Factors associated with births protected against neonatal tetanus in Africa: Evidences from Demographic and health surveys of five African countries.

<h4>Introduction</h4>Maternal and neonatal tetanus remains a global public health problem affecting mainly the poorest and most marginalized subpopulations. In spite of the problem, studies conducted on the associated factors of births protected against neonatal tetanus are scarce in Afr...

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Autores principales:	Yigizie Yeshaw, Tadeg Jemere, Henok Dagne, Zewudu Andualem, Yonas Akalu, Reta Dewau, Achamyeleh Birhanu Teshale, Getayeneh Antehunegn Tesema, Baye Dagnew
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/6b36734a822748288d21bc114b4665a9
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spelling	oai:doaj.org-article:6b36734a822748288d21bc114b4665a92021-12-02T20:10:29ZFactors associated with births protected against neonatal tetanus in Africa: Evidences from Demographic and health surveys of five African countries.1932-620310.1371/journal.pone.0253126https://doaj.org/article/6b36734a822748288d21bc114b4665a92021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0253126https://doaj.org/toc/1932-6203<h4>Introduction</h4>Maternal and neonatal tetanus remains a global public health problem affecting mainly the poorest and most marginalized subpopulations. In spite of the problem, studies conducted on the associated factors of births protected against neonatal tetanus are scarce in Africa. Therefore, this study aimed to identify both individual and community-level factors associated with births protected against neonatal tetanus in the region.<h4>Methods</h4>The most recent Demographic and Health Survey datasets of five African countries (Ethiopia, Burundi, Comoros, Zimbabwe and Zambia) were used to investigate the associated factors of births protected from neonatal tetanus. STATA Version 14 statistical software was used for the analysis. The data were weighted before doing any statistical analysis and deviance was used for model comparison. Multilevel binary logistic regression was used to identify the associated factors of births protected against neonatal tetanus. Finally, the adjusted odds ratio (AOR) with its 95% confidence interval (CI) was calculated for each potential factors included in the multivariable multilevel logistic regression model.<h4>Results</h4>A total weighted sample of 30897 reproductive age women who had a birth within 5 years preceding the survey were included in the analysis. Those women with age of 20-34 (AOR = 1.32, 95%CI: 1.18-1.48) and 35-49 years (AOR = 1.26, 95% CI: 1.10-1.44), high community level of women education (AOR = 1.13, 95%CI: 1.04-1.23), being from poorer(AOR = 1.23, 95% CI: 1.14-1.33), middle (AOR = 1.31, 95%CI: 1.21-1.43), richer (AOR = 1.21, 95%CI: 1.11-1.32) and richest households (AOR = 1.59, 95%CI: 1.44-1.74), having antenatal care follow up (AOR = 9.62, 95% CI: 8.79-10.54), not perceiving distance to health facility as a big problem (AOR = 1.18, 95% CI: (1.11-1.25) had higher odds of having births protected against neonatal tetanus.<h4>Conclusion</h4>Both individual and community level factors were found to be associated with births protected against neonatal tetanus in Africa. This suggests that a variety of factors are affecting births protected against neonatal tetanus in the region. Hence, the impact of these factors should be recognized while developing strategies to reduce neonatal tetanus in the region.Yigizie YeshawTadeg JemereHenok DagneZewudu AndualemYonas AkaluReta DewauAchamyeleh Birhanu TeshaleGetayeneh Antehunegn TesemaBaye DagnewPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 6, p e0253126 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Yigizie Yeshaw Tadeg Jemere Henok Dagne Zewudu Andualem Yonas Akalu Reta Dewau Achamyeleh Birhanu Teshale Getayeneh Antehunegn Tesema Baye Dagnew Factors associated with births protected against neonatal tetanus in Africa: Evidences from Demographic and health surveys of five African countries.
description	<h4>Introduction</h4>Maternal and neonatal tetanus remains a global public health problem affecting mainly the poorest and most marginalized subpopulations. In spite of the problem, studies conducted on the associated factors of births protected against neonatal tetanus are scarce in Africa. Therefore, this study aimed to identify both individual and community-level factors associated with births protected against neonatal tetanus in the region.<h4>Methods</h4>The most recent Demographic and Health Survey datasets of five African countries (Ethiopia, Burundi, Comoros, Zimbabwe and Zambia) were used to investigate the associated factors of births protected from neonatal tetanus. STATA Version 14 statistical software was used for the analysis. The data were weighted before doing any statistical analysis and deviance was used for model comparison. Multilevel binary logistic regression was used to identify the associated factors of births protected against neonatal tetanus. Finally, the adjusted odds ratio (AOR) with its 95% confidence interval (CI) was calculated for each potential factors included in the multivariable multilevel logistic regression model.<h4>Results</h4>A total weighted sample of 30897 reproductive age women who had a birth within 5 years preceding the survey were included in the analysis. Those women with age of 20-34 (AOR = 1.32, 95%CI: 1.18-1.48) and 35-49 years (AOR = 1.26, 95% CI: 1.10-1.44), high community level of women education (AOR = 1.13, 95%CI: 1.04-1.23), being from poorer(AOR = 1.23, 95% CI: 1.14-1.33), middle (AOR = 1.31, 95%CI: 1.21-1.43), richer (AOR = 1.21, 95%CI: 1.11-1.32) and richest households (AOR = 1.59, 95%CI: 1.44-1.74), having antenatal care follow up (AOR = 9.62, 95% CI: 8.79-10.54), not perceiving distance to health facility as a big problem (AOR = 1.18, 95% CI: (1.11-1.25) had higher odds of having births protected against neonatal tetanus.<h4>Conclusion</h4>Both individual and community level factors were found to be associated with births protected against neonatal tetanus in Africa. This suggests that a variety of factors are affecting births protected against neonatal tetanus in the region. Hence, the impact of these factors should be recognized while developing strategies to reduce neonatal tetanus in the region.
format	article
author	Yigizie Yeshaw Tadeg Jemere Henok Dagne Zewudu Andualem Yonas Akalu Reta Dewau Achamyeleh Birhanu Teshale Getayeneh Antehunegn Tesema Baye Dagnew
author_facet	Yigizie Yeshaw Tadeg Jemere Henok Dagne Zewudu Andualem Yonas Akalu Reta Dewau Achamyeleh Birhanu Teshale Getayeneh Antehunegn Tesema Baye Dagnew
author_sort	Yigizie Yeshaw
title	Factors associated with births protected against neonatal tetanus in Africa: Evidences from Demographic and health surveys of five African countries.
title_short	Factors associated with births protected against neonatal tetanus in Africa: Evidences from Demographic and health surveys of five African countries.
title_full	Factors associated with births protected against neonatal tetanus in Africa: Evidences from Demographic and health surveys of five African countries.
title_fullStr	Factors associated with births protected against neonatal tetanus in Africa: Evidences from Demographic and health surveys of five African countries.
title_full_unstemmed	Factors associated with births protected against neonatal tetanus in Africa: Evidences from Demographic and health surveys of five African countries.
title_sort	factors associated with births protected against neonatal tetanus in africa: evidences from demographic and health surveys of five african countries.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/6b36734a822748288d21bc114b4665a9
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Factors associated with births protected against neonatal tetanus in Africa: Evidences from Demographic and health surveys of five African countries.

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