Determinant of TT (Tetanus Toxoid) Immunization Compliance on Pregnant Women in the Tawaeli Health Center Working Area
International Journal of Immunology
Volume 8, Issue 2, June 2020, Pages: 13-17
Received: Jul. 30, 2019;
Accepted: Aug. 23, 2019;
Published: May 19, 2020
Views 85 Downloads 36
Rosmala Nur, Department of Public Health, Faculty of Public Health, Tadulako University, Palu City, Indonesia
Munawarah, Department of Public Health, Faculty of Public Health, Tadulako University, Palu City, Indonesia
Sitti Radhiah, Department of Public Health, Faculty of Public Health, Tadulako University, Palu City, Indonesia
Novi Inriyanny Suwendro, Department of Public Health, Faculty of Public Health, Tadulako University, Palu City, Indonesia
Nurhaya Suardi Patui, Department of Public Health, Faculty of Public Health, Tadulako University, Palu City, Indonesia
Elvaria Mantao, Department of Public Health, Faculty of Public Health, Tadulako University, Palu City, Indonesia
Rahma Dwi Larasati, Department of Public Health, Faculty of Public Health, Tadulako University, Palu City, Indonesia
Ulfa Aulia, Department of Public Health, Faculty of Public Health, Tadulako University, Palu City, Indonesia
The 2015 Inter-Census Population Survey showed Maternal Mortality Rate (MMR) of Indonesia 305/100,000KH, in Central Sulawesi Province AKI in 2017 was as many as 89 cases/100.000KH, of which 3.3% was caused by Tetanus Neonatorum infection by Clostridium tetani bacteria. The coverage of Tetanus Toxoid (TT) immunization in Palu City during 2018 was 87.6% which was conducted in the Tawaeli Health Center. TT immunization coverage in 2015 was (51.4%), in 2016 amounted to (41.96%), in 2017 amounting to (39.5%), this is one indication of the potential for maternal mortality due to infection is still a threat. The objective of the research was to determine the determinants of compliance with TT immunization for pregnant women and their impact on maternal and infant mortality in the Tawaeli Community Health Center work area. The study used quantitative with a cross sectional approach. The population was pregnant women and postpartum mothers who were in the area of the Tawaeli Community Health Center with 74 people taken by accidental sampling. The results of the study showed that mothers who obeyed complete TT immunization were 33 respondents (44.6%) and those who did not comply with complete TT immunization were 41 respondents (55.4%). The chi-square test results showed that the level of knowledge (p = 0.017), attitude (p = 0,000), family support for compliance with TT immunization of pregnant women (p = 0.016). In conclusion, the determinants of adherence to TT immunization for pregnant women are knowledge, attitudes and family support. We recommend that midwives and cadres do IEC regarding the importance of TT immunization for pregnancy and increase coverage by swiping TT immunization into the homes of pregnant women.
Novi Inriyanny Suwendro,
Nurhaya Suardi Patui,
Rahma Dwi Larasati,
Determinant of TT (Tetanus Toxoid) Immunization Compliance on Pregnant Women in the Tawaeli Health Center Working Area, International Journal of Immunology.
Vol. 8, No. 2,
2020, pp. 13-17.
Cahyono, J.. S., 2010. Vaccination is Effective Ways to Prevent Infection, Yogyakarta; Kanisius.
Central Sulawesi Provincial Health Office, 2017. Health of both mother and child, Palu city.
Health Office of Palu City, 2017. Health Profile of Palu City in 2017, Palu city.
Notoatmodjo, S., 2012b. Health Promotion and Health Behavior, Jakarta; Rineka Cipta.
Aprida, S., Utami, S., & Hasneli, Y. (2015). The effectiveness of health education about Tetanus toxoid (TT) immunization on the knowledge of pregnant women about TT immunization. Online Journal of University of Riau Nursing Study Program Students, 1 (2), 1-9.
