Project Description: In 2014 by the support of WHO Tanzania conducted a Measles- Rubella (MR) catch up campaign targeting children aged 9 months to 15 years. The campaign achieving 97% administrative coverage, followed by introducing of MR vaccine into routine immunization in April 2015. Despite of high national coverage, still there are some regions which are yet to reach the optimal coverage. Recent survey indicated that more than 25 districts have lower than 80% coverage of measles-containing... In 2014 by the support of WHO Tanzania conducted a Measles- Rubella (MR) catch up campaign targeting children aged 9 months to 15 years. The campaign achieving 97% administrative coverage, followed by introducing of MR vaccine into routine immunization in April 2015. Despite of high national coverage, still there are some regions which are yet to reach the optimal coverage. Recent survey indicated that more than 25 districts have lower than 80% coverage of measles-containing vaccine second dose (MCV2). Regions with poor coverage exposes children to this fatal disease because if children miss routine vaccination and are not reached by national immunization campaigns, the immunization gap will not be closed, and the measles outbreaks will continue and pose a serious challenge to meeting global targets. In addition to measurement, PHCPI is invested in improving primary health care in Trailblazer countries through the Opportunity Fund. Tanzania's Ministry of Health, Community Development, Gender, Elderly and Children has been selected as a grant recipient of this fund to evaluate the Star Rating System and make recommendations for improving the system. Ifakara Health Institute has been identified as the implementing organization for this evaluation. Rationale The Post MR vaccination campaign is undergoing a revision this year. This evaluation is intended to inform that revision. Objectives To provide an overall, age- and sex-specific coverage estimates for MR vaccine among children aged between 9 to 59 months in all the regions of Tanzania. The coverage estimates will be established through a household survey that will be conducted just after the MR Campaign planned to be implemented in September 2019 in Tanzania. Specific Aims 1. To determine the MR vaccination coverage of children 9-59 months by region 2.To determine the MR vaccination coverage of children 9-59 months by maternal education 3.To determine the MR vaccination coverage of children 9-59 months by economic status 4.To determine the status of routine vaccination coverage of children 12-23 months by region To determine the reasons for not completing the vaccination schedule To explore challenges and best practices associated with the implementation of MR vaccine for program improvement and policy recommendation
Principal Investigator : Honorati Masanja
Department Name : HSIEP
Time frame: (2019-10-22) - (2019-12-30)