Perceptions of Neonatal Tetanus and Immunization During Pregnancy: A report of Focus Group Discussions in Kaduna, Nigeria.

Focus group discussions were held with mothers in Kaduna, Nigeria, to investigate health practices during pregnancy and childbirth and perceptions of neonatal tetanus (NNT) and tetanus toxoid (TT) immunization. Mothers' responses indicated that while home births and traditional practices still predominate, health clinics are regarded as useful sources of health services and information during pregnancy or ill health. However, there is little recognition of the symptoms and causation of NNT; immunizations during pregnancy are reportedly associated with family planning and are therefore avoided. Group discussions conducted with traditional birth attendants and health clinic staff confirmed these findings. Recommendations are made for improving acceptance of tetanus toxoid immunizations.