Sule S S, Nkem-Uchendu C, Onajole A T, Ogunowo B E
National Postgraduate Medical College of Nigeria,Km 26 Lagos-Badagry Expressway, Ijanikin,Lagos.Nigeria.
Niger Postgrad Med J. 2014 Jun;21(2):107-14.
This study assessed the level of awareness and perception of women of child bearing age to tetanus immunisation and determines the cover- age rate in Ojodu Local Council Development Area (LCDA) of Lagos State, Nigeria.
This is a descriptive cross-sectional study of 288 women of child bearing age selected using multistage sampling technique. Information was obtained using structured close-ended questionnaire. Data analysis was done using Epi-InfoTM software, version 3.5.1.
There was high level of awareness of tetanus immunisation among respondents (89%) and as a method of prevention of tetanus (76%). There was a positive association between the level of awareness and respondents' educational level and occupation (p < 0.05). However, there is a low level of awareness regarding the number of doses of the vaccine required in pregnancy(14.4%) and for life protection (19.5%). Those who ever received the vaccine,got it post-injury (48.9%) and in pregnancy (45.2%). Age, occupation and parity were positively associated with receiving the vaccine (p < 0.05), while parity and marital status were positively associated with number of dose of vaccine received (p < 0.05). Only about 20% of the respondents had received two or more doses of the vaccine.
This study concludes that despite the high level of awareness about tetanus and tetanus immunisation, there is a low coverage rate of tetanus immunisation among women of child bearing age in Ojodu LCDA of Lagos State. Women of child bearing age should also be targeted at the community level in tetanus immunisation campaign programme.
本研究评估了育龄妇女对破伤风免疫的知晓程度和认知情况,并确定了尼日利亚拉各斯州奥约杜地方议会发展区(LCDA)的覆盖率。
这是一项采用多阶段抽样技术选取288名育龄妇女的描述性横断面研究。通过结构化封闭式问卷获取信息。使用Epi-InfoTM软件3.5.1版进行数据分析。
受访者对破伤风免疫的知晓率较高(89%),将其作为预防破伤风的一种方法的知晓率为76%。知晓程度与受访者的教育水平和职业之间存在正相关(p < 0.05)。然而,对于孕期所需疫苗剂量(14.4%)和终身防护所需疫苗剂量(19.5%)的知晓程度较低。那些曾接种过疫苗的人,是在受伤后(48.9%)和孕期(45.2%)接种的。年龄、职业和胎次与接种疫苗呈正相关(p < 0.05),而胎次和婚姻状况与接种疫苗的剂量数呈正相关(p < 0.05)。只有约20%的受访者接种过两剂或更多剂次的疫苗。
本研究得出结论,尽管对破伤风和破伤风免疫的知晓程度较高,但拉各斯州奥约杜LCDA育龄妇女的破伤风免疫覆盖率较低。在破伤风免疫宣传活动项目中,也应以社区层面的育龄妇女为目标人群。