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METHODOLOGY
Henderson
RH, Sundaresan T. Cluster sampling to assess immunization coverage: a review of
experience with a simplified sampling method. Bull World Health Organ
60(2):253-60, 1982.
PIP: The
Expanded Program on Immunization (EPI) is using a simplified cluster sampling
method, based on the random selection of 210 children in 30 clusters of 7
children each, to estimate immunization coverage levels. This article analyzes
the results of this method in actual and computer simulated surveys. Results
from 60 actual surveys conducted in 25 countries were available for analysis,
for a total of 446 sample estimations of immunization coverage. 83% of the
sample results had 95% confidence limits within + or - 10%, and none of the
surveys had 95% confidence limits exceeding + or - 13%. In addition, 12
hypothetical population strata with immunization coverage rates ranging from
10%-99% were established for the purposes of computer simulation, and 10
hypothetical communities were established by allocating to them various
proportions of each of the strata. These simulated surveys also supported the
validity of the EPI method: over 95% of the results were less than + or - 10%
from the actual population mean. The precision of this method, as estimated from
the results of both actual and simulated surveys, is considered satisfactory for
the requirements of the EPI. Among the actual surveys, the proportion of results
whose confidence limits exceeded + or - 10% was greatest (50%) when immunization
coverage in the sample was 45%-54%.
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