Maternal Tetanus Toxoid Vaccination

Outcome indicator

Indicator Phrasing

% of mothers with children aged 0-23 months who received at least two tetanus toxoid injections before the birth of their youngest child
% de mères ayant des enfants âgés de 0 à 23 mois qui ont reçu au moins deux injections d'anatoxine tétanique avant la naissance de leur plus jeune enfant
% matek dětí ve věku 0-23 měsíců, které před narozením svého posledního dítěte obdržely alespoň dvě injekce očkování proti tetanu

Indicator Phrasing

English: % of mothers with children aged 0-23 months who received at least two tetanus toxoid injections before the birth of their youngest child

French: % de mères ayant des enfants âgés de 0 à 23 mois qui ont reçu au moins deux injections d'anatoxine tétanique avant la naissance de leur plus jeune enfant

Czech: % matek dětí ve věku 0-23 měsíců, které před narozením svého posledního dítěte obdržely alespoň dvě injekce očkování proti tetanu

What is its purpose?

Neonatal tetanus is estimated to kill about 200,000 newborns each year. A woman immunized with at least two doses of tetanus toxoid develops antibodies that protect her baby against tetanus during pregnancy and in the first two months of life. The indicator therefore measures the proportion of women with young children who were vaccinated against tetanus.

How to Collect and Analyse the Required Data

Collect the following data by conducting individual interviews with a representative sample of mothers of children aged 0-23.99 months:

 

RECOMMENDED SURVEY QUESTIONS (Q) AND POSSIBLE ANSWERS (A)

Q1: While pregnant with your youngest child, did you receive an injection in the arm to prevent the baby from getting tetanus, that is convulsions after birth?

A1: yes / no / does not remember

 

Q2: While pregnant with your youngest child, how many times did you receive such an injection?

A2: once / twice or more / does not remember

 

Q3: Did you receive any tetanus toxoid injection any time before that pregnancy, including during a previous pregnancy or between pregnancies?

A3: yes / no

 

Q4: Before the pregnancy with your youngest child, how many times did you receive a tetanus injection?

A4: once / twice or more / does not remember

 

The mother was vaccinated against tetanus if the answer to Q1 is YES and Q2 “twice or more” OR if the answer to Q3 is YES and Q4 “twice or more”.

 

Calculate the indicator’s value by dividing the number of vaccinated respondents (twice or more) by the total number of respondents (exclude those with the “does not remember” answer) and multiplying the result by 100.

Important Comments

1) This indicator relies on accurate age assessment. Since people often do not remember the exact dates of their children’s birth, the data collectors should never rely only on the information provided by caregivers and always verify the child’s age. This can be done by reviewing the child’s birth certificate or other documents; however, since many caregivers do not have such documents, it is essential that your data collectors are able to determine the child’s age by using local events calendars. Read FAO’s Guidelines (see below) to learn how to prepare local events calendars and how to train data collectors in their correct use.

 

2) Disaggregate the data by location (rural/ urban), socio-economic characteristics (wealth quintile, education level) and mother’s age.

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