The same results indicate that 61% of women received at least two doses of tetanus vaccine during their last pregnancy. In 74% of cases, the last birth was protected against neonatal tetanus either because vaccinations were given during that pregnancy, or because vaccinations were given before that pregnancy. Childbirth Almost all births (92%) occur in health care institutions, mainly in public hospitals (57%); in 18% of cases, women gave birth in an integrated public health centre and only 3% in a public health post. With a proportion of 14%, the private sector plays a much smaller role than the public sector. In contrast, only 8% of women gave birth at home. Compared to 2015, the proportion of women who gave birth at home has decreased significantly, from 16% in 2005 to 8% in 2012. During the same period, the proportion of women who gave birth in a health centre has increased from 82% to 92%. Childbirth assistance Almost all births (94%) occurred with the assistance of a trained health care provider: in most cases, it was midwives (67%) and, to a lesser extent, doctors (14%) provided assistance. Nearly one in ten (9%) gave birth with the assistance of a nurse. The role of other healthcare providers in the childbirth assistance is much smaller: 3% to 2% for workers and traditional birth attendants. Comparison of the results of the previous survey with those of the current survey shows that the proportion of women who gave birth with the assistance of trained staff has increased from 86% in 2005 to 94% in 2011-2012. Post natal care Just over a third of women (36%) received postnatal care within 24 hours after delivery and 28% between 1 and 2 days after delivery: in total, 64% of women have therefore received postnatal care within 48 hours of birth, as recommended. In contrast, in 10% of cases, the examination was late, that is to say between 3 and 41 days. 5.3.3.3. Target diseases of the Expanded Programme on Immunization In terms of immunisation, the Expanded Programme on Immunization (EPI), is accompanied by a National Strategy for communication and a comprehensive multi-year plan. According to the EPI, all children should receive, before their first birthday, one dose of BCG vaccine, three doses of polio vaccine, three doses of pentavalent vaccine (against diphtheria, tetanus, pertussis, hepatitis and Haemophilus influenza B), one dose of measles vaccine and one dose of yellow fever vaccine. Vaccination is completely free and the authorities are making great efforts to reduce indirect costs through mobile strategy and development of the CSI network across the country. With the assistance of development partners, including WHO and UNICEF, Congo organises regular national immunisation days which record a significant success. In addition, since 2008 the "Mother and child health weeks" (SSME) take place, during which the CSI mobilise everything to ensure the distribution of insecticide-treated nets in addition to vaccination of children. The SSME thus has become a flagship activity of the Ministry of Health, particularly because of the essential package of services (PES) that they offer. This 66