evidence: Sustaining Maternal and Neonatal Tetanus Elimination (MNTE) in countries that have been validated for elimination – progress and challenges [...] Maternal and neonatal tetanus (MNT) are forms of generalized tetanus that occur during pregnancy or within 6 weeks after (maternal) and within 3–28 days after birth (neonatal) (World Health Organization [WHO], 2018a). In the 1980s, the World Health Organization (WHO) estimated over one million deaths each year were attributable to neonatal tetanus, resulting in a global mortality rate of 6.7 neonatal tetanus deaths per 1000 live births (Roper et al., 2007). Decades of concerted effort targeting vaccination coverage, birth hygiene, sterile umbilical cord care, and surveillance has successfully lowered MNT incidence rates worldwide (Thwaites et al., 2015; WHO, 2020a). By 2018, WHO estimated 25,000 deaths occurred due to neonatal tetanus, around a 97.5% increase from the 1980s (WHO, 2020b). WHO defines MNT elimination as the occurrence of less than one neonatal case per 1000 live births (WHO, 2018a, 2018b). MNT has been eliminated in the Region of the Americas in 2017 and in Europe in 2010, but remains a leading cause of preventable neonatal mortality in many African, Eastern Mediterranean, and Southeast Asian countries (Dikici, 2016; Pan American Health Organization [PAHO], 2017; WHO, 2020a). [...] World Health Organization. (2020a). Maternal and neonatal tetanus elimination: Progress towards global MNT elimination. Retrieved from https://www.who.int/initiatives/maternal-and-neonatal-tetanus-elimination-(mnte)/progress-towards-global-mnt-elimination. Accessed May 2021.