United Republic of Tanzania

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COVER_OCT3: / Review of National Immunization Coverage 19-24 United Republic of Tanzania 25 August, 25

(19-24) 4 3 2 1 19 1981 19 19 1984 19 1986 1987 1988 1989 19 1991 1992 1993 1994 1995 1996 1997 1998 1999 2 21 22 23 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 1999. / to:* ** data *** 19 72 72 72 1981 74 74 74 19 64 64 64 19 1984 19 1986 1987 94 94 94 1988 93 93 93 1989 92 92 92 19 1991 95 93 93 95 93 1992 99 99 99 1993 94 94 94 1994 92 92 92 1995 96 88 88 96 96 1996 1997 1998 93 93 92 1999 87 87 87 87 87 2 86 86 86 86 86 21 89 89 91 91 22 88 88 88 88 88 23 91 91 91 91 92 24 91 91 91 91 91 *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

(19-24) 4 3 2 1 19 1981 19 19 1984 19 1986 1987 1988 1989 19 1991 1992 1993 1994 1995 1996 1997 1998 1999 2 21 22 23 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 *** 19 81 1981 19 74 19 76 1984 19 86 1986 1987 92 1988 95 1989 91 19 92 1991 93 94 92 1992 94 1993 94 1994 94 1995 93 95 94 1996 94 1997 92 1998 92 92 91 1999 91 2 92 21 95 22 96 96 96 96 96 23 99 24 99 *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

(19-24) 4 3 2 1 19 1981 19 19 1984 19 1986 1987 1988 1989 19 1991 1992 1993 1994 1995 1996 1997 1998 1999 2 21 22 23 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 1999. / to:* ** data *** 19 59 59 59 1981 55 55 55 19 19 52 52 52 1984 58 58 58 19 67 67 67 1986 74 74 74 1987 1988 1989 77 77 77 19 1991 81 81 81 1992 1993 1994 84 84 84 1995 81 81 81 1996 1997 1998 81 77 1999 76 76 76 76 76 2 21 87 87 22 89 89 89 89 89 23 95 95 95 95 95 24 95 95 95 95 95 *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

(19-24) 4 3 2 1 19 1981 19 19 1984 19 1986 1987 1988 1989 19 1991 1992 1993 1994 1995 1996 1997 1998 1999 2 21 22 23 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 *** 19 57 57 57 1981 46 46 46 19 48 48 48 19 49 49 49 1984 47 47 47 19 64 64 64 1986 1987 1988 1989 66 66 66 19 1991 81 81 81 77 68 1992 1993 1994 1995 77 1996 1997 1998 77 1999 74 74 74 74 74 2 64 64 64 64 64 21 62 62 65 65 22 91 91 91 91 91 23 97 97 97 97 96 24 95 95 95 95 95 *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

(19-24) 4 3 2 1 19 1981 19 19 1984 19 1986 1987 1988 1989 19 1991 1992 1993 1994 1995 1996 1997 1998 1999 2 21 22 23 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 1998. Four surveys confirm that high level of coverage (DHS 1992, MICS 1995, DHS 1996, Reproductive and Child Health 1999. Coverage levels are reported to increase continuously since 1999. / to:* ** data *** 19 46 46 46 1981 51 51 51 19 19 1984 55 55 55 19 66 66 66 1986 97 97 97 1987 1988 1989 19 1991 81 69 1992 81 81 81 1993 77 77 77 1994 1995 81 68 1996 1997 1998 72 72 69 1999 72 72 72 72 72 2 21 86 86 22 89 89 89 89 89 23 97 97 97 97 97 24 94 94 94 94 94 *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

HepB3 (19-24) 4 3 2 1 19 1981 19 19 1984 19 1986 1987 1988 1989 19 1991 1992 1993 1994 1995 1996 1997 1998 1999 2 21 22 23 24 Tetravalent DTP, HepB vaccine introduced in 22. / to:* ** data *** 19 1981 19 19 1984 19 1986 1987 1988 1989 19 1991 1992 1993 1994 1995 1996 1997 1998 1999 2 21 22 89 89 89 89 89 23 95 95 95 95 95 24 95 95 95 95 95 *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

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 69.3 1995 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 68 1991 Tanzania Demographic and Health 1991/1992, 1993 Card or History 95.4 m 1616.1 1991/92 C or H month 92.7 m 1616.1 1991/92 C or H month 89.1 24-35 m 1425 69.1 1991/92 C or H month 87 36-47 m 1281 61.2 1991/92 C or H month 48-59 m 1296 48 1991/92 Card or History 94.1 m 1616.1 1991/92 C or H month 91.9 m 1616.1 1991/92 C or H month 88 24-35 m 1425 69.1 1991/92 C or H month.3 36-47 m 1281 61.2 1991/92 C or H month 81.7 48-59 m 1296 48 1991/92 Card or History.8 m 1616.1 1991/92 C or H month 72.6 m 1616.1 1991/92 C or H month 69.5 24-35 m 1425 69.1 1991/92 C or H month 67 36-47 m 1281 61.2 1991/92 C or H month 62 48-59 m 1296 48 1991/92 Card or History 77.1 m 1616.1 1991/92 C or H month 68.3 m 1616.1 1991/92 C or H month 63.9 24-35 m 1425 69.1 1991/92 C or H month 63.9 36-47 m 1281 61.2 1991/92 C or H month.9 48-59 m 1296 48 1991/92 Card or History 81.2 m 1616.1 1991/92 C or H month 68.9 m 1616.1 1991/92 C or H month 61.1 24-35 m 1425 69.1 1991/92 C or H month.6 36-47 m 1281 61.2 1991/92 / Review of National Immunization Coverage - 25 August, 25 Page 8 of 1

Source Antigen Confirmation method Compliance % with coverage schedule Details Data Age group Sample size % cards seen year C or H month 58.7 48-59 m 1296 48 1991/92 Comments / Review of National Immunization Coverage - 25 August, 25 Page 9 of 1

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 2 21 77 Administrative Coverage and National Estimate, Joint Reporting Form 21 22 86 National PAB, 22 23 86 National PAB, 22 24 National PAB, 22 (National TT2 14% previously protected pregnancies. / Review of National Immunization Coverage - 25 August 25