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