A report on
current global
access to new
childhood
vaccines
VIMS Report:
Global Vaccine Introduction
October, 2012
Developed from information in the VIMS Database
(www.jhsph.edu/ivac/vims.html)
Johns Hopkins Bloomberg School of Public Health
International Vaccine Access Center (IVAC)
Contact: [email protected]
International Vaccine
Access Center (IVAC)
Johns Hopkins Bloomberg
School of Public Health
Rangos Bldg, Suite 600
855 N. Wolfe Street
Baltimore, MD 21205
www.jhsph.edu/ivac
Updates Include:
New vaccine introductions
- Updated historical release dates
- Updated regional coverage rates
- Benin, Burkina Faso, Liberia, Mauritania planning to apply to GAVI for
Rotavirus vaccine
- Fiji introduced PCV and Rotavirus vaccine
- Pakistan, Republic of Congo introduced PCV
- Thailand introduced regional Rotavirus vaccine
TABLE OF CONTENTS
Vaccine Introduction Dashboard
Executive Summary
Methods
Updates on Global and GAVI Uptake for Hib, Pneumococcal Conjugate and Rotavirus Vaccines
•
•
Introduction trends over time
• A line graph that displays the rate of vaccine introduction since 2000 and projected to 2020 both globally and for GAVI eligible countries.
Current Global and GAVI Introduction Statuses
• A pie chart portraying current global and GAVI vaccine introduction statuses.
• World maps portraying vaccine introduction status globally and in GAVI countries.
•
•
•
Present Coverage
• A pie chart portraying the proportion of children who are likely to receive the vaccination based upon the coverage rates of countries that have introduced.
Present Access
• A pie chart portraying the proportion of children who live in a country that has introduced the vaccine into their national immunization program.
Vaccine introduction by income level
• A line graph comparing the historical and projected rate of PCV and Hib vaccine introduction in High and Low income countries.
Table 1. Introduction Status by Vaccine for All Countries
•
The status of Hib, Pneumococcal Conjugate and Rotavirus Vaccine for each country.
Acknowledgement and Notes
Appendix
•
The appendix includes a description of VIMS, support and funding for VIMS, how to sign up for VIMS and how to cite VIMS as
a source.
This report can be found at: http://www.jhsph.edu/ivac/index.html. The full report and a PowerPoint presentation with graphics can
be found in the VIMS database. To gain access to VIMS, please email [email protected].
1
VACCINE INTRODUCTION DASHBOARD
Year of First Vaccine Introduction
Income Level
High Income
Middle Income
Low Income
GAVI Supported
Hib Vaccine
1989 (Iceland)
1994 (2 countries)
1997 (Gambia)
2001 (2 countries)
PCV
2000 (US)
2008 (5 countries)
2009 (Rwanda)
2009 (2 countries)
Rotavirus Vaccine
2006 (3 countries)
2006 (5 countries)
2012 (Rwanda)
2008 (Bolivia)
Total number of countries that have introduced each vaccine
Vaccine
Hib
PCV
Rotavirus
2
Universal
178
80
37
Global Introduction
(194 Countries)
At Risk
0
8
0
Regional
3
2
5
GAVI Eligible
73 Countries
Total
68
21
10
181
90
42
EXECUTIVE SUMMARY
The following report displays data and figures on the introduction status of Hib vaccine, pneumococcal conjugate vaccine (PCV) and rotavirus vaccine both globally and in 73 GAVI eligible countries. It uses information
stored in the Vaccine Information Management System (VIMS) online database maintained by IVAC at the Johns
Hopkins Bloomberg School of Public Health and supported by the GAVI Alliance. The images and text below
describe: how many countries have introduced each vaccine or plan to in the future; global and GAVI rates of
coverage and access; historical trends of the rate of introduction globally; and the introduction status of every
country individually. The report concludes with a more detailed description of VIMS and its potential uses.
3
METHODS
This report has been generated by the Vaccine Information Management System (VIMS) database developed and maintained at the Johns Hopkins Bloomberg School of Public Health for use by the International
Vaccine Access Center (IVAC) and its affiliated projects and partners. VIMS provides a centralized, webbased warehouse for key information related to IVAC’s work. Information was gathered from internationally
recognized sources, such as UNICEF, World Health Organization, vaccine manufacturers, ministries of
health and news media.
Current Global and GAVI Introduction Statuses for Hib, Pneumococcal Conjugate and Rotavirus Vaccines
•
Data on historical years of vaccine introduction are gathered from the WHO. Information on current introduction status
are gathered from internationally recognized sources, such as UNICEF, WHO, vaccine manufacturers, ministries of health
and news media. Forecasted introduction dates are from AVI Strategic Demand Forecast v5.0 and WHO updates. For more
information on sources, see data inside VIMS or email [email protected].
Present Coverage
•
Coverage in each country was calculated with the following formula: Introduction Value*Surviving Infants*(DTP3 Coverage Rate). The country receives an Introduction Value of 1 if the vaccine has been universally or regionally introduced into the Routine Immunization Program.
The country receives an Introduction Value of 0 if the vaccine has NOT been introduced into the Routine Immunization Program.
Present Access
•
Access in each country was calculated with the following formula: Introduction Value*Surviving Infants. The country receives an
Introduction Value of 1 if the vaccine has been universally or regionally introduced into the Routine Immunization Program. The country
receives an Introduction Value of 0 if the vaccine has NOT been introduced into the Routine Immunization Program.
Note on Regional Introduction Coverage and Access Calculations
•
To calculate coverage or access in countries that have introduced regionally, the number of surviving infants in the region that
introduced the vaccine was estimated by multiplying the total number of surviving infants in the country by the proportion of the
total population that live in the regions that introduced the vaccine.
Vaccine introduction by income level
•
Countries were classified using 2011 World Bank income classifications. Year of introduction or forecasted introduction
was determined through WHO reports, news media and AVI Strategic Demand Forecast v5.0.
Table 1. Hib Vaccine Introduction Forecast
•
Utilizing AVI Strategic Demand Forecast v5.0 and World Health Organization data, this table lists GAVI countries by the
year they are forecasted to introduce Haemophilus Influenzae tybe b Vaccine.
