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

Last updated 15-July-2016 (15-July-2016)
Next overall update Fall 2016
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Development status: Least developed GNI / capita (US$): 7301 Infant (under 12 months) mortality rate: 292
GDP / capita (US$): 2'3751 Child (under 5 years) mortality rate: 362

Population data in thousands3

  2015  2014  2013  2012  2011  2000  1990  1980 
Total population 28'514  28'175  27'835  27'501  27'179  23'740  18'742  14'890 
Births 577  579  583  591  603  761  727  625 
Surviving infants 561  561  565  572  582  715  655  537 
Pop. less than 5 years 2'807  2'854  2'926  3'011  3'092  3'572  3'059  2'445 
Pop. less than 15 years 9'314  9'443  9'587  9'736  9'873  9'739  7'959  6'165 
Female 15-49 years 7'846  7'686  7'514  7'334  7'154  5'707  4'354  3'466 

Number of reported cases

(Click for retrospective incidence data for Nepal)
Diphtheria
ChartChart
  26  1'079  103  138  94  268  82 
Japanese encephalitis
ChartChart
  937  1'304  118  75  126 
Measles
ChartChart ChartChart
  1'599  1'279  1'861  3'362  2'359  9'397  182  561 
Mumps
ChartChart
  38'858  34'034  29'134  35'874  39'023 
Pertussis
ChartChart
  4'416  6'096  3'431  1'595  1'733  6'021  18  1'055 
Polio*
ChartChart
  29  52 
Rubella
ChartChart
  626  704  755  801  1'175 
Rubella (CRS)
ChartChart
  50  16 
Tetanus (neonatal)
ChartChart
  266  57  87  32  95  134 
Tetanus (total)**
ChartChart
  888  883  377  359  193  305  35  116 
Yellow fever
ChartChart
 
* 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 Nepal)
Vaccine year result method % card seen                                                
BCG 2012  97  MICS   40  94  99  97  96  97  97  98  22 
DTP1 2012  95  MICS   40  94  94  94  90  96  91 
DTP3 2012  88  MICS   40  91  92  92  90  92  80  80 
DTP4         
IPV1          71 
HepB_BD         
HepB3 2012  88  MICS   40  91  92  92  90  92 
Hib3 2012  88  MICS   40  91  92  92  90  92 
JapEnc          77  78  72  62  54 
MCV1          85  88  88  86  88  77  68 
MCV2         
PCV1          99* 
PCV3          33 
Pol3 2012  92  MICS   40  90  92  92  90  92  80  79 
Rota1         
RotaC         
Rubella1          85  88 
TT2plus 2013  65  MICS   40  72  75  78  74  78  60  23 
PAB         
VAD1          99*  98  99*  99* 
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 Nepal)
BCG
ChartChart
  94  99  97  96  97  84  74  22 
DTP1
ChartChart
  94  94  94  90  96  84  68  28 
DTP3
ChartChart
  91  92  92  90  92  74  43 
HepB3
ChartChart
  91  92  92  90  92 
HepB_BD
ChartChart
 
Hib3
ChartChart
  91  92  92  90  92 
MCV1
ChartChart
  85  88  88  86  88  71  57 
MCV2
ChartChart
 
PAB
ChartChart
  82  82  82  82  82  67  35 
PCV3
ChartChart
  33 
Pol3
ChartChart
  90  92  92  90  92  74  42 
RCV1
ChartChart
  85  88  88 
RotaC
ChartChart
 

Number of districts in the country 75  Proportion of
districts reporting
DTP3 coverage:
% of coverage reports received at national
level vs number of reports expected
100 
   
/
|
|
\
Greater or equal to 90% 56
From 80 to 89% 31
From 50 to 79% 13
Less than 50% 0
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
DTwPHibHepB 6, 10, 14 weeks; Yes
IPV 14 weeks; Yes
Influenza Children; elderly; risk groups; Yes
JE_LiveAtd 12-23 months; No
MR 9 months; Yes
OPV 6, 10, 14 weeks; Yes
Pneumo_conj 6, 10 weeks; 9 months; Yes
TT Yes Pregnant women
Td Yes pregnant women
VitaminA 6, 12 months; Yes 6-59 months

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 2011-2016  2011-2016  2011-2016  2011-2016  2011-2016  2007-2011  2007-2011 
Nº of districts with microplans that include activities to raise immunization coverage number 75  75  75  56  26  10 

System performance

Total Nº districts in country number 75  75  75  75  75  75  75 
Nº districts with DTP3 coverage >=80% number 65  65  68  48  57  33  35 
% of districts with DTP3 coverage >=80% From 0 to 100% 87  87  91  64  76  44  47 
Nº districts with measles (MCV1) coverage >=95% number 22  25  22  25  17 
% of districts with MCV1 coverage >=95% From 0 to 100% 11  29  33  29  33  23 

Safety

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

Finance

Immunization expenditure financed, using Government funds? From 0 to 100% 42  22  46  84  22  15 

National Immunization Advisory Mechanism

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

Sources

 1  "The 2013 World Bank Development Indicators Online", GDP per capita is PPP adjusted.
 2  World Health Statistics 2013, data for 2012
 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.