Tetanus

<!DOCTYPE html> <html lang="en"> <head>  <meta http-equiv="X-UA-Compatible" content="IE=edge,chrome=1" /> <meta charset="utf-8" /><meta name="viewport" content="width=device-width, initial-scale=1"><title> Tetanus </title> <link rel="shortcut icon" href="/favicon.ico"> <link rel="manifest" href="/manifest.json"> <link rel="apple-touch-icon" href="/apple-touch-icon-precomposed.png"> <meta name="theme-color" content="#007eb4" /> <link rel="preconnect" href="https://fonts.googleapis.com" /> <link rel="preconnect" href="https://fonts.gstatic.com" crossorigin /> <link rel="preconnect" href="https://use.fontawesome.com" crossorigin /> <link rel="dns-prefetch" href="https://cdnjs.cloudflare.com" /> <link rel="dns-prefetch" href="https://kendo.cdn.telerik.com" /> <link rel="prefetch" href="https://kendo.cdn.telerik.com/2021.1.119/js/kendo.all.min.js"> <link rel="prefetch" href="https://kendo.cdn.telerik.com/2021.1.119/js/kendo.timezones.min.js"> <link rel="preconnect" href="https://cdn.who.int" /> <link href="https://fonts.googleapis.com/css2?family=Noto+Sans:ital,wght@0,400;0,700;1,400&display=swap" rel="stylesheet"> <link href="https://use.fontawesome.com/releases/v5.15.4/css/all.css" rel="stylesheet" type="text/css" /> <link rel='stylesheet' href='/ResourcePackages/WHO/assets/dist/styles/grid.min.css?v=14.0.7729.19549' >  <link rel='stylesheet' href='/ResourcePackages/WHO/assets/dist/styles/origin.min.css?v=14.0.7729.19549' ><link rel='stylesheet' href='/ResourcePackages/WHO/assets/dist/styles/main.min.css?v=14.0.7729.19549' > <link rel='stylesheet' href='/ResourcePackages/WHO/assets/dist/styles/print.min.css?v=14.0.7729.19549' media='print'> <script> var lang = document.documentElement.lang; window.dataLayer = window.dataLayer || []; window.dataLayer.push({'language': lang }); window.dataLayer.push({ "pagetype": "webpage", "targetaudience": "general-audience", "targetcountry": "global", "publishingoffice": "immunization-vaccines-and-biologicals", "healthtopic": "Tetanus" });</script> <script> (function() { function deleteCookie(cookieName,domain) { document.cookie = cookieName + '=;expires=Mon Jan 01 1900 00:00:00 ; path=/; domain=' + domain; } function loadAndTrack(canTrack) { if (!canTrack) { var domain = location.hostname.replace(/^www\./i, '.'); //GA deleteCookie('_ga', domain); deleteCookie('_gat', domain); deleteCookie('_gid', domain); //Clarity deleteCookie('_clck', domain); deleteCookie('_clsk', domain); //Google Adsense deleteCookie('_gcl_au', domain); } else{ //Fire GTM //Google Tag Manager (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start': new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0], j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src= 'https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f); })(window,document,'script','dataLayer','GTM-5QFSQRT'); //End Google Tag Manager } return; } if (window.TrackingConsentManager) { TrackingConsentManager.addEventListener('ConsentChanged', loadAndTrack); loadAndTrack(TrackingConsentManager.canTrackCurrentUser()); } else { loadAndTrack(true); } })(); </script><meta property="og:locale" content="en_US" /><meta name="description" content="Tetanus is a non-communicable disease contracted through exposure to the spores of the bacterium, Clostridium tetani, that exists worldwide in soil and in animal intestinal tracts, and as such can contaminate many surfaces and substances. As a result of the ubiquity of the bacterium causing tetanus, the disease cannot be eradicated. Neurotoxins produced under anaerobic conditions in wounds contaminated with the bacterial spores lead to tetanus. Tetanus occurring during pregnancy or within 6 weeks of the end of pregnancy is called “maternal tetanus”, while tetanus occurring within the first 28 days of life is called “neonatal tetanus”." /><meta property="og:title" content="Tetanus" /><meta property="og:description" content="Tetanus is a non-communicable disease contracted through exposure to the spores of the bacterium, Clostridium tetani, that exists worldwide in soil and in animal intestinal tracts, and as such can contaminate many surfaces and substances. As a result of the ubiquity of the bacterium causing tetanus, the disease cannot be eradicated. Neurotoxins produced under anaerobic conditions in wounds contaminated with the bacterial spores lead to tetanus. Tetanus occurring during pregnancy or within 6 weeks of the end of pregnancy is called “maternal tetanus”, while tetanus occurring within the first 28 days of life is called “neonatal tetanus”." /><meta property="og:image" content="https://www.who.int/images/default-source/imported/immunization/photo-9-un-photo-eskinder-debebe.tmb-1200v.jpg?Culture=en&sfvrsn=d8afce9b_12" /><style type="text/css" media="all">.row-flex{display:flex;flex-direction:row}.row-flex .card{flex-grow:1}.row-flex .sf_colsIn{display:flex;flex-direction:column;flex-grow:1}.row-flex .card__content-group{display:flex;flex-direction:column;flex-grow:1}.row-flex .card__content{display:flex;flex-grow:1}.qa-details__content .sf-accordion__content p a{outline:0;color:var(--l2-neutralForegroundRest);border-bottom:1px solid var(--l2-neutralForegroundRest);text-decoration:none}.qa-details__content .sf-accordion__content p a:focus{outline:0;color:var(--l2-accentFillHover);background-color:var(--l2-neutralFillStealthHover);border-bottom:3px solid var(--l2-neutralFocus);text-decoration:none}.qa-details__content .sf-accordion__content p a:hover{outline:0;color:var(--l2-neutralForegroundRest);background-color:var(--l2-neutralFillStealthHover);border-bottom:3px solid var(--l2-neutralFocus);text-decoration:none}.mdc-card.mdc-card--background .card-media--item{background:0 0;background:linear-gradient(180deg,rgba(255,255,255,0) 0,rgba(0,0,0,.5) 25%,#000 100%)}.mdc-card.mdc-card--background a .item--title,.mdc-card.mdc-card--background a:active .item--title,.mdc-card.mdc-card--background a:focus .item--title,.mdc-card.mdc-card--background a:hover .item--title{text-decoration:none}.mdc-card a:visited .item--title,.mdc-card.mdc-card--background .item--title{color:#fff}.card--solid.bg-dark:hover{color:#fff;background-color:#20313b;border:2px solid #fff}.card--solid.bg-dark a{color:#fff;background-color:#20313b;border:2px solid #20313b}.card--solid.bg-dark a:hover{color:#20313b;background-color:#fff;border:2px solid #20313b}.card--solid.bg-dark:focus-within{color:#fff;background-color:#20313b;border:2px solid var(--l4-neutralFocus)}.mdc-card a .item--title,.mdc-card a:visited .item--title{color:var(--l4-neutralForegroundRest)}.mdc-card a:visited .item--title{color:var(--l4-neutralForegroundRest)!important}.-sf-integrated-app body,.sfPageContainer .RadDock .rdContent a.sfAddContentLnk,.zeContentMode .sfPageContainer .RadDock .rdContent,.zeLayoutMode .sfPageContainer .RadDock .rdContent,.zeSettingsMode .sfPageContainer .RadDock .rdContent,.zeThemesMode .sfPageContainer .RadDock .rdContent{font-family:Arial,Verdana,sans-serif!important}#navigationToScrape .content-block a,.alphabetical-nav--list .alphabetical-nav--list-item a,.alphabetical-nav--list a,.nav--list a{text-decoration:none!important}.sf-events-wrapper .vertical-list-item:focus,.sf-events-wrapper .vertical-list-item:focus-within{outline:2px solid var(--l4-neutralFocus)!important}.sf-events-wrapper .vertical-list-item a:focus-within,.sf-events-wrapper .vertical-list-item:focus{outline:0}.top-header li.active>a,.top-header li.open>a,.top-header li.selected>a,.top-header li:hover>a{background-color:var(--d-l4-accentFillHover)} .webinars-listing .sf-multimedia-item__container { aspect-ratio: 16/9; 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As a result of the ubiquity of the bacterium causing tetanus, the disease cannot be eradicated. Neurotoxins produced under anaerobic conditions in wounds contaminated with the bacterial spores lead to tetanus. Tetanus occurring during pregnancy or within 6 weeks of the end of pregnancy is called “maternal tetanus”, while tetanus occurring within the first 28 days of life is called “neonatal tetanus”." /></head> <body class="sf-body "> <a class="visually-hidden-focusable" href="#content">Skip to main content</a> <noscript><iframe src="https://www.googletagmanager.com/ns.html?id=GTM-5QFSQRT" height="0" width="0" style="display:none;visibility:hidden"></iframe></noscript><script src="/ScriptResource.axd?d=okuX3IVIBwfJlfEQK32K3l5K7YGiATb30h89J0olbNMeAyOtdYE6_Exv9Bd_ta2_XSFvjotxKLnlt9vcM6Kg3aKCXjsPLAfc02HCCEnrn0StjUGoNmpcNHr0Q7qewBsI-wQmYIVPg1mLq03jlrRY4M-hzwvjWouuBv3ehropIpydPBUR0&t=ffffffffa587f0f2" type="text/javascript"></script><script src="/ScriptResource.axd?d=ePnjFy9PuY6CB3GWMX-b_9dUqj_iyHKbtZiYzX__OhcBoGTfz1BCLaN4h7Fbajcqvr0jzshQTloWygrPD-ACaSqbbnMU2RjynHKyNq228hugZnvpXRMVXdY9OyDF4Ewext63iLJGrHIt24Ious-uCOclPLq5lpYk7ok9AjUyDR56hxVu0&t=ffffffffa587f0f2" 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async