{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T13:47:04Z","timestamp":1753883224943,"version":"3.41.2"},"reference-count":15,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2018,1,1]],"date-time":"2018-01-01T00:00:00Z","timestamp":1514764800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Health Services Research and Managerial Epidemiology"],"published-print":{"date-parts":[[2018,1,1]]},"abstract":"<jats:sec><jats:title>Background:<\/jats:title><jats:p> Tetanus\u2013diphtheria vaccine (Td+) coverage has been steadily declining in Katsina State, Nigeria. The pilot study was guided by The Andersen and Newman Framework of Health Services Utilization. The goal of the pilot study was to identify the Td+ vaccination coverage and identify any association between maternal residence, educational status, occupational status, access to routine immunization services, availability of routine immunization services, perceived need for Td+, perceived severity of maternal and neonatal tetanus (MNT), and compliance with Td+ in Katsina State. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods:<\/jats:title><jats:p> A cross-sectional survey of 309 randomly selected women in Charanchi district of Katsina State, Nigeria, was conducted. Data were collected using structured questionnaire and analyzed using logistic regression model. <\/jats:p><\/jats:sec><jats:sec><jats:title>Findings:<\/jats:title><jats:p> The Td+ coverage was low at 23%. Bivariate analysis showed that age, maternal residence, educational status, availability of Td+, perception of Td+, and perception of MNT significantly affected compliance with Td+ ( P &lt; .05, P &lt; .05, P &lt; .05, P &lt; .001, P &lt; .001, P &lt; .001, respectively). Multiple logistic regression findings were inconclusive. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion:<\/jats:title><jats:p> Effective strategies to improve compliance were awareness creation on Td+ immunization schedule, risk factors associated with MNT, vaccine availability, and safety. Additionally, improving access to routine immunization services, especially in underserved communities, and effective use of Td+ coverage data were used as strategies. <\/jats:p><\/jats:sec><jats:sec><jats:title>Implications:<\/jats:title><jats:p> The pilot study suggests that the design can be used to realize more conclusive and generalizable multivariate findings in future studies. <\/jats:p><\/jats:sec>","DOI":"10.1177\/2333392818789585","type":"journal-article","created":{"date-parts":[[2018,8,1]],"date-time":"2018-08-01T10:15:19Z","timestamp":1533118519000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["A Pilot Study"],"prefix":"10.1177","volume":"5","author":[{"given":"Shafique Sani","family":"Nass","sequence":"first","affiliation":[{"name":"World Health Organization, Katsina State Office, Katsina State, Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,8,1]]},"reference":[{"key":"bibr1-2333392818789585","doi-asserted-by":"crossref","unstructured":"Wilson RJ, Paterson P, Jarrett C, Larson HJ. Understanding factors influencing vaccination acceptance during pregnancy globally: a literature review. Vaccine. 2015;33(47):6420\u20136429. http:\/\/dx.doi.org\/10.1016\/j.vaccine.2015.08.046.","DOI":"10.1016\/j.vaccine.2015.08.046"},{"key":"bibr2-2333392818789585","doi-asserted-by":"crossref","unstructured":"Nass SS, Danawi H, Cain L, Sharma M. Verification of neonatal tetanus surveillance systems in Katsina State, Nigeria. Health Serv Res Manag Epidemiol. 2017;4:2333392817729585. https:\/\/doi.org\/10.1177\/2333392817729585.","DOI":"10.1177\/2333392817729585"},{"volume-title":"Routine Immunization Data","author":"Ministry of Health","key":"bibr3-2333392818789585"},{"key":"bibr4-2333392818789585","doi-asserted-by":"publisher","DOI":"10.2307\/3349613"},{"issue":"2","key":"bibr5-2333392818789585","first-page":"20","volume":"6","author":"Goodlyne M","year":"2018","journal-title":"Int J Public Health Res"},{"issue":"1","key":"bibr6-2333392818789585","first-page":"9","volume":"18","author":"Gidado S","year":"2014","journal-title":"Pan Afr Med J"},{"key":"bibr7-2333392818789585","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0167835"},{"key":"bibr8-2333392818789585","unstructured":"National Bureau of Statistics. Annual abstract of statistics, 2011. Federal Republic of Nigeria. http:\/\/www.nigerianstat.gov.ng\/pdfuploads\/Annual_Abstract_of_Statistics_2011.pdf. Accessed March 08, 2018. April 03, 2018."},{"key":"bibr9-2333392818789585","unstructured":"World Health Organization. Vaccination coverage cluster surveys\u2014Reference Manual. Version 3, 2015;B1-B16. http:\/\/www.who.int\/immunization\/monitoring_surveillance\/Vaccination_coverage_cluster_survey_with_annexes.pdf. Accessed February 28, 2018. April 06, 2018."},{"key":"bibr10-2333392818789585","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/jit816"},{"key":"bibr11-2333392818789585","doi-asserted-by":"publisher","DOI":"10.9734\/IJTDH\/2014\/12189"},{"key":"bibr12-2333392818789585","doi-asserted-by":"publisher","DOI":"10.2149\/tmh.2013-13"},{"key":"bibr13-2333392818789585","doi-asserted-by":"publisher","DOI":"10.4103\/archms.archms_43_17"},{"key":"bibr14-2333392818789585","doi-asserted-by":"publisher","DOI":"10.26719\/2007.13.5.1142"},{"key":"bibr15-2333392818789585","first-page":"186","volume":"27","author":"Taiwo L","year":"2015","journal-title":"Pan Afr Med J"}],"container-title":["Health Services Research and Managerial Epidemiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2333392818789585","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2333392818789585","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2333392818789585","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,8]],"date-time":"2024-10-08T18:56:55Z","timestamp":1728413815000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2333392818789585"}},"subtitle":["Factors Influencing Compliance With Tetanus\u2013Diphtheria Vaccine in Katsina State, Northwestern Nigeria"],"short-title":[],"issued":{"date-parts":[[2018,1,1]]},"references-count":15,"alternative-id":["10.1177\/2333392818789585"],"URL":"https:\/\/doi.org\/10.1177\/2333392818789585","relation":{},"ISSN":["2333-3928","2333-3928"],"issn-type":[{"type":"print","value":"2333-3928"},{"type":"electronic","value":"2333-3928"}],"subject":[],"published":{"date-parts":[[2018,1,1]]},"article-number":"2333392818789585"}}