Countries by Newborns protected against tetanus (%)
Three countries — Bahamas, Bahrain, and Seychelles — each achieve 100% coverage for newborns protected against tetanus, ranking joint first among 106 countries. At the other end, Somalia ranks 106th at just 50%. The 50 percentage-point gap between the top and bottom illustrates the wide disparity in maternal immunization coverage across the dataset.
Ranking 2024
Values shown in %.
| Rank | Country | % |
|---|---|---|
| 1 | Bahamas | 100.00 |
| 1 | Bahrain | 100.00 |
| 1 | Seychelles | 100.00 |
| 4 | Djibouti | 99.00 |
| 4 | Dominican Republic | 99.00 |
| 4 | Eritrea | 99.00 |
| 4 | Honduras | 99.00 |
| 4 | Kuwait | 99.00 |
| 4 | Maldives | 99.00 |
| 4 | Oman | 99.00 |
| 11 | Albania | 98.00 |
| 11 | Bangladesh | 98.00 |
| 11 | Colombia | 98.00 |
| 11 | Fiji | 98.00 |
| 11 | North Korea | 98.00 |
| 11 | Mexico | 98.00 |
| 11 | Tunisia | 98.00 |
| 18 | Algeria | 97.00 |
| 18 | Brunei | 97.00 |
| 18 | Iran | 97.00 |
| 18 | Mauritius | 97.00 |
| 18 | Peru | 97.00 |
| 18 | Sao Tome and Principe | 97.00 |
| 18 | Sri Lanka | 97.00 |
| 18 | Türkiye | 97.00 |
| 26 | Cabo Verde | 96.00 |
| 26 | Gambia | 96.00 |
| 26 | Guyana | 96.00 |
| 26 | Malaysia | 96.00 |
| 26 | Thailand | 96.00 |
| 26 | Vietnam | 96.00 |
| 32 | Belize | 95.00 |
| 32 | Bhutan | 95.00 |
| 32 | Cambodia | 95.00 |
| 32 | Paraguay | 95.00 |
| 32 | Rwanda | 95.00 |
| 37 | Brazil | 94.00 |
| 38 | Botswana | 93.00 |
| 38 | Burkina Faso | 93.00 |
| 38 | Eswatini | 93.00 |
| 38 | India | 93.00 |
| 38 | Jamaica | 93.00 |
| 38 | Kiribati | 93.00 |
| 38 | Malawi | 93.00 |
| 38 | Morocco | 93.00 |
| 38 | Nepal | 93.00 |
| 38 | Senegal | 93.00 |
| 38 | Solomon Islands | 93.00 |
| 38 | Suriname | 93.00 |
| 50 | El Salvador | 92.00 |
| 50 | Tanzania | 92.00 |
| 52 | Jordan | 91.00 |
| 53 | Bolivia | 90.00 |
| 53 | Ecuador | 90.00 |
| 53 | Ghana | 90.00 |
| 53 | Guatemala | 90.00 |
| 53 | Liberia | 90.00 |
| 53 | Nicaragua | 90.00 |
| 53 | Philippines | 90.00 |
| 53 | Sierra Leone | 90.00 |
| 53 | Zimbabwe | 90.00 |
| 62 | Egypt | 88.00 |
| 62 | Namibia | 88.00 |
| 62 | Syria | 88.00 |
| 65 | Laos | 87.00 |
| 66 | Myanmar | 86.00 |
| 67 | Burundi | 85.00 |
| 67 | Kenya | 85.00 |
| 67 | Pakistan | 85.00 |
| 67 | South Africa | 85.00 |
| 67 | Zambia | 85.00 |
| 72 | Cameroon | 83.00 |
| 72 | Comoros | 83.00 |
| 72 | Guinea-Bissau | 83.00 |
| 72 | Indonesia | 83.00 |
| 72 | Lesotho | 83.00 |
| 72 | Mali | 83.00 |
| 72 | Timor-Leste | 83.00 |
| 72 | Togo | 83.00 |
| 72 | Uganda | 83.00 |
| 81 | Vanuatu | 82.00 |
| 82 | Benin | 80.00 |
| 82 | Republic of Congo | 80.00 |
| 82 | Côte d'Ivoire | 80.00 |
| 82 | Ethiopia | 80.00 |
| 82 | Iraq | 80.00 |
| 82 | Mozambique | 80.00 |
| 82 | Niger | 80.00 |
| 89 | Gabon | 79.00 |
| 90 | DR Congo | 78.00 |
| 90 | Haiti | 78.00 |
| 92 | Mauritania | 77.00 |
| 93 | Guinea | 75.00 |
| 93 | Sudan | 75.00 |
| 95 | Chad | 73.00 |
| 95 | Madagascar | 73.00 |
| 95 | Yemen | 73.00 |
| 98 | Nigeria | 69.00 |
| 98 | Venezuela | 69.00 |
| 100 | Papua New Guinea | 63.00 |
| 100 | South Sudan | 63.00 |
| 102 | Afghanistan | 62.00 |
| 103 | Angola | 60.00 |
| 103 | Central African Republic | 60.00 |
| 103 | Equatorial Guinea | 60.00 |
| 106 | Somalia | 50.00 |
Analysis