defer src="https://connect.facebook.net/en_US/sdk.js#xfbml=1&version=v3.2"></script> <article class="sf-detail-body-container sf-detail-body-wrapper health-topic--detail dynamic-content dynamic-content__article"> <header class="dynamic-content__header dynamic-content__container"> <div class="sf-header-image dynamic-content__image dynamic-content__image" data-url=""> <div class="inner"> <a class="magnific-popup" href="/images/default-source/wpro/health-topic/tetanus/tetanus---ht.tmb-1920v.jpg?Culture=en&sfvrsn=4a3a3976_8 1920w" title="WHO/Yoshi Shimizu "> <img sizes="(max-width: 479px) 280px, (max-width: 549px) 440px, (max-width: 768px) 660px, (max-width: 1366px) 1024px, 1920px" srcset="/images/default-source/wpro/health-topic/tetanus/tetanus---ht.tmb-479v.jpg?Culture=en&sfvrsn=4a3a3976_8 479w, /images/default-source/wpro/health-topic/tetanus/tetanus---ht.tmb-549v.jpg?Culture=en&sfvrsn=4a3a3976_8 549w, 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imageCreditClass.length; i++) { imageCreditClass[i].addEventListener('click', preventFunction);; } </script> </div> <div class="dynamic-content__title"> <h1 class="dynamic-content__title-text">Tetanus</h1> </div> </header> <section class="dynamic-content__section dynamic-content__container"> <div class="row"> <div class="col-md-7"> <div class="dynamic-content__section-content"> <div class="sf_cols tabWidget health-topic_tabWidget"> <div class="sf_colsOut flex-clear" data-placeholder-label="Tab wrapper"> <div class="ul-tabs--wrapper"> <ul class="tabs"></ul> </div> <div class="sf_colsIn single-tabContent"> <div class="sf_cols singleTabWrapper"> <div class="sf_colsOut tabHeaderWrapper" data-sf-element="Tab header" data-placeholder-label="Tab header"> <div class="sf_colsIn tabHeaderText"> <div class="sf-content-block content-block"> Overview </div> </div> </div> <div class="sf_colsOut tabContent" data-sf-element="Tab contents" data-placeholder-label="Tab contents"> <div class="sf_colsIn"> <p>Tetanus is a serious illness contracted through exposure to the spores of the bacterium, <em>Clostridium tetani</em>, which live in soil, saliva, dust and manure. The bacteria can enter the body through a deep cuts, wounds or burns affecting the nervous system. The infection leads to painful muscle contractions, particularly of the jaw and neck muscle, and is commonly known as “lockjaw”.<span style="background-color:transparent;text-align:inherit;text-transform:inherit;white-space:inherit;word-spacing:normal;caret-color:auto;"> </span></p><p>People of all ages can get tetanus but the disease is particularly common and serious in newborn babies and their mothers when the mother is unprotected from tetanus by the vaccine, tetanus toxoid. Tetanus occurring during pregnancy or within 6 weeks of the end of pregnancy is called maternal tetanus, while tetanus occurring within the first 28 days of life is called neonatal tetanus. </p><p>The disease remains an important public health problem in many parts of the world, but especially in low-income countries or districts, where immunization coverage is low and unclean birth practices are common. WHO estimates that in 2018 (the latest year for which estimates are available), 25 000 newborns died from neonatal tetanus, 88% reduction from the situation in 2000.</p><p> </p> </div> </div> </div> <div class="sf_cols singleTabWrapper"> <div class="sf_colsOut tabHeaderWrapper" data-sf-element="Tab header" data-placeholder-label="Tab header"> <div class="sf_colsIn tabHeaderText"> <div class="sf-content-block content-block"> Symptoms </div> </div> </div> <div class="sf_colsOut tabContent" data-sf-element="Tab contents" data-placeholder-label="Tab contents"> <div class="sf_colsIn"> <p><p>Nearly all cases of tetanus occur in people who have never been vaccinated or in adults who have not kept up to date on their booster shots.<span style="background-color:transparent;text-align:inherit;text-transform:inherit;white-space:inherit;word-spacing:normal;caret-color:auto;"> </span></p><p>Signs and symptoms of tetanus appear anytime from 3 to 21 days after tetanus bacteria enter the body through a wound. Most cases occur within 14 days.</p><p>Symptoms can include:</p><ul><li>jaw cramping or the inability to open the mouth</li><li>muscle spasms often in the back, abdomen and extremities</li><li>sudden painful muscle spasms often triggered by sudden noises</li><li>trouble swallowing</li><li>seizures</li><li>headache</li><li>fever and sweating</li><li>changes in blood pressure or fast heart rate. </li></ul><p>In neonatal tetanus, symptoms include muscle spasms, which are often preceded by the newborn’s inability to suck or breastfeed, and excessive crying.