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Routine Immunization Coverage Africa 2024
An overview of Africa's 2024 immunization efforts, tracking vaccine coverage for key antigens to protect children and communities.

Summary of Routine Immunization Coverage by Antigens in Africa across years

Immunization is one of the most impactful and cost-effective public health interventions available, averting over 4 million deaths every year. In addition to offering protection from preventable diseases, immunization also brings children and families into contact with health systems, providing an avenue for the delivery of other basic health services and laying the foundation for primary health care. As such, ensuring universal access to vaccines is a critical entry point for universal health coverage (UHC)The Immunization Vaccine Coverage is calculated using population data for respective countries, including live births, population under 1 year, and other relevant demographic age groups.

 

 

Data Source:

Data are based on submissions received from member states through the Country offices and ISTs via DHIS2.
that includes monthly aggregate routine immunization summaries.

 

Zero-doses Children by percentage of children population across years

In 2022, the number of surviving children (aged 12 to 23 months) who have never received a single dose of vaccine, known as zero-dose children, was estimated at 7.7 million (20% of surviving children), compared to 7.6 million (20% of surviving children) in 2021, 7.1 million (19% of surviving children) in 2020, and 6.2 million (17% of surviving children) in 2019. Figure presents the distribution of the number of zero-dose children and under-immunized children (dropout for DTP1) in the African Region per year. The under-immunized children accounted for 7% of surviving children in 2022 compared to 8% in 2021.

 

Cumulatively, the number of zero-dose children from 2019 to 2022 in the African Region is estimated at 28.7 million children, accounting for 19.0% of the four cohorts of surviving children.

 

High Zero-Dose Rates AND High Burden:

A Dual Crisis Countries like Equatorial Guinea, and Chad show zero-dose rates above 60–80%, and have large-sized bubbles, meaning a high absolute number of children missed.
These are high-priority countries for immunization recovery and equity-focused campaigns.

The Giants:

Nigeria, Ethiopia, and DRC Nigeria has one of the largest bubbles despite a moderate zero-dose rate (~40–50%). This reflects the sheer population size and requires intensive outreach, especially in rural or insecure regions.
DRC and Ethiopia also show large zero-dose numbers, stressing the need for supply chain strengthening, routine immunization, and community trust-building.

Outliers:

Low Coverage, Low Numbers Some countries like São Tomé and Príncipe or Eswatini show low DPT1 coverage, but have small populations, leading to smaller bubble sizes.
These are ideal for targeted microplanning and rapid recovery efforts.

Success Stories

Countries like Rwanda, Botswana, Burundi, and South Africa appear with low zero-dose rates and small bubble sizes.
They showcase effective national immunization programs and can serve as regional models for best practices.

Data Source:

Data are based on submissions received from member states through the Country offices and ISTs via DHIS2.
The data includes monthly aggregate routine immunization summaries shared by country offices through the ISTs.

 

Annual Trend of Immunization Coverage across Antigens and Countries in Africa

Here you will find regional trends and total numbers in reported cases of vaccine-preventable disease (VPD) up to 2023. These data can help monitor improvements and identify gaps for evaluation. Country data are reported annually through the WHO/UNICEF Joint Reporting Form on Immunization (JRF). These data are made available annually mid-July and updated thereafter as country data is received.

 

 

Data Source:

Data are based on submissions received from member states through the Country offices and ISTs via DHIS2.
The data includes monthly aggregate routine immunization summaries shared by country offices through the ISTs.

 

Total of districts by Threshold and Immunization Coverage

The visual present the coverage and total of district that participated vaccination campaign and the treshold archived in total of district. This visual analysis focus only in Angola country.

 

 

Data Source:

Data are based on submissions received from member states through the Country offices and ISTs via DHIS2.
The data includes monthly aggregate routine immunization summaries shared by country offices through the ISTs.

 

Monthly Immunization Cumulative Trend by year across countries

The visual present the coverage and total of district that participated in the PCV1 and PCV2 vaccination campaign and the treshold archived in total of district. This visual analysis focus only in Angola country.

 

 

Data Source:

Data are based on submissions received from member states through the Country offices and ISTs via DHIS2.
The data includes monthly aggregate routine immunization summaries shared by country offices through the ISTs.