This metric measures the share of births by women of childbearing age who are immunized against tetanus, expressing that share as a percentage. The source definition states: newborns protected against tetanus are the percentage of births by women of child-bearing age who are immunized against tetanus. The unit is percentage, and higher values indicate broader protection. Data covers 106 countries, all with observations from the last seven years and all classified as official-quality data points. The World Bank indicator code is SH.VAC.TTNS.ZS, drawn from the World Development Indicators with a data year of 2024. Six extreme outliers were identified using a 3-standard-deviation threshold, and the full range runs from 50% to 100%, representing a 100% spread across the dataset.
The top of the ranking is dominated by a mix of small island states and Gulf countries. Bahamas, Bahrain, and Seychelles share rank 1 at 100%. Seven countries follow at rank 4 with 99%, including Djibouti, Dominican Republic, Eritrea, Honduras, Kuwait, Maldives, and Oman. A further seven countries sit at rank 11 with 98%, among them Bangladesh, Colombia, Mexico, and Tunisia. Scores at the top tend to cluster tightly: 30 countries achieve 96% or above, suggesting a cohort with consistently high maternal immunization coverage.
The middle range shows considerable spread. India ranks 38th at 93%, alongside Malawi, Morocco, Nepal, and Senegal at the same value. Pakistan ranks 67th at 85%, and Indonesia ranks 72nd at 83%. Notable counterintuitive placements include Eritrea at rank 4 with 99% and North Korea at rank 11 with 98%, both ranking well above much wealthier nations not present in this dataset. At the lower end, Nigeria ranks 98th at 69%, Angola and Central African Republic rank 103rd at 60%, and Somalia sits last at 50%. Venezuela ranks 98th at 69%, which stands out given its position among Latin American peers where most countries rank considerably higher.
Several data limitations apply. The metric reflects the share of births covered by women who are immunized, not a direct measure of actual newborn immunity levels or the quality of immunization delivery. Countries with weak civil registration or health data systems may report figures with varying reliability, which can affect cross-country comparability. The dataset covers only 106 countries, meaning many nations — particularly in Europe and Central Asia — are absent and cannot be compared. Average year-over-year change is low at 1.0%, which suggests stability but may also reflect infrequent data updates in some countries rather than genuine coverage consistency.
Methodology
Data is drawn from the World Bank World Development Indicators, indicator code SH.VAC.TTNS.ZS, with a reference data year of 2024. The metric is defined as follows: newborns protected against tetanus are the percentage of births by women of child-bearing age who are immunized against tetanus. The dataset covers 106 countries, all of which have data from within the last seven years (100% recency) and all of which are classified as official data points (100% data quality). Six extreme outliers were flagged using a 3-standard-deviation threshold. The value range spans 50% to 100%, a spread of 50 percentage points. Average year-over-year change across the dataset is 1.0%, indicating low volatility. Coverage threshold of 80 countries was met. Results for 2024 were available for 105 of 106 countries (99.1% consistency). No microstates below 1 million population are included in the ranking.