WHO vaccine-preventable diseases: monitoring system. 2020 global summary

Last updated 15-July-2020 (data as of 12-October-2020)
Next overall update End 2020

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Development status:	Least developed	GNI / capita (US$):	1'450¹	Infant (under 12 months) mortality rate:	42²
Development status:	Least developed	GDP / capita (US$):	3'624¹	Child (under 5 years) mortality rate:	60²

					2019	2018	2017	2016	2015	2000	1990	1980

Population data in thousands³
Total population					17'861	17'352	16'854	16'363	15'879	10'416	8'037	5'852
Births					641	629	619	610	602	472	366	281
Surviving infants					613	601	590	581	573	425	323	253
Pop. less than 5 years					2'902	2'869	2'840	2'804	2'753	1'908	1'483	1'152
Pop. less than 15 years					7'941	7'797	7'653	7'501	7'334	4'834	3'799	2'840
Female 15-49 years					4'400	4'250	4'103	3'959	3'821	2'429	1'799	1'279

Number of reported cases							(Click for retrospective incidence data for Zambia)
Diphtheria					_	0	0	1	1	0	4	12
Japanese encephalitis					_	0	0	_	_	_	_	_
Measles***					15	11	13	8	9	30'930	6'748	98'659
Mumps					_	_	0	0	_	6'213	_	_
Pertussis					_	0	0	0	0	0	200	21'232
Polio*					2	0	0	0	0	0	79	276
Rubella***					0	2	16	34	94	_	_	_
Rubella (CRS)					_	_	0	0	3	_	_	_
Tetanus (neonatal)					26	71	26	0	0	130	57	_
Tetanus (total)**					_	_	26	0	0	193	57	409
Yellow fever					_	0	0	0	0	0	_	_
* 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. * For 2019, if a country did not submit a joint reporting form, measles and rubella cases were sourced from data reported through the monthly surveillance data available from: https://www.who.int/immunization/monitoring_surveillance/burden/vpd/surveillance_type/active/measles_monthlydata/en/

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 Zambia)
Vaccine	year	result	method	% card seen
BCG	2017	98	DHS	77	95	91	99	99	97	99*	97	_
DTP1	2017	98	DHS	77	94	94	95	99	97	93	_	_
DTP3	2017	92	DHS	77	88	90	94	99	90	76	71	_
IPV1					73	73	_	_	_	_	_	_
HepB_BD					94	_	95	_	_	_	_	_
HepB3	2017	92	DHS	77	88	90	94	99	90	_	_	_
Hib3	2017	92	DHS	77	88	90	94	99	90	_	_	_
JapEnc					_	_	_	_	_	_	_	_
MCV1					93	94	96	99	90	85	68	_
MCV2					66	65	64	59	47	_	_	_
MenA					_	_	_	_	_	_	_	_
PCV1					94	95	99*	99	94	_	_	_
PCV2					92	92	98	99	88	_	_	_
PCV3	2017	90	DHS	77	89	90	94	98	83	_	_	_
Pol3	2017	81	DHS	77	89	90	92	95	90	79	70	_
Rota1					93	94	99	99	90	_	_	_
RotaC	2017	91	DHS	77	90	91	96	99	82	_	_	_
RCV1					93	94	96	_	_	_	_	_
TT2plus	2017	28	DHS	77	84	76	81	75	75	61	_	_
PAB					_	_	_	77	_	_	_	_
VAD1					98	_	88	_	90	_	_	_
YFV					_	_	_	_	_	_	_	_
* indicates the country reported above 100% coverage.

			Next update: Mid July 2021			WHO-UNICEF estimates⁶
							(Click for full retrospective WHO-UNICEF coverage estimates data for Zambia)
BCG					95	91	99	99	97	94	97	_
DTP1					94	94	95	99	97	94	97	_
DTP3					88	90	94	91	90	85	91	_
HepB3					88	90	94	91	90	_	_	_
HepB_BD					94	_	_	_	_	_	_	_
Hib3					88	90	94	91	90	_	_	_
IPV1					73	36	_	_	_	_	_	_
MCV1					93	94	96	93	90	85	90	_
MCV2					66	65	64	58	47	_	_	_
PCV3					89	90	94	90	81	_	_	_
Pol3					89	90	92	87	90	85	90	_
RCV1					93	94	96	_	_	_	_	_
RotaC					90	91	96	90	82	_	_	_

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

Number of districts in the country	116	Proportion of districts reporting DTP3 coverage:
% of coverage reports received at national level vs number of reports expected	100

/ \| \| \
	Greater or equal to 90%	53
	From 80 to 89%	27
	From 50 to 79%	20
	Less than 50%	0
Proportion of districts not reporting DTP3 coverage		0

Vaccine	Schedule	Entire country	Comment

Immunization Schedule^{(2019 or latest available)}		Hovering over an antigen reveals its fuller definition
BCG	1 week;	Yes
DTwPHibHepB	6, 10, 14 weeks;	Yes
HPV	14 years; after 1 year; if HIV positive;	Yes
IPV	14 weeks;	Yes
MR	9, 18 months;	Yes
OPV	6, 10, 14 weeks;	Yes
Pneumo_conj	6, 10, 14 weeks;	Yes
Rotavirus	6, 10 weeks;	Yes
Td	1st contact pregnancy; +1, +6 months; +1, +1 years;	Yes	CBAW
VitaminA	6, 12, 18, 24, 30, 36 months;	Yes	every 6 months until 60 months during each round of bi-annual child health weeks

Indicator	Expected answer	2019	2018	2017	2016	2015	2014	2013

Immunization indicators

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	2017-2021	2017-2021	2017-2021	2012-2016	2012-2016	2012-2016	2011-2015

System performance

Total Nº districts in country	number	110	109	103	103	74	74	72
Nº districts with DTP3 coverage >=80%	number	88	92	90	79	61	39	50
% of districts with DTP3 coverage >=80%	From 0 to 100%	80	84	87	77	82	53	69
Nº districts with measles (MCV1) coverage >=95%	number	68	64	52	49	25	15	37
% of districts with MCV1 coverage >=95%	From 0 to 100%	62	59	50	48	34	20	51

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

Finance

% of Immunization expenditure financed, using Government funds?	From 0 to 100%	32	19	19	89	33	69

National Immunization Advisory Mechanism

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

Sources

1 "The 2019 World Bank Development Indicators Online", GDP per capita is PPP adjusted.

2 UN Inter-agency Group for Child Mortality Estimation (https://childmortality.org/data)

3 "United Nations, Population Division. The World Population Prospects - the 2019 revision". New York, 2019.

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.

WHO vaccine-preventable diseases: monitoring system. 2020 global summary

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Population data in thousands3

Number of reported cases

Percentage target population vaccinated by antigen

Official country estimates5

WHO-UNICEF estimates6

Immunization Schedule (2019 or latest available)

Immunization indicators

Sources

Population data in thousands³

Official country estimates⁵

WHO-UNICEF estimates⁶

Immunization Schedule^{(2019 or latest available)}