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Immunization

Immunization

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Immunization

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  1. Immunization MICS3Data Analysis and Report Writing Workshop

  2. International Goals & Targets MDG 4: Reduce Child Mortality by two thirds among children under five Indicator 15 - Proportion of 1 year old children immunized against measles

  3. International Goals & Targets By 2005, Reduction in infant and under-five mortality rate by at least 1/3, in pursuit of the goal of reducing it by 2/3 by 2015 Ensure full immunization of children under one year of age at 90% nationally, with at least 80% coverage in every district or equivalent administrative unit • Extend the benefits of new and improved vaccines and other preventive health interventions to children in all countries (Hepatitis B, Hib, Yellow Fever, etc)

  4. Background It is recommended that all children receive the following immunizations: • At birth BCG (tuberculosis) and Polio 0 • At 6 weeks Polio 1 and DPT 1 (diphtheria, pertussis, tetanus) • At 10 weeks Polio 2 and DPT 2 • At 14 weeks Polio 3 and DPT 3 • At 9 months Measles • HepB and HiB have same schedules as Polio and DPT

  5. Indicators In MICS3, immunization indicators are calculated as • the percentage of children aged 12-23 months who received each specific vaccine by the age of 12 months and • the percentage of children aged 12-23 months who received BCG, DPT 1-3, Polio 1-3 and measles by the age of 12 months

  6. Methodological issues • The model schedule is adapted in some way by most countries so that it more closely meets their needs.

  7. Methodological issues Routine Reporting • depends on accurate, timely and comprehensive reporting from the local level to the national level • can provide continuous data on trends Surveys • depends on mothers having vaccination cards in the household or accurately recalling children’s vaccinations • are done periodically, providing limited information on trends

  8. Methodological issues • Coverage rates based only on data from vaccination cards can be biased because children with cards are probably more likely to be vaccinated than children without cards. • So, for children without cards, mothers are asked to report whether or not their children have received specific vaccinations.

  9. Methodological issues • Indicators are calculated for children aged 12-23 months: • All children at this age should have completed all vaccinations • Their experience is the most recent experience which is not truncated.

  10. Calculation Children vaccinated according to card data + + Children vaccinated according to mothers = Total number of children vaccinated For children without cards (or have cards with missing or incomplete dates) assume the proportion vaccinated by 12 months of age is same as for children who have cards.

  11. Example: BCG Percentage vaccinated according to card 85.2 Percentage vaccinated according to mother’s report +3.7 Total percentage ever vaccinated 88.9 Percentage vaccinated by 12 months according to card 98.0 Apply percentage 88.9 x .98 Percentage vaccinated by 12 months 87.1

  12. Country data – Latin America and the Caribbean12-23 month old children immunized againstBCG, 2004

  13. Country data – Latin America and the Caribbean12-23 month old children immunized againstDPT3, 2004

  14. Country data - Latin America and the Caribbean12-23 month old children immunized againstPolio 3, 2004

  15. Country data – Latin America and the Caribbean12-23 month old children immunized againstMeasles, 2004

  16. Country data – Latin America and the Caribbean12-23 month old children immunized againstHepB3, 2004

  17. Country data – Latin America and the Caribbean12-23 month old children immunized againstHib3, 2004

  18. Country data – CEE/CIS12-23 month old children immunized againstBCG, 2004

  19. Country data – CEE/CIS12-23 month old children immunized againstDPT3, 2004

  20. Country data- CEE/CIS12-23 month old children immunized againstPolio 3, 2004

  21. Country data - CEE/CIS12-23 month old children immunized againstMeasles, 2004

  22. Country data – CEE/CIS12-23 month old children immunized againstHepB3, 2004

  23. Country data – CEE/CIS12-23 month old children immunized againstHib3, 2004

  24. Country data – West and Central Africa12-23 month old children immunized againstBCG, 2004

  25. Country data – West and Central Africa12-23 month old children immunized againstDPT3, 2004

  26. Country data - West and Central Africa12-23 month old children immunized againstPolio 3, 2004

  27. Country data - West and Central Africa12-23 month old children immunized againstMeasles, 2004

  28. Country data – West and Central Africa 12-23 month old children immunized againstHepB3, 2004

  29. Country data – Eastern and Southern Africa12-23 month old children immunized againstBCG, 2004

  30. Country data – Eastern and Southern Africa12-23 month old children immunized againstDPT3, 2004

  31. Country data - Eastern and Southern Africa12-23 month old children immunized againstPolio 3, 2004

  32. Country data - Eastern and Southern Africa 12-23 month old children immunized againstMeasles, 2004

  33. Country data – Eastern and Southern Africa 12-23 month old children immunized againstHepB3, 2004

  34. Country data – ESAR/WCAR 12-23 month old children immunized againstHib3, 2004

  35. Country data – Middle East and North Africa12-23 month old children immunized againstBCG, 2004

  36. Country data – Middle East and North Africa12-23 month old children immunized againstDPT3, 2004

  37. Country data - Middle East and North Africa12-23 month old children immunized againstPolio 3, 2004

  38. Country data - Middle East and North Africa12-23 month old children immunized againstMeasles, 2004

  39. Country data – Middle East and North Africa12-23 month old children immunized againstHepB3, 2004

  40. Country data – Middle East and North Africa12-23 month old children immunized againstHib3, 2004

  41. Country data – East Asia and the Pacific12-23 month old children immunized againstBCG, 2004

  42. Country data – East Asia and the Pacific12-23 month old children immunized againstDPT3, 2004

  43. Country data - East Asia and the Pacific12-23 month old children immunized againstPolio 3, 2004

  44. Country data - East Asia and the Pacific12-23 month old children immunized againstMeasles, 2004

  45. Country data – East Asia and the Pacific12-23 month old children immunized againstHepB3, 2004

  46. Country data – East Asia and the Pacific12-23 month old children immunized againstHib3, 2004