in human tis"Ue. <-so environmental eradic.,tio n is not an option. Stanfield et al (1973) report hat 2 d,;,ses of tetanus can protect tbe person for J.-3 years. (1. 2) This protection is most beneficial if tbe last dose of the to:. :oid is given at least 2 weeks before delivery (\\'HO. 2007. p2) Toe international goal is for all women giving birth and all the ~-.-born to be protected from tetanus. (13) The 2003 ~abonal Dem'>graphic Health Survey reports that ·women who received 2 d O$e5 of TT c. le<.-r~ fr<Jm 38% to 37%. Davao Region has the highest cov<::rage at 49. 1% a. id Caga:,-an \'alley at 47. 9%. ARfu'\I as,~;th the 1. 998 NDHS is still the lowest at 23-4"".. followed by CAR at 28. 7% The u. mberofdeaths from tetanus has decreased through the years. [a the 2007. there were 12. i reported cases of neonata l tetanus. In the country sur,eillan ce report of the \VHO. According tu DOH Adrninistrati,·e Order no. 1~ 1995, IT shall be given to women on their 5'" to 6"' month of pregnancy. (14) The list includes the estimated period of protection for the woman when immu. oized (\c VRO 2002, p. 130) (14) 294 cv (ltprd1es s of Period of Protection None 3 vear. s 5 years 10 years All child-beari ng ears The guideline suggests that no woman should be given more than 5 TT doses in her lifetime. \\'ben the woman is inunune to tetanus, she also conveys five (5) months irnmu11ity to the infant. This protects the newborn from neonata l tetanus. MACRONURIENT AND MICRONUTRIENT SUPPLEMENTATION lntel"\·entions fro maternal health include supplementation for folic acid, iron, \'itamin,. \. and balanced energy and protein intake to improve maternal and fetal outcomes. Tht-important years for intervention related to nutrition are frmn pregnancy to two ve..irs of a~I!. Inability to make the essential interventions availabl e causes inm:er.,ible damages and increases the r~sk of girls becoming malnourished mothers, ,,·ho tben ha Yc a low-birth-weight babies (31) MICRONUTRIENT SUPPLEMENTATION : IRON SUPPLEM ENTATION lro11 dcficicncv,1nemia is the most common micronutrient deficiency. It affects the nc,,·hom and infant in ways ranging from low birthwei~ht t:o cognitive problems. Pr1:11,1rnnt women at or 1war :-ea level are ~ah,g(1rized as having anemia if the hemoglobin (HI). ) i,; l<:-,-s thn11 11,:\/dl or hl"rnatocri1 (I let) l~s than 33%. At higher altitudes, people h,w<: hi~her H!i, an<l I-Jct lc\'cls (Fishb Ht Ch and Punning, 21Jo9) (15) Pag:m:. i and Pa~aoa (:mo:i) report that at 51000 fco::t above sea level, a Hg level of less than 14g/dl is indicative of an<. 'n1ia. Thjs information is importl:lnt especially for prrtients living in hi$:h altitude nrcm, (. 10) 