Table 2. Pneumococcal Conjugate Vaccine Introduction Forecast
•
Utilizing AVI Strategic Demand Forecast v5.0 and World Health Organization data, this table lists GAVI countries by the
year they are forecasted to introduce Pneumococcal Conjugate Vaccine (PCV).
Table 3. Rotavirus Vaccine Introduction Forecast
•
Utilizing AVI Strategic Demand Forecast v5.0 and World Health Organization data, this table lists GAVI countries by the
year they are forecasted to introduce Rotavirus Vaccine.
Table 4. Vaccine Introduction by Year for GAVI Countries
•
Utilizing AVI Strategic Demand Forecast v5.0 and World Health Organization data, this table contains the projected introduction year of the Hib, Pneumoccocal Conjugate and Rotavirus Vaccine by each GAVI country.
Table 5. Introduction Status by Vaccine for All Countries
•
This table uses WHO and GAVI Alliance information, as well as corroborated media reports, to list the status and date of
introduction of Hib, Pneumococcal Conjugate and Rotavirus Vaccine for each country.
Projected introduction dates for GAVI countries are taken from the most recent publicly available AVI Strategic Demand Forecast and
WHO information. For non-GAVI countries, the World Health Organization and a variety of other sources are used.
Information on a particular country’s GAVI application status or projected introduction dates may be sensitive and is not for public
circulation without prior consent from VIMS personnel. If data is used in a presentation, it should include a statement indicating this.
4
Global Hib Vaccine Introduction by Year
200
180
160
Number of Countries
140
120
100
80
60
40
20
0
51% of the world’s infants (66.0 million) are not likely to receive Hib
vaccine this year because either their country has not yet introduced
it, or they are not receiving routine immunizations (measured by
DTP3 coverage).
Present Hib Coverage
(Global Surviving Infants)
No Coverage
66.0 mil
51%
With
Coverage
62.7 mil
49%
Present Hib Coverage is calculated as the number of surviving
infants globally covered by DTP3 vaccine in countries or
regions of countries that have introduced Hib vaccine.
5
42% of the world’s infants (54.7 million) live in countries or
regions that have not yet introduced Hib vaccine into their National
Immunization Program.
Present Hib Access
(Global Surviving Infants)
No Access
54.7 mil
42%
With
Access
74.0 mil
58%
Present Hib Access is calculated as the number of surviving
infants globally that live in countries or regions of countries
that have introduced Hib vaccine.
Global Hib Vaccine Introduction Status
181 countries have introduced a Hibcontaining vaccine into their National
Immunization Program. This includes
universal, regional and at risk programs.
10 countries have announced plans to
introduce a Hib-containing vaccine into
their NIP. 1 country (China) is known to
have coverage at greater than 50% through
the private market. 2 countries have yet to
make a decision regarding introduction.
A map of countries that have introduced
Hib vaccine is below.
Already Introduced
(Universal)
178 Countries
Already Introduced
(Regional)
3 Countries
6
Introduced into
National Program
178 countries
93%
Introduced into
Regional Program
3 countries
1.5%
Planning
Introduction
10 countries
5%
No Decision
2 countries
1%
Widespread
Private Market
1 country
0.5%
GAVI Hib Vaccine Introduction by Year
80
70
Number of Countries
60
50
40
30
20
10
0
57% of infants in GAVI countries (42.3 million) are not likely to
receive Hib vaccine this year because either their country has not
yet introduced it, or they are not receiving routine immunizations
(measured by DTP3 coverage).
Present Hib Coverage
(GAVI Surviving Infants)
No
Coverage
42.3 mil
57%
With
Coverage
32.5 mil
43%
Present Hib Coverage is calculated as the number of surviving
infants by GAVI country covered by DTP3 vaccine in countries
or regions of countries that have introduced Hib vaccine.
7
45% of infants in GAVI countries (33.60 million) live in countries or
regions that have not yet introduced Hib vaccine into their National
Immunization Program.
Present Hib Access
(GAVI Surviving Infants)
No Access
33.6 mil
45%
With
Access
41.2 mil
55%
Present Hib Access is calculated as the number of surviving
infants by GAVI country that live in countries or regions of
countries that have introduced Hib vaccine.
GAVI Hib Vaccine Introduction Status
66 countries have introduced a Hibcontaining vaccine into their National
Immunization Program. 2 countries have
introduced the vaccine regionally.
4
countries have approved, with or without
clarification, GAVI support to introduce. 1
country has announced plans to apply for
GAVI support.
A map of GAVI countries that have
introduced Hib vaccine is below.
Introduced into Regional
Program
2 countries
2.7%
Planning Introduction
1 country
1.4%
Introduced into National
Program
66 countries
90%
GAVI Approved/Approved
with Clarification
4 countries
5.5%
Already Introduced
(Universal)
66 Countries
Already Introduced
(Regional)
2 Countries
GAVI Approved/Approved
with Clarification
Countries Eligible for GAVI
Support*
*Angola, Armenia, Azerbaijan, Bhutan, Bolivia, Congo, Cuba, Georgia, Guyana, Honduras, Indonesia, Kiribati, Moldova, Mongolia, Sri Lanka,
and Ukraine are graduating from GAVI in 2012 and are no longer eligible to apply for new vaccine support.
8
Global PCV Introduction by Year
160
140
Number of Countries
120
100
80
60
40
20
0
73% of the world’s infants (93.8 million) are not likely to receive
PCV this year because either their country has not yet introduced it,
or they are not receiving routine immunizations (measured by DTP3
coverage).
69% of the world’s infants (88.6 million) live in countries or regions
that have not yet introduced PCV into their National Immunization
Program.
Present PCV Coverage
(Global Surviving Infants)
Present PCV Access
(Global Surviving Infants)
With
Coverage
35.1 mil
27%
No Coverage
93.6 mil
73%
Present PCV Coverage is calculated as the number of surviving
infants globally covered by DTP3 vaccine in countries or
regions of countries that have introduced PCV.
9
With Access
40.3 mil
31%
No Access
88.4 mil
69%
Present PCV Access is calculated as the number of surviving
infants globally that live in countries or regions of countries
that have introduced PCV.