<span style="background-color:transparent;text-align:inherit;text-transform:inherit;white-space:inherit;word-spacing:normal;caret-color:auto;"> </span></p>Tetanus is diagnosed on the basis of clinical features and does not require laboratory confirmation. Tetanus requires treatment in a medical facility, often in a referral hospital. People who recover from tetanus do not have natural immunity and can be infected again and therefore need to be immunized.<p> </p></p> </div> </div> </div> <div class="sf_cols singleTabWrapper"> <div class="sf_colsOut tabHeaderWrapper" data-sf-element="Tab header" data-placeholder-label="Tab header"> <div class="sf_colsIn tabHeaderText"> <div class="sf-content-block content-block"> Prevention </div> </div> </div> <div class="sf_colsOut tabContent" data-sf-element="Tab contents" data-placeholder-label="Tab contents"> <div class="sf_colsIn"> <p>Tetanus can be prevented through immunization with tetanus-toxoid-containing vaccines (TTCV), which are included in routine immunization programmes globally and administered during antenatal care contacts. </p><p>To be protected throughout life, WHO recommends that an individual receives 6 doses (3 primary plus 3 booster doses) of TTCV. The 3-dose primary series should begin as early as 6 weeks of age, with subsequent doses given with a minimum interval of 4 weeks between doses.<span style="background-color:transparent;text-align:inherit;text-transform:inherit;white-space:inherit;word-spacing:normal;caret-color:auto;"> </span></p><p>The 3 booster doses should preferably be given during the second year of life (12–23 months), at 4–7 years of age, and at 9–15 years of age. Ideally, there should be at least 4 years between booster doses. </p><p>There are many kinds of vaccines used to protect against tetanus: </p><ul><li>diphtheria and tetanus (DT) vaccines</li></ul><ul><li>diphtheria, tetanus, and pertussis (whooping cough) (DTaP) vaccines</li></ul><ul><li>tetanus and diphtheria (Td) vaccines</li></ul><ul><li>tetanus, diphtheria, and pertussis (Tdap) vaccines. <br /></li></ul><p>Neonatal tetanus can be prevented by immunizing women of reproductive age with TTCV, either during pregnancy or outside of pregnancy. Additionally, robust medical practices can also prevent tetanus disease including clean delivery and cord care during childbirth, and proper wound care for surgical and dental procedures.<o:p></o:p></p> </div> </div> </div> </div> </div> </div> </div> </div> <div class="col-md-4 col-md-push-1"> <div class="dynamic-content__sidebar"> <div id="dynamic-content__accordion" class="dynamic-content__accordion sf-accordion"> <div class="sf-accordion__panel"><div class="sf-accordion__title"><a href="#" class="sf-accordion__trigger-panel">Fact sheets <span class="sf-accordion__icon"></span></a></div><div class="sf-accordion__content"><ul><li class=""><a href="#"><a href="https://www.who.int/news-room/fact-sheets/detail/tetanus" title="Tetanus">Tetanus</a></a></li><li class=""><a href="#"><a href="https://www.who.int/news-room/fact-sheets/detail/immunization-coverage" title="Immunization coverage">Immunization coverage</a></a></li></ul></div></div></li><div class="sf-accordion__panel"><div class="sf-accordion__title"><a href="#" class="sf-accordion__trigger-panel">Questions and answers <span class="sf-accordion__icon"></span></a></div><div class="sf-accordion__content"><ul><li class=""><a href="#"><a target="_blank" href="/news-room/q-a-detail/tetanus-immunization" data-sf-ec-immutable="">Should tetanus immunizations be given to survivors with injuries in emergency situations?