title: HE BURDEN AND CHALLENGES OF NEONATAL TETANUS IN KILIFI DISTRICT, KENYA--2004-7.
abstract: OBJECTIVE
  To describe the incidence of neonatal tetanus (NNT) and to describe the trends between 2004 and 2007; to show the geographical distribution of NNT in Kilifi district and to describe routine immunisation coverage, catch-up campaigns and mop-ups.
  
  
  METHODS
  Retrospective study
  
  
  METHODS
  Kilifi district, Coastal Kenya
  
  
  METHODS
  Children diagnosed with Neonatal Tetanus (NNT) attending Health facilities in the District.
  
  
  RESULTS
  The incidence of NNT in Kilifi increased from 0.6 in 2004 to 1.0 per 1000 live births in 2007. Over 50% of Kilifi district was a high risk area for NNT. It was a public health problem (> 1 per 1000 live births) in 19/36 locations. Immunisation (TT2+) increased from 4% in 2004 to 17% in 2007 for women of childbearing age and from 22% to 98% for pregnant women in the same period. All cases of NNT were delivered at home. 83% of NNT cases had potentially infectious materials applied to their cords.
  
  
  CONCLUSIONS
  Neonatal tetanus was an increasing problem in Kilifi district in the period 2004-2007. Immunisation coverage was low for women of childbearing age. TT immunisation data capture was a mix-up (pregnant women andwomen of childbearing age) at various health facilities and was a challenge to accurate estimates of TT2+ immunisation coverage.
authors: Kilifi District Hospital, P.O. Box 9-80108, Kilifi, Kenya.
authors: E
authors: E
authors: Maitha
authors: C
authors: C
authors: Baya
authors: E
authors: E
authors: Bauni
mesh_terms: D005260:Female; D006700:Home Childbirth / Q000009:adverse effects; D006801:Humans; D015994:Incidence; D007231:Infant, Newborn; D007630:Kenya / Q000453:epidemiology; D032541:Mass Vaccination; D011159:Population Surveillance; D011247:Pregnancy; D012189:Retrospective Studies; D013742:Tetanus / Q000453:epidemiology* / Q000517:prevention & control; D013745:Tetanus Toxoid
chemical_list: D013745:Tetanus Toxoid