ASSOCIATION OF MATERNAL TETANUS TOXOID (TT) IMMUNIZATION IN PREGNANCY WITH AGE APPROPRIATE IMMUNIZATION COVERAGE OF THEIR CHILDREN UNDER ONE YEAR AGE
Objective: To establish the association of maternal tetanus toxoid (TT) vaccination in pregnancy with age appropriate
immunization coverage of their children less than one year of age.
Methodology: The study was conducted in both urban and rural areas of Peshawar. WHO recommended (30x7)
stratified multi stage cluster sampling technique was used for data collection. Seven children of age less than one
year and their mothers were included per cluster to make total sample size of 210.A well designed questionnaire was
used as data collection tool. Children with any contraindication to vaccine and those living away from their mothers
were excluded from the study. Prior consent was taken from mothers after explaining the purpose of the study. BCG
scars, Ante natal cards of mothers and immunization cards of children were checked for their coverage status. In case
of non availability verbal inquiry was made. The data was analyzed by SPSS version 16 and results were presented in
form of tables and graphs.
Results: Results of the study shows that (TT) immunization of mothers in pregnancy was significantly associated
positively with age appropriate EPI coverage of their children less than one year of age (p< 0.001). The immunization
status of completely immunized children were 70.7%.while TT immunization coverage of mothers were 62%.other factors
affecting immunization status positively were parents education, socioeconomic status and area of living(urban) .major
factors leading to failure of utilization of EPI services were family matters, parents busy schedule and fear of side effects.
Conclusions: Maternal TT vaccination in pregnancy is significantly associated with age appropriate EPI coverage of
children less than one year age which reflects the health seeking behavior of a more conscious mother making good
health choices for herself as well as for her child.
Key Words: maternal TT vaccination, age appropriate EPI coverage,