PMID- 24382319 OWN - NLM STAT- MEDLINE DCOM- 20140414 LR - 20220204 IS - 1365-3156 (Electronic) IS - 1360-2276 (Linking) VI - 19 IP - 3 DP - 2014 Mar TI - Estimation after classification using lot quality assurance sampling: corrections for curtailed sampling with application to evaluating polio vaccination campaigns. PG - 321-330 LID - 10.1111/tmi.12247 [doi] AB - OBJECTIVES: To assess the bias incurred when curtailment of Lot Quality Assurance Sampling (LQAS) is ignored, to present unbiased estimators, to consider the impact of cluster sampling by simulation and to apply our method to published polio immunization data from Nigeria. METHODS: We present estimators of coverage when using two kinds of curtailed LQAS strategies: semicurtailed and curtailed. We study the proposed estimators with independent and clustered data using three field-tested LQAS designs for assessing polio vaccination coverage, with samples of size 60 and decision rules of 9, 21 and 33, and compare them to biased maximum likelihood estimators. Lastly, we present estimates of polio vaccination coverage from previously published data in 20 local government authorities (LGAs) from five Nigerian states. RESULTS: Simulations illustrate substantial bias if one ignores the curtailed sampling design. Proposed estimators show no bias. Clustering does not affect the bias of these estimators. Across simulations, standard errors show signs of inflation as clustering increases. Neither sampling strategy nor LQAS design influences estimates of polio vaccination coverage in 20 Nigerian LGAs. When coverage is low, semicurtailed LQAS strategies considerably reduces the sample size required to make a decision. Curtailed LQAS designs further reduce the sample size when coverage is high. CONCLUSIONS: Results presented dispel the misconception that curtailed LQAS data are unsuitable for estimation. These findings augment the utility of LQAS as a tool for monitoring vaccination efforts by demonstrating that unbiased estimation using curtailed designs is not only possible but these designs also reduce the sample size. CI - (c) 2014 John Wiley & Sons Ltd. FAU - Olives, Casey AU - Olives C AD - Department of Environmental and Occupational Health Sciences, University of Washington, Seattle, WA, USA. FAU - Valadez, Joseph J AU - Valadez JJ AD - Department of International Public Health, Liverpool School of Tropical Medicine, Liverpool, UK. FAU - Pagano, Marcello AU - Pagano M AD - Department of Biostatistics, Harvard School of Public Health, Boston, MA, USA. LA - eng GR - R01 AI 97015/AI/NIAID NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20140102 PL - England TA - Trop Med Int Health JT - Tropical medicine & international health : TM & IH JID - 9610576 SB - IM MH - Bias MH - Child, Preschool MH - Cluster Analysis MH - Humans MH - Infant MH - Local Government MH - Lot Quality Assurance Sampling/*methods MH - Mass Vaccination/*statistics & numerical data MH - Nigeria/epidemiology MH - Poliomyelitis/*prevention & control MH - Program Evaluation/*methods MH - Quality Assurance, Health Care/methods MH - Sample Size OTO - NOTNLM OT - Lot Quality Assurance Sampling OT - curtailed sampling OT - estimation OT - polio vaccination OT - program evaluation OT - semi-curtailed sampling EDAT- 2014/01/03 06:00 MHDA- 2014/04/15 06:00 CRDT- 2014/01/03 06:00 PHST- 2014/01/03 06:00 [entrez] PHST- 2014/01/03 06:00 [pubmed] PHST- 2014/04/15 06:00 [medline] AID - 10.1111/tmi.12247 [doi] PST - ppublish SO - Trop Med Int Health. 2014 Mar;19(3):321-330. doi: 10.1111/tmi.12247. Epub 2014 Jan 2.