United Republic of Tanzania

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1 COVER_OCT3: / Review of National Immunization Coverage United Republic of Tanzania 25 August, 25

2 (19-24) The first half of the 19s show fluctuating ly reported data. Between 1987 and 1995 ly reported data consistently show high coverage rates, a level that is confirmed by three survey points (DHS 1992, MICS 1995, DHS 1996). Officially reported data suggests a slight drop in coverage since 1996, whereas survey data still reports over % (93% in 1999 DHS: Reproductive and Child Health ). Coverage is at a level of around 89% since / to:* ** data *** *Prior to 1998 national reports to / did not specify whether information was derived from administrative records, surveys or other sources. **Coverage based on registration of by health care providers. / Review of National Immunization Coverage - 25 August, 25 Page 2 of 1

3 (19-24) and began requesting data on coverage in 21 and have received national reports reflecting coverage for 22 and 23. The provisional s from 22 and 23 are based on these reports. For other years the provisional s are derived from the s of and the relationship between the levels of coverage and the dropout between and. This relationship results from an analysis of 2 surveys conducted in 11 countries which were published between 19 and 24. / to:* ** data *** *Prior to 1998 national reports to / did not specify whether information was derived from administrative records, surveys or other sources. **Coverage based on registration of by health care providers. / Review of National Immunization Coverage - 25 August, 25 Page 3 of 1

4 (19-24) Officially reported data reports a coverage level of around % in early 19s, followed by a steady increase to % in the late 19s. Coverage rates continue to remain at that high level, according to ly reported data and four survey points between 1991 and 1998 (DHS 1992, MICS 1995, DHS 1996, Reproductive and Child Health 1999). Coverage levels are reported to increase continuously since / to:* ** data *** *Prior to 1998 national reports to / did not specify whether information was derived from administrative records, surveys or other sources. **Coverage based on registration of by health care providers. / Review of National Immunization Coverage - 25 August, 25 Page 4 of 1

5 (19-24) Officially reported data reports a coverage level of around % in early 19s, followed by a steady increase to % in the late 19s. Coverage rates continue to remain at that high level, according to ly reported data and four survey points between 1991 and 1998 (DHS 1992, MICS 1995, DHS 1996, Reproductive and Child Health 1999). A declining trend is reported for recent years but recovers to high levels in 22. / to:* ** data *** *Prior to 1998 national reports to / did not specify whether information was derived from administrative records, surveys or other sources. **Coverage based on registration of by health care providers. / Review of National Immunization Coverage - 25 August, 25 Page 5 of 1

6 (19-24) The first half of the 19s shows fluctuating ly reported data. Coverage increases to 97% in 1986; probably the result of a campaign in 1986 following an outbreak in 19. In 1987 coverage drops back to % and remains on a level of around % until Four surveys confirm that high level of coverage (DHS 1992, MICS 1995, DHS 1996, Reproductive and Child Health Coverage levels are reported to increase continuously since / to:* ** data *** *Prior to 1998 national reports to / did not specify whether information was derived from administrative records, surveys or other sources. **Coverage based on registration of by health care providers. / Review of National Immunization Coverage - 25 August, 25 Page 6 of 1

7 HepB3 (19-24) Tetravalent DTP, HepB vaccine introduced in 22. / to:* ** data *** *Prior to 1998 national reports to / did not specify whether information was derived from administrative records, surveys or other sources. **Coverage based on registration of by health care providers. / Review of National Immunization Coverage - 25 August, 25 Page 7 of 1

8 Details Data Source Antigen Confirmation method Compliance % with coverage schedule Age group Sample size % cards seen year Comments 1998 Tanzania Reproductive and Child Health 1999, 2 Card or History 92.7 C or H month 92 Card or History 91.9 C or H month 91.4 Card or History 81 C or H month 77.3 Card or History.9 C or H month 77.2 Card or History.1 C or H month Tanzania Demographic and Health 1996, 1997 Card or History 96.2 C or H month 95.9 Card or History 94.7 C or H month 94.4 Card or History.2 C or H month Card or History.6 C or H month 77.1 Card or History.9 C or H month Tanzania Demographic and Health 1991/1992, 1993 Card or History 95.4 m /92 C or H month 92.7 m /92 C or H month m /92 C or H month m /92 C or H month m /92 Card or History 94.1 m /92 C or H month 91.9 m /92 C or H month m /92 C or H month m /92 C or H month m /92 Card or History.8 m /92 C or H month 72.6 m /92 C or H month m /92 C or H month m /92 C or H month m /92 Card or History 77.1 m /92 C or H month 68.3 m /92 C or H month m /92 C or H month m /92 C or H month m /92 Card or History 81.2 m /92 C or H month 68.9 m /92 C or H month m /92 C or H month m /92 / Review of National Immunization Coverage - 25 August, 25 Page 8 of 1

9 Source Antigen Confirmation method Compliance % with coverage schedule Details Data Age group Sample size % cards seen year C or H month m /92 Comments / Review of National Immunization Coverage - 25 August, 25 Page 9 of 1

10 UNITED REPUBLIC OF TANZANIA / s of the percent of children born in 2-24 protected against tetanus by vaccination of their mothers with tetanus toxoid (PAB) In most instances PAB reflects the number of mothers receiving two of tetanus toxoid during pregnancy. In some cases the mother may have received an adequate number of of tetanus toxoid prior to the pregnancy, protecting the child even though no were received during the current pregnancy. These s are based on data provided through the / Joint Reporting Form on Vaccine Preventable Diseases and have been supplemented by information from national household surveys conducted under the auspices of the National government and from data available in the published literature. and 's of the percent of newborn infants Explanation of / Estimate protected against neonatal tetanus through maternal immunization with tetanus toxoid 2 77 Administrative Coverage and National Estimate, Joint Reporting Form Administrative Coverage and National Estimate, Joint Reporting Form National PAB, National PAB, National PAB, 22 (National TT2 14% previously protected pregnancies. / Review of National Immunization Coverage - 25 August 25

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