</a></a></li><li class=""><a href="#"><a href="/news-room/questions-and-answers/item/vaccines-and-immunization-what-is-vaccination">Questions and answers on vaccines</a></a></li></ul></div></div></li><div class="sf-accordion__panel"><div class="sf-accordion__title"><a href="#" class="sf-accordion__trigger-panel">Databases and tools <span class="sf-accordion__icon"></span></a></div><div class="sf-accordion__content"><ul><li class=""><a href="#"><a data-sf-ec-immutable="" href="https://www.who.int/gho/immunization/dtp3/en/" target="_blank">Diphtheria-tetanus-pertussis (DTP3) immunization coverage</a></a></li><li class=""><a href="#"><a href="/data/gho/indicator-metadata-registry/imr-details/3207">Protection at birth (PAB) against tetanus</a></a></li></ul></div></div></li><div class="sf-accordion__panel"><div class="sf-accordion__title"><a href="#" class="sf-accordion__trigger-panel">Initiatives and groups <span class="sf-accordion__icon"></span></a></div><div class="sf-accordion__content"><ul><li class=""><a href="#"><a href="/initiatives/maternal-and-neonatal-tetanus-elimination-(mnte)" data-sf-ec-immutable="">Maternal and Neonatal Tetanus Elimination</a></a></li></ul></div></div></li><div class="sf-accordion__panel"><div class="sf-accordion__title"><a href="#" class="sf-accordion__trigger-panel">Resolutions and decisions <span class="sf-accordion__icon"></span></a></div><div class="sf-accordion__content"><ul><li class=""><a href="#"><a target="_blank" href="https://cdn.who.int/media/docs/default-source/tetanus/a70-r14-en.pdf?sfvrsn=8f836355_2">WHA70.14 Strengthening immunization to achieve the goals of the global vaccine action plan</a></a></li><li class=""><a href="#"><a target="_blank" href="https://cdn.who.int/media/docs/default-source/tetanus/a65-r17-en.pdf?sfvrsn=df2a71fe_2">WHA65.17 Global vaccine action plan</a></a></li></ul></div></div></li><div class="sf-accordion__panel"><div class="sf-accordion__title"><a href="#" class="sf-accordion__trigger-panel">Technical work <span class="sf-accordion__icon"></span></a></div><div class="sf-accordion__content"><ul><li class=""><a href="#"><a href="/teams/immunization-vaccines-and-biologicals" data-sf-ec-immutable="">Immunization, Vaccines and Biologicals</a></a></li><li class=""><a href="#"><a data-sf-ec-immutable="" href="https://www.who.int/maternal_child_adolescent/en/" target="_blank">Maternal and Child Health</a></a></li></ul></div></div></li> </div> </div> </div> </div> <div class="row"> <div class="col-md-7"> </div> </div> </section> </article> <script type='text/javascript' 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class="sf_colsIn container" data-sf-element="Container" data-placeholder-label="Container"><div class="row" data-sf-element="Row"> <div id="PageContent_C039_Col00" class="sf_colsIn col-md-12" data-sf-element="Column 1" data-placeholder-label="Column 1"> <div class="section-heading"> <h2>News</h2> <a href="https://www.who.int/news?healthtopics=3945a08c-6dae-4eb9-a275-0295c83d97c0">All →</a> </div> <div class="list-view horizontal-list matching-height"> <div class="list-view--item horizontal-list-item matching-height--item"> <a href="https://www.who.int/news/item/15-07-2019-20-million-children-miss-out-on-lifesaving-measles-diphtheria-and-tetanus-vaccines-in-2018" class="link-container" aria-label="20 million children miss out on lifesaving measles, diphtheria and tetanus vaccines in 2018" role="link"> <div class="thumb"> <div class="background-image background-image--small" 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data-image="https://cdn.who.int/media/images/default-source/imported/yemen-medicines-deliver-diphtheria.tmb-768v.jpg?sfvrsn=5b6f2055_32" style="background-image: url('https://cdn.who.int/media/images/default-source/imported/yemen-medicines-deliver-diphtheria.tmb-549v.jpg?sfvrsn=5b6f2055_32')"></div> </div> <div class="info"> <div class="date"> <span class="timestamp">13 November 2013</span> <div class="sf-tags-list"> <div class="sf-tags-list-item">News release</div> </div> </div> <p class="heading text-underline">Relief arriving in the Philippines, challenges for delivery persist</p> </div> </a> </div> </div> <div class="section-heading"> <p>Latest publications</p> <a href="https://www.who.int/publications/i?healthtopics=3945a08c-6dae-4eb9-a275-0295c83d97c0">All →</a> </div> <div class="sf-publications"> <div class="sf-publications-list sf-publications-list__horizontal row"> <div class="sf-publications-item list-item col-sm-3"> <div class="sf-publications-item__container"> <figure class="sf-publications-item__figure"> <img src="https://iris.who.int/bitstream/handle/10665/373805/WHO-MCA-2023.10.02-eng.pdf.jpg?sequence=4" alt="Analysis and use of health facility data - Facilitator guide: Companion exercises to strengthen analysis and use of health facility data for maternal, newborn, child and adolescent health" /> </figure> <div class="sf-publications-item__body"> <div class="sf-publications-item__header"> <div class="sf-publications-item__date"> <span>8 November 2023</span> </div> <a