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World Health Organization : Year 2002 ; World Health Organization, Department of Vaccines and Other Biologicals, No. 02.05: Protocol for Assessing Neonatal Tetanus Mortality in the Community Using a Combination of Cluster and Lot Quality Assurance Sampling

By World Health Organization

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Book Id: WPLBN0000152975
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Reproduction Date: 2005
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Title: World Health Organization : Year 2002 ; World Health Organization, Department of Vaccines and Other Biologicals, No. 02.05: Protocol for Assessing Neonatal Tetanus Mortality in the Community Using a Combination of Cluster and Lot Quality Assurance Sampling  
Author: World Health Organization
Volume:
Language: English
Subject: Health., Public health, Wellness programs
Collections: Medical Library Collection, World Health Collection
Historic
Publication Date:
Publisher: World Health Organization

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Organization, W. H. (n.d.). World Health Organization : Year 2002 ; World Health Organization, Department of Vaccines and Other Biologicals, No. 02.05. Retrieved from http://hawaiilibrary.net/


Description
Medical Reference Publication

Excerpt
Background In 2000 the United Nations Children’s Fund (UNICEF), the United Nations Population Fund (UNFPA) and WHO set the goal of eliminating maternal and neonatal tetanus (MNT) by 2005 and drew up a strategic plan with this objective. MNT elimination is defined as the achievement of under one case of neonatal tetanus (NT) per 1000 live births annually in every district of a country. In 1990, by which date MNT had been eliminated in 76 developing countries, it was estimated that there were 560 000 cases. By 2000 there were estimated to be 238 000 cases, and 104 developing countries had achieved elimination. The principal strategies for MNT elimination are:

Table of Contents
Contents Abbreviations .................................................................................................................... v Background ...................................................................................................................... 1 Preparation for survey .................................................................................................. 4 Review of core indicators ........................................................................................ 4 Supplemental data and surrogate indicators .......................................................... 6 Selecting the highest-risk district or districts for the survey .............................. 7 Implementation of survey ........................................................................................... 12 Background .............................................................................................................. 12 Sampling method ..................................................................................................... 12 Training and supervision ........................................................................................ 17 Implementation ....................................................................................................... 18 Information to be collected ................................................................................... 19 Data analysis ................................................................................................................. 21 References ...................................................................................................................... 23 Annex 1: District line-list to assess MNT elimination status ........................... 24 Annex 2: Checklist of preparations ....................................................................... 26 Annex 3: Budget items to consider ........................................................................ 27 Annex 4a: Probabilities for of acceptance (i.e. that NT has been eliminated) at any rate of neonatal tetanus mortality, single sampling and double sampling plan .......................................... 28 Annex 4b: Explanation of probability calculations ............................................... 29 Annex 5: Form 1 – Household information and live births for first and second samples ......................................................................... 32 Annex 6: Form 2 – Live births and mother’s TT status .................................... 33 Annex 7: Form 3 – Neonatal death investigation form .................................... 35 Annex 8: Form 4 – TT coverage status for childbearing aged women who did not give birth 1-13 months before the start of the survey ............................................................................ 37

 

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