Dr Nasima Begum, Assistant Professor, Department of Community Medicine, Sir Salimullah Medical College and Mitford Hospital, Dhaka, Bangladesh; E-mail:
Mymensingh Med J. 2024 Jan;33(1):154-159.
Maternal and neonatal tetanus is still a major but preventable cause of mortality in many developing countries like Bangladesh. Women of reproductive age are very prone to tetanus infection. This descriptive cross-sectional study was carried out at outpatient department (OPD) of Sir Salimullah Medical College and Mitford Hospital, Bangladesh from October 2019 to April 2020 to determine the level of awareness about Tetanus Toxoid (TT) vaccination in women of reproductive age 15-49 years. Data were collected from 342 women by face to face interview with a semi-structured questionnaire. A large number of the respondents (43.27%) were belonged to 15-24 years age group, majority (92.98%) were Muslim and most of them (41.28%) were SSC passed. A very large number of them (78.36%) were married and (64.55%) had 1-2 children. More than three quarter (78.36%) of women heard about tetanus and 83.96% women thought that tetanus is preventable by TT vaccination. Among the respondents who had heard about tetanus, majority (68.67%) of them had taken TT vaccine, 92.58% of them had taken the first dose before 25 years of age and 71.05% had completed the full course. Regarding awareness of the respondents, 65.79% were aware of risk of neonatal tetanus of an unimmunized mother & 61.19% distinguished that agent of tetanus can be transmitted through wounds. It is considered that the findings of the study will provide a useful basis for further research and planning.
孕产妇破伤风仍然是孟加拉国等许多发展中国家的一个主要但可预防的死亡原因。育龄妇女极易感染破伤风。本研究于 2019 年 10 月至 2020 年 4 月在孟加拉国的 Sir Salimullah 医学院和 Mitford 医院的门诊部进行,旨在确定 15-49 岁育龄妇女对破伤风类毒素(TT)疫苗接种的认识水平。研究人员通过面对面访谈和半结构式问卷收集了 342 名女性的数据。大量的受访者(43.27%)属于 15-24 岁年龄组,大多数(92.98%)是穆斯林,其中大多数(41.28%)是 SSC 毕业。大量的受访者(78.36%)已婚,(64.55%)有 1-2 个孩子。超过四分之三(78.36%)的女性听说过破伤风,83.96%的女性认为破伤风可以通过 TT 疫苗接种预防。在听说过破伤风的受访者中,有 68.67%的人接种过 TT 疫苗,92.58%的人在 25 岁之前接种了第一剂疫苗,71.05%的人完成了全程接种。在受访者的意识方面,65.79%的人意识到未免疫母亲的新生儿破伤风风险,61.19%的人能够区分破伤风的病原体可以通过伤口传播。研究结果被认为将为进一步的研究和规划提供有用的依据。