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------=_NextPart_01C696C0.A2A30E00 Content-Location: file:///C:/CD1B9A36/PresentationECVdu220606_fichiers/pres.xml Content-Transfer-Encoding: quoted-printable Content-Type: text/xml; charset="utf-8" ------=_NextPart_01C696C0.A2A30E00 Content-Location: file:///C:/CD1B9A36/PresentationECVdu220606_fichiers/slide0001.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" ENQUETE NATIONALE DE COUVERTURE VACCINALE DES ENFANTS DE 12 A 23 MOI= S=20 AU CAMEROUN (EVALUATION EXTERNE OCTOBRE- NOVEMBRE 2005)
<= b>ENQUETE NATIONALE DE COUVERTURE VACCINALE DES ENFANTS DE 12 A 23 MOIS AU CAMEROUN
<= b>Décembre 2005




Étude réalisée par 
l’Institut National de= la Statistique (INS)
BP : 134  Tél : (237) 222-04-45/77  Fax : (237) 223-24-37
www.statistics-= cameroon.org
PROGRAMME ELARGI = DE VACCINATION
ORGANISATION = MONDIALE DE LA SANTÉ=
MINISTERE DE LA S= ANTE PUBLIQUE
REPUBLIC OF CAMEROON
Peace- Work- Fatherland
REPUBLIQUE DU CAMEROUN
Paix- Travail- Patrie
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<= span style=3D'font-size:91%;color:black;mso-color-index:1;mso-special-format:la= stCR; display:none'>
3D"*"I- Contexte et justification
n
3D"*"I= I- Objectifs de l’enquête et synthèse méthodologique
3D"*"II.1- Objectifs de l’enquête
3D"*"II.2- Synthèse méthodologique
n
3D"*"III- Les principaux résultats
3D"*"III.1-Caractérist= iques sociodémographiques   
3D"*"= III.2- Couverture vaccinale des enfants de 12 à 23 mois
3D"*"= III.3- Comportements, attitudes et pratiques des mères des enfants âgés de 0 à 11= mois
n <= /span>
3D"*"IV- Conclusion et Recommandations
n<= span style=3D'mso-special-format:lastCR;display:none'>
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I- Contexte et justification
n
= n
3D"*" objectif du millénaire pour le développement n°4 (OMD-4) vise à réduire de 2/3 le taux de mortalité infantile des moins de 5 ans dans tous les pays d’ici l’an 2015.
3D"*"<= /span>
3D"*" plan pluriannuel (2001-2005) du PE= V, axé sur la protection des enfants de 0 à 11 mois et de 1 à 5 ans contre des maladies évitables par la vaccination arr= ive à son terme à la fin de l’année 2005.
3D"*"<= /span>
3D"*" intégrer les nouvelles orientations du GIVS, les objectifs du millénaire pour le développement,  la stratégie sectorielle de santé du pays et les besoins pour la  phase II de GAVI.
3D"*" une revue externe du PEV s’avère nécessaire pour la définition de la politique du programme pour les cinq prochaines années.
Le nom= bre de ménages à visiter par grappe varie selon les régions= et le milieu de résidence et dépend du nombre moyen d’enfants de cette tranche d’âge selon les résul= tats de l’enquête ECAM II de 2001.voir tableau suivant

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II.1- Objectifs de l’Enquête
n
3D"*"Déterminer le taux de couverture vaccinale externe des enfants de 12 à 23 mois; = ;
n
3D"*"= Analyser les comportements, les attitudes et la pratique des mères d’enfants de= 0 à 11 mois en matière de vaccination.=
<= span style=3D'font-size:75%;visibility:hidden'>n=
<= span style=3D'font-size:125%;visibility:hidden'>n
II- Objectifs de l’Enquête et Synthè= se méthodologique
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= n
ECV est une enquête statistique par sonda= ge, à deux degrés, stratifiée; de couverture nationale;&#= 13;
= è<= b>
n Stratification : Selon la source administrative =
1) les provinces de haute performance &nbs= p;: Extrême-Nord, Littoral et Nord;
n 2) l’Extrême- nord constituera une strate à part ( poids démographique);
n
n3) les provinces de performance moyenne  := Est, Sud et Centre;
n
4) les provinces de faible performance  : Nord-Ouest et Sud-Ouest;
è
n5) les provinces ayant des atouts externes mais= ne reflétant pas les performances actuelles : l’Ouest et l’Adamaoua;
<= span style=3D'font-size:44%;visibility:hidden'>n
n6) Yaoundé et Douala, compte tenu de leur situation spécifique, constituent également des strates à part;
<= span style=3D'font-size:44%;visibility:hidden'>n
nlors de l’analyse, l’on distinguera également les 12 régions d’enquête ci-aprè= ;s :
n AD-CE-= ES-EN-LT-NO-NW-OU-SU-SW-DLA-YDE
<= span style=3D'font-size:31%;visibility:hidden'>n
II.2- Synthèse méthodologique

