Journal article

Assessment of neonatal tetanus elimination in an African setting by lot quality assurance cluster sampling (LQA-CS)

Vaccination coverage survey - Publication

abstract: Neonatal tetanus (NT) elimination, < 1 case per 1,000

live births (LB), was assessed at district level in Zimbabwe using

a combined lot quality assurance-cluster sampling survey (LQA-CS).

Three of the highest risk districts were selected. NT was

considered eliminated if fewer than a specified number of NT deaths

(proxy for NT cases) were found in the sample determined using

operating characteristic curves and tables. TT2 + vaccine coverage

was measured in mothers who gave birth 1-13 months before the

survey and women aged 15-49 years. NT was considered as eliminated,

TT2+ coverage was 78% (95% CI 71-82%) in women aged 15-49 and 83%

(95% CI 76-89%) in mothers. The survey cost 30,000 US dollars

excluding costs of consultants. NT incidence was below the

elimination threshold (< 1/1,000 LB) in the surveyed districts

and probably in all districts. LQA-CS is a practical, relatively

cost effective field method which can be applied in an African

setting to assess NT elimination status.

Languages

  • English

Journal

Epi Infec

Type

Journal article

Categories

  • Programme management

Topic references

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Added on: 2023-06-29 03:13:33

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