Global PCV Introduction Status
88 countries have introduced PCV into
their National Immunization Program. This
includes universal and at risk programs. 2
countries, Mongolia and the Democratic
Republic of the Congo, have introduced
regionally. 53 countries have announced
plans to introduce PCV into their NIP. 2
countries, Korea and Portugal, are known to
have coverage at greater than 50% through
the private market. 49 countries have yet to
make a decision regarding introduction.
A map of countries that have introduced
PCV is below.
Already Introduced
(Universal)
88 Countries
Already Introduced
(Regional)
2 Countries
At Risk Program
8 Countries
10
Introduced into Regional
Program
2 countries
1%
Introduced into National
Program
88 countries
45%
Planning Introduction
53 countries
27%
No Decision
49 countries
25%
Widespread Private
Market
2 countries
1%
GAVI PCV Introduction by Year
80
70
Number of Countries
60
50
40
30
20
10
0
83% of infants in GAVI countries (62.2 million) are not likely to receive
PCV this year because either their country has not yet introduced it,
or they are not receiving routine immunizations (measured by DTP3
coverage).
78% of infants in GAVI countries (58.3 million) live in countries
or regions that have not yet introduced PCV into their National
Immunization Program.
Present PCV Coverage
(GAVI Surviving Infants)
Present PCV Access
(GAVI Surviving Infants)
With
Coverage
12.7 mil
17%
No Coverage
62.1 mil
83%
Present PCV Coverage is calculated as the number of surviving
infants by GAVI country covered by DTP3 vaccine in countries
or regions of countries that have introduced PCV.
11
With Access
16.6 mil
22%
No Access
58.2 mil
78%
Present PCV Access is calculated as the number of surviving
infants by GAVI country that live in countries or regions of
countries that have introduced PCV.
GAVI PCV Introduction Status
19 countries have introduced PCV into their
National Immunization Program. 2 countries,
Mongolia and the Democratic Republic of
the Congo, have introduced regionally or in a
phased manner. 27 countries have approved,
with or without clarification, GAVI support
to introduce. 1 country has conditional GAVI
approval to introduce. 14 countries have
announced plans to introduce PCV into their
NIP. 10 countries have yet to make a decision
regarding PCV.
GAVI conditional approval
1 country
1%
GAVI Approval/ Approved
with Clarification
27 countries
37%
No Decision
10 countries
14%
Introduced into National
Program
19 countries
26%
Planning Introduction
14 countries
19%
Introduced into Regional
Program
2 countries
3%
A map of GAVI countries that have
introduced PCV is below.
Already Introduced
(Universal)
19 Countries
Already Introduced
(Regional)
2 Countries
GAVI Approved/Approved
with Clarification
Countries Eligible for
GAVI Support*
*Angola, Armenia, Azerbaijan, Bhutan, Bolivia, Congo, Cuba, Georgia, Guyana, Honduras, Indonesia, Kiribati, Moldova, Mongolia, Sri Lanka,
and Ukraine are graduating from GAVI in 2012 and are no longer eligible to apply for new vaccine support.
12
Global Rotavirus Vaccine Introduction by Year
120
100
Number of Countries
80
60
40
20
0
85% of the world’s infants (109.1 million) are not likely to receive
Rotavirus vaccine this year because either their country has not
yet introduced it, or they are not receiving routine immunizations
(measured by DTP3 coverage).
Present Rotavirus Coverage
(Global Surviving Infants)
83% of the world’s infants (107.2 million) live in countries or regions
that have not yet introduced Rotavirus vaccine into their National
Immunization Program.
Present Rotavirus Access
(Global Surviving Infants)
With
Coverage
19.6 mil
15%
No
Coverage
109.1 mil
85%
Present Rotavirus Coverage is calculated as the number of
surviving infants globally covered by DTP3 vaccine in countries
or regions of countries that have introduced Rotavirus vaccine.
13
With
Access
21.6 mil
17%
No Access
107.2 mil
83%
Present Rotavirus Access is calculated as the number of
surviving infants globally that live in countries or regions of
countries that have introduced Rotavirus vaccine.
Global Rotavirus Vaccine Introduction Status
37 countries have introduced Rotavirus
vaccine into their National Immunization
Program. 58 countries have announced
plans to introduce Rotavirus vaccine into
their NIP. 5 countries have introduced into a
regional program, including those with pilot
programs. 1 country (Cyprus) is known to
have coverage at greater than 50% through
the private market. 93 countries have yet to
make a decision regarding introduction.
A map of countries that have introduced
Rotavirus vaccine below.
Already Introduced
(Universal)
37 Countries
Already Introduced
(Regional)
5 Countries
14
Widespread Private
Market
1 country
1%
Introduced into National
Program
37 countries
19%
No Decision
93 countries
48%
Planning Introduction
58 countries
30%
Introduced into Regional
Program
5 countries
3%
GAVI Rotavirus Vaccine Introduction by Year
80
70
Number of Countries
60
50
40
30
20
10
0
95% of infants in GAVI countries (71.1 million) are not likely to
receive Rotavirus vaccine this year because either their country has
not yet introduced it, or they are not receiving routine immunizations
(measured by DTP3 coverage).
Present Rotavirus Coverage
(GAVI Surviving Infants)
With
Coverage
3.7 mil
5%
No
Coverage
71.1 mil
95%
Present Rotavirus Coverage is calculated as the number of
surviving infants by GAVI country covered by DTP3 vaccine
in countries or regions of countries that have introduced
Rotavirus vaccine.
15
95% of infants in GAVI countries (70.7 million) live in countries
or regions that have not yet introduced Rotavirus vaccine into their
National Immunization Program.
Present Rotavirus Access
(GAVI Surviving Infants)
With
Access
4.1 mil
5%
No Access
70.7 mil
95%
Present Rotavirus Access is calculated as the number of
surviving infants by GAVI country that live in countries or
regions of countries that have introduced Rotavirus vaccine.
GAVI Rotavirus Vaccine Introduction Status
9 countries have introduced Rotavirus
vaccine into their National Immunization
Program. 18 countries are approved, with
or without clarification, for GAVI support
to introduce. 1 country, Zambia, has
conditional GAVI approval to introduce
and has begun a regional pilot program.
26 countries have announced plans to
introduce Rotavirus vaccine into their NIP.
18 countries have yet to make a decision
regarding introduction.
A map of GAVI countries that have
introduced Rotavirus vaccine below.
