Abstract

Background: Tetanus remains a preventable but persistent public health problem in low- and middle-income countries. Immunization with tetanus toxoid (TT) among women of reproductive age is a proven strategy to prevent maternal and neonatal tetanus. However, gaps in knowledge and practice continue to exist among disadvantaged urban populations.

Objective: To assess the status of knowledge and practice regarding tetanus toxoid immunization among women of reproductive age living in a selected slum area of Dhaka, Bangladesh.

Methods: A community-based cross-sectional study was conducted among women aged 15–49 years residing in a selected slum area of Dhaka. Data were collected using a structured interviewer-administered questionnaire covering socio-demographic characteristics, knowledge of TT immunization, and immunization practices. Data were analysed using descriptive statistics and appropriate inferential tests.

Results: The majority of respondents had heard about tetanus toxoid immunization, primarily from health workers and mass media. Although awareness of TT vaccination during pregnancy was relatively high, comprehensive knowledge regarding the recommended number of doses and schedule was inadequate. A considerable proportion of women had received at least one dose of TT; however, completion of the full recommended schedule was suboptimal. Knowledge level showed a significant association with educational status and antenatal care utilization.

Conclusion: Despite moderate awareness, important gaps remain in knowledge and practice of tetanus toxoid immunization among women of reproductive age in urban slum settings. Strengthening health education, improving access to antenatal services, and targeted community-based interventions are essential to improve TT coverage and prevent maternal and neonatal tetanus.