href="https://www.who.int/publications/i/item/WHO-MCA-2023.10.02"> <h3 class="sf-publications-item__title">Analysis and use of health facility data - Facilitator guide: Companion exercises to strengthen analysis... </h3> </a> </div> <div class="sf-publications-item__description"> <p>This facilitator guide is a companion to the guidance Analysis and use of health facility data: guidance for maternal, newborn, child and adolescent health... </p> </div> <div class="sf-publications-item__actions"> <div class="sf-publications-item__file"> <a class="download-url " href="https://iris.who.int/bitstream/handle/10665/373805/WHO-MCA-2023.10.02-eng.pdf?sequence=1" aria-label="Download" target="_blank">Download</a> </div> <div class="sf-publications-item__url"> <a href="https://www.who.int/publications/i/item/WHO-MCA-2023.10.02" class="page-url" aria-label="Read More">Read More</a> </div> </div> </div> </div> </div> <div class="sf-publications-item list-item col-sm-3"> <div class="sf-publications-item__container"> <figure class="sf-publications-item__figure"> <img src="https://iris.who.int/bitstream/handle/10665/373804/WHO-MCA-2023.10.01-eng.pdf.jpg?sequence=4" alt="Analysis and use of health facility data: Companion exercises to strengthen analysis and use of health facility data for maternal, newborn, child and adolescent health" /> </figure> <div class="sf-publications-item__body"> <div class="sf-publications-item__header"> <div class="sf-publications-item__date"> <span>8 November 2023</span> </div> <a href="https://www.who.int/publications/i/item/WHO-MCA-2023.10.01"> <h3 class="sf-publications-item__title">Analysis and use of health facility data: Companion exercises to strengthen analysis and use of health... </h3> </a> </div> <div class="sf-publications-item__description"> <p>This exercise book is a companion to the guidance Analysis and use of health facility data: guidance for maternal, newborn, child and adolescent health... </p> </div> <div class="sf-publications-item__actions"> <div class="sf-publications-item__file"> <a class="download-url " href="https://iris.who.int/bitstream/handle/10665/373804/WHO-MCA-2023.10.01-eng.pdf?sequence=1" aria-label="Download" target="_blank">Download</a> </div> <div class="sf-publications-item__url"> <a href="https://www.who.int/publications/i/item/WHO-MCA-2023.10.01" class="page-url" aria-label="Read More">Read More</a> </div> </div> </div> </div> </div> <div class="sf-publications-item list-item col-sm-3"> <div class="sf-publications-item__container"> <figure class="sf-publications-item__figure"> <img src="https://iris.who.int/bitstream/handle/10665/373826/9789240080331-eng.pdf.jpg?sequence=4" alt="Analysis and use of health facility data: guidance for maternal, newborn, child and adolescent health programme managers" /> </figure> <div class="sf-publications-item__body"> <div class="sf-publications-item__header"> <div class="sf-publications-item__date"> <span>8 November 2023</span> </div> <a href="https://www.who.int/publications/i/item/9789240080331"> <h3 class="sf-publications-item__title">Analysis and use of health facility data: guidance for maternal, newborn, child and adolescent health... </h3> </a> </div> <div class="sf-publications-item__description"> <p>This guidance describes a catalogue of indicators for maternal, newborn, child and adolescent health (MNCAH) that can be monitored through health management... </p> </div> <div class="sf-publications-item__actions"> <div class="sf-publications-item__file"> <a class="download-url " href="https://iris.who.int/bitstream/handle/10665/373826/9789240080331-eng.pdf?sequence=1" aria-label="Download" target="_blank">Download</a> </div> <div class="sf-publications-item__url"> <a href="https://www.who.int/publications/i/item/9789240080331" class="page-url" aria-label="Read More">Read More</a> </div> </div> </div> </div> </div> <div class="sf-publications-item list-item col-sm-3"> <div class="sf-publications-item__container"> <figure class="sf-publications-item__figure"> <img src="https://iris.who.int/bitstream/handle/10665/331939/WER9518-eng-fre.pdf.jpg?sequence=4" alt="Progress Toward Maternal and Neonatal Tetanus Elimination - Worldwide, 2000–2018" /> </figure> <div class="sf-publications-item__body"> <div class="sf-publications-item__header"> <div class="sf-publications-item__date"> <span>17 November 2020</span> </div> <a href="https://www.who.int/publications/i/item/WER9518"> <h3 