Determinant of TT (Tetanus Toxoid) Immunization Compliance on Pregnant Women in the Tawaeli Health Center Working Area

Abstract

The 2015 Inter-Census Population Survey showed Maternal Mortality Rate (MMR) of Indonesia 305/100,000KH, in Central Sulawesi Province AKI in 2017 was as many as 89 cases/100.000KH, of which 3.3% was caused by Tetanus Neonatorum infection by Clostridium tetani bacteria. The coverage of Tetanus Toxoid (TT) immunization in Palu City during 2018 was 87.6% which was conducted in the Tawaeli Health Center. TT immunization coverage in 2015 was (51.4%), in 2016 amounted to (41.96%), in 2017 amounting to (39.5%), this is one indication of the potential for maternal mortality due to infection is still a threat. The objective of the research was to determine the determinants of compliance with TT immunization for pregnant women and their impact on maternal and infant mortality in the Tawaeli Community Health Center work area. The study used quantitative with a cross sectional approach. The population was pregnant women and postpartum mothers who were in the area of the Tawaeli Community Health Center with 74 people taken by accidental sampling. The results of the study showed that mothers who obeyed complete TT immunization were 33 respondents (44.6%) and those who did not comply with complete TT immunization were 41 respondents (55.4%). The chi-square test results showed that the level of knowledge (p = 0.017), attitude (p = 0,000), family support for compliance with TT immunization of pregnant women (p = 0.016). In conclusion, the determinants of adherence to TT immunization for pregnant women are knowledge, attitudes and family support. We recommend that midwives and cadres do IEC regarding the importance of TT immunization for pregnancy and increase coverage by swiping TT immunization into the homes of pregnant women.