WHO vaccine-preventable diseases: monitoring system. 2018 global summary

Last updated 21-Sep-2018 (data as of 18-Sep-2018)
Next overall update spring 2019
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Development status: Developing GNI / capita (US$): 1'5801 Infant (under 12 months) mortality rate: 642
GDP / capita (US$): 5'5271 Child (under 5 years) mortality rate: 792

Population data in thousands3

  2017  2016  2015  2014  2013  2000  1990  1980 
Total population 197'016  193'203  189'381  185'546  181'713  138'523  107'679  78'068 
Births 5'455  5'452  5'439  5'412  5'370  4'430  4'342  3'310 
Surviving infants 5'103  5'094  5'075  5'044  4'998  4'039  3'881  2'906 
Pop. less than 5 years 25'123  24'963  24'712  24'441  24'171  20'153  18'447  13'217 
Pop. less than 15 years 68'518  67'409  66'320  65'321  64'404  56'931  46'311  33'508 
Female 15-49 years 49'620  48'734  47'810  46'848  45'829  31'634  23'544  16'821 

Number of reported cases

(Click for retrospective incidence data for Pakistan)
Diphtheria
ChartChart
  560  12  183  13  1'371  14'328 
Japanese encephalitis
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Measles
ChartChart ChartChart
  9'175  2'703  386  1'370  8'749  2'064  21'785  28'573 
Mumps
ChartChart
 
Pertussis
ChartChart
  99  250  160  24'545  42'947 
Polio*
ChartChart
  21  56  328  141  199  777  2'980 
Rubella
ChartChart
  389  648  282  320  1'113 
Rubella (CRS)
ChartChart
 
Tetanus (neonatal)
ChartChart
  478  667  898  1'380  1'067  1'085 
Tetanus (total)**
ChartChart
  478  667  898  1'465  4'080  2'738 
Yellow fever
 
* Polio refers to all polio cases (indigenous or imported), including polio cases caused by vaccine derived polio viruses (VDPV). For disaggregated 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     86  86  86  85  84  94  93 
DTP1 2013  89  LSS     83  82  82  80  78  88 
DTP3 2013  88  LSS     75  75  72  69  65  78  83 
DTP4         
IPV1          77  72  24 
HepB_BD          49  10 
HepB3 2013  88  LSS     87  75  72  69  65 
Hib3 2013  88  LSS     75  75  72  69  65 
JapEnc         
MCV1          76  75  75  71  68  75  76 
MCV2          45  45  35  33  31 
MenA         
PCV1          95  88  85  70  65 
PCV2          89  87  80  70  65 
PCV3          87  86  73  70  65 
Pol3 2013  97  LSS     87  86  75  70  66  74  83 
Rota1          32  33 
RotaC          24  20 
RCV1         
TT2plus 2001  38       62  78  75  65  62  51  40 
PAB         
VAD1         
YFV         
* indicates the country reported above 100% coverage.

  Next update: Mid July 2019

WHO-UNICEF estimates6

  (Click for full retrospective WHO-UNICEF coverage estimates data for Pakistan)
BCG
ChartChart
  86  86  86  85  84  74  80 
DTP1
ChartChart
  83  82  82  80  78  69  77  20 
DTP3
ChartChart
  75  75  72  69  65  59  54 
HepB3
ChartChart
  75  75  72  69  65 
HepB_BD
ChartChart
 
Hib3
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  75  75  72  69  65 
IPV1
  67  56  20 
MCV1
ChartChart
  76  75  75  71  68  57  50 
MCV2
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  45  45  35  33  31 
PCV3
ChartChart
  75  75  72  68  65 
Pol3
  75  75  72  69  65  61  54 
RCV1
 
RotaC
ChartChart
  12 

Click for WHO-UNICEF coverage estimates data for PAB time series.

Number of districts in the country 151  Proportion of
districts reporting
DTP3 coverage:
% of coverage reports received at national
level vs number of reports expected
100 
   
/
|
|
\
Greater or equal to 90% 40
From 80 to 89% 23
From 50 to 79% 31
Less than 50% 7
Proportion of districts
not reporting DTP3 coverage
0
DTP3 reported coverageDTP3 reported coverage

Immunization Schedule (2017 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 surviving infants
HepB_Pediatric birth; No
IPV 14 weeks; Yes
Measles 9, 15 months; Yes surviving infants
OPV birth; 6, 10, 14 weeks; Yes
Pneumo_conj 6, 10, 14 weeks; Yes
Rotavirus 6, 10 weeks; No
TT 1st contact pregnancy; +1, +6 months; +1, +1 year; Yes pregnant women and CBAW
VitaminA Yes children 1Y-5Y during Polio SIAS every 6 months

Immunizaton indicators

Indicator Expected answer 2017  2016  2015  2014  2013  2012  2011 

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  2014-2018  2014-2018  2014-2018  2011-2015  2011-2015  2011 - 2015 
Nº of districts with microplans that include activities to raise immunization coverage number 92  69  147  147  147    120 

System performance

Total Nº districts in country number 151  151  147  147  147  146  142 
Nº districts with DTP3 coverage >=80% number 94  96  87  97  109  108  109 
% of districts with DTP3 coverage >=80% From 0 to 100% 62  64  59  66  74  74  77 
Nº districts with measles (MCV1) coverage >=95% number 56  53  43  48  86  86  64 
% of districts with MCV1 coverage >=95% From 0 to 100% 37  35  29  33  59  59  45 

Safety

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

Finance

% of Immunization expenditure financed, using Government funds? From 0 to 100% 18  33  29  14     

National Immunization Advisory Mechanism

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

Sources

 1  "The 2017 World Bank Development Indicators Online", GDP per capita is PPP adjusted.
 2  World Health Statistics 2018, data for 2016
 3  "United Nations, Population Division. The World Population Prospects - the 2017 revision". New York, 2017.
 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.