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

0%

20%

40%

60%

80%

100%

2010 2011 2012

% c

over

age

for e

ach

antig

en

DTP3 Measles

Source: IRC Minimum Indicator System

DTP3 and measles coverage, 2010-2012 in IRC-supported catchment areas

0% 20% 40% 60% 80%

100% 120% 140% 160% 180%

% c

over

age

for e

ach

antig

en

DPT3 Measles

Source: IRC Minimum Indicator System

0%

100%

200%

300%

DTP3

cove

rage

Reported DTP3 coverage, 2010-2012

IRC-supported catchment areas

Source: IRC Minimum Indicator System

Low, desirable, and excessive coverage

0%

25%

50%

75%

100%

% o

f fac

ilitie

s

<80% 80-110% >110%

Source: IRC Minimum Indicator System

Catchment population average

0

2,500

5,000

7,500

10,000

12,500

Liberia Uganda South Sudan

Thailand Cote d'Ivoire

CAR Ethiopia Sierra Leone

Aver

age

no. o

f peo

ple

per a

rea

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