Comoros: WHO and UNICEF estimates of immunization coverage: 2013 revision
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1 Comoros: WHO and UNICEF estimates of immunization coverage: 2013 revision July 8, 2014; page 1 WHO and UNICEF estimates of national immunization coverage - next revision available July 15, 2015 data as of June 27, 2014
2 Comoros - BCG Description: Estimate Estimate GoC Official NA NA NA NA NA Administrative Survey NA NA NA NA 95 NA NA 87 NA NA 2002: Estimate based on coverage reported by national government. GoC=R+ 2003: Estimate based on coverage reported by national government. Estimate 2004: Estimate based on coverage reported by national government. GoC=R+ D+ 2005: Estimate based on coverage reported by national government. Estimate 2006: Estimate based on reported administrative data. Survey results ignored. Sample size 217 less than 300. Estimate 2007: Estimate based on reported administrative data. Estimate challenged by: 2008: Estimate based on reported administrative data. Estimate challenged by: 2009: Estimate based on administrative data reported by national government supported by survey. Survey evidence of 87 percent based on 1 survey(s). Estimate 2010: Estimate based on reported administrative data. Estimate challenged by: 2011: Estimate based on interpolation between coverage reported by national government. Comoros Demographic and Health and Multiple Indicator Survey (EDSC-MICS II) 2012 results ignored by working group. Survey results are preliminary.reported data excluded. Unexplained increase from 76 percent to 90 percent with decrease 79 percent. Estimate of 78 percent changed from previous revision value of 76 percent. Estimate challenged by: 2012: Estimate based on coverage reported by national government supported by survey. Survey evidence of 87 percent based on 1 survey(s). Estimate of 79 percent changed from previous revision value of 76 percent. Estimate 2013: Estimate based on coverage reported by national government. Estimate July 8, 2014; page 2 WHO and UNICEF estimates of national immunization coverage - next revision available July 15, 2015 data as of June 27, 2014
3 Comoros - DTP1 Description: Estimate Estimate GoC Official NA NA NA NA NA NA Administrative Survey NA NA NA NA 92 NA NA 84 NA NA 2002: DTP1 coverage estimated based on DTP3 coverage of 89. Reported data excluded. Unexplained increase from 85 percent to 98 percent with decrease 82 percent. Estimate challenged by: R- 2003: Estimate based on coverage reported by national government. Estimate 2004: Estimate based on coverage reported by national government. Estimate 2005: Estimate based on coverage reported by national government. Vaccine presentation changed to DTP-HepB. Estimate 2006: Estimate based on reported administrative data. Survey results ignored. Sample size 217 less than 300. Estimate 2007: Estimate based on reported administrative data. Estimate challenged by: 2008: Estimate based on reported administrative data. Estimate challenged by: 2009: Estimate based on administrative data reported by national government supported by survey. Survey evidence of 84 percent based on 1 survey(s). Vaccine presentation changed to DTP-HepB-Hib. Estimate challenged by: 2010: Estimate based on reported administrative data. Estimate challenged by: 2011: Estimate based on reported administrative data. Comoros Demographic and Health and Multiple Indicator Survey (EDSC-MICS II) 2012 results ignored by working group. Survey results are preliminary. Estimate challenged by: 2012: Estimate based on coverage reported by national government supported by survey. Survey evidence of 89 percent based on 1 survey(s). Estimate 2013: Estimate based on coverage reported by national government. Estimate July 8, 2014; page 3 WHO and UNICEF estimates of national immunization coverage - next revision available July 15, 2015 data as of June 27, 2014
