Global Routine Vaccination Coverage, 2016

Leora R Feldstein, Stephanie Mariat, Marta Gacic-Dobo, Mamadou S Diallo, Laura M Conklin, Aaron S Wallace, Leora R Feldstein, Stephanie Mariat, Marta Gacic-Dobo, Mamadou S Diallo, Laura M Conklin, Aaron S Wallace

Abstract

The Global Vaccine Action Plan 2011-2020 (GVAP) (1), endorsed by the World Health Assembly in 2012, calls on all countries to reach ≥90% national coverage for all vaccines in the country's routine immunization schedule by 2020. CDC and the World Health Organization (WHO) evaluated the WHO and United Nations Children's Fund (UNICEF) global vaccination coverage estimates to describe changes in global and regional coverage as of 2016. Global coverage estimates for the third dose of diphtheria and tetanus toxoids and pertussis-containing vaccine (DTP3), the third dose of polio vaccine, and the first dose of measles-containing vaccine (MCV1) have ranged from 84% to 86% since 2010. The dropout rate (the proportion of children who started but did not complete a vaccination series), an indicator of immunization program performance, was estimated to be 5% in 2016 for the 3-dose DTP series, with dropout highest in the African Region (11%) and lowest in the Western Pacific Region (0.4%). During 2010-2016, estimated global coverage with the second MCV dose (MCV2) increased from 21% to 46% by the end of the second year of life and from 39% to 64% when older age groups (3-14 years) were included (2). Improvements in national immunization program performance are necessary to reach and sustain high vaccination coverage to increase protection from vaccine-preventable diseases for all persons.

Conflict of interest statement

Conflict of Interest: No conflicts of interest were reported.

Figures

FIGURE
FIGURE
Coverage with the first and third doses of diphtheria and tetanus toxoids and pertussis–containing vaccine (DTP1 and DTP3) and the number of children who were left out (received no DTP doses), dropped out (received 1 or 2 DTP doses), or completed 3 DTP doses — worldwide, 1980–2016

References

    1. World Health Organization. Global vaccine action plan 2011–2020. Geneva, Switzerland: World Health Organization; 2013..
    1. World Health Organization. Immunization, vaccines and biologicals—data, statistics and graphs. Geneva, Switzerland: World Health Organization; 2016..
    1. Uwizihiwe JP, Bock H. 40th anniversary of introduction of expanded immunization program (EPI): a literature review of introduction of new vaccines for routine childhood immunization in Sub-Saharan Africa. Int J Vaccines Vaccin 2015;1:1–23.
    1. Burton A, Monasch R, Lautenbach B, et al. WHO and United Nations Children’s Fund estimates of national infant immunization coverage: methods and processes. Bull World Health Organ 2009;87:535–41. 10.2471/BLT.08.053819
    1. The World Bank. World Bank country and lending groups. New York, NY: The World Bank; 2016.
    1. Casey RMDL, Dumolard L, Danovaro-Holliday MC, et al. Global routine vaccination coverage, 2015. MMWR Morb Mortal Wkly Rep 2016;65:1270–3. 10.15585/mmwr.mm6545a5
    1. World Health Organization. Global measles and rubella strategic plan: 2012–2020. Geneva, Switzerland: World Health Organization; 2012.
    1. Rainey JJ, Watkins M, Ryman TK, Sandhu P, Bo A, Banerjee K. Reasons related to non-vaccination and under-vaccination of children in low and middle income countries: findings from a systematic review of the published literature, 1999–2009. Vaccine 2011;29:8215–21. 10.1016/j.vaccine.2011.08.096
    1. LaFond A, Kanagat N, Steinglass R, Fields R, Sequeira J, Mookherji S. Drivers of routine immunization coverage improvement in Africa: findings from district-level case studies. Health Policy Plan 2015;30:298–308. 10.1093/heapol/czu011
    1. Phillips DE, Dieleman JL, Lim SS, Shearer J. Determinants of effective vaccine coverage in low and middle-income countries: a systematic review and interpretive synthesis. BMC Health Serv Res 2017;17:681. 10.1186/s12913-017-2626-0

Source: PubMed

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