Med J Malaysia. 2021 Nov;76(6):865-869.
ABSTRACT
INTRODUCTION: This study aimed to determine the coverage of tetanus toxoid vaccination (TT) among pregnant women in Cambodia, and its association with health services and pregnancy factors.
METHODS: A cross-sectional study was conducted by utilising the data from the Cambodia Demographic Health Survey (CDHS). The records of 5901 pregnant women who fulfilled the inclusion criteria were reviewed. Multiple logistic regression was used to identify the association on the influence of health services and pregnancy factors on incomplete TT vaccination while controlling other covariates. Adjusted odds ratio (aOR) and 95% confidence interval (95%CI) was reported.
RESULTS: More than one-third of the respondents had incomplete TT vaccination (38.25%, 95%CI: 37.00, 39.48%). Health services as well as pregnancy factors were statistically associated with incomplete TT vaccination such as received antenatal care (ANC) from other health personnel beside midwife (aOR=1.83; 95%CI: 1.49, 2.24), had <ANC visits (aOR=1.76; 95%CI: 1.53, 2.03), being late for the first ANC visit (aOR=1.65; 95%CI: 1.41, 1.92), unwanted pregnancy (aOR=1.30; 95%CI: 1.11, 1.51), aged ≥30 years at delivery (aOR=1.45; 95%CI: 1.15, 1.46) while controlling other factors like; including age, occupation, husband’s age, occupation, financial status, maternal age at delivery, birth order, wanted pregnancy and accessing health facility.
CONCLUSION: More than one-third of pregnant women in Cambodia had not completed tetanus toxoid vaccination. Health services and pregnancy related factors had significance role on incomplete tetanus toxoid vaccination.
PMID:34806674