4 Comoros - DTP3 Description: Estimate Estimate GoC Official NA NA NA NA NA Administrative Survey NA NA NA NA 82 NA NA 80 NA NA 2002: Estimate based on coverage reported by national government. GoC=R+ 2003: Estimate based on coverage reported by national government. Estimate 2004: Estimate based on coverage reported by national government. GoC=R+ D+ 2005: Estimate based on coverage reported by national government. Vaccine presentation changed to DTP-HepB. Estimate 2006: Estimate based on reported administrative data. Survey results ignored. Sample size 217 less than 300. Estimate 2007: Estimate based on reported administrative data. Estimate challenged by: 2008: Estimate based on reported administrative data. Estimate challenged by: 2009: Estimate based on administrative data reported by national government supported by survey. Survey evidence of 80 percent based on 1 survey(s). Vaccine presentation changed to DTP-HepB-Hib. Estimate challenged by: 2010: Estimate based on reported administrative data. Estimate challenged by: 2011: Estimate based on coverage reported by national government. Comoros Demographic and Health and Multiple Indicator Survey (EDSC-MICS II) 2012 results ignored by working group. Survey results are preliminary. Estimate 2012: Estimate based on coverage reported by national government supported by survey. Survey evidence of 84 percent based on 1 survey(s). Estimate 2013: Estimate based on coverage reported by national government. Estimate July 8, 2014; page 4 WHO and UNICEF estimates of national immunization coverage - next revision available July 15, 2015 data as of June 27, 2014
5 Comoros - Pol3 Description: Estimate Estimate GoC Official NA NA NA NA NA NA Administrative Survey NA NA NA NA NA NA NA 80 NA NA 2002: Estimate based on coverage reported by national government. Reported coverage accepted for all other vaccines. GoC=R+ 2003: Estimate based on coverage reported by national government. Estimate 2004: Estimate based on coverage reported by national government. GoC=R+ D+ 2005: Estimate based on coverage reported by national government. Estimate 2006: Estimate based on reported administrative data. Estimate challenged by: 2007: Estimate based on reported administrative data. Estimate challenged by: 2008: Estimate based on reported administrative data. Estimate challenged by: 2009: Estimate based on administrative data reported by national government supported by survey. Survey evidence of 80 percent based on 1 survey(s). Estimate 2010: Estimate based on reported administrative data. Estimate challenged by: 2011: Estimate based on coverage reported by national government. Comoros Demographic and Health and Multiple Indicator Survey (EDSC-MICS II) 2012 results ignored by working group. Survey results are preliminary. Estimate 2012: Estimate based on coverage reported by national government supported by survey. Survey evidence of 84 percent based on 1 survey(s). Estimate 2013: Estimate based on reported administrative data. Estimate challenged by: July 8, 2014; page 5 WHO and UNICEF estimates of national immunization coverage - next revision available July 15, 2015 data as of June 27, 2014
6 Comoros - MCV Description: Estimate Estimate GoC Official NA NA NA NA NA Administrative Survey NA NA NA NA 70 NA NA 67 NA NA 2002: Estimate based on coverage reported by national government. GoC=R+ 2003: Estimate based on coverage reported by national government. Estimate 2004: Estimate based on coverage reported by national government. GoC=R+ D+ 2005: Estimate based on coverage reported by national government. Estimate 2006: Estimate based on reported administrative data. Survey results ignored. Sample size 217 less than 300. GoC=R+ D+ 2007: Estimate based on reported administrative data. Estimate challenged by: S- 2008: Estimate based on reported administrative data. Estimate challenged by: 2009: Estimate based on reported administrative data. Immunization Coverage Survey in the Union of Comoros (October 2010) results ignored by working group. Survey supports reported data for other antigens. Estimate 2010: Estimate based on reported administrative data. Estimate challenged by: 2011: Estimate based on coverage reported by national government. Comoros Demographic and Health and Multiple Indicator Survey (EDSC-MICS II) 2012 results ignored by working group. Survey results are preliminary. Estimate 2012: Estimate based on coverage reported by national government supported by survey. Survey evidence of 77 percent based on 1 survey(s). Estimate 2013: Estimate based on coverage reported by national government. Estimate July 8, 2014; page 6 WHO and UNICEF estimates of national immunization coverage - next revision available July 15, 2015 data as of June 27, 2014
