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Published on: February 22, 2019
[A sampling plan for evaluation of vaccinal coverage]
Insights
This study details a 1983 vaccination coverage survey in Araraquara County, Brazil, using a modified World Health Organization sampling method for children aged 12-13 months.
Area of Science:
- Epidemiology
- Public Health
- Biostatistics
Context:
- Estimating vaccination coverage is crucial for public health planning and disease prevention.
- The 1983 survey in Araraquara County, Brazil, aimed to assess immunization rates in young children.
- The study targeted children aged 12-13 months, a key demographic for childhood immunizations.
Purpose:
- To describe a sampling project designed to estimate vaccination coverage in Araraquara County.
- To detail the application of R.H. Henderson and T. Sundaresan's method for the Expanded Programme on Immunization (EPI).
- To present the ratio-estimate as the estimator for vaccination coverage rate and its standard error calculation.
Summary:
- A stratified sampling approach was used, dividing the target population into children in private and collective dwellings.
- R.H. Henderson and T. Sundaresan's method, adapted for urban and rural zones, involved probability proportional to size selection of areas, blocks, and households.
- A sample was drawn from both strata using the same sampling fraction, with a ratio-estimate proposed for coverage rate calculation.
Impact:
- The described methodology provides a framework for conducting similar vaccination coverage surveys in other regions.
- Accurate estimation of vaccination coverage is essential for identifying immunization gaps and informing public health interventions.
- The study contributes to the understanding of sampling techniques applicable to immunization programs in developing countries.
Abstract:
A sampling project applied in a survey for estimating the vaccination coverage in Araraquara County, S. Paulo State (Brazil), in 1983, is described. A target population of children aged 12-13 months was divided into the strata: children living in private dwellings (i.e. single-family houses) and those living in collective dwelling places (orphanage, asylum). R.H. Henderson and T. Sundaresan's method, proposed by the World Health Organization (WHO) for use by the Expanded Programme on Immunization (EPI) was applied to the first stratum. This method consists of the random selection of 30 partial areas with a degree of probability proportional to the respective partial populations in each area chosen; a starting point ("household") is selected at random within each selected area; the selection of 7 children within each area begins with the first household and continues according to fixed rules. The sample of the first stratum was taken from areas in both urban and rural zones. In the urban zone, after the selection of the area and before the selection of the starting point, an intermediate stage, which consist in the selection of a block with probability proportional to its estimated population, was introduced. A sample was selected form the second stratum with the same sampling fraction used in the first stratum. The ratio-estimate is proposed as the estimator of the vaccination coverage rate and the formula for the calculation of the standard error is presented.
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