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

Last updated 27-May-2016 (Data received as of 20-May-2016)
Next overall update Fall 2016
2015 data are provisionary
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Development status: Developing GNI / capita (US$): 1'4101 Infant (under 12 months) mortality rate: 662
GDP / capita (US$): 4'8421 Child (under 5 years) mortality rate: 812

Population data in thousands3

  2015  2014  2013  2012  2011  2000  1990  1980 
Total population 188'925  185'044  181'193  177'392  173'670  138'250  107'608  78'072 
Births 5'451  5'416  5'366  5'304  5'229  4'417  4'336  3'310 
Surviving infants 5'088  5'048  4'995  4'930  4'853  4'028  3'876  2'906 
Pop. less than 5 years 24'664  24'368  24'091  23'741  23'198  20'102  18'428  13'217 
Pop. less than 15 years 66'142  65'115  64'191  63'340  62'471  56'817  46'279  33'508 
Female 15-49 years 47'707  46'737  45'713  44'656  43'615  31'567  23'525  16'821 

Number of reported cases

(Click for retrospective incidence data for Pakistan)
Diphtheria
ChartChart
  183  98  22  13  1'371  14'328 
Japanese encephalitis
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Measles
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  386  1'370  8'749  8'046  4'386  2'064  21'785  28'573 
Mumps
ChartChart
 
Pertussis
ChartChart
  250  60  156  160  24'545  42'947 
Polio*
ChartChart
  328  141  74  198  199  777  2'980 
Rubella
ChartChart
  282  320  1'113  483  189 
Rubella (CRS)
ChartChart
 
Tetanus (neonatal)
ChartChart
  898  320  505  1'380  1'067  1'085 
Tetanus (total)**
ChartChart
  898  320  516  1'465  4'080  2'738 
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 Pakistan)
Vaccine year result method % card seen                                                
BCG 2013  89  LSS     83  82  80  95  95  94  93 
DTP1 2013  89  LSS     85  80  75  94  94  88 
DTP3 2013  88  LSS     73  70  66  89  89  78  83 
DTP4         
IPV1          22 
HepB_BD          29 
HepB3 2013  88  LSS     73  70  66  89  89 
Hib3 2013  88  LSS     73  70  66  89  89 
JapEnc         
MCV1          68  65  61  88  88  75  76 
MCV2          65  60  58  53  53 
PCV1          85  70  65 
PCV3          73  70  65 
Pol3 2013  97  LSS     73  70  66  89  89  74  83 
Rota1         
RotaC         
Rubella1         
TT2plus 2001  38       68  65  62  68  68  51  40 
PAB         
VAD1         
YFV         
° indicates that more than 1 survey occurred that year.  * indicates the country reported above 100% coverage.

  Next update: Mid July 2016

WHO-UNICEF estimates6

  (Click for full retrospective WHO-UNICEF coverage estimates data for Pakistan)
BCG
ChartChart
  85  85  85  84  74  80 
DTP1
ChartChart
  79  79  79  84  72  77  20 
DTP3
ChartChart
  73  73  72  74  62  54 
HepB3
ChartChart
  73  73  72  74 
HepB_BD
ChartChart
 
Hib3
ChartChart
  73  73  72  74 
MCV1
ChartChart
  63  63  61  63  59  50 
MCV2
ChartChart
  53  53  53  53 
PAB
ChartChart
  75  75  75  75  71  50 
PCV3
ChartChart
  68  66 
Pol3
ChartChart
  72  72  72  75  65  54 
RotaC
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Number of districts in the country 147  Proportion of
districts reporting
DTP3 coverage:
% of coverage reports received at national
level vs number of reports expected
100 
   
/
|
|
\
Greater or equal to 90% 41
From 80 to 89% 18
From 50 to 79% 27
Less than 50% 14
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; No
Measles 9, 15 months; Yes
OPV birth; 6, 10, 14 weeks; Yes
Pneumo_conj 6, 10, 14 weeks; No
TT 1st contact pregnancy; +1, +6 months; +1, +1 year; 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 2014-2018  2011-2015  2011-2015  2011 - 2015  2011-2015  2009-2014  2009-2014 
Nº of districts with microplans that include activities to raise immunization coverage number 147  147    120  78  135  135 

System performance

Total Nº districts in country number 147  147  146  142  139  135  135 
Nº districts with DTP3 coverage >=80% number 97  109  108  109  100  83  50 
% of districts with DTP3 coverage >=80% From 0 to 100% 66  74  74  77  72  61  37 
Nº districts with measles (MCV1) coverage >=95% number 48  86  86  64  62  44  34 
% of districts with MCV1 coverage >=95% From 0 to 100% 33  59  59  45  45  33  25 

Safety

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

Finance

Immunization expenditure financed, using Government funds? From 0 to 100% 29  14      100  80  70 

National Immunization Advisory Mechanism

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