PMID- 9279988 OWN - NLM STAT- MEDLINE DCOM- 19971010 LR - 20060523 IS - 0125-1562 (Print) IS - 0125-1562 (Linking) VI - 27 IP - 2 DP - 1996 Jun TI - Further observations on comparison of immunization coverage by lot quality assurance sampling and 30 cluster sampling. PG - 267-73 AB - Lot Quality Assurance Sampling (LQAS) and standard EPI methodology (30 cluster sampling) were used to evaluate immunization coverage in a Primary Health Center (PHC) where coverage levels were reported to be more than 85%. Of 27 sub-centers (lots) evaluated by LQAS, only 2 were accepted for child coverage, whereas none was accepted for tetanus toxoid (TT) coverage in mothers. LQAS data were combined to obtain an estimate of coverage in the entire population; 41% (95% CI 36-46) infants were immunized appropriately for their ages, while 42% (95% CI 37-47) of their mothers had received a second/ booster dose of TT. TT coverage in 149 contemporary mothers sampled in EPI survey was also 42% (95% CI 31-52). Although results by the two sampling methods were consistent with each other, a big gap was evident between reported coverage (in children as well as mothers) and survey results. LQAS was found to be operationally feasible, but it cost 40% more and required 2.5 times more time than the EPI survey. LQAS therefore, is not a good substitute for current EPI methodology to evaluate immunization coverage in a large administrative area. However, LQAS has potential as method to monitor health programs on a routine basis in small population sub-units, especially in areas with high and heterogeneously distributed immunization coverage. FAU - Singh, J AU - Singh J AD - National Institute of Communicable Diseases, New Delhi, India. FAU - Jain, D C AU - Jain DC FAU - Sharma, R S AU - Sharma RS FAU - Verghese, T AU - Verghese T LA - eng PT - Journal Article PL - Thailand TA - Southeast Asian J Trop Med Public Health JT - The Southeast Asian journal of tropical medicine and public health JID - 0266303 SB - IM MH - Cluster Analysis MH - Feasibility Studies MH - Health Services Research/economics/*methods/*standards MH - Humans MH - India MH - Infant MH - Primary Health Care/*standards MH - Quality Assurance, Health Care/*methods MH - Reproducibility of Results MH - Sampling Studies MH - Vaccination/*standards EDAT- 1996/06/01 00:00 MHDA- 1996/06/01 00:01 CRDT- 1996/06/01 00:00 PHST- 1996/06/01 00:00 [pubmed] PHST- 1996/06/01 00:01 [medline] PHST- 1996/06/01 00:00 [entrez] PST - ppublish SO - Southeast Asian J Trop Med Public Health. 1996 Jun;27(2):267-73.