 In this study, we examined the geographical distribution of tetanus toxoid, TT, vaccination among pregnant women in the Punjab province of Pakistan. We found that the overall TT vaccination coverage was low, with only 38% of pregnant women being vaccinated. Urban residents had higher coverage than rural residents, but there were still significant disparities between the two groups. Additionally, there were large variations in coverage between different districts within the Punjab province. These findings suggest that more efforts are needed to increase access to TT vaccines for pregnant women in the Punjab province. This article was authored by Masood Ali Sheikh.