Maternal and neonatal tetanus elimination by 2005
This joint UNFPA–UNICEF–WHO publication highlights the cornerstone strategies aimed at achieving elimination of maternal and neonatal tetanus by 2005, and at maintaining elimination status thereafter. The document summarizes the current status of the programme and identifies the 57 priority
countries which account for the vast majority of all maternal and neonatal tetanus cases. The main strategies recommended for achieving elimination are the immunization of all women of childbearing age in high-risk areas and the promotion of clean delivery practices. Proper planning, monitoring and evaluation are key to high-quality implementation. Maintaining elimination
status will depend on achieving high levels of routine coverage for children and pregnant women, and on further improvements of clean delivery practices. School-based immunization is suggested as a novel approach to ensure on-going high levels of immunity. The document also highlights the importance of surveillance and provides estimates on case load and on budget requirements for each of the 57 priority countries.
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