GAVI conditional approval
1 country
1%
Introduced into
National Program
9 countries
12%
Introduced into Regional
Program
1 country
1%
GAVI Approved/ Approved
with Clarification
18 countries
25%
Planning Introduction
26 countries
36%
No Decision
18 countries
25%
Already Introduced
(Universal)
9 Countries
Already Introduced
(Regional)
1 Country
GAVI Approved/Approved
with Clarification
Countries Eligible for
GAVI Support*
*Angola, Armenia, Azerbaijan, Bhutan, Bolivia, Congo, Cuba, Georgia, Guyana, Honduras, Indonesia, Kiribati, Moldova, Mongolia, Sri Lanka,
and Ukraine are graduating from GAVI in 2012 and are no longer eligible to apply for new vaccine support.
16
Vaccine Introduction by Income Group
100%
90%
Percentage of countries that have
universally introduced vaccine
80%
70%
60%
Hib HIC
50%
Hib LIC
PCV HIC
40%
PCV LIC
30%
20%
10%
0%
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Year since first introduction
Note: Limited projections are available for PCV introduction in High Income Countries
A line graph showing the proportion of high and low income countries that have introduced or are projected to
introduce PCV and Hib vaccine over time. Year of first introduction is 1989 for Hib vaccine and 2000 for PCV.
It took 20 years for Hib vaccine to reach 70% of low income countries. PCV is projected to reach 70% of low
income countries seven years faster, protecting millions of children sooner from deadly pneumococcal disease.
17
21
22
23
Table 1. Introduction Status by Vaccine for All Countries
HIB
PNEUMO
ROTA
Country
Introduction Status
Date of Introduction
Introduction Status
AFGHANISTAN
Introduced into NIP:
Universal
1/11/2009 (Exact)
GAVI conditional
approval to introduce
ALBANIA
Introduced into NIP:
Universal
2/1/2009 (Day
Unknown)
Introduced into NIP:
Universal
ALGERIA
Introduced into NIP:
Universal
10/1/2008 (Day
Unknown)
No Decision
ANDORRA
Introduced into NIP:
Universal
1/1/1999 (Month
Unknown)
Introduced into NIP:
Universal
ANGOLA
Introduced into NIP:
Universal
1/1/2006 (Month
Unknown)
GAVI approved/
approved with
clarification
GAVI approved/
approved with
clarification
ANTIGUAANDBARBUDA Introduced into NIP:
Universal
1/1/2000 (Month
Unknown)
No Decision
No Decision
ARGENTINA
Introduced into NIP:
Universal
1/1/1997 (Month
Unknown)
Introduced into NIP:
Universal
ARMENIA
Introduced into NIP:
Universal
8/12/2009 (Exact)
GAVI approved/
approved with
clarification
AUSTRALIA
Introduced into NIP:
Universal
1/1/1993 (Month
Unknown)
Introduced into NIP:
Universal
1/1/2005 (Day
Unknown)
Introduced into NIP:
Universal
1/1/2007 (Month
Unknown)
AUSTRIA
Introduced into NIP:
Universal
1/1/1994 (Month
Unknown)
Introduced into NIP:
Risk
1/1/2002 (Month
Unknown)
Introduced into NIP:
Universal
1/1/2006 (Month
Unknown)
AZERBAIJAN
Introduced into NIP:
Universal
8/1/2011 (Day
Unknown)
GAVI approved/
approved with
clarification
BAHAMAS
Introduced into NIP:
Universal
1/1/1998 (Month
Unknown)
Introduced into NIP:
Universal
1/1/2009 (Month
Unknown)
No Decision
BAHRAIN
Introduced into NIP:
Universal
1/1/1998 (Month
Unknown)
Introduced into NIP:
Universal
6/1/2008 (Day
Unknown)
Introduced into NIP:
Universal
BANGLADESH
Introduced into NIP:
Universal
7/1/2009 (Exact)
GAVI approved/
approved with
clarification
18
Date of Introduction
Introduction Status
Date of Introduction
GAVI plan to apply
3/12/2011 (Exact)
Non-GAVI Planning
Introduction
No Decision
1/1/2007 (Month
Unknown)
1/1/2012 (Day
Unknown)
No Decision
No Decision
GAVI approved/
approved with
clarification
No Decision
GAVI plan to apply
1/1/2008 (Month
Unknown)
HIB
PNEUMO
ROTA
Country
Introduction Status
Date of Introduction
Introduction Status
Date of Introduction
Introduction Status
BARBADOS
Introduced into NIP:
Universal
1/1/2000 (Month
Unknown)
Introduced into NIP:
Universal
1/1/2009 (Month
Unknown)
No Decision
BELARUS
Introduced into NIP:
Regional
1/1/2007 (Month
Unknown)
No Decision
BELGIUM
Introduced into NIP:
Universal
1/1/1993 (Month
Unknown)
Introduced into NIP:
Universal
BELIZE
Introduced into NIP:
Universal
1/1/2001 (Month
Unknown)
No Decision
BENIN
Introduced into NIP:
Universal
1/1/2005 (Month
Unknown)
Introduced into NIP:
Universal
BHUTAN
Introduced into NIP:
Universal
9/1/2009 (Exact)
Non-GAVI Planning
Introduction
Non-GAVI Planning
Introduction
BOLIVIA
Introduced into NIP:
Universal
1/1/2000 (Month
Unknown)
GAVI approved/
approved with
clarification
Introduced into NIP:
Universal
BOSNIA AND
HERZEGOVINA
Introduced into NIP:
Universal
1/1/2008 (Day
Unknown)
No Decision
No Decision
BOTSWANA
Introduced into NIP:
Universal
11/15/2010 (Day
Unknown)
Introduced into NIP:
Universal
7/3/2012 (Exact)
Introduced into NIP:
Universal
