The Relationship Between Maternal Motivation and the Role of Health Workers in the Completion of Tetanus Toxoid Immunization for Pregnant Women
DOI:
https://doi.org/10.37287/ijghr.v7i6.768Keywords:
ANC visits, healthcare workers’ role, motivation, pregnant women, tetanus toxoid immunizationAbstract
Tetanus Toxoid (TT) immunization is a vital intervention for preventing maternal and neonatal tetanus. However, achieving complete TT immunization among pregnant women presents an ongoing challenge in various settings, notably within the Pangenan Health Center area of Cirebon Regency. Compliance with this preventive measure is hypothesized to be influenced by factors such as the performance of healthcare workers, maternal motivation, and the frequency of antenatal care (ANC) visits.This quantitative, cross-sectional study investigated the relationship between these three factors and the completeness of TT immunization in the Pangenan Health Center's service area. Data were collected from 36 pregnant women selected via accidental sampling and analyzed using the Chi-square test (with a significance level of α = 0.05).The findings indicated that 55.6% of the participants had received complete TT immunization. Bivariate analysis demonstrated statistically significant associations between complete TT immunization and: healthcare workers’ roles (ρ = 0.022), maternal motivation (ρ = 0.040), and ANC visit frequency (ρ = 0.009). In conclusion, the study established a significant relationship between the roles of healthcare workers, maternal motivation, and the frequency of ANC visits and the completeness of TT immunization among pregnant women. To improve immunization coverage, the study recommends enhancing behavioral education, strengthening the capacity of healthcare providers, and ensuring optimal utilization of ANC services.
References
‘Arub, Lathifah, Astari Seto, and Helti Lestari Sitinjak. 2023. “Faktor - Faktor Yang Mempengaruhi Cakupan Imunisasi Tetanus Toxoid Pada Ibu Hamil Di Desa Tanjung Lamin Wilayah Kerja Puskesmas Simpang Limbur.” Jurnal Kesehatan dan Sains Terapan STIKes Merangin 9(1): 27–34.
Cirebon, Profil Kesehatan Kota. 2016. Profil Kesehatan Kota Cirebon.
Dol, Justine, Brianna Hughes, Mercedes Bonet, Rachel Dorey, Jon Dorling, Amy Grant, Etienne V Langlois, et al. 2023. “Timing of Neonatal Mortality and Severe Morbidity during the Postnatal Period: A Systematic Review Justine.” JBI Evid Synth 21(1): 98–199. doi:10.11124/JBIES-21-00479.
Ferreira D, Vieira I, Pedro M, Caldas P, and Varela M. 2023. “Patient Satisfaction with Healthcare Services and the Techniques Used for Its Assessment: A Systematic Literature Review and a Bibliometric Analysis. Healthcare (Switzerland) [Revista En Internet] 2023 [Acceso 8 de Octubre de 2023]; 11(5): 1-31.” healthcare Review 21(2): 693. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10001171/pdf/healthcare-11-00639.pdf.
Hardiyanti, Indri, Asfriyati Asfriyati, and Sri Rahayu Sanusi. 2023. “The Influence of Mother’s Characteristics, Facilities, and Reinforcing Factors on Giving Complete Basic Immunization to Infants.” Contagion: Scientific Periodical Journal of Public Health and Coastal Health 5(1): 42. doi:10.30829/contagion.v5i1.14958.
Kementrian Kesehatan. 2016. Profil Kesehatan.
Mahduroh, Mahduroh, Jesy Fatima, and Irma Jayatmi. 2023. “Hubungan Peran Tenaga Kesehatan, Pengetahuan, Motivasi Terhadap Pelaksanaan Imunisasi Tetanus Toxoid (Tt) Calon Pengantin Di Wilayah Kerja Puskesmas Pulo Ampel Tahun 2022.” SENTRI: Jurnal Riset Ilmiah 2(6): 2019–33. doi:10.55681/sentri.v2i6.1000.
Mithal, Leena B., Nicola Lancki, Ted Ling-Hu, Young Ah Goo, Sebastian Otero, Nathaniel J. Rhodes, Byoung Kyu Cho, et al. 2025. “Evolution of the Umbilical Cord Blood Proteome across Gestational Development.” Scientific Reports 15(1): 1–10. doi:10.1038/s41598-024-84446-5.
Mustofa, Fassikaw Kebede Bizuneh and Semira Muhidin. 2024. “Uptake of Protective Tetanus Toxoid Vaccine Doses and Maternal Associated Factors during Pregnancy in Armed Conflict Zone, Hospital-Based Cross-Sectional Study.” Frontiers in Reproductive Health 6(July): 1–9. doi:10.3389/frph.2024.1353699.
Rawas, M., District, N., & Husada, S. B. 2025. “Analisis Kepatuhan Imunisasi Tetanus Toxoid Pada Ibu Hamil Di Puskesmas Bingin Teluk Kabupaten Musi Rawas Utara Tahun 2024 Analysis Of Compliance With Tetanus Toxoid Immunization In Pregnant Women At Bingin Pendahuluan.” urnal Kesehatan Saelmakers PERDANA 8(1): 84–92. https://doi.org/10.32524/Jksp.V8i1.1393.
Richa, Fadhila Tsania. 2023. “Peningkatan Pengetahuan Imunisasi Tetanus Toxoid Sebagai Upaya Promotif Untuk Cegah Infeksi Tetanus.” Journal of Midwifery in Community 1(36): 11–16.
Sinaga, Lydia Octavia, Rita Ayu Yolandia, and Retno Sugesti. 2021. “Hubungan Aksesibilitas, Dukungan Tenaga Kesehatan Dan Persepsi Terhadap Pelaksanaan Imunisasi Tetanus Toksoid Pra Nikah.” Jurnal Ilmiah Kebidanan Indonesia 11(04): 216–25. doi:10.33221/jiki.v11i04.1339.
Tamiru, Yihunnie Dessie, Endalew Gemechu Sendo, and Jembere Tesfaye Deressa. 2024. “Factors Associated with Tetanus Toxoid Vaccine Utilization among Reproductive-Age Women in Debre Markos Town, Ethiopia, 2021: A Cross-Sectional Study.” Therapeutic Advances in Vaccines and Immunotherapy 12: 1–11. doi:10.1177/25151355241305855.
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