Healthcare systems face several persistent challenges in eradicating tetanus completely. In many low-resource regions, limited vaccine accessibility, inadequate immunization coverage, and poor healthcare infrastructure hinder prevention efforts. Additionally, lack of awareness about booster doses, unsafe childbirth practices, and improper wound care contribute to continued transmission. Logistical barriers, such as insufficient cold chain management and limited rural outreach, further complicate vaccine delivery. Addressing these issues requires sustained public health funding, community education, and global collaboration to ensure universal immunization and effective disease surveillance.