Status of Routine Immunization Coverage in the World Health Organization African Region Three Years into the COVID-19 Pandemic

Data from the WHO and UNICEF Estimates of National Immunization Coverage (WUENIC) 2022 revision were analyzed to assess the status of routine immunization in the WHO African Region disrupted by the COVID-19 pandemic. In 2022, coverage for the first and third doses of the diphtheria–tetanus–pertussis...

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Main Authors: Franck Mboussou, Sarah Kada, Maria Carolina Danovaro-Holliday, Bridget Farham, Marta Gacic-Dobo, Jessica C. Shearer, Ado Bwaka, Adidja Amani, Roland Ngom, Yolande Vuo-Masembe, Charles Shey Wiysonge, Benido Impouma
Format: Article
Language:English
Published: MDPI AG 2024-02-01
Series:Vaccines
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Online Access:https://www.mdpi.com/2076-393X/12/2/168
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author Franck Mboussou
Sarah Kada
Maria Carolina Danovaro-Holliday
Bridget Farham
Marta Gacic-Dobo
Jessica C. Shearer
Ado Bwaka
Adidja Amani
Roland Ngom
Yolande Vuo-Masembe
Charles Shey Wiysonge
Benido Impouma
author_facet Franck Mboussou
Sarah Kada
Maria Carolina Danovaro-Holliday
Bridget Farham
Marta Gacic-Dobo
Jessica C. Shearer
Ado Bwaka
Adidja Amani
Roland Ngom
Yolande Vuo-Masembe
Charles Shey Wiysonge
Benido Impouma
author_sort Franck Mboussou
collection DOAJ
description Data from the WHO and UNICEF Estimates of National Immunization Coverage (WUENIC) 2022 revision were analyzed to assess the status of routine immunization in the WHO African Region disrupted by the COVID-19 pandemic. In 2022, coverage for the first and third doses of the diphtheria–tetanus–pertussis-containing vaccine (DTP1 and DTP3, respectively) and the first dose of the measles-containing vaccine (MCV1) in the region was estimated at 80%, 72% and 69%, respectively (all below the 2019 level). Only 13 of the 47 countries (28%) achieved the global target coverage of 90% or above with DTP3 in 2022. From 2019 to 2022, 28.7 million zero-dose children were recorded (19.0% of the target population). Ten countries in the region accounted for 80.3% of all zero-dose children, including the four most populated countries. Reported administrative coverage greater than WUENIC-reported coverage was found in 19 countries, highlighting routine immunization data quality issues. The WHO African Region has not yet recovered from COVID-19 disruptions to routine immunization. It is critical for governments to ensure that processes are in place to prioritize investments for restoring immunization services, catching up on the vaccination of zero-dose and under-vaccinated children and improving data quality.
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spelling doaj.art-3a80b9f9354249ea9858164385c0e64e2024-02-23T15:37:03ZengMDPI AGVaccines2076-393X2024-02-0112216810.3390/vaccines12020168Status of Routine Immunization Coverage in the World Health Organization African Region Three Years into the COVID-19 PandemicFranck Mboussou0Sarah Kada1Maria Carolina Danovaro-Holliday2Bridget Farham3Marta Gacic-Dobo4Jessica C. Shearer5Ado Bwaka6Adidja Amani7Roland Ngom8Yolande Vuo-Masembe9Charles Shey Wiysonge10Benido Impouma11World Health Organization, Regional Office for Africa, Brazzaville P.O. Box 06, CongoMomentum, JSI, Arlington, VA 22202, USAWorld Health Organization Headquarters, Avenue Appia 20, 1211 Geneva, SwitzerlandWorld Health Organization, Regional Office for Africa, Brazzaville P.O. Box 06, CongoWorld Health Organization Headquarters, Avenue Appia 20, 1211 Geneva, SwitzerlandPATH, 455 Massachusetts Avenue NW, Washington, DC 20001, USAWorld Health Organization, Regional Office for Africa, Brazzaville P.O. Box 06, CongoWorld Health Organization, Regional Office for Africa, Brazzaville P.O. Box 06, CongoWorld Health Organization, Regional Office for Africa, Brazzaville P.O. Box 06, CongoWorld Health Organization, Regional Office for Africa, Brazzaville P.O. Box 06, CongoWorld Health Organization, Regional Office for Africa, Brazzaville P.O. Box 06, CongoWorld Health Organization, Regional Office for Africa, Brazzaville P.O. Box 06, CongoData from the WHO and UNICEF Estimates of National Immunization Coverage (WUENIC) 2022 revision were analyzed to assess the status of routine immunization in the WHO African Region disrupted by the COVID-19 pandemic. In 2022, coverage for the first and third doses of the diphtheria–tetanus–pertussis-containing vaccine (DTP1 and DTP3, respectively) and the first dose of the measles-containing vaccine (MCV1) in the region was estimated at 80%, 72% and 69%, respectively (all below the 2019 level). Only 13 of the 47 countries (28%) achieved the global target coverage of 90% or above with DTP3 in 2022. From 2019 to 2022, 28.7 million zero-dose children were recorded (19.0% of the target population). Ten countries in the region accounted for 80.3% of all zero-dose children, including the four most populated countries. Reported administrative coverage greater than WUENIC-reported coverage was found in 19 countries, highlighting routine immunization data quality issues. The WHO African Region has not yet recovered from COVID-19 disruptions to routine immunization. It is critical for governments to ensure that processes are in place to prioritize investments for restoring immunization services, catching up on the vaccination of zero-dose and under-vaccinated children and improving data quality.https://www.mdpi.com/2076-393X/12/2/168routine immunizationvaccination coveragezero-doseWUENICCOVID-19catch-up
spellingShingle Franck Mboussou
Sarah Kada
Maria Carolina Danovaro-Holliday
Bridget Farham
Marta Gacic-Dobo
Jessica C. Shearer
Ado Bwaka
Adidja Amani
Roland Ngom
Yolande Vuo-Masembe
Charles Shey Wiysonge
Benido Impouma
Status of Routine Immunization Coverage in the World Health Organization African Region Three Years into the COVID-19 Pandemic
Vaccines
routine immunization
vaccination coverage
zero-dose
WUENIC
COVID-19
catch-up
title Status of Routine Immunization Coverage in the World Health Organization African Region Three Years into the COVID-19 Pandemic
title_full Status of Routine Immunization Coverage in the World Health Organization African Region Three Years into the COVID-19 Pandemic
title_fullStr Status of Routine Immunization Coverage in the World Health Organization African Region Three Years into the COVID-19 Pandemic
title_full_unstemmed Status of Routine Immunization Coverage in the World Health Organization African Region Three Years into the COVID-19 Pandemic
title_short Status of Routine Immunization Coverage in the World Health Organization African Region Three Years into the COVID-19 Pandemic
title_sort status of routine immunization coverage in the world health organization african region three years into the covid 19 pandemic
topic routine immunization
vaccination coverage
zero-dose
WUENIC
COVID-19
catch-up
url https://www.mdpi.com/2076-393X/12/2/168
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