G ebe mevsimlik tar m i isi olan ve olmayan kad nlarda tetanoz a lama durumu ve ili kili di er fakt rler

zet Ama :Bu ara t rma, g ebe mevsimlik tar m i ili inin 15-49 ya kad n tetanoz a lama hizmetlerine ula mada bir engel olup olmad n ortaya koymak amac yla yap lm t r.Y ntem: Ara t rma, kesitsel tiptedir ve anl urfa Ertu rulgazi Sa l k Oca b lgesinde yürütülmü tür. Ara t rma, Kas m 2007- ubat 2008 tarihleri aras nda yürütülmü tür.15-49 ya grubundaki evli ya da bekar toplam 828 kad n ara t rmaya al nm t r.Veri toplamada, kad n tetanoz a lama durumu ve a lama ba ar s zl nedenleri ile baz sosyo-demografik de i kenleri i eren yap land r lm anket kullan lm t r. Soru formu yüz-yüze g rü me y ntemi ile doldurulmu tur. Bulgular: ki ve üstü doz tetanoz a s yapt rma g ebe mevsimlik tar m i ilerinde %44.3, tar m i isi olmayanlarda %56.9’dur. Lojistik regresyon analiz sonu lar na g re 2 ve üstü doz tetanoz a s yapt rmay , g ebe mevsimlik tar m i ili i 1.6 kat, a kart bulunmamas 2.7 kat olumsuz etkilemektedir.Sonu : G ebe mevsimlik tar m i ileri nemli bir risk grubudur ve bu gruba y nelik temel sa l k hizmetleri sunumunun yeniden düzenlenmesi gerekmektedir. Anahtar Kelimeler: G ebe mevsimlik tar m i ili i, tetanoz a s , 15-49 ya kad n, do um ncesi bak m. Abstract Aim: The objective of this cross-sectional study was to investigate whether the migratory status of seasonal farm workers presents a barrier to women’s access to tetanus vaccination. Methods: This cross-sectional survey was carried out within the service area of the Ertugrulgazi Primary Healthcare Center (PHC) in the Sanliurfa district. The study was conducted between November 2007 and February 2008. In the study a total of 828 (married and single) women, ranging in age from 15 to 49, was studied. The questionnare, applied with face to face interviews, covered questions about the women’s socio-demographic situation, their tetanus status and the reasons for vaccination failure. Results: 44.3% of the women in migratory farm worker families received at least two doses of tetanus vaccination while 56.9% of women in non-migratory farm worker families received at least two doses. According to a logistic regression analysis, the vaccination status was negatively affected by migratory status of seasonal farm workers (1.6 times), and by the loss of their vaccination card (2.7 times).Conclusion: Migratory farmworker families are an important risk group for health care delivery. Primary health services must be regulated to meet this group’s needs. Key Words: Migratory seasonal farm workers, tetanus vaccination, 15-49 age women, prenatal care.