7/3/2012 (Exact)
BRAZIL
Introduced into NIP:
Universal
1/1/1999 (Month
Unknown)
Introduced into NIP:
Universal
11/1/2010 (Day
Unknown)
Introduced into NIP:
Universal
7/1/2006 (Day
Unknown)
BRUNEI DARUSSALAM
Introduced into NIP:
Universal
1/1/2002 (Month
Unknown)
Non-GAVI Planning
Introduction
BULGARIA
Introduced into NIP:
Universal
6/1/2010 (Day
Unknown)
Introduced into NIP:
Universal
BURKINA FASO
Introduced into NIP:
Universal
1/1/2006 (Month
Unknown)
GAVI plan to apply
BURUNDI
Introduced into NIP:
Universal
1/1/2004 (Month
Unknown)
Introduced into NIP:
Universal
CAMBODIA
Introduced into NIP:
Universal
1/1/2010 (Month
Unknown)
GAVI plan to apply
19
Date of Introduction
No Decision
1/1/2006 (Day
Unknown)
Introduced into NIP:
Universal
1/1/2007 (Day
Unknown)
No Decision
7/26/2011 (Exact)
GAVI plan to apply
No Decision
6/1/2010 (Month
Unknown)
No Decision
GAVI plan to apply
9/20/2011 (Exact)
GAVI approved/
approved with
clarification
No Decision
1/1/2008 (Month
Unknown)
HIB
PNEUMO
ROTA
Country
Introduction Status
Date of Introduction
Introduction Status
Date of Introduction
Introduction Status
CAMEROON
Introduced into NIP:
Universal
2/1/2009 (Exact)
Introduced into NIP:
Universal
7/1/2011 (Exact)
GAVI approved/
approved with
clarification
CANADA
Introduced into NIP:
Universal
1/1/1992 (Month
Unknown)
Introduced into NIP:
Universal
1/1/2002 (Month
Unknown)
Introduced into NIP:
Regional
CAPE VERDE
Introduced into NIP:
Universal
1/1/2010 (Month
Unknown)
No Decision
CENTRAL AFRICAN
REPUBLIC
Introduced into NIP:
Universal
9/1/2008 (Exact)
Introduced into NIP:
Universal
CHAD
Introduced into NIP:
Universal
7/1/2008 (Exact)
No Decision
CHILE
Introduced into NIP:
Universal
1/1/1996 (Month
Unknown)
Introduced into NIP:
Universal
CHINA
Widespread coverage
through private market
COLOMBIA
Introduced into NIP:
Universal
1/1/1998 (Month
Unknown)
Introduced into NIP:
Universal
COMOROS
Introduced into NIP:
Universal
8/1/2009 (Exact)
No Decision
CONGO
Introduced into NIP:
Universal
1/13/2009 (Exact)
Introduced into NIP:
Universal
10/11/2012 (Exact)
GAVI approved/
approved with
clarification
CONGO, THE
Introduced into NIP:
DEMOCRATIC REPUBLIC Universal
OF THE
1/1/2009 (Day
Unknown)
Introduced into NIP:
Phased
3/21/2011 (Day
Unknown)
No Decision
COOK ISLANDS
Introduced into NIP:
Universal
6/1/2009 (Day
Unknown)
No Decision
COSTA RICA
Introduced into NIP:
Universal
1/1/1998 (Month
Unknown)
Introduced into NIP:
Universal
CÔTE D’IVOIRE
Introduced into NIP:
Universal
3/1/2009 (Day
Unknown)
GAVI plan to apply
20
Date of Introduction
12/1/2010 (Exact)
No Decision
6/30/2011 (Exact)
GAVI approved/
approved with
clarification
No Decision
1/1/2011 (Month
Unknown)
No Decision
No Decision
No Decision
9/1/2011 (Month
Unknown)
Introduced into NIP:
Universal
No Decision
No Decision
1/1/2008 (Month
Unknown)
Non-GAVI Planning
Introduction
GAVI plan to apply
12/1/2010 (Exact)
HIB
PNEUMO
ROTA
Country
Introduction Status
Date of Introduction
Introduction Status
CROATIA
Introduced into NIP:
Universal
1/1/2002 (Month
Unknown)
Non-GAVI Planning
Introduction
No Decision
CUBA
Introduced into NIP:
Universal
1/1/1999 (Month
Unknown)
No Decision
No Decision
CYPRUS
Introduced into NIP:
Universal
1/1/2001 (Month
Unknown)
Introduced into NIP:
Universal
1/1/2007 (Month
Unknown)
Widespread coverage
through private market
1/1/2001 (Month
Unknown)
Introduced into NIP:
Universal
1/1/2010 (Month
Unknown)
No Decision
10/1/2007 (Day
Unknown)
No Decision
CZECH REPUBLIC
Date of Introduction
Introduction Status
Date of Introduction
DENMARK
Introduced into NIP:
Universal
1/1/1993 (Month
Unknown)
Introduced into NIP:
Universal
DJIBOUTI
Introduced into NIP:
Universal
8/1/2007 (Day
Unknown)
GAVI approved/
approved with
clarification
DOMINICA
Introduced into NIP:
Universal
1/1/2006 (Month
Unknown)
Introduced into NIP:
Risk
1/1/2010 (Month
Unknown)
No Decision
DOMINICAN REPUBLIC
Introduced into NIP:
Universal
1/1/2001 (Month
Unknown)
Introduced into NIP:
Risk
9/1/2009 (Day
Unknown)
Introduced into NIP:
Universal
7/4/2012 (Exact)
ECUADOR
Introduced into NIP:
Universal
1/1/2003 (Month
Unknown)
Introduced into NIP:
Universal
8/1/2010 (Day
Unknown)
Introduced into NIP:
Universal
1/1/2007 (Month
Unknown)
EGYPT
Non-GAVI Planning
Introduction
EL SALVADOR
Introduced into NIP:
Universal
EQUATORIAL GUINEA
Non-GAVI Planning
Introduction
ERITREA
Introduced into NIP:
Universal
ESTONIA
ETHIOPIA
21
GAVI approved/
approved with
clarification
No Decision
1/1/2002 (Month
Unknown)
Introduced into NIP:
Universal
No Decision
11/1/2010 (Month
Unknown)
Introduced into NIP:
Universal
Non-GAVI Planning
Introduction
Non-GAVI Planning
Introduction
6/1/2008 (Day
Unknown)