7 Comoros - MCV2 Estimate NA NA NA NA NA NA NA NA NA NA NA NA Estimate GoC NA NA NA NA NA NA NA NA NA NA NA NA Official NA NA NA NA NA NA NA NA NA NA NA NA Administrative NA NA NA NA NA NA NA NA NA NA NA NA Survey NA NA NA NA NA NA NA NA NA NA NA NA July 8, 2014; page 7 WHO and UNICEF estimates of national immunization coverage - next revision available July 15, 2015 data as of June 27, 2014
8 Comoros - HepBB Estimate NA NA NA NA NA NA NA NA NA NA NA NA Estimate GoC NA NA NA NA NA NA NA NA NA NA NA NA Official NA NA NA NA NA NA NA NA NA NA NA NA Administrative NA NA NA NA NA NA NA NA NA NA NA NA Survey NA NA NA NA NA NA NA NA NA NA NA NA July 8, 2014; page 8 WHO and UNICEF estimates of national immunization coverage - next revision available July 15, 2015 data as of June 27, 2014
9 Comoros - HepB3 Description: Estimate NA Estimate GoC NA Official NA NA NA NA NA NA Administrative NA Survey NA NA NA NA 82 NA NA 80 NA NA NA NA 2003: Estimate based on reported data. HepB vaccine introduced in Vaccine presentation was monovalent HepB. GoC=R+ D+ 2004: Estimate based on reported data. GoC=R+ D+ 2005: Estimate based on reported data. Vaccine presentation changed to DTP- HepB. Estimate 2006: Estimate based on reported data. Survey results ignored. Sample size 217 less than 300. Estimate 2007: Estimate based on reported data. Estimate 2008: Estimate based on reported data. Estimate 2009: Estimate based on administrative data reported by national government supported by survey. Survey evidence of 80 percent based on 1 survey(s). Vaccine presentation changed to DTP-HepB-Hib. Estimate challenged by: 2010: Estimate based on reported administrative data. Estimate challenged by: 2011: Estimate based on coverage reported by national government. Estimate 2012: Estimate based on coverage reported by national government. Estimate 2013: Estimate based on coverage reported by national government. Estimate July 8, 2014; page 9 WHO and UNICEF estimates of national immunization coverage - next revision available July 15, 2015 data as of June 27, 2014
10 Comoros - Hib3 Description: 2009: Estimate based on reported administrative estimate. Hib vaccine introduced in 2009 Vaccine presentation is DTP-HepB-Hib. Estimate challenged by: S- 2010: Estimate based on reported administrative estimate. Estimate challenged by: 2011: Estimate based on coverage reported by national government. Estimate 2012: Estimate based on coverage reported by national government. Estimate 2013: Estimate based on coverage reported by national government. Estimate Estimate NA NA NA NA NA NA NA Estimate GoC NA NA NA NA NA NA NA Official NA NA NA NA NA NA NA NA NA Administrative NA NA NA NA NA NA NA Survey NA NA NA NA NA NA NA NA NA NA NA NA July 8, 2014; page 10 WHO and UNICEF estimates of national immunization coverage - next revision available July 15, 2015 data as of June 27, 2014
11 Comoros - RotaC Estimate NA NA NA NA NA NA NA NA NA NA NA NA Estimate GoC NA NA NA NA NA NA NA NA NA NA NA NA Official NA NA NA NA NA NA NA NA NA NA NA NA Administrative NA NA NA NA NA NA NA NA NA NA NA NA Survey NA NA NA NA NA NA NA NA NA NA NA NA July 8, 2014; page 11 WHO and UNICEF estimates of national immunization coverage - next revision available July 15, 2015 data as of June 27, 2014
12 Comoros - PcV3 Estimate NA NA NA NA NA NA NA NA NA NA NA NA Estimate GoC NA NA NA NA NA NA NA NA NA NA NA NA Official NA NA NA NA NA NA NA NA NA NA NA NA Administrative NA NA NA NA NA NA NA NA NA NA NA NA Survey NA NA NA NA NA NA NA NA NA NA NA NA July 8, 2014; page 12 WHO and UNICEF estimates of national immunization coverage - next revision available July 15, 2015 data as of June 27, 2014
