Socio-cultural factors influencing completion of tetanus toxoid vaccination among pregnant women attending Ndejje Health Centre IV. A cross-sectional study.
DOI:
https://doi.org/10.51168/kcewv220Keywords:
Pregnant women, Tetanus toxoid, Socio-cultural, VaccinationAbstract
Background:
The study aimed to assess the socio-cultural factors influencing completion of tetanus toxoid vaccination among pregnant women attending Ndejje Health Centre IV.
Methodology:
A descriptive cross-sectional quantitative study was conducted at Ndejje Health Centre IV in Wakiso District among pregnant women aged 15–49 attending antenatal care. A sample of 60 participants was determined using Yamane’s formula and recruited through convenience sampling. Data were collected using interviewer-administered semi-structured questionnaires. Pretesting, training, and daily checks ensured quality. Data were analyzed using SPSS with descriptive statistics. Ethical approval, informed consent, confidentiality, and voluntary participation were strictly maintained throughout the study. Study variables included socio-cultural factors influencing vaccination completion during the study period.
Results:
The study included 60 respondents. Most husbands, 33 (55%), had secondary education, 15 (25%) primary, 12 (20%) higher, and 6 (10%) none. Regarding living standards, 36 (60%) reported moderate, 21 (35%) low, and 3 (5%) high. Rural residents were 39 (65%), peri-urban 15 (25%), and urban 6 (10%). Half of respondents, 30 (50%), had secondary education, 15 (25%) primary, 12 (20%) tertiary, and 3 (5%) none. Media access was occasional for 36 (65%), regular for 18 (30%), and absent for 3 (5%). Additionally, 48 (80%) did not follow traditional practices, while 12 (20%) did. Higher education among husbands (20%) and respondents (20%) was notable, and a combined 85% had at least primary education, indicating widespread basic literacy.
Conclusion:
Socio-cultural barriers, low awareness, weak follow-up, and distance hinder tetanus vaccination completion.
Recommendation:
Strengthen community awareness and partner with local leaders to promote full vaccination completion.
References
1. Aboagye, R. G., Amu, H., Dowou, R. K., Bansah, P., Oaikhena, I. O., & Bain, L. E. (2023). Prevalence and correlates of tetanus toxoid uptake among women in sub-Saharan Africa. PLOS ONE, 18(12), e0296174. https://doi.org/10.1371/journal.pone.0296174
2. Chimukuche, R. S., Seeley, J., & Nxumalo, P. S. (2022). Assessing community acceptance of maternal immunisation in rural KwaZulu-Natal, South Africa. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8951159/
3. Gelaw, T., Ayalew, S., & Eyene, K. (2022). Knowledge and uptake of tetanus toxoid vaccine among reproductive-age women in Ethiopia. medRxiv. https://doi.org/10.1101/2022.12.20.22283731
4. Ibrahim, Z. A., Sabahelzain, M. M., Elhadi, Y. A. M., Malande, O. O., & Babiker, S. (2023). Predictors of tetanus vaccine uptake among pregnant women in Sudan. Vaccines, 11(7). https://doi.org/10.3390/vaccines11071268
5. Islam, M., Sen, K. K., & Bari, W. (2022). Living standard and access to tetanus toxoid immunization among women in Bangladesh. BMC Public Health, 22(1), 1037. https://doi.org/10.1186/s12889-022-13448-7
6. Johm, P., Nkoum, N., Ceesay, A., Mbaye, E. H., Larson, H., & Kampmann, B. (2021). Factors influencing acceptance of vaccination during pregnancy in The Gambia and Senegal. Vaccine, 39(29), 3926–3934. https://doi.org/10.1016/j.vaccine.2021.05.068
7. Kiyuka, P. K., Moindi, R. O., Murunga, N., Muinga, N., Mutua, M. N., Wanjala, S., Sandra, S., Mumba, N., Otieno, E., Mutengu, L., & Shauri, H. S. (2021). Assessing risk perceptions contributing to tetanus toxoid vaccine hesitancy in Kenya.
8. Mohamed, S. O. O., & Ahmed, E. M. (2022). Prevalence and determinants of antenatal tetanus vaccination in Sudan. Tropical Medicine and Health, 50(1), 7. https://doi.org/10.1186/s41182-022-00398-4
9. Morhason-Bello, I., Kareem, Y. O., Illah, O., Akinyemi, J. O., Abdus-salam, R., Lawal, O., Bello, O., Obajimi, G., & Adewole, I. F. (2022). Factors associated with the uptake of antenatal tetanus toxoid-containing vaccine by first-time mothers in Nigeria. Journal of Pregnancy, 2022, e7607993. https://doi.org/10.1155/2022/7607993
10. Nalubega, P., Karafillakis, E., Atuhaire, L., Akite, P., Zalwango, F., Chantler, T., Cochet, M., Seeley, J., & Le Doare, K. (2021). Maternal vaccination in Uganda: Exploring pregnant women, community leaders, and healthcare workers’ perceptions. Vaccines, 9(6). https://doi.org/10.3390/vaccines9060552
11. Nigussie, J., Girma, B., Molla, A., & Mareg, M. (2021). Tetanus toxoid vaccination coverage and associated factors among childbearing women in Ethiopia: A systematic review and meta-analysis. BioMed Research International, 2021. https://doi.org/10.1155/2021/5529315
12. Yaya, S., Kota, K., Buh, A., & Bishwajit, G. (2019). Antenatal visits are positively associated with uptake of tetanus toxoid vaccination in the Ivory Coast. BMC Public Health, 19(1), 1467. https://doi.org/10.1186/s12889-019-7847-1
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Poul Onyango, Mr. Jimmy Okwany, Hasifa Nansereko, Francisco Ssemuwemba, Jane Frank Nalubega, Immaculate Prosperia Naggulu (Author)
This work is licensed under a Creative Commons Attribution 4.0 International License.