Plan de sondage et échantillonnage=
L̵= 7;opération statistique mise en œuvre pour atteindre l’objectif est une enquête par sondage auprès de 23 500 ménages répartis sur  420 gra= ppes. L’enquête couvrait tout le territoire national; Par ailleurs, mise à part des villes de Yaoundé et de Douala, quatre stra= tes ont été constituées:

les pr= ovinces de haute performance (couverture vaccinale administrative supéri= eure à 80 %) : Extrême-Nord, Littoral et Nord;

les pr= ovinces de performance moyenne (couverture vaccinale administrative comprise entre 5= 0 % et 80 %) : Est, Sud et Centre;

les pr= ovinces de faible performance (couverture vaccinale administrative inférieure à 50 %) : Nord-Ouest et Sud-Ouest;

Les pr= ovinces ayant des atouts externes mais ne reflétant pas les performances actuelles : l’Ouest et l’Adamaoua.


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nEnquêter au moins 7 enfants cibles par grapp= e et = au moins 30 grappes par strate; =
nBase de sondage =3D ZD issues des travaux du 3&e= grave;me = RGPH (unité statistique=3Dménage)= 3;
nProportion d’enfants de 12 à 23 mois = dans la population camero= unaise est d’environ 2,9; soit en moyenne 0,143 enfant cible par ménage,
nUn échantillon de 23 500 ménages répartis sur 420 gra= ppes;
II.2- Synthèse méthodologique
Plan de sond= age et échantillonnage
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Plan de sondage et échantillonnage
Nbre de ménages à enquêter
Nbre de grappes à tirer
R&= eacute;gions d’enquête
2 853
64
Est += Reste du centre+Sud
4 018
64
Nord-Ouest+Sud-Ouest
3 260
64
Littoral+Nord
3 189
64
Adamaoua+Ouest
23 360
420
En= semble
3 050
64
Extrême-Nord
3 050
50
Yaoun= dé
3 950
50
Doual= a
<= b>Un échantillon de 23 500 ménages répartis sur 420 grappe= s;
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Personnel et Financement
nExperts du PEV, de l’OMS et de l’INS;&= #13;
n1 Directeur national,
= n 2 coordinateurs techniques,
n 15 superviseurs de terrain,
= n 65 enquêteurs,
n 20 opérateurs et agents de saisie,
= n 12 chauffeurs de terrain.&#= 13;
nDurée: 15 jours sur le terrain avec un questionnaire de 4 pages.
nFinancement de l’OMS à hauteur de 73 500= us $;
n<= span style=3D'font-size:75%;display:none'>
n
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nLa taille moye= nne des ménages est de 4,9 personnes;
n17,2% des ménages ont au moins un enfant âgé de 12-23 mois, soit= en moyenne 0,18 enfant cible par ménage;
n
n
<= ![endif]>
III-Les Princi= paux Résultats
I= II-1 Caractéristiques sociodémographiques
0,15
Ouest<= /span>
0,35
Centre=
Nombre moyen <= span style=3D'font-size:43%'>d'enfants de 12 à 23 = mois
Régions d’enqu&e= circ;te
Nombre moyen = d'enfants de 12 à 23 mois
Régions d’enqu&e= circ;te
0,09
Sud-O= uest
0,16
Extr&e= circ;me-Nord
0,13
Littor= al
0,18
Nord-O= uest
0,13
Douala=
0,20
Sud
0,14
Adama= oua
0,22
Nord
0,15
Yaound= é
0,23
Est
Dans l’ensemble, le nombre moyen de personne (résident ou visiteu= r) par ménage est de 4,9. Cette taille diffère légèrement selon le milieu : 4,6 en milieu urbain cont= re 5,1 en milieu rural. Moins de un cinquième des ménages visités (17,2%) ont au moins un enfant âgés de 12-23 mois. Il y a en moyenne 0,18 enfant de 12-23 mois dans l’ensemble d= es ménages visités. Cette moyenne est de 0,15 enfant en milieu= urbain contre 0,20 en milieu rural. Il faut noter que ces données ne s’écartent pas de celles observées lors des enquêtes précédentes (ECAM II et EDSC-3). Pour ce qui= est des mères d’enfants de 0-11 mois, seul 15,8% des ména= ges ont au moins une mère d’enfants de moins d’un an. On a trouvé en moyenne 0,17 mères de nouveaux nés dans les ménages visités


