FAKTOR – FAKTOR YANG MEMPENGARUHI KELENGKAPAN IMUNISASI TETANUS TOXOID PADA IBU HAMIL DI PUSKESMAS KOTA BANDA ACEH
Keywords:
Pregnant woman, Imunisaztion TT, ANCAbstract
Tetanus toxoid (TT) immunization is particularly important in developing countries, especially for pregnant women, to prevent tetanus in mothers and newborns. Immunization is a process of building immunity to prevent tetanus infection. The tetanus vaccine contains an inactivated tetanus toxin. The coverage of tetanus immunization (Td+2) among pregnant women in Banda Aceh City remains low, with 1,606 pregnant women reported to have received incomplete immunization, which may contribute to increased maternal morbidity and mortality. This study employed a quantitative cross-sectional study design. The samples were selected using purposive sampling, involving 107 pregnant women from three community health centers (Puskesmas) in Aceh Province. The results showed that the majority of respondents were in the third trimester, comprising 44 respondents (41.1%). All respondents had attended antenatal care (ANC) visits, totaling 107 respondents (100%). Most respondents attended ANC according to the recommended standard of six visits, totaling 93 respondents (86.9%). The majority of respondents received education regarding TT immunization during ANC visits, totaling 99 respondents (92.5%). However, most respondents did not receive TT immunization during ANC visits, totaling 74 respondents (69.2%). All respondents had previously received TT immunization (107 respondents; 100%). Most respondents had received TT immunization only before marriage, totaling 44 respondents (41.1%). Furthermore, the majority of respondents had incomplete TT immunization status (TT1–TT4), totaling 97 respondents (90.7%). It is expected that healthcare providers will provide motivation to pregnant women and education to families regarding the importance of completing tetanus toxoid immunization to prevent infection and reduce maternal and neonatal morbidity and mortality.
References
Kemenkes RI, Profil Kesehatan Indonesia Tahun 2023. Jakarta: Kementerian Kesehatan RI, 2024.
Kemenkes RI, Profil Kesehatan Indonesia Tahun 2024. Kementerian Kesehatan RI, 2025.
Kemenkes RI., Profil Kesehatan Indo-nesia. 2016.
C. S. de Almeida et al., Kesehatan Maternal dan Neonatal, vol. 5, no. 1. 2016. [Online].Available: https://revistas.ufrj.br/index.php/rce/article/download/1659/1508%0Ahttp://hipatiapress.com/hpjournals/index.php/qre/article/view/1348%5Cnhttp://www.tandfonline.com/doi/abs/10.1080/09500799708666915%5Cnhttps://mckinseyonsociety.com/downloads/reports/Educa
D. Asmuliati, A. Adam, and S. Sainuddin, “Analisis Faktor yang Berhubungan dengan Kelengkapan Imunisasi Tetanus Difteri pada Ibu Hamil di Wilayah Kerja Puskesmas Wara Utara,” J. Soc. Sci. Res., vol. 4, no. 4, pp. 16383–16395, 2024, [Online]. Available: https://doi.org/10.31004/innovative.v4i4.13933
ACOG, “Update on Immunization and Pregnancy: Tetanus, Diphtheria, and Pertussis Vaccination,” 2017. doi: 10.1097/AOG.0000000000002293.
K. P. Pilliteri Adele, Maternal and Child Health Nursing "care of the childbearing & Childrearing Family, 6th ed. 2010.
Minarti, T. A. Chandra, and L. Riani, “Hubungan Peran Tenaga dan Motivasi terhadap Kelengkapan Imunisas Tetanus Toksoid pada Ibu Hamil,” J. Heal. Sci., vol. 1, no. 2, pp. 46–53, 2021.
Sokhiyatun, L. Hidayah, and A. Setiyani, “Hubungan Karakteristik Ibu Hamil Dengan Kelengkapan Imunisasi Tetanus Toksoid Di Wilayah Kerja Puskesmas Tahunan Jepara,” J. Kebidanan, vol. 5, no. 1, pp. 5–10, 2016, [Online]. Available: https://jurnal.unimus.ac.id/index.php/jur_bid/article/view/1811
A. Bradshaw and C. G. Carter, An exploratory study of expectant mothers’ knowledge, attitudes and beliefs about infant vaccination, vol. 1, no. 2. 2022. doi: 10.7146/qhc.v1i2.130396.
K. R. Sartika, N. Komang, Y. Rahyani, and G. A. Tirtawati, “Antenatal Care Menggunakan Teori Health Belief,” vol. 7, pp. 2052–2063, 2026.
L. E. N. N, R. Ulfika, D. Fera, S. Maysyaroh, F. Siregar, and F. Kusumawardani, “Kesehatan Dengan Status Imunisasi Tetanus Toxoid Pada Ibu Hamil Relationship Between Mothers ’ Knowledge And The Role Of Health Workers With Tetanus Toxoid Immunization Status In Pregnant Women,” vol. 11, no. 2, pp. 31–38, 2025.
Y. P. Rusady and S. P. Apidianti, “Hubungan Persepsi dengan Pelaksanaan Imunisasi TT pada Ibu Hamil di Polindes Samatan Kabupaten Pamekasan,” J. Joobahs, vol. 3, no. 2, pp. 155–163, 2023.
Rosmeri, “Hubungan Pengetahuan dan Sikap Ibu Hamil Terhadap Imunisasi Tetanus Toksoid,” J. Midwifery Sci., vol. 2, no. 2, pp. 67–72, 2020.
Y. Shafiq, A. R. Khowaja, M. T. Yousafzai, S. A. Ali, A. Zaidi, and A. F. Saleem, “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,” J. Infect. Prev., vol. 18, no. 5, pp. 232–241, 2017, doi: 10.1177/1757177416689722.
I. P. Sari, A. Wulandari, E. Retnaningtyas, and S. Natalia, “Tetanus Toxoid Immunization Viewed From The Attitude And Family Support Of Pregnant Women At The Samkai Community Health Center,” J. Heal. Sci. Communit, vol. 5, no. 1, pp. 0–1, 2024.
L. Lede, B. Widjanarko, and S. A. Nugraheni, “Analyze of Relationship Predisposing and Reinforcing Factors On The Completeness of Tetanus Toxoid Immunization In Pregnancy,” J. Kebidanan, vol. 11, no. 2, pp. 136–142, 2021.
I. A. V Gasper et al., Keperawatan Maternitas. PT Media Pustaka Indo, 2024.
D. R. Hasanah and N. Manurung, “Tetanus Toxsoid Immunization Counseling for Pregnant Women in Mangga Village , Medan Tuntungan District,” vol. 9, no. 2, pp. 2013–2015, 2021.
World Health Organization, Protecting all against tetanus, vol. 92, no. October. 2022.
L. Simamora, R. S. Pasaribu, H. Rista, and D. C. Yun, “the Correlation Between Knowledge and Attitude of Pregnant Women With Tetanus Diphteria Immunization To Pregnant Women in Bandar Setia Village,” Int. J. Midwifery Res., vol. 2, no. 3, 2023, doi: 10.47710/ijmr.v2i3.44.
