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. 2015 Jul 2;10(7):e0130697. doi: 10.1371/journal.pone.0130697

Table 3. Relationship between crude and effective coverage of measles immunization.

Mexico
Crude coverage 1 DBS effective coverage
Yes No Total
Yes 59.8% 14.2% 74.0%
No 9.3% 16.7% 26.0%
Total 69.1% 30.9% 100%
Parameters
Sample size 895
Kappa 0.43 (0.39–0.46)
% agreement 76.5 (73.7–79.3)
% sensitivity 86.6 (84.4–88.8)
% specificity 54.0 (50.8–57.3)
Positive predictive value 80.8 (78.2–83.4)
Negative predictive value 64.3 (61.2–67.5)
Nicaragua
Crude coverage 1 DBS effective coverage
Yes No Total
Yes 46.7% 35.4% 82.2%
No 3.7% 14.2% 17.8%
Total 50.7% 49.6% 100%
Parameters
Sample size 299
Kappa 0.21 (0.10–0.33)
% agreement 60.9 (55.4–66.4)
% sensitivity 92.8 (88.8–96.7)
% specificity 28.6 (20.8–36.3)
Positive predictive value 56.9 (50.8–63.0)
Negative predictive value 79.5 (68.0–91.1)

Table restricted to children with both health card and DBS sources; excluding children with DBS collection within 28 days of vaccination. Estimates are survey weighted.

1 Crude coverage: according to child health card.