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EPI Post IMC Evaluation Report April 2012.V02 Final

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EPI Post IMC Evaluation Report April 2012.V02 Final Post integrated measles campaign and routine immunization coverage evaluation survey 2011 Post Campaign Evaluation Report April, 2012 MINISTRY OF HEALTH AND SOCIAL WELFARE 1 Table of contents Post integrated measles campaign and routine immunization coverage evaluation survey 2011 1 Table of contents .............................................................................................................................. 2 Acronyms ........................................................................................................................................... 6 Executive summary .......................................................................................................................... 7 Background .................................................................................................................................... 7 Methods ......................................................................................................................................... 8 Results ........................................................................................................................................... 8 Discussion ..................................................................................................................................... 9 Conclusion ....................................................................................................................................... 10 Acknowledgements ......................................................................................................................... 12 Background ..................................................................................................................................... 13 Global burden of diseases in under five children ..................................................................... 13 Measles control activities in Tanzania ....................................................................................... 14 Historical perspective of measles immunization ................................................................... 14 Accelerated Measles Control: 1999-2009 ............................................................................. 15 Routine Immunization services .............................................................................................. 16 Immunization coverage survey-the post 2008 Iintegrated Measles Campaing (IMC) ...... 16 Overall goal of the campaign ......................................................................................................... 17 Tanzania 2011 post integrated Immunizaation Campaign coverage survey ............................. 18 Main survey objectives were: ......................................................................................................... 18 Methods ........................................................................................................................................... 18 Tanzania basic country profile ................................................................................................... 18 Target survey population groups and sampling procedures ................................................... 19 Survey procedures .................................................................................................................. 19 2 Survey Area ............................................................................................................................. 19 Survey Population ................................................................................................................... 19 Basic routine immunization case definitions ......................................................................... 20 Sampling Methodology ........................................................................................................... 20 Field households’ smpling procedures .................................................................................. 22 Questionnaires ........................................................................................................................ 22 Survey planning and implementation ........................................................................................ 23 Data collection ................................................................................................................................. 27 Data analysis ............................................................................................................................... 28 Ethical approval ........................................................................................................................... 28 Results ............................................................................................................................................. 28 A. Integrated Measles Campaign Results ................................................................................ 29 Target population and survey characteristics ....................................................................... 29 (i) Measles vaccination coverage .......................................................................................... 30 (ii) The bOPV vaccination coverage ...................................................................................... 31 Children with Adverse Events Following Immunization ....................................................... 33 Source of information .............................................................................................................. 34 B. Routine Immunization ............................................................................................................ 36 Target population and survey characteristics ....................................................................... 36 Routine Immunization Cards retention .................................................................................. 37 Vaccination system access and management (utilization) .................................................. 40 Ability to target children under one year ................................................................................ 42 Reasons for children not vaccinated ..................................................................................... 42 Discussion ....................................................................................................................................... 45 (A) Compign coverage of measles and bOPV vaccination ..................................................... 45 3 (B) Routine immunization coverage .......................................................................................... 47 Conclusion ....................................................................................................................................... 48 Other materials in annexes ............................................................................................................ 48 References ...................................................................................................................................... 49 ANNEXES ....................................................................................................................................... 50 ANNEX 1: ENUMERATION AREAS IN ARUSHA ................................................................... 50 ANNEX 2: ENUMERATION AREAS IN DODOMA .................................................................. 51 ANNEX 3: ENUMERATION AREAS IN DAR ES SALAAM .................................................... 52 ANNEX 4: ENUMERATION AREAS IN IRINGA ...................................................................... 54 ANNEX 5: ENUMERATION AREAS IN KIGOMA .................................................................... 55 ANNEX 6: ENUMERATION AREAS IN KILIMANJARO .......................................................... 56 ANNEX 7: ENUMERATION AREAS IN LINDI ......................................................................... 57 ANNEX 8: ENUMERATION AREAS IN MANYARA ................................................................ 58 ANNEX 9: ENUMERATION AREAS IN MBEYA ...................................................................... 59 ANNEX 10: ENUMERATION AREAS IN MOROGORO .......................................................... 60 ANNEX 11: ENUMERATION AREAS IN MTWARA ................................................................ 61 ANNEX 12: ENUMERATION AREAS IN MARA ...................................................................... 62 ANNEX 13: ENUMERATION AREAS IN MWANZA ................................................................ 63 ANNEX 14: ENUMERATION AREAS IN PEMBA .................................................................... 64 ANNEX 15: ENUMERATION AREAS IN PWANI ..................................................................... 66 ANNEX 16: ENUMERATION AREAS IN RUKWA ................................................................... 67 ANNEX 17: ENUMERATION AREAS IN SHINYANGA ........................................................... 68 ANNEX 18: ENUMERATION AREAS IN SINGIDA ................................................................. 69 ANNEX 19: ENUMERATION AREAS IN TABORA ................................................................. 70 ANNEX 20: ENUMERATION AREAS IN TANGA .................................................................... 71 4 ANNEX 21: ENUMERATION AREAS IN UNGUJA ................................................................. 72 ANNEX
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