Introduction: Every second many neonates die with neonatal tetanus (NNT); mostly in developing countries. According to Kiwanis and UNICEF (2011), in Pakistan, NNT ventures neonates who have inconsiderable or no access to health amenities. NNT is an infection arising between 3rd and 28th day after the birth of a newborn. Pakistan is one of the chief eight countries which accounts for 73% of bereavements from NNT (Nisar, Aziz & Mumtaz, 2010)

Objective: To explore the concept of NNT. To identify preventive strategies for reducing the risk factors; thereby reducing the incidence of neonatal tetanus in low socio economic conditions.

Method: Systemic review of literature from 20 research articles from 2003-2011 was conducted through electronic medium by using Elsevier, pubmed, wiley and google scholar search engines.

Results: The systemic review clearly enlightened that the primary risk factors related to NNT are inadequate immunization, lack of clean delivery services and improper postpartum cord care (Ghosh & Sharma, 2011)

Conclusion: NNT which is caused by Clostridium tetani spreads through many risk factors. These should be accounted to the antenatal mothers by teaching about immunization, providing clean delivery kits and promoting EmOC services. Moreover, poor cord handling practices should be diminished by providing an alternative strategy of keeping cord dry and exposed to air or loosely covered with clean clothes (WHO, 1998) instead of putting cow dung or ghee on it. Many strategies have already been implemented to curtail the magnitude of this disease. However, with further recommendations and researches, more efforts could be made to eliminate this disease.

Anaesthesia, Pain and Intensive Care, volume 16, pp 106