WHO vaccine-preventable diseases: monitoring system. 2013 global summary

Last updated 20-Octl-2013 (data as of 16-Oct-2013)
Next overall update June 2014
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Development status: Developing GNI / capita (US$): 3'2901 Infant (under 12 months) mortality rate: 192
GDP / capita (US$): 6'1381 Child (under 5 years) mortality rate: 222

Population data in thousands3

  2012  2011  2010  2009  2008  2000  1990  1980 
Total population 6'687  6'573  6'460  6'347  6'236  5'350  4'250  3'199 
Births 160  159  157  156  154  150  142  119 
Surviving infants 155  154  152  151  150  145  136  113 
Pop. less than 5 years 753  745  741  737  735  711  658  511 
Pop. less than 15 years 2'192  2'178  2'167  2'156  2'146  2'042  1'759  1'360 
Female 15-49 years 1'719  1'685  1'649  1'614  1'579  1'300  987  724 

Number of reported case

(Click for retrospective incidence data for Paraguay)
Diphtheria 10  14 
Japanese encephalitis
Measles 1'396  745 
Mumps 247  283  132  83  70  527 
Pertussis 44  11  24  115  652 
Polio*
Rubella 96 
Rubella (CRS)
Tetanus (neonatal) 38  99 
Tetanus (total) 10  12  14  13  50  188 
Yellow fever 28 
* 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 Paraguay)
Vaccine year result method % card seen                                                
BCG 2008  94  DHS   65.9  75  76  74  73  76  79  92  31 
DTP1 2008  96  DHS   65.9  76  77  76  74  76  73 
DTP3 2008  73  DHS   65.9  74  76  76  72  76  80  80  17 
HepB_BD         
HepB3          74  76  76  72  76 
Hib3          74  76  76  72  76 
JapEnc         
MCV 2008  76  DHS   65.9  74  77  77  71  77  92  71  19 
MCV2          62  65  64  63  70 
PCV1          99 
PCV3          82 
Pol3 2008  68  DHS   65.9  74  75  76  74  76  73  78  13 
Rota1          74  74  69 
Rota_last          72  72  57 
Rubella1          74  77  77  71  77 
TT2plus 1997  93  MCH     33  34  34  40  46  55  29 
PAB         
VAD1         
YFV          34  69  69  59  80 
  ° indicates that more than 1 survey occurred that year

  Next update: July 2014

WHO-UNICEF estimates6

  (Click for full retrospective WHO-UNICEF coverage estimates data for Paraguay)
BCG 93  94  92  91  94  85  75  31 
DTP1 96  97  96  94  96  95  86  40 
DTP3 87  89  89  85  89  86  67  17 
HepB3 87  89  89  85  87 
Hib3 87  89  89  85  87 
MCV 91  93  94  91  91  92  69  19 
PAB 85  85  85  74  74  47  66  26 
PCV3 82 
Pol3 83  84  85  80  85  86  64  14 
Rota_last 85  85  56 

Number of districts in the country 240  Proportion of
districts reporting
DTP3 coverage:
% of coverage reports received at national
level vs number of reports expected
100 
   
/
|
|
\
Greater or equal to 90% 21
From 80 to 89% 15
From 50 to 79% 51
Less than 50% 13
Proportion of districts
not reporting DTP3 coverage
0
 

Immunization Schedule (2012 or latest available)

Hovering over an antigen reveals its fuller definition
Vaccine Schedule Entire country Comment
BCG birth; Yes
DTwP 18 months; 4 years; Yes
DTwPHibHep 2, 4, 6 months; Yes
HIB 1st contact; immunocompromized
HPV From March 2013
HepA 1st contact; +1 month; Travelers
HepB 1st contact; +1, +6 months; Yes adults at risk and at birth for newborn at risk
IPV 2, 4, 6, 18 months; 4 years; Yes risk groups
Influenza 6-35 (x2) and >60 years; Yes and risk groups and PW
MMR 1, 4 years; Yes
MR >5 years; Yes not vaccinated and travellers
MenAC medical indication
MenACWY medical indication
OPV 2, 4, 6, 18 months; 4 years; Yes
Pneumo_conj 2, 4, 12 months; Yes
Pneumo_ps >= 60 years Yes and risk groups
Rotavirus 2, 4 months; Yes
Td 1st contact; +1 month; +1, +1, +1 year; Yes CBAW and >Y7 and risk group
Tdap In case of pertussis outbreak and for travellers
Typhoid 1st contact; international travelers
Varicella 1st contact; HCW and outbreaks
YF 18 months to 59 years; Yes

Immunizaton indicators

Indicator Expected answer 2012  2011  2010  2009  2008  2007  2006 

Planning and management

Multi-year plan (MYP) for immunization Yes/No/NR Yes  Yes  No  No  No  Yes  Yes 
What years does the MYP cover? number 2012-2016  2012-2016        1 año  2'007 
Nº of districts with microplans that include activities to raise immunization coverage number 240  238  238  234  233  232  232 

National Immunization Advisory Mechanism

Does the country have a standing technical advisory group on immunization? Yes/No/NR Yes  Yes  Yes         

System performance

Total number of districts in country number 240  238  241  234  233  232  232 
Nº districts with DTP3 coverage >=80% number 86  87  86  74  88  120  151 
% of districts with DTP3 coverage >=80% From 0 to 100% 36  37  36  32  38  52  65 
Nº districts with measles (MCV1) coverage >=95% number 27  39  37  27  35     
% of districts with MCV1 coverage >=95% From 0 to 100% 11  16  15  12  15     

Safety

Monitoring of Adverse Events Following Immunization (AEFI)? Yes/No/NR Yes  Yes  Yes  Yes  Yes  Yes  Yes 
Does your country have a vaccine adverse events review committee? Yes/No/NR/ND Yes  Yes  Yes         

Finance

Percentage of routine vaccines funded by Government From 0 to 100% 100  100  100  100  100    100 

Maternal and neonatal tetanus (NT) elimination

NT eliminated Yes/No Yes  Yes  Yes  Yes  Yes  Yes  Yes 

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 2012, data for 2011
 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.