13 Comoros - survey details 2012 Enquête de la Couverture Vaccinale post Campagne du Rougeole et de la Vacination de Routine dans l Union des Comores Vaccine Confirmation method Coverage Age cohort Sample Cards seen BCG Card or History m DTP1 Card or History m DTP3 Card or History m MCV Card or History m Pol1 Card or History m Pol3 Card or History m Enquête Démographique et de Santé et à Indicateurs Multiples aux Comores EDSC-MICS (Rapport Préliminaire) Vaccine Confirmation method Coverage Age cohort Sample Cards seen BCG Card or History m DTP1 Card or History m DTP3 Card or History m MCV Card or History m Pol1 Card or History m Pol3 Card or History m Enquête de couverture vaccinale en Union des Comores (Octobre 2010) Vaccine Confirmation method Coverage Age cohort Sample Cards seen BCG Card or History m DTP1 Card or History m DTP3 Card or History m HepB1 Card or History m HepB3 Card or History m MCV Card or History m Pol1 Card or History m Pol3 Card or History m Enquête de couverture vaccinale en Union des Comores (Novembre 2007) Vaccine Confirmation method Coverage Age cohort Sample Cards seen BCG Card or History m DTP1 Card or History m DTP3 Card or History m HepB1 Card or History m HepB3 Card or History m MCV Card or History m Comores, Enquête à Indicateurs Multiples (MICS 2000), 2001 Vaccine Confirmation method Coverage Age cohort Sample Cards seen BCG Card m BCG Card or History m BCG History m DTP1 Card m DTP1 Card or History m DTP1 History m DTP3 Card m DTP3 Card or History m DTP3 History m MCV Card m MCV Card or History m MCV History m Pol1 Card m Pol1 Card or History m Pol1 History m Pol3 Card m Pol3 Card or History m Pol3 History m July 8, 2014; page 13 WHO and UNICEF estimates of national immunization coverage - next revision available July 15, 2015 data as of June 27, 2014
14 Comoros - survey details Further information and estimates prior to 2002 are available at: July 8, 2014; page 14 WHO and UNICEF estimates of national immunization coverage - next revision available July 15, 2015 data as of June 27, 2014
15 Comoros WHO/UNICEF Estimates of Protection at Birth (PAB) against tetanus In countries where tetanus is recommended for girls and women coverage is usually reported as "TT2+", i.e. the proportion of (pregnant) women who have received their second or superior TT dose in a given year. TT2 + coverage, however, can underrepresent the actual proportion of births that are protected against tetanus as it does not include women who have previously received protective doses, women who received one dose without documentation of previous doses, and women who received doses in TT (or Td) supplemental immunization activities (SIA). In addition, girls who have received DTP in their childhood and are entering childbearing age, may be protected with TT booster doses. WHO and UNICEF have developed a model that takes into account the above scenarios, and calculates the proportion of births in a given year that can be considered as having been protected against tetanus - "Protection at Birth". In this model, annual cohorts of women are followed from infancy through their life. A proportion receive DTP in infancy (estimated based on the WHO-UNICEF estimates of DTP3 coverage). In addition some of these women also receive TT through routine services when they are pregnant and may also receive TT during SIAs. The model also adjusts reported data, taking into account coverage patterns in other years, and/or results available through surveys. The duration of protection is then calculated, based on WHO estimates of the duration of protection by doses ever received. The proportion of births that are protected against tetanus as a result of maternal immunization reflects the tetanus immunization received by the mother throughout her life rather than simply the TT immunizations received during the current pregnancy. Year PAB coverage estimate (%) This model is described in: Griffiths U., Wolfson L., Quddus A., Younus M., Hafiz R.. Incremental cost-effectiveness of supplementary immunization activities to prevent neo-natal tetanus in Pakistan. Bulletin of the World Health Organization 2004; 82: WHO and UNICEF estimates of national immunization coverage Data as of 27 June 2014
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