GAVI plan to apply
GAVI plan to apply
Introduced into NIP:
Universal
1/1/2005 (Month
Unknown)
No Decision
No Decision
Introduced into NIP:
Universal
5/1/2007 (Day
Unknown)
Introduced into NIP:
Universal
10/15/2011 (Exact)
GAVI approved/
approved with
clarification
4/1/2006 (Day
Unknown)
HIB
PNEUMO
ROTA
Country
Introduction Status
Date of Introduction
Introduction Status
Date of Introduction
Introduction Status
Date of Introduction
FIJI
Introduced into NIP:
Universal
1/1/1997 (Month
Unknown)
Introduced into NIP:
Universal
9/17/2012 (Exact)
Introduced into NIP:
Universal
9/17/2012 (Exact)
FINLAND
Introduced into NIP:
Universal
1/1/1990 (Month
Unknown)
Introduced into NIP:
Universal
9/1/2010 (Day
Unknown)
Introduced into NIP:
Universal
9/1/2009 (Day
Unknown)
FRANCE
Introduced into NIP:
Universal
1/1/1992 (Month
Unknown)
Introduced into NIP:
Universal
5/1/2006 (Day
Unknown)
No Decision
GABON
Introduced into NIP:
Universal
4/2/2010 (Exact)
Non-GAVI Planning
Introduction
GAMBIA
Introduced into NIP:
Universal
5/1/1997 (Exact)
Introduced into NIP:
Universal
GEORGIA
Introduced into NIP:
Universal
1/1/2010 (Day
Unknown)
GAVI approved/
approved with
clarification
GERMANY
Introduced into NIP:
Universal
1/1/1990 (Month
Unknown)
Introduced into NIP:
Universal
7/1/2006 (Day
Unknown)
Introduced into a
regional immunization
program
1/1/2008 (Month
Unknown)
GHANA
Introduced into NIP:
Universal
1/1/2002 (Month
Unknown)
Introduced into NIP:
Universal
4/26/2012 (Exact)
Introduced into NIP:
Universal
4/26/2012 (Exact)
GREECE
Introduced into NIP:
Universal
1/1/2000 (Month
Unknown)
Introduced into NIP:
Universal
1/1/2006 (Day
Unknown)
No Decision
GRENADA
Introduced into NIP:
Universal
1/1/2000 (Month
Unknown)
No Decision
No Decision
GUATEMALA
Introduced into NIP:
Universal
1/1/2005 (Month
Unknown)
No Decision
Introduced into NIP:
Universal
GUINEA
Introduced into NIP:
Universal
11/1/2008 (Day
Unknown)
GAVI plan to apply
No Decision
GUINEA-BISSAU
Introduced into NIP:
Universal
8/30/2008 (Exact)
GAVI approved/
approved with
clarification
GAVI approved/
approved with
clarification
GUYANA
Introduced into NIP:
Universal
1/1/2001 (Month
Unknown)
Introduced into NIP:
Universal
22
No Decision
8/19/2009 (Exact)
No Decision
GAVI approved/
approved with
clarification
1/10/2011 (Exact)
Introduced into NIP:
Universal
1/1/2010 (Month
Unknown)
4/1/2010 (Day
Unknown)
HIB
PNEUMO
ROTA
Country
Introduction Status
Date of Introduction
Introduction Status
HAITI
Introduced into NIP:
Universal
9/1/2012 (Month
Unknown)
GAVI approved/
approved with
clarification
HONDURAS
Introduced into NIP:
Universal
1/1/1999 (Month
Unknown)
Introduced into NIP:
Universal
4/1/2011 (Exact)
Introduced into NIP:
Universal
HUNGARY
Introduced into NIP:
Universal
1/1/1999 (Month
Unknown)
Introduced into NIP:
Universal
4/1/2009 (Day
Unknown)
No Decision
ICELAND
Introduced into NIP:
Universal
5/1/1989 (Day
Unknown)
Introduced into NIP:
Universal
1/1/2011 (Month
Unknown)
No Decision
INDIA
Introduced into NIP:
Phased
12/14/2011 (Exact)
Non-GAVI Planning
Introduction
Non-GAVI Planning
Introduction
INDONESIA
GAVI approved/
approved with
clarification
Non-GAVI Planning
Introduction
Non-GAVI Planning
Introduction
IRAN, ISLAMIC
REPUBLIC OF
Introduced into NIP:
Universal
9/1/2011 (Day
Unknown)
No Decision
Non-GAVI Planning
Introduction
IRAQ
Introduced into NIP:
Universal
1/1/2012 (Day
Unknown)
Non-GAVI Planning
Introduction
Introduced into NIP:
Universal
IRELAND
Introduced into NIP:
Universal
1/1/1992 (Month
Unknown)
Introduced into NIP:
Universal
9/1/2008 (Day
Unknown)
No Decision
ISRAEL
Introduced into NIP:
Universal
1/1/1994 (Month
Unknown)
Introduced into NIP:
Universal
7/1/2009 (Day
Unknown)
Introduced into NIP:
Universal
ITALY
Introduced into NIP:
Universal
1/1/1999 (Month
Unknown)
Introduced into NIP:
Universal
5/1/2005 (Day
Unknown)
No Decision
JAMAICA
Introduced into NIP:
Universal
1/1/2003 (Month
Unknown)
Introduced into NIP:
Risk
7/1/2010 (Day
Unknown)
No Decision
JAPAN
Introduced into NIP:
Universal
11/1/2010 (Day
Unknown)
Introduced into NIP:
Universal
11/1/2010 (Day
Unknown)
Non-GAVI Planning
Introduction
JORDAN
Introduced into NIP:
Universal
1/1/2001 (Month
Unknown)
KAZAKHSTAN
Introduced into NIP:
Universal
7/1/2008 (Day
Unknown)
23
Date of Introduction
Introduction Status
GAVI approved/
approved with
clarification
Non-GAVI Planning
Introduction
Introduced into NIP:
Universal
Date of Introduction
1/1/2011 (Month
Unknown)
No Decision
1/1/2009 (Month
Unknown)
1/1/2012 (Day
Unknown)
1/1/2010 (Month
Unknown)
HIB
PNEUMO
ROTA
Country
Introduction Status
Date of Introduction
Introduction Status
Date of Introduction
Introduction Status
KENYA
