Interventions for Neonatal Tetenaus

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Age Cohort: Pregnancy and newborn

Health Promotion	Disease Prevention	Diagnostic	Curative
Community Level
Community awareness on prevention and control methods of neonatal tetanus	Tetanus-toxoid-containing vaccines for women Clean delivery practices and handwashing during delivery Appropriate cord care	Recognition of tetanus signs and symptoms	Immediate transfer to a higher-level health care facility
Primary Care
Health education and information on prevention and treatment of neonatal tetanus	Tetanus-toxoid-containing vaccines for women Clean delivery practices and handwashing during delivery Appropriate cord care	History Physical examination	Immediate transfer to a higher-level health care facility
Referral Facility: General
Health education and information on prevention and treatment of neonatal tetanus	Tetanus-toxoid-containing vaccines for women Clean delivery practices and handwashing during delivery Appropriate cord care	History Physical examination Lumbar puncture	Human tetanus immune globulin (TIG) Oxygen supplementation Nutritional support Anti-spasm medications Sedatives Antibiotics Wound debridement Active immunization Avoiding spasm triggers
Referral Facility: Specialist
Health education and information on prevention and treatment of neonatal tetansu	Tetanus-toxoid-containing vaccines for women Clean delivery practices and handwashing during delivery Appropriate cord care	History Physical examination Clotting tests BUN Electrolytes	Human tetanus immune globulin (TIG) Oxygen supplementation Nutritional support Anti-spasm medications Sedatives Antibiotics Wound debridement Active immunization Avoiding spasm triggers Intensive care