class="sf-publications-item__title">Progress Toward Maternal and Neonatal Tetanus Elimination - Worldwide, 2000–2018</h3> </a> </div> <div class="sf-publications-item__description"> <p>Maternal and neonatal tetanus1 remains a major public health problem, with an 80–100% case-fatality rate among neonates, especially in areas... </p> </div> <div class="sf-publications-item__actions"> <div class="sf-publications-item__file"> <a class="download-url " href="https://iris.who.int/bitstream/handle/10665/331939/WER9518-eng-fre.pdf?sequence=1" aria-label="Download" target="_blank">Download</a> </div> <div class="sf-publications-item__url"> <a href="https://www.who.int/publications/i/item/WER9518" class="page-url" aria-label="Read More">Read More</a> </div> </div> </div> </div> </div> </div> </div> <div class="section-heading"> <p>Multimedia</p> <a href="https://www.who.int/multi-media?healthtopics=3945a08c-6dae-4eb9-a275-0295c83d97c0">All →</a> </div> <script type='text/javascript' src='/ResourcePackages/WHO/assets/dist/scripts/multimedia-modal.min.js?v=14.0.7729.19549'></script> <script async defer src="https://connect.facebook.net/en_US/sdk.js#xfbml=1&version=v3.2"></script> <div class="sf-multimedia"> <div class="sf-multimedia-list sf-multimedia-list__small row"> <div class="sf-multimedia-item sf-multimedia-item__video col-xs-6"> <a class="sf-multimedia-item__container" href="#" onclick='new ModalJS( "YoutubeVideo", "https://www.youtube.com/watch?v=9nadnOxvE74")'> <span class="sf-multimedia-item__link page-url play-button"></span> <figure class="sf-multimedia-item__figure" style="background-image: url('/images/default-source/health-topics/measles/why-should-i-get-vaccinated.tmb-549v.jpg?Culture=en&sfvrsn=520e8dea_2');" role="img" aria-label="Why should i get vaccinated video thumbnail" title="Why should i get vaccinated video 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on vaccines" title="Five facts on vaccines"> <img src="https://cdn.who.int/media/images/default-source/infographics/tetanus/five-facts-on-vaccines.tmb-549v.jpg?sfvrsn=78a69ee8_5" alt="Five facts on vaccines" style="display: none;" /> </figure> <div class="sf-multimedia-item__body"> <div class="sf-multimedia-item__body-wrapper"> <div class="sf-multimedia-item__label">Infographic</div> <h3 class="sf-multimedia-item__heading">Five facts on vaccines</h3> </div> </div> </a> </div> </div> </div> <div class="row" data-sf-element="Row"> <div id="PageContent_C052_Col00" class="sf_colsIn col-md-4" data-sf-element="Column 1" data-placeholder-label="Column 1"> <div class="section-heading"> <p>Feature stories</p> <a href="https://www.who.int/news-room/feature-stories?healthtopics=3945a08c-6dae-4eb9-a275-0295c83d97c0">All →</a> </div> <div class="list-view vertical-list"> <div class="list-view--item vertical-list-item vertical-list-item--hightlight-image"> <a href="https://www.who.int/news-room/feature-stories/detail/unveiling-vaccine-hesitancy-in-bosnia-and-herzegovina" class="link-container" aria-label="Unveiling vaccine hesitancy in Bosnia and Herzegovina" role="link"> <div class="thumb"> <div class="background-image" data-image="https://cdn.who.int/media/images/default-source/thailand-images/dsc02907.tmb-479v.jpg?sfvrsn=fd879f20_4" style="background-image: url('https://cdn.who.int/media/images/default-source/thailand-images/dsc02907.tmb-479v.jpg?sfvrsn=fd879f20_4')"></div> </div> <div class="info"> <div class="date"> <span class="timestamp">18 April 2018</span> </div> <p class="heading text-underline">Unveiling vaccine hesitancy in Bosnia and Herzegovina</p> </div> </a> </div> </div> </div> <div id="PageContent_C052_Col01" class="sf_colsIn col-md-8" data-sf-element="Column 2" data-placeholder-label="Column 2"> <div class="section-heading"> <p>Events</p> <a 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url('/images/default-source/fallback/icons/media-centre/event.tmb-131v.png?Culture=en&sfvrsn=c073cbae_24')"></div> </div> </div> <div class="table-cell info"> <p class="heading text-underline">Review by the Technical Advisory Group on Innovations in Male Circumcision (TAG) of additional documentation relating to the safety of male circumcision methods</p> <span class="timestamp"> <i class="fa fa-calendar" aria-hidden="true"></i> 10 January 2020 </span> </div> </a> </div> <div class="list-view--item vertical-list-item"> <a