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- Title
Neonatal tetanus at the close of the 20th century in Nigeria.
- Authors
Ogunlesi, Tinuade A.; Okeniyi, John A. O.; Owa, Joshua A.; Oyedeji, Gabriel A.
- Abstract
The year 2000 marked another failed World Health Organization deadline for neonatal tetanus (NNT) eradication. Existing preventive strategies can be enhanced by exploring factors involved in the persistence of the scourge. Thus, records of neonates admitted between 1996 and 2000 into the Wesley Guild Hospital, Ilesa, were analysed. Of 3051 total neonatal admissions,162 (5.3%) had NNT. Eighty-nine (54.9%) mothers had clinic-based antenatal care (ANC), but only 59 (36.4%) had tetanus toxoid (TT) vaccines. The majority (66.7%) of them delivered at home or churches and others at either private clinics or primary health centres. Overall, the case fatality rate was 43.8%, though it was significantly higher among babies whose mothers had neither clinic-based ANC (odds ratio [OR]=2.62; 95% confidence interval [CI]=1.33--5.18) nor antenatal TT vaccination (OR=2.41; 95% CI=1.17--5.03). Thus, improvement on ANC, anti-tetanus immunization and ensuring hygienic deliveries are crucial for eliminating NNT in the 21st century.
- Subjects
NIGERIA; TETANUS in newborn infants; NEONATAL death; TETANUS vaccines; TREATMENT effectiveness; WORLD Health Organization
- Publication
Tropical Doctor, 2007, Vol 37, Issue 3, p165
- ISSN
0049-4755
- Publication type
Article
- DOI
10.1258/004947507781524791