Effectiveness of Health Education Message in Improving Tetanus Health Literacy among Women of Childbearing Age: A Quasi-Experimental Study

  • Mujtaba Haider Bukhari
  • Khushbakht Ms.
  • Aashi Mughal
  • Ahsan Tariq
  • Maria Yaseen
  • Tamanna Fayyaz
Keywords: Tetanus, Health literacy, Intervention.

Abstract

Background: Pakistan is one of the 34 countries yet to achieve the neonatal tetanus global elimination target set by the World Health Organization. Lack of vaccination, inadequate knowledge about prevention, and unsafe practices are major causes of spread. The study aims to determine the effectiveness of health education messages in improving tetanus health literacy among women age 16 to 45 years.
Methods: The quasi-experimental study which was carried out from April 2018 to June 2018 at Holy Family Hospital, Rawalpindi consisted of 150 female respondents of age 16 to 45 years selected by non-probability convenience sampling. Written informed consent was taken from each participant. Afterward, respondents were sequentially delivered pre-test proforma, health education message (verbally and in the form of the pamphlet), and a post-test proforma after a gap of 2 days. The pre-test and post-test proformas assessed knowledge about tetanus. Data were analyzed via SPSS version 22.
Results: Out of 150 women 20.1% were uneducated and 79.9% were educated. The area of residence was urban for 83.3% and rural for 16.7%. Mean tetanus health literacy scores increased significantly from 6.32 ± 2.85 to 10.55 ± 3.87 (p=0.01). Health education message was more effective for students and employees compared with housewives (p=0.01). Similarly, women possessing higher education were more likely to have high scores on post-tests (p=0.01).
Conclusions: The health education message is effective in improving tetanus health literacy among women.

References

1. World Health Organization. Tetanus vaccines: WHO position paper, February 2017–recommendations. Vaccine. 2018 Jun 14;36(25):3573-5.
2. World Health Organization. The World health report 1996: fighting disease, fostering development: executive summary. World Health Organization; 1996.
3. World Health Organization. Maternal and neonatal tetanus elimination by 2005: strategies for achieving and maintaining elimination. World Health Organization; 2002.
4. MacDougall DM, Halperin BA, Langley JM, McNeil SA, MacKinnon-Cameron D, Li L, Halperin SA. Knowledge, attitudes, beliefs, and behaviors of pregnant women approached to participate in a Tdap maternal immunization randomized, controlled trial. Human vaccines & immunotherapeutics. 2016 Apr 2;12(4):879-85.
5. Hassan AM, Shoman AE, Abo-Elezz NF, Amer MM. Tetanus vaccination status and its associated factors among women attending a primary healthcare center in Cairo governorate, Egypt. Journal of the Egyptian Public Health Association. 2016 Sep 1;91(3):127-34.
6. Kumar A, Unnikrishnan B, Rekha T, Mithra P, Kumar N, Kulkarni V, Ramesh Holla DB. Awareness and attitude regarding breastfeeding and immunization practices among primigravida attending a tertiary care hospital in Southern India. Journal of clinical and diagnostic research: JCDR. 2015 Mar;9(3): LC01.
7. Lambo JA, Nagulesapillai T. Neonatal tetanus elimination in Pakistan: progress and challenges. International Journal of Infectious Diseases. 2012 Dec 1;16(12):e833-42.
8. Owais A, Hanif B, Siddiqui AR, Agha A, Zaidi AK. Does improving maternal knowledge of vaccines impact infant immunization rates? A community-based randomized-controlled trial in Karachi, Pakistan. BMC public health. 2011 Dec 1;11(1):239.
9. World Health Organization. Maternal and neonatal tetanus elimination by 2005: strategies for achieving and maintaining elimination. Maternal and neonatal tetanus elimination by 2005: strategies for achieving and maintaining elimination.. 2000.
10. Fatiregun AA, Okoro AO. Maternal determinants of complete child immunization among children aged 12–23 months in a southern district of Nigeria. Vaccine. 2012 Jan 17;30(4):730-6.
11. Shafiq Y, Khowaja AR, Yousafzai MT, Ali SA, Zaidi A, Saleem AF. Knowledge, attitudes and practices related to tetanus toxoid vaccination in women of childbearing age: A cross-sectional study in peri-urban settlements of Karachi, Pakistan. Journal of infection prevention. 2017 Sep;18(5):232-41.
12. Castro-Sánchez E, Chang PW, Vila-Candel R, Escobedo AA, Holmes AH. Health literacy and infectious diseases: why does it matter?. International Journal of Infectious Diseases. 2016 Feb 1;43:103-10.
13. Powell-Jackson T, Fabbri C, Dutt V, Tougher S, Singh K. Effect and cost-effectiveness of educating mothers about childhood DPT vaccination on immunisation uptake, knowledge, and perceptions in Uttar Pradesh, India: a randomised controlled trial. PLoS medicine. 2018 Mar 6;15(3):e1002519.
14. Azzahrani MK, Alsaedy AM, Alsalmi AA, et al. Public Attitude and Awareness towards Tetanus and Its Vaccine in Riyadh. IJSR. 2015: 78; 96
15. Akmatov MK, Rübsamen N, Deyneko IV, Karch A, Mikolajczyk RT. Poor knowledge of vaccination recommendations and negative attitudes towards vaccinations are independently associated with poor vaccination uptake among adults–findings of a population-based panel study in Lower Saxony, Germany. Vaccine. 2018 Apr 25;36(18):2417-26.
16. Wasay M, Malik A, Fahim A, Yousuf A, Chawla R, Daniel H, Rafay M, Azam I, Razzak J. Knowledge and attitudes about tetanus and rabies: a population-based survey from Karachi, Pakistan. Journal of the Pakistan Medical Association. 2012;62(4):378.
17. Afridi NK, Hatcher J, Mahmud S, Nanan D. TOXOID VACCINATION STATUS AMONG FEMALES OF REPRODUCTIVE AGE IN PESHAWAR. JCPSP. 2005;15(7):391-5.
18. Riccò M, Razio B, Panato C, Poletti L, Signorelli C. Knowledge, attitudes and practices of agricultural workers towards tetanus vaccine: a field report. Ann Ig. 2017 Jan 1;29(4):239-55.
19. Hassan AM, Shoman AE, Abo-Elezz NF, Amer MM. Tetanus vaccination status and its associated factors among women attending a primary healthcare center in Cairo governorate, Egypt. Journal of the Egyptian Public Health Association. 2016 Sep 1;91(3):127-34.
Published
2020-12-12
How to Cite
1.
Bukhari M, Ms. K, Mughal A, Tariq A, Yaseen M, Fayyaz T. Effectiveness of Health Education Message in Improving Tetanus Health Literacy among Women of Childbearing Age: A Quasi-Experimental Study. JRMC [Internet]. 12Dec.2020 [cited 8May2021];24(1):27-1. Available from: https://journalrmc.com/index.php/JRMC/article/view/1537

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