WHO vaccine-preventable diseases: monitoring system. 2014 global summary

Last updated 15-Jul-2014 (Data received as of 8-Jul-2014)
Next overall update Fall 2014
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Development status: Least developed GNI / capita (US$): 7301 Infant (under 12 months) mortality rate: 342
GDP / capita (US$): 2'2441 Child (under 5 years) mortality rate: 422

Population data in thousands3

  2013  2012  2011  2010  2009  2000  1990  1980 
Total population 27'797  27'474  27'156  26'846  26'545  23'184  18'111  14'385 
Births 584  593  606  621  639  760  688  590 
Surviving infants 564  572  583  597  613  713  624  511 
Pop. less than 5 years 2'911  2'984  3'072  3'178  3'256  3'469  2'949  2'328 
Pop. less than 15 years 9'633  9'751  9'860  9'962  9'991  9'366  7'646  5'960 
Female 15-49 years 7'550  7'358  7'168  6'982  6'825  5'651  4'191  3'309 

Number of reported case

(Click for retrospective incidence data for Nepal)
Diphtheria 103  138  94  146  277  268  82 
Japanese encephalitis 118  75  126  183  146 
Measles 1'861  3'362  2'359  190  189  9'397  182  561 
Mumps 29'134  35'874  39'023  29'022  27'880 
Pertussis 3'431  1'595  1'733  2'293  2'357  6'021  18  1'055 
Polio* 29  52 
Rubella 755  801  1'175  510  1'275 
Rubella (CRS)
Tetanus (neonatal) 87  32  95  13  18  134 
Tetanus (total) 377  359  193  547  276  305  35  116 
Yellow fever
* Polio refers to all polio cases (indigenous or imported), including polio cases caused by vaccine derived polio viruses (VDPV);"
"it does not include cases of vaccine-associated paralytic polio (VAPP) and cases of non polio acute flaccid paralysis [AFP]).

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 2010  97  DHS   34  97  96  97  94  94  97  98  22 
DTP1 2010  96  DHS   34  94  90  96  85  94  91 
DTP3 2010  92  DHS   34  92  90  92  82  89  80  80 
HepB_BD         
HepB3 2005  69  DHS   32  92  90  92  82  89 
Hib3          92  90  92 
JapEnc          72  62  54  47  21 
MCV 2010  88  DHS   34  88  86  88  86  90  77  68 
MCV2         
PCV1         
PCV3         
Pol3 2010  93  DHS   34  92  90  92  83  93  80  79 
Rota1         
Rota_last         
Rubella1         
TT2plus 2000  45  DHS   16  78  74  78  78  70  60  23 
PAB         
VAD1          98  99*  99*  97  99* 
YFV         
  ° indicates that more than 1 survey occurred that year

  Next update: July 2015

WHO-UNICEF estimates6

  (Click for full retrospective WHO-UNICEF coverage estimates data for Nepal)
BCG 97  96  97  94  94  84  74  22 
DTP1 94  90  96  85  94  84  68  28 
DTP3 92  90  92  82  89  74  43 
HepB3 92  90  92  82  89 
HepB_BD
Hib3 92  90  92 
MCV 88  86  88  86  90  71  57 
MCV2
PAB 82  82  82  81  81  67  35 
PCV3
Pol3 92  90  92  83  93  74  42 
Rota_last

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% 61
From 80 to 89% 29
From 50 to 79% 8
Less than 50% 1
Proportion of districts
not reporting DTP3 coverage
0
 

Immunization Schedule (2013 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
JapEnc 12 months; No
MR 9 months; Yes
OPV 6, 10, 14 weeks; Yes
TT Yes Pregnant women
VitaminA 6 months; Yes 6-59 months

Immunizaton indicators

Indicator Expected answer 2013  2012  2011  2010  2009  2008  2007 

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  2007-2011  2007-2011  2007-2011  2007-11 
Nº of districts with microplans that include activities to raise immunization coverage number 75  56  26  10  11 

National Immunization Advisory Mechanism

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

System performance

Total Nº districts in country number 75  75  75  75  75  75  75 
Nº districts with DTP3 coverage >=80% number 68  48  57  33  35  33  24 
% of districts with DTP3 coverage >=80% From 0 to 100% 91  64  76  44  47  44  32 
Nº districts with measles (MCV1) coverage >=95% number 25  22  25  17   
% of districts with MCV1 coverage >=95% From 0 to 100% 33  29  33  23   

Safety

Has the country a vaccine adverse events review committee? Yes/No/NR/ND 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

Estimated percentage of routine vaccines funded by Government From 0 to 100% 36  45  20  39  16  43  29 

Sources

Unless otherwise specified, data provided by Member States through WHO-UNICEF Joint Reporting Form and WHO Regional offices.
 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 2012 revision". New York, 2013.
 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.