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Resource mobilization for tetanus vaccination in Vietnam

Uptake, demand and willingness to pay among women of reproductive age

Bibliographic Data

ID22086249
AuthorsThang Huu Nguyen (Hanoi Medical University), Xuan Thi Thanh Le (Hanoi Medical University), Long Hoang Nguyen (0000-0003-1658-2394, Vietnam National University, Hanoi), Huong Thi Le (0000-0001-6442-8100, Hanoi Medical University), Đỗ Thị Thanh Toàn (0000-0002-7049-7361, Hanoi Medical University), Toan Thanh Thi Do, Huong Lan Thi Nguyen (0000-0001-9017-1978, Duy Tan University, corresponding author), Hien Thu Nguyen (0000-0002-9929-3952, Johns Hopkins University, corresponding author), Carl Latkin (0000-0002-7931-2116, Johns Hopkins University), Cyrus S H Ho (0000-0002-7092-9566, National University of Singapore), Roger C M Ho (0000-0001-9629-4493, National University of Singapore)
Year2022
Volume10
Pages980850-980850
Publication date2022-10-18
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2022.980850
PMID36330125
OpenAlexW4306680724
LanguageEN
References cited26

Introduction: Tetanus vaccine coverage in Vietnam has been declining in recent years due to a rapid population growth rate, shrinking budget, and inefficient resource mobilization strategy. This study examined the uptake, demand, and willingness to pay (WTP) for tetanus vaccines in Vietnamese women of reproductive age as well as determined associated factors and assessed the feasibility of the long-term tetanus vaccine resource mobilization scheme. Methods: Cross-sectional data were obtained on 807 women of childbearing age in Hanoi, Vietnam in 2016. Tetanus vaccine uptake, demand, and willingness to pay were collected by using a structured questionnaire. Multivariable logistic and interval regression models were used to examine associated factors with vaccine uptake, demand, and WTP. Results: Of 807 participants, 42.4 and 64.8% had sufficient tetanus vaccination (i.e., received at least three doses of vaccine) and were willing to pay for tetanus vaccination. The mean amount of WTP for one dose of tetanus was US$ 7.3 (95% CI = 6.7-7.9). Having children or being aware that the tetanus vaccine was free-of-charge were negatively associated with WTP for tetanus vaccine. Having a high school education, living in a rural area, and not being aware of vaccine prices or being aware that vaccines were provided freely reduced the amount of WTP. WTP increased among women receiving information from friends and relatives. Conclusion: Despite of exemption from the tetanus vaccination programs, this study indicated a low tetanus vaccination coverage and a moderate degree of WTP for tetanus vaccine among Vietnamese women of childbearing age. Target-specific educational and financial support interventions, along with efforts to reduce vaccination costs are critical to improving the vaccine uptake, demand, and WTP for tetanus immunization among women

Business · Economics · Environmental health · Tetanus · Vaccination · Willingness to pay · Bacterial Infections and Vaccines · Computer Science · Diphtheria, Corynebacterium, and Tetanus · Medicine · Vaccine Coverage and Hesitancy · Immunology

  • Mortality from tetanus between 1990 and 2015

    Open Access•Hmwe Hmwe Kyu, John Everett Mumford et al.•BMC Public Health•2017

  • Antenatal visits are positively associated with uptake of tetanus toxoid and intermittent preventive treatment in pregnancy in Ivory Coast

    Open Access•Sanni Yaya, Komlan Kota et al.•BMC Public Health•2019

Citation velocityhistorical
Highly citedNo

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