ArticlePloS one2022
Prevalence and risk factors associated with rural women's protected against tetanus in East Africa: Evidence from demographic and health surveys of ten East African countries.
Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 24 citations in OpenAlex.
- 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
- Knowledge, Attitudes, and Self-Reported Tetanus-Toxoid-Containing Vaccine Uptake Among Women Aged 15-44 Years in Ifakara Town, Tanzania: A Community-Based Cross-Sectional Study.Health science reports · 2026Article
- Determinants of tetanus-unprotected births in Tanzania: a multilevel analysis using the 2022 Tanzania Demographic and Health Survey data.Maternal health, neonatology and perinatology · 2026Article
- Determinants of tetanus immunization among pregnant women where tetanus has not been eliminated: a multilevel analysis of 6 countries.Frontiers in global women's health · 2025Article
- Factors Influencing the Length of Emergency Intensive Care Unit Stay in Adult Tetanus Patients.International journal of general medicine · 2025Article
- Protective doses of tetanus toxoid immunization and its associated factors among mothers in southern Ethiopia.Human vaccines & immunotherapeutics · 2024Article
- Hotspot areas of tetanus-unprotected births and its associated factors in Ethiopia: Spatial analysis of EDHS data.Human vaccines & immunotherapeutics · 2024Article
- Seroprotection against tetanus in HIV-exposed and HIV-unexposed infants in Malawi in 2019-2020.BMJ paediatrics open · 2024Article
- Prevalence and factors associated with rural mothers' protection against tetanus: a cross-national analysis in 33 sub-Saharan African countries.International health · 2024Article
- Population modifiable risk factors associated with neonatal mortality in 35 sub-Saharan Africa countries: analysis of data from demographic and health surveys.EClinicalMedicine · 2024Article
- Article
- Spatial distribution and determinants of tetanus toxoid immunization among pregnant women in Ethiopia using data from Ethiopian demographic and health survey 2016.BMC pregnancy and childbirth · 2023Article
- Proportion of births protected against neonatal tetanus and its associated factors among mothers who gave birth within the past 6 months in Gozamn district, Northwest Ethiopia, 2022.Human vaccines & immunotherapeutics · 2023Article
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- Article
- Maternal Tetanus Toxoid Vaccination in Benin: Evidence from the Demographic and Health Survey.Vaccines · 2022Article
- Tetanus in Uganda: Clinical Outcomes of Adult Patients Hospitalized at a Tertiary Health Facility Between 2011 and 2020.Open forum infectious diseases · 2022Article
- Factors associated with utilization of quality antenatal care: a secondary data analysis of Rwandan Demographic Health Survey 2020.BMC health services research · 2022Article
Corrections and comments
- Erratum issued
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTetanus is a deadly bacterial infection caused by Clostridium tetani wound contamination characterized muscular spasms and autonomic nervous system dysfunction. Maternal and neonatal tetanus occurs under improper hygiene practices during childbirth. Globally, an estimated 3.3 million newborn deaths occur every year, and about 9,000 babies die every day in the first 28 days of life. This study sought to identify risk factors associated with the immunization of rural women against tetanus in rural areas in ten East African countries.
methodThe data used in this study were taken from the Demographic and Health Survey (DHS) of ten East African countries (Ethiopia, Burundi, Comoros, Zimbabwe, Kenya, Malawi, Ruanda, Tanzania, Uganda and, Zambia). Multivariable binary logistic regression is used to determine the risk factors associated with tetanus-protected women in east Africa.
resultsThe weighted total samples of 73735 rural women were included in the analysis. The combined prevalence of tetanus immunization among protected rural women in ten East African countries was 50.4%. Those women with age of 24-34 (AOR = 0.778; 95%CI: 0.702-0.861), higher educational level (AOR = 4.010; 95%CI: 2.10-5.670), rich women (AOR = 3.097;95%CI: 2.680-3.583), mass media coverage (AOR = 1.143; 95%CI: 1.030-1.269), having above three antenatal care follow up (AOR = 1.550; 95% CI: 1.424-1.687), big problem of distance to health facility (AOR = 0.676; CI: 0.482-0.978) and place of delivery health facility (AOR = 1.103; 95% CI: 1.005-1.210) had a significant effect on women's protected from tetanus.
conclusionThe coverage of tetanus immunization in East Africa was very low. Public health programs target rural mothers who are uneducated, poor households, longer distances from health facilities, mothers who have the problem of media exposure, and mothers who have not used maternal health care services to promote TT immunization.
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