Prihastanti, E. & Hastuti, P., 2015. Employment Relationship, Economic Status, Pregnant Mother Education With Knowledge of Tetanus Toksoid Immunization in Baturraden Ii Health Center, Baturraden District, Banyumas Regency, 2014. Midwifery Scientific Journal, Vol 6 No 1.
Nwokeukwu, H. et al., 2014. Tetanus Toxoid Immunization Coverage in Federal Medical Centre, Umuahia, Abia State, South East Zone, Nigeria. International Journal of Tropical Disease & Health, 4 (12).
Mislianti, M., & Amirus, K. (2012). Factors Related To Providing Tt Immunization in Women's Age (Wus) In Kesumadadi Puskesmas Bekri District, Central Lampung in 2012. World Journal of Public Health, 1 (4).
Wawan. A., 2011. Theory & Measurement, Attitudes, and Human Behavior. Nuha Medika. Yogyakarta.
Ayu, D. T., 2018. factors related to the implementation of Tetanus toxoid immunization for pregnant women. EduHealth Journal. vol. 5. No. 2.
Wahyuni, Hariani, Suhartik., 2013. Factors That Affect Tt Immunization Status in Pregnant Women in Lisu District Health Center. Barru Vol 2 No 3. ISSN; 2302-1721.
Rosmeri, B. 2018. Relationship between Knowledge and Attitudes of Pregnant Women Against Tetanus Toxoid Immunization. Journal Of Midwifery Science. Husada Pekanbaru; Akademi Kebidanan Dharma. Vol 2. No. 2
Nur, R. Rahman, A. Triyani, E. Radhiah, S. Patui, N. S. Marcelina. Vidyanto., 2018. Determinant of Tetanus Toxoid Immunization; Impact in Pregnancy in Palu, Indonesia. International Journal of Medical Science and Clinical Invention, vol. 5.
Maulida, S. W., 2012. Factors Affecting Immunization Coverage of Tetanus Toxoid in Pregnant Women in the Work Area of Meutulang Health Center, Panton Reu District, West Aceh Regency in 2012. Public Health Journal.
Anokye, M, Tweneboah, George., 2014. Immunization Coverage of Pregnant Women with Tetanus Toxoid Vaccine in Dormaa East District-Brong Adaro Region, Ghana., 4 (6).
Azizah, N., 2015. Primigravida Mother's Knowledge of Tetanus Toxoid Injections with Implementation. Edu Health Journal, Vol 5 No 2.
Lapangoyu, A., Sudirman, S., & Moonti, S. W. (2018). Relationship of Behavior With The Completion of Immunization of Tetanus Toxoid In Pregnant Women in The Working Area Of Tagolu Health Center, Poso District. Journal of Collaborative Science, 1 (1).
Syamson, M. M., & Fadriyanto, F. (2018). Factors Related to Giving Immunization of Tetanus Toxoid (TT) in Pregnant Women in The Working Area of Rappang Puskesmas, Sidrap District, 2017. Scientific Journal of Health Diagnosis, 12 (2), 177-181.
Budiman, 2014. Relationship between Course of Candidates for Brides With the Participation of Tetanus Toxoid Immunization in Soreang District of 2014. Journal of Priangan Health, Vol 1 No 3.
Indriyani, D., & Asih, S. W. (2019). Perception of Young Mothers and Families about Giving Immunization (Family Based Maternal Sensitivity Models Approach). Health Journal, 5 (1), 60-67.
Simanungkalit, E. S. P. (2019). Relationship of Predisposing and Reinforcing Factors with The Implementation of Tetanus Toxoid Immunization in Puskesmas Finished District Finished. Independent Health Journal, 1 (1), 22-33.
Nurmawati, N., & Munawaroh, M. (2018). Factors Related to Two Toxoid Tetanus Immunization (Three) in Three Trimester Pregnant Women in Cemanggis Kemuning Puskesmas Bojong Gede District, Bogor District, West Java Province 2016. Science and Culture, 40 (55).