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III-Les Prin= cipaux Résultats
I= II-1 Caractéristiques sociodémographiques
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Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" ENQUETE NATIONALE DE COUVERTURE VACCINALE DES ENFANTS DE 12 A 23 MOI= S=20 AU CAMEROUN (EVALUATION EXTERNE OCTOBRE- NOVEMBRE 2005)
nLes mères/nourrices d’enfants de 12-23 mois ont en moyenne 27 ans, les trois quarts = ont entre 12 et 31 ans;
n
<= span style=3D'font-size:64%'>nElles= sont en général mariées ou en union libre : 75,5%;
n
<= span style=3D'font-size:64%'>n22= ,9 % sont des célibataires; <= /span>
n
n34= % sont sans niveau d’instructio= n; soit 18,8% en milieu urbain contre 40,7% en milieu rural;
n
nLa quasi-totalité des mères/nourrices des enfants de 12-23 mois dans les provinces du Nord et de l’Extrême-Nord est sans niveau.
n
<= span style=3D'font-size:57%;visibility:hidden'>n
<= span style=3D'font-size:64%;visibility:hidden'>n
<= span style=3D'font-size:64%;visibility:hidden'>n
n <= /span>
III-Les Princi= paux Résultats
III-1 Caractéristiques sociodémographiques
Les mères/nourrisses d’enfants de 12-23 mois ont en moyenne 27 ans, les trois quarts ont entre 12 et 31 ans. Environ une sur vingt (6,4%) n’est pas la mère de cet enfant. Plus de trois quarts (75,5%) sont en union et = les nourrisses  sont relativemen= t plus âgées que les mères. La proportion de ces femmes qui n’ont aucun niveau d’instruction est particulièrement élevée dans les provinces septentrionales : respective= ment 76,5%, 91,4% et 84,9% dans l’Adamaoua, le Nord et l’Extrême-Nord.  A l’autre extrême se trouvent les régions fortement scolarisées : Yaoundé, Douala, le Sud-Ouest, le Sud, le Littoral, le Nord-Ouest et l’Ouest, où plus de 90% ont fait = des études primaires. Les femmes les plus instruites se trouvent dans = les villes de Douala et Yaoundé ; ainsi que dans les régio= ns du Sud.


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III-Les Prin= cipaux Résultats
I= II-1 Caractéristiques sociodémographiques
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nL= es enfants de 12-23 mois identifiés dans les ménages sont majoritairement de sexe masculin (54,4%). Cette struct= ure ne diffère pas selon le milieu de résidence, l’â= ge et le statut matrimonial de la mère/nourrisse
n
III-Les Princi= paux Résultats
Les enfants = de 12 à 23 mois
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file:///C:/CD1B9A36/PresentationECVdu220606_fichiers/slide0052.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" ENQUETE NATIONALE DE COUVERTURE VACCINALE DES ENFANTS DE 12 A 23 MOI= S=20 AU CAMEROUN (EVALUATION EXTERNE OCTOBRE- NOVEMBRE 2005)
n52% des enfants disposent d’un carnet vu lors de l’enquête; = n33% d= es enfants en disposent mais non vus lors de l’enquête; nPour 85% des cas, on déclare posséder un carnet de vaccination;
<= ![endif]>
III-Les Princi= paux Résultats
Possession du = carnet
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=
III-Les Prin= cipaux Résultats
Possession du = carnet
42,8
Ouest
63,6
Yaoundé
42,4
Nord
61,9
Douala
56,2
Nord-Ouest
73,3
Sud
42,2
Extrême-Nord
56,5
Littoral
44,0
Centre
65,0
Adamaoua
55,8
Est
65,4
Sud-Ouest
Possession du carnet de vaccination (%)
R&= eacute;gions d’enquête
Possession du carnet de vaccination (%)
Régions d’enqu&e= circ;te
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III-Les Prin= cipaux Résultats
Possession du = carnet
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