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More than one in two children (58%) aged 12-23 months were vaccinated with the first dosage
of DPT (DPT 1), with the coverage rate slightly lower by the second dosage (52%), and falling
to 40% by the third dosage.
The national coverage rate of children protected against measles is 56%. The Central region has
the highest coverage rate (70%), while the lowest coverage rate for the measles vaccine is
found in the Southern region (19%).
Neonatal Tetanus Protection
One of the MDGs is to reduce the maternal mortality ratio by three quarters. One strategy to
that end is to eliminate maternal tetanus. Another goal is to reduce the incidence of neonatal
tetanus to less than one case of neonatal tetanus per 1,000 live births in every district. The goal
of A World Fit for Children was to eliminate maternal and neonatal tetanus by 2005.
The prevention of maternal and neonatal tetanus requires assuring that all pregnant women
receive at least two doses of the tetanus toxoid vaccine. However, if a woman has not received
two doses of the vaccine during her pregnancy, she (and her new born) are also considered to
be protected if the following conditions are met:
Received at least two doses of tetanus toxoid vaccine, the last within the prior three years;
Received at least three doses, the last within the prior five years;
Received at least four doses, the last within 10 years;
Received at least five doses during her lifetime.
Table 6.4 shows the tetanus protection status of women aged 15-49 who had had a live birth
within the last two years preceding the survey, by major characteristics.
Table 6.4: Neonatal tetanus protection
Percentage of women age 15-49 years with a live birth in the last 2 years protected against neonatal tetanus, Afghanistan, 2010-2011
Region
Percentage of
women who
received at least
2 doses during
last pregnancy
Percentage of women who did not receive two or more
doses during last pregnancy but received:
2 doses, the
last within
prior 3 years
3 doses, the
last within
prior 5 years
4 doses, the
last within
prior 10
years
5 or more
doses during
lifetime
Protected
against
tetanus 1
Number of
women
with a live
birth in the
last 2 years
Central 36.3 10.5 2.5 0.9 1.1 51.3 824
Central Highlands 33.2 14.8 0.3 0.0 0.0 48.4 196
East 29.9 10.5 1.3 0.6 0.2 42.5 491
North 29.2 5.2 2.3 0.0 0.1 36.9 743
North East 37.5 10.1 0.8 0.6 0.1 49.2 869
South 17.7 6.0 0.0 0.4 0.0 24.1 353
South East 35.4 6.9 0.0 0.2 0.0 42.5 726
West 18.0 5.7 0.3 0.3 0.2 24.4 662
Residence
Urban 33.4 10.9 1.6 1.3 1.1 48.4 903
Rural 30.1 7.7 1.0 0.2 0.1 39.0 3,962
Education
None 29.5 7.7 1.0 0.3 0.2 38.6 4,311
49