Gemechu Endalew(Prof)Tesfaye Jembere (MSc)Dessie Yihunnie2021-12-312023-11-062021-12-312023-11-062021-06http://etd.aau.edu.et/handle/123456789/29446Background: Pregnant women will reduce the risk of neonatal tetanus infection by receiving two doses of maternal tetanus toxoid vaccine. In Ethiopia, however, low levels of immunization coverage, mostly due to missed opportunities, are a concern. Objective: To assess tetanus toxoid vaccine utilization and associated factors among reproductive age women in DebreMarkosTown,North-West Ethiopia,2021. Methods: A community-based cross-sectional study was conducted among 505 mothers who had given birth in the last 12 months from February 08 to March 08, 2021, in Debre Markos Town. A two-stage stratified sampling technique was applied. The participants were selected using a systematic random sampling technique. Data were entered into Epi-Data manager Version 4.6.0 and analyzed using Statistical Package for Social Science (SPSS) version 25 software. Bivariable and multivariable binary logistic regression analysis was performed. Adjusted odds ratios (AORs) with their 95% CIs were used to identify factors associated with TT utilization. Results: In the final analysis, the total tetanus vaccine intake (TT+2) doses were found to be 71.2 %. Mothers who were attended primary education [AOR: 0.07,95% CI: (0.01-0.6)], mothers whose husbands had secondary education [ AOR: 0.26, 95% CI: (0.08-0.84)], mothers attended 2-3 for ANC visit [AOR: 0.05,95% CI: (0.01-0.3)], good quality service served [AOR: 2.8, 95% CI: (1.057.5)],appropriate behavior of health workers[AOR:6.2,95% CI:(2.2-18.7)]and who visited wit health extension workers[AOR: 7.6, 95% CI: (2.3-25.3)] were significantly associated with TT vaccine utilization. Conclusion: Despite the fact that the study was conducted in a town, only three out of every four participant women received the current TT vaccine during their previous pregnancy. The most influencing factors in TT vaccine use were mothers with low educational levels, low husband’s educational level, attended 2-3 ANC visit during pregnancy, poor standard of health care service, improper actions of health professionals, and mothers visited with health extension staff.en-USTetanus Toxoid, Vaccine utilization, Neonatal Tetanus, Reproductive age mothersThesis