THE CORRELATION BETWEEN THE KNOWLEDGE AND ATTITUDES OF PREGNANT WOMEN TOWARDS TETANUS TOXOID (TT) IMMUNIZATION

Authors

  • Mariatul Kiftia Universitas Syiah Kuala
  • Martina Martina Syiah Kuala University

DOI:

https://doi.org/10.70248/jophs.v2i4.3541

Abstract

This study aims to determine the relationship between the level of knowledge and attitudes of pregnant women towards tetanus toxoid (TT) immunization in Banda Aceh City. The research method used is quantitative research with a cross-sectional analytical design. This study was conducted in three community health centers in the working area of ​​Banda Aceh City, namely Ulee Kareng, Kopelma Darussalam, and Meuraxa, with a sample of 107 pregnant women selected using a purposive sampling technique. Data were collected using a structured questionnaire that measured the characteristics of respondents, their level of knowledge, and their attitudes towards TT immunization, then analyzed using the chi-square test. The results showed that most respondents had sufficient knowledge (52.3%) and a positive attitude towards TT immunization (72.0%). The results of the bivariate analysis showed a significant relationship between the knowledge and attitudes of pregnant women towards tetanus toxoid immunization with a p value = 0.001. The conclusion of this study is that there is a significant relationship between the level of knowledge and attitudes of pregnant women towards tetanus toxoid (TT) immunization, where the better the knowledge of pregnant women, the more positive their attitudes towards the implementation of TT immunization.

 

Keywords: Knowledge, Attitudes, Pregnant Women, Tetanus Toxoid Immunization, TT

References

ACOG (American College of Obstetricians and Gynecologists). (2017). Guidelines for immunization in pregnancy. Washington, DC: ACOG. https://www.acog.org/clinical/clinical-guidance/committee-opinion

Ayu, N., et al. (2020). The role of knowledge and attitude in TT immunization compliance among pregnant women. Journal of Nursing and Health, 9(2), 101–109.

Aswad, M., & Abdul-Sahib, K. (2025). Impact of antenatal health education on tetanus toxoid knowledge among pregnant women. Iraqi Journal of Public Health, 14(1), 12–21.

Bambang, S., et al. (2024). Maternal and neonatal tetanus: Local immunization coverage and challenges. Banda Aceh Health Journal, 6(1), 22–30.

Jasim, H., et al. (2021). Knowledge and practice of tetanus toxoid vaccination among pregnant women in Mosul City, Iraq. Journal of Public Health Research, 10(2), 215–223. https://doi.org/10.4081/jphr.2021.215

Jones, C., et al. (2018). Maternal vaccination and antibody transfer to infants. Vaccine, 36(45), 6816–6823. https://doi.org/10.1016/j.vaccine.2018.09.038

Lede, R., et al. (2021). Pregnant women’s attitudes toward TT vaccination and maternal health outcomes. International Journal of Maternal Health, 5(3), 55–62.

Lisnawati, L., & Sofiyati, A. (2023). Effect of housewife status on antenatal care attendance and TT vaccination. Journal of Community Health Nursing, 15(2), 77–85.

Mardliyana, R., et al. (2022). Effectiveness of tetanus toxoid immunization in maternal health programs. Indonesian Journal of Midwifery, 10(3), 45–52. https://doi.org/10.23917/ijm.v10i3.15789

Mikrani, P., & Sari, R. (2024). Factors affecting tetanus toxoid immunization coverage in Nepal. Nepal Medical Journal, 12(1), 56–63.

Musniati, I. (2024). Theoretical perspectives on attitude formation in health behavior. Journal of Health Psychology, 7(2), 88–96.

Pillitteri, A. (2010). Maternal & Child Health Nursing: Care of the Childbearing and Childrearing Family. Philadelphia: Lippincott Williams & Wilkins.

Rosmeri, D. (2020). Relationship between knowledge and attitudes toward TT immunization. Nursing and Public Health Journal, 6(2), 100–107.

Simamora, F., et al. (2023). Factors influencing TT immunization acceptance in Cirebon. Journal of Midwifery Research, 11(1), 33–42.

Tafsil, M., & Rifki, A. (2021). Knowledge and attitudes of pregnant women toward TT immunization in Batam. Journal of Midwifery Practice, 8(1), 44–50.

World Health Organization. (2020). Tetanus vaccines: WHO position paper – February 2020. Weekly Epidemiological Record, 95(8), 93–112. https://www.who.int/publications/i/item/who-wer9508

World Health Organization. (2022). Maternal and neonatal tetanus elimination: Global progress and challenges. Geneva: WHO. https://www.who.int/publications/i/item/maternal-neonatal-tetanus-elimination-2022

Yulviana, D., et al. (2024). Tetanus toxoid immunization coverage among women of childbearing age. Journal of Health Science, 12(1), 33–41.

Zegeye, A., et al. (2024). Maternal tetanus: Risk factors and prevention strategies. International Journal of Women's Health, 16(1), 112–123. https://doi.org/10.2147/IJWH.S987654

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Published

2025-12-30

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