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2005
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METHODOLOGY
Brogan D, Flagg EW, Deming M, Waldman R. Increasing the accuracy of the Expanded
Programme on Immunization's cluster survey design. Ann Epidemiol 4(4), 302-11,
1994.
Abstract: The Expanded Programme on
Immunization (EPI) of the World Health Organization developed a cluster survey
design for the rapid assessment of children's vaccination coverage in developing
countries. Because of its simplicity and familiarity, the EPI methodology has
been used for additional purposes, including the detection of relatively small
changes in vaccination coverage levels that are already high and the estimation
of other population parameters when moderate accuracy is required. This article
suggests techniques for improving the accuracy of the EPI cluster survey method,
including (a) segmenting sample clusters, if necessary, so that reasonably sized
areas can be counted, mapped, and listed; (b) selecting an equal probability
sample of housing units within a cluster; (c) selecting a fixed number of
housing units per sample cluster; and (d) performing weighted analyses. These
procedures will produce accurate estimators and corresponding standard errors in
EPI cluster surveys.
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