Introduced into NIP:
Universal
1/1/2001 (Month
Unknown)
Introduced into NIP:
Universal
2/14/2011 (Exact)
GAVI conditional
approval to introduce
KIRIBATI
Introduced into NIP:
Universal
9/1/2008 (Day
Unknown)
GAVI approved/
approved with
clarification
GAVI plan to apply
KOREA, DEMOCRATIC
PEOPLE’S REPUBLIC OF
Introduced into NIP:
Universal
7/12/2012 (Exact)
No Decision
No Decision
KOREA, REPUBLIC OF
No Decision
KUWAIT
Introduced into NIP:
Universal
KYRGYZSTAN
Introduced into NIP:
Universal
Widespread coverage
through private market
1/1/2004 (Month
Unknown)
No Decision
1/1/1998 (Month
Unknown)
Introduced into NIP:
Universal
1/1/2007 (Month
Unknown)
Non-GAVI Planning
Introduction
4/1/2009 (Exact)
GAVI plan to apply
GAVI plan to apply
LAO PEOPLE’S
Introduced into NIP:
DEMOCRATIC REPUBLIC Universal
9/8/2009 (Day
Unknown)
GAVI approved/
approved with
clarification
No Decision
LATVIA
Introduced into NIP:
Universal
1/1/1994 (Month
Unknown)
Introduced into NIP:
Universal
1/1/2010 (Month
Unknown)
Non-GAVI Planning
Introduction
LEBANON
Introduced into NIP:
Universal
1/1/2003 (Month
Unknown)
Introduced into NIP:
Risk
3/1/2012 (Day
Unknown)
No Decision
LESOTHO
Introduced into NIP:
Universal
12/12/2008 (Exact)
GAVI approved/
approved with
clarification
GAVI plan to apply
LIBERIA
Introduced into NIP:
Universal
1/1/2008 (Day
Unknown)
GAVI approved/
approved with
clarification
GAVI plan to apply
LIBYAN ARAB
JAMAHIRIYA
Introduced into NIP:
Universal
1/1/2007 (Month
Unknown)
Non-GAVI Planning
Introduction
Non-GAVI Planning
Introduction
LITHUANIA
Introduced into NIP:
Universal
1/1/2004 (Month
Unknown)
Non-GAVI Planning
Introduction
No Decision
LUXEMBOURG
Introduced into NIP:
Universal
1/1/1994 (Month
Unknown)
Introduced into NIP:
Universal
24
1/1/2005 (Day
Unknown)
Introduced into NIP:
Universal
Date of Introduction
1/1/2006 (Month
Unknown)
HIB
PNEUMO
ROTA
Country
Introduction Status
Date of Introduction
Introduction Status
MACEDONIA, THE
FORMER YUGOSLAV
REPUBLIC OF
Introduced into NIP:
Universal
9/1/2008 (Day
Unknown)
No Decision
No Decision
MADAGASCAR
Introduced into NIP:
Universal
7/1/2008 (Day
Unknown)
GAVI approved/
approved with
clarification
GAVI approved/
approved with
clarification
MALAWI
Introduced into NIP:
Universal
1/1/2002 (Month
Unknown)
Introduced into NIP:
Universal
MALAYSIA
Introduced into NIP:
Universal
1/1/2002 (Month
Unknown)
No Decision
No Decision
MALDIVES
Non-GAVI Planning
Introduction
No Decision
No Decision
MALI
Introduced into NIP:
Universal
1/1/2007 (Month
Unknown)
Introduced into NIP:
Universal
3/15/2011 (Exact)
GAVI plan to apply
MALTA
Introduced into NIP:
Universal
1/1/1996 (Month
Unknown)
Introduced into NIP:
Universal
1/1/2011 (Month
Unknown)
No Decision
MARSHALL ISLANDS
Introduced into NIP:
Universal
1/1/1998 (Month
Unknown)
Introduced into NIP:
Universal
1/1/2009 (Month
Unknown)
Introduced into NIP:
Universal
MAURITANIA
Introduced into NIP:
Universal
3/1/2009 (Exact)
GAVI approved/
approved with
clarification
GAVI plan to apply
MAURITIUS
Introduced into NIP:
Universal
1/1/2006 (Month
Unknown)
Non-GAVI Planning
Introduction
No Decision
MEXICO
Introduced into NIP:
Universal
1/1/1999 (Month
Unknown)
Introduced into NIP:
Universal
1/1/2008 (Month
Unknown)
Introduced into NIP:
Universal
2/1/2006 (Day
Unknown)
MICRONESIA,
FEDERATED STATES OF
Introduced into NIP:
Universal
1/1/1996 (Month
Unknown)
Introduced into NIP:
Universal
3/1/2008 (Month
Unknown)
Introduced into NIP:
Universal
4/1/2008 (Day
Unknown)
MOLDOVA, REPUBLIC OF Introduced into NIP:
Universal
1/1/2009 (Day
Unknown)
GAVI approved/
approved with
clarification
Introduced into NIP:
Universal
7/1/2012 (Day
Unknown)
MONACO
1/1/2002 (Month
Unknown)
No Decision
No Decision
25
Introduced into NIP:
Universal
Date of Introduction
11/12/2011 (Exact)
Introduction Status
Date of Introduction
GAVI approved/
approved with
clarification
1/1/2009 (Month
Unknown)
HIB
PNEUMO
ROTA
Country
Introduction Status
Date of Introduction
Introduction Status
Date of Introduction
Introduction Status
MONGOLIA
Introduced into NIP:
Universal
1/1/2005 (Month
Unknown)
Introduced into a
regional immunization
program
1/1/2012 (Month
Unknown)
No Decision
MONTENEGRO
Introduced into NIP:
Universal
1/1/2006 (Month
Unknown)
No Decision
MOROCCO
Introduced into NIP:
Universal
1/1/2007 (Month
Unknown)
Introduced into NIP:
Universal
MOZAMBIQUE
Introduced into NIP:
Universal
10/1/2009 (Day
Unknown)
GAVI approved/
approved with
clarification
GAVI plan to apply
MYANMAR
GAVI approved/
approved with
clarification
No Decision
No Decision
NAMIBIA
Introduced into NIP:
Universal
9/9/2009 (Exact)
Non-GAVI Planning
Introduction
No Decision
NAURU
Introduced into NIP:
Universal
