Table 5.
Number of TT supplementary immunization activities and years conducted, number of TT2+ doses provided through SIAs, current skilled birth attendant coverage, and reported neonatal tetanus cases and incidence in countries that have not achieved Maternal and Neonatal Tetanus Elimination - African Region
| Country | No. of TT SIA phasesa (years conducted) | No. of TT2+ doses providedthrough SIAsb | No. of WRA (aged 15-49 years) in 2015c | % births attended by SBAd(year measured) | No. ofreported NT cases in 2015e | Reported incidence of NT cases in 2015 per 1,000 birthsf,g |
|---|---|---|---|---|---|---|
| Angola | 4 Phases (2003-2014) | 7,097,552 | 5,570,000 | 47 (2007) | 36 | 0.03 |
| CAR | 1 phase (2008) | 804,984 | 1,225,000 | 54 (2010) | 96 | 0.59 |
| Chad | 5 phases (2000-2016) | 3,045,147 | 3,091,000 | 24 (2015) | 195 | 0.31 |
| DRC | 8 phases (2004-2014) | 10,293,095 | 17,320,000 | 80 (2014) | 330 | 0.10 |
| Ethiopia | 13 phases(19992016) | 12,786,464h | 24,103,000 | 16 (2014) | 18 | 0.01 |
| Guinea | 4 phases(2003-2012) | 3,140,970 | 2,932,000 | 45 (2012) | NA | NA |
| Kenya | 6 phases(2002-2016) | 4,339,702 | 11,175,000 | 62 (2014) | 32 | 0.02 |
| Mali | 8 phases(2002-2014) | 3,802,724 | 3,846,000 | 56 (2006) | 8 | 0.01 |
| Nigeria | 4 phases(2009-2016) | 2,488,283 | 41,363,000 | 38 (2013) | 53 | 0.01 |
| South Sudan | 12 phases (20012016) | 3,226,433 | 2,935,000 | 19 (2010) | 0 | 0 |
Abbreviations: CAR=Central African Republic; DRC=Democratic Republic of Congo; SIAs=supplemental immunization; SBA=skilled birth attendant; NA=not available; NT=neonatal tetanus
In most cases, phase refers to 3 rounds of SIAs in particular set of high-risk districts
Supplementary Immunization Activities MNTE. Last updated April 21, 2016. Available at http://www.who.int/immunization/diseases/MNTE_initiative/en/index7.html Accessed December 19, 2016. Women may be targeted and reached more than once through SIAs.
Population of females aged 15-49 years from United Nations, Department of Economic and Social Affairs, Population Division (2015). World Population Prospects: The 2015 Revision, DVD Edition. Available from https://esa.un.org/unpd/wpp/Download/Standard/Population/ Accessed on December 18, 2016.
UNICEF global databases 2016 based on DHS, MICS and other nationally representative surveys. Last updated February, 2016. Available at http://data.unicef.org/maternal-health/delivery-care.html Accessed September 18, 2016.
Tetanus (neonatal) reported cases. Last updated December 1, 2016. Available at http://apps.who.int/immunization_monitoring/globalsummary/timeseries/tsincidencentetanus.html Accessed December 18, 2016.
Denominator data of number of births Available from United Nations, Department of Economic and Social Affairs, Population Division (2015). World Population Prospects: The 2015 Revision, DVD Edition. Available from https://esa.un.org/unpd/wpp/Download/Standard/Population/ Accessed on December 18, 2016.
Reported NT incidences are national and do not represent district level data used to determine elimination status (<1 NT case per 1000 live births in every district annually). Underreporting of NT cases is common, with the efficiency of notification for NT cases globally estimated at less than 11% by Khan et al [2].
TT2+ doses are missing for phases 11 and 12 because round-wise coverage was reported instead of individual level coverage for receipt of multiple doses.