The missing link: A view from the immunization periphery
Emmanuel d’Harcourt – International Rescue Committee The best shot: reaching 22 million missed children Oslo - 14 October 2013
Fully vaccinated, on time
6 months old, no vaccination
Reaching Every District (RED)
DTP3 and measles coverage in IRC-supported catchment areas % coverage for each antigen
100% 80% 60%
DTP3 Measles
40% 20% 0% 2010
2011
2012 Source: IRC Minimum Indicator System
% coverage for each antigen
DTP3 and measles coverage, 2010-2012 in IRC-supported catchment areas 180% 160% 140% 120% 100% 80% 60% 40% 20% 0%
DPT3 Measles
Source: IRC Minimum Indicator System
Reported DTP3 coverage, 2010-2012 IRC-supported catchment areas
DTP3 coverage
300%
200%
100%
0% Source: IRC Minimum Indicator System
Low, desirable, and excessive coverage 100%
% of facilities
75% 50% 25% 0%
<80%
80-110%
>110% Source: IRC Minimum Indicator System
Catchment population average Average no. of people per area
12,500 10,000 7,500 5,000 2,500 0 Liberia Uganda South Thailand Cote Sudan d'Ivoire
CAR
Ethiopia Sierra Leone
Source: IRC Minimum Indicator System
Facilities, by DTP3 coverage categories
Source: Chip Barnett
Communities > 10 km from a facility
Source: Chip Barnett
DTP3 coverage and remote communities
Source: Chip Barnett
Reaching Every District (RED)
Communities > 10 km from a facility
Source: Chip Barnett