href="https://www.who.int/news-room/events/detail/2020/01/10/default-calendar/technical-advisory-group-on-innovations-in-male-circumcision-(tag)-of-additional-documentation-relating-to-the-safety-of-male-circumcision-methods" class="link-container table event-table" aria-label="Technical Advisory Group on Innovations in Male Circumcision (TAG) of additional documentation relating to the safety of male circumcision methods" role="link"> <div class="table-cell"> <div class="thumb"> <div class="background-image background-image--small" data-image="/images/default-source/fallback/icons/media-centre/event.tmb-768v.png?Culture=en&sfvrsn=c073cbae_24" style="background-image: url('/images/default-source/fallback/icons/media-centre/event.tmb-131v.png?Culture=en&sfvrsn=c073cbae_24')"></div> </div> </div> <div class="table-cell info"> <p class="heading text-underline">Technical Advisory Group on Innovations in Male Circumcision (TAG) of additional documentation relating to the safety of male circumcision methods</p> <span class="timestamp"> <i class="fa fa-calendar" aria-hidden="true"></i> 10 January 2020 </span> </div> </a> </div> <div class="list-view--item vertical-list-item"> <a href="https://www.who.int/news-room/events/detail/2020/01/10/default-calendar/who-informal-consultation-on-tetanus-and-voluntary-medical-male-circumcision" class="link-container table event-table" aria-label="WHO Informal consultation on tetanus and voluntary medical male circumcision" role="link"> <div class="table-cell"> <div class="thumb"> <div class="background-image background-image--small" data-image="/images/default-source/fallback/icons/media-centre/event.tmb-768v.png?Culture=en&sfvrsn=c073cbae_24" style="background-image: url('/images/default-source/fallback/icons/media-centre/event.tmb-131v.png?Culture=en&sfvrsn=c073cbae_24')"></div> </div> </div> <div class="table-cell info"> <p class="heading text-underline">WHO Informal consultation on tetanus and voluntary medical male circumcision</p> <span class="timestamp"> <i class="fa fa-calendar" aria-hidden="true"></i> 10 January 2020 </span> </div> </a> </div> </div> </div> </div> <style> .filter-widget__wrapper { background: none; margin-top: 48px; margin-bottom: 16px; padding: 0px; } .cp-wrapper { background-color: #00205c; color: #fff; padding: 48px; } #go-button { border-color: #fff; background-color: #00205c; color: #fff; float: right; } @media (max-width: 1019px) { .cp-wrapper { padding: 32px; } .main-filter .form-group { padding: 0px; } } </style> <div class="row cp-wrapper"> <div class="col-md-6 labels-wrapper"> <h3>Country profiles</h3> <div> Country profiles present selected data, statistics and information to provide national health profiles at given points in time. </div> </div> <div class="col-md-6 filters-wrapper"> <div class="filter-widget__wrapper" style="opacity: 1;"> <div class="main-filter"> <div class="form-group col-md-12 col-sm-12"> <div style="margin-bottom: 1rem;"> <input id="countries-dropdown" class="" placeholder="" style="width: 100%;" /> </div> <div id="go-button" class="button button-blue-background"> <a id="cp-hub-url" href="https://www.who.int/publications/c">GO</a> </div> </div> </div> </div> </div> </div> <script> var fullUrl = ""; function setDefaultFilterUrl() { fullUrl = "https://www.who.int/publications/c"; if ("healthtopics=65d42052-212e-4b96-94a3-809750f9ca43") { fullUrl += "?" + "healthtopics=65d42052-212e-4b96-94a3-809750f9ca43"; } 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Barbuda"},{"value":"1233bb35-ee4f-45f6-9f31-4198f11c173f","text":"Argentina"},{"value":"34e79edc-df61-489f-ad19-7c1765031a08","text":"Armenia"},{"value":"cadc5699-d8c4-4190-ab56-14824b2704de","text":"Australia"},{"value":"3b95d7fd-b92e-4dab-8898-a6232899d3d7","text":"Austria"},{"value":"3ed751f8-f9e4-4d82-b03c-5e606eda0bf4","text":"Azerbaijan"},{"value":"6bcc9f91-7189-4e09-b404-9c6b046ae9c1","text":"Bahamas"},{"value":"e0870344-188e-44f8-a1d2-4af149715d60","text":"Bahrain"},{"value":"3ae14e4e-ee89-42cf-9804-aee814c11de2","text":"Bangladesh"},{"value":"ec4c5eb8-379e-4f88-8563-33c6ad2dbda1","text":"Barbados"},{"value":"96fd6e90-c3f6-40e8-bd96-80fcf2459f29","text":"Belarus"},{"value":"64575b74-d1df-4feb-910e-7450d313f653","text":"Belgium"},{"value":"ff29cbe2-173b-4784-ab27-6c4f656de573","text":"Belize"},{"value":"e6d7e2b5-9a5d-4ca0-a14f-6a4b43ecf83e","text":"Benin"},{"value":"0905b9f5-f1ce-4f9c-9faa-4995acfb7937","text":"Bhutan"}], filter: "contains", placeholder: "Choose a country", 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