Factors Associated with the Utilization of Tetanus Toxoid Immunization Services among Pregnant Women in Oepoi Health Center, Kupang, East Nusa Tenggara
Abstract
Background: The tetanus toxoid (TT) immunization program is a process of building immunity as an effort to prevent tetanus infection. TT immunization is important to form tetanus antibodies that will prevent neonatal tetanus. The coverage of TT immunization in Oepoi Community Health Center Working Area in 2020 is classified as very low, which was only 37.06%. The low coverage of TT Immunization indicated a lack of utilization of immunization services by pregnant women. This study aimed to determine the factors associated with the utilization of Tetanus Toxoid immunization services for pregnant women in the working area of the Oepoi Health Center.
Subjects and Method: This cross-sectional study was conducted in the working area of the Oepoi Health Center, Kupang, East Nusa Tenggara from March to October 2022. A total of 46 third trimester pregnant women were selected by simple random sampling. The dependent variable was the TT immunization service. The independent variables were knowledge, the role of health workers, husband's support, and parity. Data was collected by using a questionnaire and analyzed by using the chi-square test.
Results: There is a relationship between knowledge (OR= 48.00; 95%CI= 7.84 to 293.71; p<0.001), the role of health workers (OR= 22.16; 95%CI= 2.57 to 190.99; p<0.001) husband’s support (OR=10.85; 95%CI= 2.68 to 43.89; p<0.001), parity (OR= 3.73; 95%CI= 1.08 to 12.90; p= 0.033) and the utilization of the TT immunization service in the Oepoi Health Center working area.
Conclusion: Knowledge, the role of health workers, husband's support, parity are related with the utilization of TT immunization services in the working area of the Oepoi Health Center.
Keywords: immunization, tetanus toxoid, pregnant women.
Correspondence:
Chintya Leba Leo. Faculty of Public Health, Universitas Nusa Cendana Kupang. Jl. Adisucipto Number 1 Penfui Kotak Pos 104 Kupang 85001, East Nusa Tenggara. Email: chintyalebaleo@gmail.com. Mobile: +62 813-3855-7740.
Journal of Health Promotion and Behavior (2023), 08(01): 58-64
DOi: https://doi.org/10.26911/thejhpb.2023.08.01.08
References
Dinas Kesehatan Kota Kupang (2020). Profil Kesehatan Kota Kupang (Kupang City Health Profile). Dinas Kesehatan Kota Kupang. Retrieved at: November 25, 2022.
Daryanti E (2019). Faktor-faktor yang Berhubungan dengan Kelengkapan Imunisasi Tetanus Toxoid pada Ibu Hamil di Wilayah Kerja Puskesmas Cilimus Kabupaten Garut (Factors Associated with the Completeness of Tetanus Toxoid Immunization in Pregnant Women in the Work Area of the Cilimus Health Center, Garut Regency). JoMI: J Midwifery Indormation. 2020;-1(1):10–21. ISSN 2747-0822
Fauziah, Rombebua SM (2019). Hubungan Peran Bidan sebagai Pemberi Informasi dengan Kepatuhan Ibu Hamil dalam Melakukan Imunisasi TT Di Puskesmas Juanda Samarinda (The Relationship between the Role of Midwives as Providers of Information with Compliance of Pregnant Women in Carrying Out TT Immunization at the Juanda Health Center in Samarinda). Bunda Edu-Midwifery J. (BEMJ).2(2):35–40. e-ISSN: 2622-7487
Husni S (2017). Hubungan Tingkat Pengetahuan Ibu Hamil dan Dukungan Suami dengan Imunisasi Tetanus Toksoid (TT) di Wilayah Kerjs Puskesmas Seberang Padang Tahun 2017 (The Relationship between the Knowledge Level of Pregnant Women and Husband's Support with Tetanus Toxoid (TT) Immunization in the Working Area of the Seberang Padang Health Center in 2017). Politeknik Kesehatan Kemenkes Padang. Retrieved at: November 25, 2022
Kementerian Kesehatan RI. (2012). Profil Data Kesehatan Indonesia (Indonesian Health Data Profile).
Laila A (2015). Hubungan Faktor Predisposisi terhadap Tindakan Imunisasi Tetanus Toksoid pada Ibu Hamil Di Wilayah Kerja Puskesmas Sambi Rejo Kecamatan Binjai Kabupaten Langkat (Relationship of Predisposing Factors to Tetanus Toxoid Immunization Actions in Pregnant Women in the Work Area of the Sambi Rejo Health Center, Binjai District, Langkat Regency). Universitas Sumatera Utara. Retrieved at: November 25, 2022
Lumban T (2019). Determinan Pemanfaatan Imunisasi TT Pada Ibu Hamil Di Wilayah Kerja Puskesmas Simalingkar Medan (Determinants of Utilization of TT Immunization in Pregnant Women in the Work Area of the Simalingkar Health Center in Medan). Universitas Sumatera Utara. Retrieved at: November 25, 2022
Minarti, Chandra T, Riani L (2021). Hubungan Peran Tenaga Kerja dan Motivasi terhadap Kelengkapan Imunisasi Tetanus Toksoid pada Ibu Hamil (The Relationship between the Role of Health Workers and Motivation on the Completeness of Tetanus Toxoid Immunization in Pregnant Women). J. Health Science. 1(2):46–53.
Notoatmodjo S (2012). Promosi Kesehatan dan Perilaku Kesehatan (Health Promotion and Health Behavior). PT. Rineka Cipta.
Profil Kesehatan Provinsi Nusa Tenggara Timur (2020). Data dan Informasi Profil Kesehatan (Health Profile Data and Information). Nusa tenggara Timur. Retrieved at: November 25, 2022
Nuraina S, Laga F, Laska Y (2022). Peran Bidan dalam Pemberian Informasi dan Edukasi Pentingnya Imunisasi Tetanus Toksoid (Tt) pada Ibu Hamil di Pmb Suherlina Kota Batam (The Role of Midwives in Providing Information and Education on the Importance of Tetanus Toxoid (Tt) Immunization for Pregnant Women at Pmb Suherlina Batam City). J Inov Penelit. 2(1):3817–3822. Doi: 10.47492/jip.v2i11.1460
Sumiastuti J (2016). Faktor-Faktor yang Mempengaruhi Kepatuhan Ibu Hamil dalam Melaksanakan Imunisasi Tetanus Toksoid di Puskesmas Kasihan Ii Bantul. Sekolah Tinggi Ilmu Kesehatan Jenderal Achmad Yani (Factors Influencing Compliance of Pregnant Women in Implementing Tetanus Toxoid Immunization at the Kasihan Ii Health Center, Bantul. Jenderal Achmad Yani College of Health Sciences). Yogyakarta. Retrieved at: November 25, 2022
Sitorus D, Aisyah S, Amalia R (2022). Hubungan Pengetahuan, Sikap Ibu dan Dukungan Suami dengan Kelengkapan Pemberian Imunisasi Tetanus Toxoid (TT) pada Ibu Hamil (Correlation between Knowledge, Mother's Attitude and Husband's Support with Completeness of Tetanus Toxoid (TT) Immunization in Pregnant Women). Jiub J. Doi: 10.33087/jiubj.v22i2.1783