Elimination of Maternal and Neonatal Tetanus in India: A Triumph Tale

In 1993, from the review of child survival and safe motherhood program, districts were classified for area‐specific action‐oriented intervention measures to eliminate tetanus. Districts were classified into three categories depending on TT immunization coverage among pregnant women, NT incidence rates, and proportion of clean deliveries by trained personnel [Table 1]. Taking into account the gender bias as male children were brought to the health facilities than female children, the total caseload of NT for a district was considered two times the reported male NT cases. Preventive measures were accelerated in high‐risk areas and further strengthening of surveillance system was ensured in low‐risk areas to reduce underreporting of cases.[6]