Neonatal tetanus in pakistan

Efforts should be made to improve NT reporting at the district level by increasing private- sector participation and community- based reporting of NT.

Low vaccination coverage, the main driver for NT in Pakistan, is due to many factors, including demand failure for TT vaccine resulting from inadequate knowledge of TT vaccine among Neonatal tetanus in pakistan age females and inadequate information about the benefits of TT provided by health care workers and the media.

Chi-square test was done to determine trend analysis. A significant number of women also die to due to maternal tetanus every year. Pak Pediatr J ; 6: The district NT incidence rate per live births LB was calculated by using the formula: Bureau of Statistics, Planning and Development Department.

Tropic Med Int Health ; 3: Inthe World Health Assembly called for the elimination of NT byand since then considerable progress has been made using the following strategies: NT case reports, surveillance registers, case investigation and the hospital case records for all suspected NT cases from 1 January through 31 December were reviewed for clinical presentation, progression and outcome.

Other factors linked to low vaccination coverage include residing in rural areas, lack of formal education, poor knowledge about place and time to get vaccinated, and lack of awareness about the importance of vaccination.

Further observations on ghee as a risk factor for neonatal tetanus. J Postgrad Med ; Acknowledgements We thank Dr.

Eregie, CO, Ofovwe, G. Low vaccination coverage, the main driver for NT in Pakistan, is due to many factors, including demand failure for TT vaccine resulting from inadequate knowledge of TT vaccine among reproductive age females and inadequate information about the benefits of TT provided by health care workers and the media.

The majority of mothers and newborns dying of tetanus live in Africa and Southern and East Asia, generally in areas where women are poor, have little access to health care, and have little information about safe delivery practices. Out of a total of NT cases, met the case definition. The case fatality ratio was calculated as the proportion of neonates who died of NT in a given year out of those who contracted it.

The mean age at death was Leroy O, Garenne M. UNICEF- trained vaccinators visit women of childbearing age in their homes, where 90 per cent of all deliveries take place. Tetanus is caused by a bacterium called Clostridium tetani. Transmission of infection may occur while using soil as delivery surface through direct or indirect contamination of the fresh umbilical wound,2 through the hands of birth attendants while dressing the cord,25 or through contaminated hands while applying ghee or antimony to the cord.

Maternal and Neonatal Tetanus Elimination (MNTE)

The results of the univariate analysis of risk factors showed that although there was proportionally increased mortality associated with lack of maternal immunization and antenatal care, delivery at home, delivery assistance by untrained TBAs, poor cord care, there was no significant difference in mortality between survivors and deceased Data not shown.

It is recommended that pregnant women receive the tetanus toxoid between 27 and 36 weeks of pregnancy. The rate of decline of neonatal tetanus incidence and case fatality was consistent with the impact of routine and supplementary immunization activities.

The use of soil as delivery surface and possession of sheep at home are common practices in this area but the application of ghee to the umbilical stump depends on local customs. Table-1 shows the trends in the incidence, mortality, and CFR.

NT cases were identified from the district surveillance database and hospital records reviews. The diagnoses for the discarded cases were: A disparity exists in TT vaccination coverage and antenatal care between urban and rural areas due to access and utilization of health care services.The Maternal and Neonatal Tetanus Elimination Initiative was launched by UNICEF, WHO and UNFPA inrevitalizing the goal of MNTE as a public health problem.

The definition of Neonatal Tetanus (NT) elimination as a public health problem is having less than one NT case per live births in. Objectives: To estimate the incidence of neonatal tetanus (NT) and to study the factors associated with NT mortality in Dadu district, Pakistan.

Methods: This study is a retrospective analysis of surveillance data from NT cases were identified from the district surveillance database and. Pakistan is one of the 34 countries that have not achieved the neonatal tetanus (NT) global elimination target set by the World Health Organization (WHO).

To estimate the incidence of neonatal tetanus (NT) and to study the factors associated with NT mortality in Dadu district, Pakistan. This study is a retrospective analysis of surveillance data.

Pakistan is one of the 34 countries that have not achieved the neonatal tetanus (NT) global elimination target set by the World Health Organization (WHO).

NT, caused by Clostridium tetani, is a. Pakistan is one of the 34 countries that have not achieved the neonatal tetanus (NT) global elimination target set by the World Health Organization (WHO).

It is one of the most underreported diseases and remains a major but preventable cause of neonatal and infant mortality in many developing countries.

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Neonatal tetanus in pakistan
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