title: Coverage and factors associated with tetanus toxoid vaccination status among females of reproductive age in Peshawar.
abstract: OBJECTIVE
  To estimate the coverage and determine the factors associated with tetanus toxoid vaccination status among females of reproductive age.
  
  
  METHODS
  Cross-sectional study.
  
  
  METHODS
  District Peshawar, NWFP, from July to September 2002.
  
  
  METHODS
  A total of 646 females of reproductive age (15-49) years were selected from both urban and rural areas of Peshawar through stratified cluster sampling. A pre-tested structured questionnaire was administered to females. Two logistic regression models were built, one for all females and one for married females only.
  
  
  RESULTS
  Overall 65.0% females were vaccinated (95% confidence interval (CI) (61.3%, 68.6%). For all females, the variables that were significantly associated with vaccination status were marital status (OR= 8.5, 95% CI (4.7, 15.6)), source of information regarding tetanus toxoid (TT) vaccination, knowledge regarding TT vaccination, visits of lady health worker (LHW) to a household (OR = 2.3, 95% CI (1.4, 3.9) and restriction on TT vaccination (OR = 28.7, 95% CI (3.5, 237.9)). For the married females, the variables that were significantly associated with vaccination status were source of information; visits of LHW to a household (OR = 2.8, 95% CI (1.5 to 5.2)) and an interaction between knowledge regarding TT vaccination and antenatal care visits.
  
  
  CONCLUSIONS
  These findings are of public health concern as a majority of females is not vaccinated according to WHO recommendations. It is recommended that maternal and neonatal tetanus (MNT) vaccination campaigns should include lady health workers at implementation stage.
authors.affiliation: Department of Health, Provincial Health Services Academy, Peshawar. dmaseemk@yahoo.com
authors.forename: Naseem Khan
authors.initials: NK
authors.lastname: Afridi
authors.forename: Juanita
authors.initials: J
authors.lastname: Hatcher
authors.forename: Sadia
authors.initials: S
authors.lastname: Mahmud
authors.forename: Debra
authors.initials: D
authors.lastname: Nanan
mesh_terms: D000293:Adolescent; D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D016015:Logistic Models; D008875:Middle Aged; D010154:Pakistan; D012959:Socioeconomic Factors; D013745:Tetanus Toxoid; D014611:Vaccination / Q000706:statistics & numerical data*
chemical_list: D013745:Tetanus Toxoid