Immunization, Vaccines and Biologicals

Maternal and Neonatal Tetanus Elimination (MNTE)

The partnership

A strong partnership

The Maternal and Neonatal Tetanus Elimination Initiative was launched by UNICEF, WHO and UNFPA in 1999, revitalizing the goal of MNT elimination as a public health problem. The definition of MNT elimination as a public health problem is defined as less than one NT case per 1000 live births in every district. Maternal tetanus is assumed to be eliminated once NT elimination has been achieved.

Within the partnership, each partner brings in its own field of expertise:

  • Countries: ownership, oversight and implementation of recommended strategies
  • UNICEF: coordination of accelerated activities and strengthening routine immunization to achieve and maintain MNT elimination
  • UNFPA: promotion of clean deliveries
  • WHO: monitoring and validation of elimination status, development of strategies for maintaining elimination and strengthening routine immunization

The UNICEF/WHO/UNFPA strategy document published in 2000, identified 59 countries* that had not yet achieved MNT elimination. Significant progress has been made since that time, however, as of October 2016, MNT remains a major public health problem in 18 countries**


*Afghanistan, Angola, Bangladesh, Benin, Burkina Faso, Burundi, Cambodia, Cameroon, Central African Republic (the), Chad, China, Comoros (the), Congo (the), Côte d'Ivoire, Democratic Republic of the Congo (the), Egypt, Equatorial Guinea, Eritrea, Ethiopia, Gabon, Ghana, Guinea, Guinea-Bissau, Haiti, India, Indonesia, Iraq, Kenya, Liberia, Lao People's Democratic Republic (the), Madagascar, Malawi, Mali, Mauritania, Mozambique, Myanmar, Namibia, Nepal, Niger (the), Nigeria, Pakistan, Papua New Guinea, Philippines (the), Rwanda, Senegal, Sierra Leone, Somalia, South Africa, Sudan, Togo, Turkey, Uganda, United Republic of Tanzania (the), Vietnam, Yemen, Zambia, Zimbabwe - Timor-Leste and South Sudan increased the number of countries to 59

**18 countries where MNT is still a public health problem: Afghanistan, Angola, Central African Republic, Chad, Congo DR, Ethiopia, Guinea, Haiti, Kenya, Mali, Nigeria, Pakistan, Papua New Guinea, Philippines, Somalia, Sudan, South Sudan and Yemen

2 countries have partly eliminated MNT.

  • Ethiopia (all eliminated except for the Somali region)
  • Philippines except the Autonomous Region of Muslim Mindanao