8_Dr Emmanuel dHarcourt_State of play_The missing link_A view from the immunization periphery

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