ArticleGlobal health research and policy2020
The association between area of residence and sufficient antenatal tetanus vaccination in women ages 15-49 in Afghanistan: an analysis of the 2015 DHS dataset.
Article in Global health research and policy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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13 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.
- Facilitators and barriers to maternal immunization and strategies to improve uptake in low-income and lower-middle income countries: A systematic review.Human vaccines & immunotherapeutics · 2024Pooled it
- Adequate tetanus toxoid immunization and its correlates among married women with a recent live birth in Afghanistan: Insights from a national survey.Human vaccines & immunotherapeutics · 2026Article
- Tetanus toxoid immunization coverage and its determinants among pregnant women in Somalia: A cross-sectional analysis of the 2020 Demographic and Health Survey.Human vaccines & immunotherapeutics · 2025Article
- Antenatal care interventions in Afghanistan from 2000 to 2024: a rapid realist review.BMJ open · 2025Review
- Contents of antenatal care services in Afghanistan: findings from the national health survey 2018.BMC public health · 2023Article
- Article
- Determinants of timing, adequacy and quality of antenatal care in Rwanda: a cross-sectional study using demographic and health surveys data.BMC health services research · 2023Article
- Article
- High rates of COVID-19 vaccine refusal among Afghan pregnant women: a cross sectional study.Scientific reports · 2022Article
- Prevalence and determinants of antenatal tetanus vaccination in Sudan: a cross-sectional analysis of the Multiple Indicator Cluster Survey.Tropical medicine and health · 2022Article
- Article
- Differentials in prevalence and correlates on uptake of tetanus toxoid and intermittent preventive treatment with sulfadoxine-pyrimethamine during pregnancy: A community-based cross-sectional study in The Gambia.SAGE open medicine · 2022Article
- Maternal and Neonatal Tetanus Elimination: Where are We Now?Research and reports in tropical medicine · 2021Review
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2 authors at 2 institutions in 2 countries.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundNeonatal tetanus (NT) is a deadly nervous system disorder that is endemic to Afghanistan. Administering sufficient doses of tetanus toxoid containing vaccine (TTCV) during pregnancy can pass antibodies to the fetus and therefore prevent NT. Using survey data, we investigated the association between area of residence (urban or rural) and sufficient antenatal TTCV coverage among women aged 15-49 years in Afghanistan during their most recent pregnancy in the past 5 years that resulted in a live birth. Mother's education level was also assessed as a potential effect modifier.
methodsSecondary analysis was performed on data from the 2015 Afghanistan Demographic and Health Survey (AfDHS). The 2015 AfDHS was a nationally representative survey with participants selected in a stratified two-stage sample design from urban and rural areas across Afghanistan's 34 provinces. Data were analyzed on 19,737 women ages 15-49 that had a live birth in the 5 years preceding the survey. The relationship between area of residence and sufficient antenatal TTCV was assessed in a multivariable logistic regression model, adjusting for several confounding variables.
results55.1% (95% CI = 51.6-58.5%) of urban women and 53.9% (95% CI = 49.7-57.9%) of rural women had sufficient tetanus vaccination coverage in their most recent pregnancy. In multivariate analysis, there was strong evidence for greater odds of sufficient antenatal tetanus vaccination in rural areas (OR = 1.62; 95% CI = 1.18-2.24, p = 0.003). There was no effect modification on this association by mother's education level.
conclusionsWomen in rural areas of Afghanistan have greater odds of receiving sufficient antenatal tetanus vaccination than women in urban areas. Further study into factors contributing to this urban-rural disparity is needed. Targeted antenatal tetanus vaccination strategies for urban and rural women will be necessary as Afghanistan continues to work towards NT eradication.
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