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    Area of Science:

    • Public Health
    • Immunization Programs
    • Global Health Security

    Background:

    • The Global Vaccine Action Plan (GVAP) aims for ≥90% national vaccine coverage by 2020.
    • Monitoring vaccination trends is crucial for assessing immunization program performance.
    • Disparities in vaccine access persist globally.

    Purpose of the Study:

    • To present global, regional, and national vaccination coverage estimates and trends as of 2017.
    • To identify countries with the highest number of unvaccinated children.
    • To inform strategies for improving vaccine access.

    Main Methods:

    • Utilized World Health Organization (WHO) and United Nations Children's Fund (UNICEF) estimates.
    • Analyzed vaccination coverage data for key vaccines including DTP3, MCV1, MCV2, Pol3, rotavirus, PCV, rubella, Hib, and HepB.
    • Focused on trends from 2007 to 2017.

    Main Results:

    • Global DTP3 coverage stabilized at 85% between 2010 and 2017.
    • In 2017, 19.9 million infants did not receive DTP3, with 62% residing in 10 countries.
    • Significant increases in coverage were observed for MCV2, rotavirus, PCV, rubella, Hib, and HepB vaccines.

    Conclusions:

    • Sustaining high vaccination coverage requires targeted, context-specific strategies.
    • Efforts must focus on countries with the largest unvaccinated populations.
    • Continued monitoring is essential to achieve global immunization goals.