- Reaching populations in need of TT vaccines: Rural areas, lacking adequate vaccine service delivery are the areas particularly vulnerable to MNT.
- Local access to clean and safe delivery practices: The application of clean delivery practices, including the use of sterilized tools to sever the umbilical cord during delivery, clean delivery surfaces and clean hands is crucial in preventing MNT.
- Effective immunization: For effective prevention, pregnant women must be vaccinated with appropriate number of doses of TT vaccine by the time of their delivery.
- Assisting countries to develop an MNT plan of action (PoA), outlining their strategies for eliminating MNT.
- Vaccinating pregnant women with tetanus toxoid vaccine; esp. immunizing pregnant mothers with at least two doses of tetanus toxoid vaccine before delivery.
- Identifying high risk districts with low TT2 coverage, low DPT3 coverage and an incidence of neonatal tetanus of more than 1 per 1000 live births and respond with appropriate scale-up of routine immunization activities and mass TT immunization of women of child bearing age.
- Supporting countries to conduct neonatal tetanus surveillance.
- Promoting safe child delivery practices
Dr Balcha Masresha
E-mail: masreshab [at] who.int