WHO vaccine-preventable diseases: monitoring system. 2016 global summary

Last updated 1-December 2016 (data as of 18-November-2016)
Next overall update June 2017
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Development status: Least developed GNI / capita (US$): 1 Infant (under 12 months) mortality rate: 42
GDP / capita (US$): 1 Child (under 5 years) mortality rate: 62

Population data in thousands3

  2015  2014  2013  2012  2011  2000  1990  1980 
Total population 2'135  2'109  2'083  2'057  2'033  1'856  1'598  1'307 
Births 61  60  60  59  59  58  57  54 
Surviving infants 57  57  56  56  55  53  52  48 
Pop. less than 5 years 278  274  270  265  260  270  253  224 
Pop. less than 15 years 770  766  763  760  759  765  702  580 
Female 15-49 years 555  544  534  523  514  455  364  315 

Number of reported cases

(Click for retrospective incidence data for Lesotho)
Diphtheria
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  37  13 
Japanese encephalitis
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Measles
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  516  179  172  660  2'195  7'935 
Mumps
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Pertussis
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  34  2'020 
Polio*
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  36 
Rubella
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  129  296  516  68  172 
Rubella (CRS)
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Tetanus (neonatal)
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Tetanus (total)**
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  27 
Yellow fever
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* Polio refers to all polio cases (indigenous or imported), including polio cases caused by vaccine derived polio viruses (VDPV). For desagregated data please click on this hyperlink: https://extranet.who.int/polis/public/CaseCount.aspx
it does not include cases of vaccine-associated paralytic polio (VAPP) and cases of non polio acute flaccid paralysis [AFP]).
** Neonatal Tetanus and Total Tetanus cases equality may be the result from a lack of non-Neonatal Tetanus surveillance system.

Percentage target population vaccinated by antigen

Hovering over an antigen reveals its fuller definition
  Most recent coverage survey4  

Official country estimates5

  (Click for retrospective coverage estimates data for Lesotho)
Vaccine year result method % card seen                                                
BCG 2013  98  DHS   77  73  51  65  68  68  73 
DTP1 2013  98  DHS   77  69  71  69  69  71 
DTP3 2013  85  DHS   77  67  69  66  67  69  69  71 
DTP4         
IPV1         
HepB_BD         
HepB3 2011  95  EPI   92  67  69  66  67  69 
Hib3 2013  85  DHS   77  67  69  66  67  69 
JapEnc         
MCV1          66  58  61  60  61  80 
MCV2          66  54 
PCV1          99* 
PCV3          62 
Pol3 2013  76  DHS   77  65  67  66  66  69  67  73 
Rota1         
RotaC         
RCV1         
TT2plus 2013  58  DHS   77  68  47  39  36  57 
PAB         
VAD1          13  55 
YFV         
° indicates that more than 1 survey occurred that year.  * indicates the country reported above 100% coverage.

  Next update: Mid July 2017

WHO-UNICEF estimates6

  (Click for full retrospective WHO-UNICEF coverage estimates data for Lesotho)
BCG
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  98  98  98  93  87  88  89  81 
DTP1
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  98  98  98  98  97  87  91  75 
DTP3
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  93  93  93  95  96  83  82  56 
HepB3
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  93  93  93  95  96 
HepB_BD
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Hib3
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  93  93  93  95  96 
IPV1
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MCV1
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  90  90  90  91  92  74  80  49 
MCV2
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  82  82  82  82  82 
PAB
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  83  83  83  83  83  73 
PCV3
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  29 
Pol3
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  90  90  90  93  95  82  82  56 
RCV1
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RotaC
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Number of districts in the country 10  Proportion of
districts reporting
DTP3 coverage:
% of coverage reports received at national
level vs number of reports expected
100 
   
/
|
|
\
Greater or equal to 90% 0
From 80 to 89% 0
From 50 to 79% 90
Less than 50% 10
Proportion of districts
not reporting DTP3 coverage
0
DTP3 reported coverageDTP3 reported coverage

Immunization Schedule (2015 or latest available)

Hovering over an antigen reveals its fuller definition
Vaccine Schedule Entire country Comment
BCG birth; Yes
DT 18 months; Yes
DTwPHibHepB 6, 10, 14 weeks; Yes
HPV 1st contact; +6 months; Yes 9-14 years
IPV Yes From April 2016
Measles 9, 18 months; Yes
OPV birth; 6, 10, 14 weeks; Yes
Pneumo_conj 6, 10, 14 weeks; Yes
TT 1st contact pregnancy; +1, +6 months; +1, +1 year; Yes
VitaminA 6, 12, 18, 24, 30, 36 months; Yes

Immunizaton indicators

Indicator Expected answer 2015  2014  2013  2012  2011  2010  2009 

Planning and management

Has the country a Multi-Year Plan (MYP) for immunization? Yes/No/NR Yes  Yes  Yes  Yes  Yes  Yes  Yes 
What years does the MYP cover? number 2012-2017  2012-2017  2012-2016  2012-2016  2012-2016  2007-2011  2007-2011 
Nº of districts with microplans that include activities to raise immunization coverage number 10  10 

System performance

Total Nº districts in country number 10  10  10  10  10  10  10 
Nº districts with DTP3 coverage >=80% number
% of districts with DTP3 coverage >=80% From 0 to 100% 20  10  10  20  30 
Nº districts with measles (MCV1) coverage >=95% number
% of districts with MCV1 coverage >=95% From 0 to 100%

Safety

Has the country a vaccine adverse events review committee? Yes/No/NR/ND No  No  No  No  No  No   
Is there a national system to monitor adverse events following immunization (AEFI)? Yes/No/NR No  No  No  No  No  No  No 

Finance

Immunization expenditure financed, using Government funds? From 0 to 100% 31  99  54    47   

National Immunization Advisory Mechanism

Has the country a standing technical advisory group on immunization (NITAG)? Yes/No/NR No  No  No  No  No  Yes   

Sources

 1  "The 2016 World Bank Development Indicators Online", GDP per capita is PPP adjusted.
 2  World Health Statistics 2016, data for 2015
 3  "United Nations, Population Division. The World Population Prospects - the 2015 revision". New York, 2016.
 4  UNICEF/WHO survey database
 5  If no official estimate is available, the administrative coverage is reported. '*' indicates coverage over 99.5%.
 6  WHO-UNICEF estimates.