Humayun S, Azam N. Awareness and uptake of tetanus toxoid vaccination among females of reproductive age in Rawalpindi. Pak Armed Forces Med J. 2023; 73(2): 506-509. http://doi.org/10.51253/pafmj.v73i2.8404

World Health Organization. Current recommendations for treatment of tetanus during humanitarian emergencies. 2010. Available from: http://www.who.int/publications/i/item/WHO-HSE-GAR-DCE-2010-2

Leila A Haidari, Shawn T Brown, Dagna Constenla, Eli Zenkov, Marie Ferguson, Gatien de Broucker, et al. The economic value of increasing geospatial access to tetanus toxoid immunization in Mozambique. Vaccine. 2016; 34(35): 4161-4165. http://doi.org/1016/j.vaccine.2016.06.065

Rose J Wilson, Pauline Paterson, Caitlin Jarrett, Heidi J Larson. Understanding factors influencing vaccination acceptance during pregnancy globally: A literature review. Vaccine. 2015; 33(47): 6420-6429. http://doi.org/10.1016/j.vaccine.2015.08.046

Rana Ejaz Ali Khan, Muhammad Ali Raza. Maternal health-care in India: The case of tetanus toxoid vaccination. Asian Development Policy Review. 2013; 1(1): 1-14.http://doi.org/10.18488/journal.107.2013.11.1.14

Kyu HH, Mumford JE, Stanaway JD, Ryan M Barber, Jamie R Hancock, Theo Vos, et al. Mortality from tetanus between 1990 and 2015: findings from the global burden of disease study 2015. BMC Public Health. 2017; 17: 179. http://doi.org/10.1186/s12889-017-4111-4

Mohammad Wasay, Abdul Malik, Ammad Fahim, Adnan Yousuf, Rajesh Chawla, Haroon Daniel, et al. Knowledge and attitudes about tetanus and rabies: A population-based survey from Karachi, Pakistan. J Pak Med Assoc. 2012; 62(4): 378-382.

Aboagye RG, Amu H, Dowou RK, Bansah P, Oaikhena IO, Bain LE. Prevalence and correlates of tetanus toxoid uptake among women in sub-Saharan Africa: Multilevel analysis of demographic and health survey data. PLOS ONE. 2023; 18(12): e0296174. http://doi.org/10.1371/journal.pone.0296174

Setegn Muche Fenta, Haile Mekonnen Fenta. The magnitude of tetanus toxoid immunization and associated factors among pregnant women in Ethiopia. The Open Public Health Journal, 2023; 16: e187494452301091. http://doi.org/10.2174/18749445-v16-e230111-2022-161

Amin MB, Roy N, Meem AE, Hossain E, Aktarujjaman M. Trends and determinants of taking tetanus toxoid vaccine among women during last pregnancy in Bangladesh: Country representative survey from 2006 to 2019. PLOS ONE. 2022: 17(10): e0276417. http://doi.org/10.1371/journal.pone.0276417

Berrin Esen, Demet Kurtoglu, Nilay Coplu, Aysegul Gozalan, Kikuko Miyamura, Setsuji Ishida, et al. Tetanus immunization status among women of childbearing age in Turkey. Jpn J Infect Dis. 2007; 60: 92-96.

Pretibial Dabas, CM Agarwal, Rajesh Kumar, DK Taneja, GK Ingle, Renuka Saha. Knowledge of the general public and health professionals about tetanus immunization. Indian J Pediatr. 2005; 72(12): 1035-1037. http://doi.org/10.1007/BF02724406

Yong Liu, Xichao Mo, Xiaxia Yu, Jinxin Wang, Jinfei Tian, Jun Kuang, et al. Insufficient knowledge and inappropriate practices of emergency doctors towards tetanus prevention in trauma patients: A pilot survey. Hum Vaccin Immunother. 2020; 16(2): 349-357. http://doi.org/10.1080/21645515.2019.165

Rajesh Kumar, DK Taneja, P Dabas, GK Ingle, R Saha. Knowledge about tetanus immunization among doctors in Delhi. Indian J Med Sci. 2005; 59(1): 3-8.

Ghori U, Basir F, Ahuja G, Ashraf A. Tetanus immunization knowledge amongst healthcare workers of the emergency department at a tertiary care hospital. Pak J Med Dent. 2015; 4(1): 42-46.