1/1/2009 (Month
Unknown)
No Decision
No Decision
NEPAL
Introduced into NIP:
Universal
12/1/2009 (Day
Unknown)
GAVI plan to apply
No Decision
NETHERLANDS
Introduced into NIP:
Universal
1/1/1993 (Month
Unknown)
Introduced into NIP:
Universal
6/1/2006 (Day
Unknown)
No Decision
NEW ZEALAND
Introduced into NIP:
Universal
1/1/1994 (Month
Unknown)
Introduced into NIP:
Universal
6/1/2008 (Day
Unknown)
No Decision
NICARAGUA
Introduced into NIP:
Universal
1/1/1999 (Month
Unknown)
Introduced into NIP:
Universal
12/12/2010 (Exact)
Introduced into NIP:
Universal
NIGER
Introduced into NIP:
Universal
9/22/2008 (Exact)
GAVI approved/
approved with
clarification
GAVI approved/
approved with
clarification
NIGERIA
Introduced into NIP:
Phased
6/7/2012 (Exact)
GAVI approved/
approved with
clarification
Non-GAVI Planning
Introduction
NIUE
Introduced into NIP:
Universal
1/1/1998 (Month
Unknown)
Introduced into NIP:
Universal
26
Date of Introduction
No Decision
10/20/2010 (Exact)
1/1/2009 (Month
Unknown)
Introduced into NIP:
Universal
No Decision
10/20/2010 (Exact)
1/1/2006 (Month
Unknown)
HIB
PNEUMO
ROTA
Country
Introduction Status
Date of Introduction
Introduction Status
Date of Introduction
Introduction Status
NORWAY
Introduced into NIP:
Universal
1/1/1992 (Month
Unknown)
Introduced into NIP:
Universal
7/1/2006 (Day
Unknown)
No Decision
OMAN
Introduced into NIP:
Universal
1/1/2001 (Month
Unknown)
Introduced into NIP:
Universal
1/1/2008 (Month
Unknown)
Non-GAVI Planning
Introduction
PAKISTAN
Introduced into NIP:
Universal
10/1/2008 (Day
Unknown)
Introduced into NIP:
Universal
10/9/2012 (Exact)
GAVI plan to apply
PALAU
Introduced into NIP:
Universal
1/1/1998 (Month
Unknown)
Introduced into NIP:
Universal
3/1/2008 (Day
Unknown)
Introduced into NIP:
Universal
12/1/2008 (Month
Unknown)
PANAMA
Introduced into NIP:
Universal
1/1/2000 (Month
Unknown)
Introduced into NIP:
Universal
1/1/2010 (Month
Unknown)
Introduced into NIP:
Universal
2/1/2006 (Day
Unknown)
PAPUA NEW GUINEA
Introduced into NIP:
Universal
4/1/2008 (Day
Unknown)
GAVI approved/
approved with
clarification
PARAGUAY
Introduced into NIP:
Universal
1/1/2002 (Month
Unknown)
Introduced into NIP:
Universal
3/1/2012 (Day
Unknown)
Introduced into NIP:
Universal
1/1/2010 (Month
Unknown)
PERU
Introduced into NIP:
Universal
1/1/2005 (Month
Unknown)
Introduced into NIP:
Universal
1/1/2009 (Month
Unknown)
Introduced into NIP:
Universal
1/1/2009 (Month
Unknown)
PHILIPPINES
Introduced into NIP:
Universal
1/1/2011 (Month
Unknown)
Non-GAVI Planning
Introduction
Introduced into NIP:
Phased
4/1/2012 (Day
Unknown)
POLAND
Introduced into NIP:
Universal
4/1/2007 (Day
Unknown)
No Decision
No Decision
PORTUGAL
Introduced into NIP:
Universal
1/1/2000 (Month
Unknown)
Widespread coverage
through private market
1/1/2001 (Month
Unknown)
No Decision
QATAR
Introduced into NIP:
Universal
1/1/1996 (Month
Unknown)
Introduced into NIP:
Universal
1/1/2005 (Month
Unknown)
Introduced into NIP:
Universal
ROMANIA
Introduced into NIP:
Universal
3/1/2010 (Day
Unknown)
No Decision
No Decision
RUSSIAN FEDERATION
Non-GAVI Planning
Introduction
No Decision
No Decision
RWANDA
Introduced into NIP:
Universal
27
1/1/2002 (Month
Unknown)
Introduced into NIP:
Universal
Date of Introduction
No Decision
7/13/2009 (Day
Unknown)
Introduced into NIP:
Universal
1/1/2009 (Month
Unknown)
5/25/2012 (Exact)
HIB
Country
ROTA
Date of Introduction
Introduction Status
SAINT KITTS AND NEVIS Introduced into NIP:
Universal
1/1/2000 (Month
Unknown)
No Decision
No Decision
SAINT LUCIA
Introduced into NIP:
Universal
1/1/2002 (Month
Unknown)
No Decision
No Decision
SAINT VINCENT AND THE Introduced into NIP:
GRENADINES
Universal
1/1/2003 (Month
Unknown)
No Decision
No Decision
SAMOA
Introduced into NIP:
Universal
1/1/2007 (Month
Unknown)
No Decision
No Decision
SAN MARINO
Introduced into NIP:
Universal
1/1/1996 (Month
Unknown)
No Decision
No Decision
SAO TOME AND
PRINCIPE
Introduced into NIP:
Universal
10/1/2009 (Month
Unknown)
GAVI approved/
approved with
clarification
GAVI plan to apply
SAUDIA ARABIA
Introduced into NIP:
Universal
1/1/2002 (Month
Unknown)
Introduced into NIP:
Universal
SENEGAL
Introduced into NIP:
Universal
1/1/2005 (Month
Unknown)
GAVI approved/
approved with
clarification
GAVI plan to apply
SERBIA
Introduced into NIP:
Universal
1/1/2006 (Month
Unknown)
No Decision
No Decision
SEYCHELLES
Introduced into NIP:
Universal
11/1/2010 (Exact)
No Decision
No Decision
SIERRA LEONE
Introduced into NIP:
Universal
1/1/2007 (Day
Unknown)
Introduced into NIP:
Universal
1/28/2011 (Exact)
GAVI approved/
approved with
clarification
SINGAPORE
Non-GAVI Planning
Introduction
Introduced into NIP:
Universal
11/1/2009 (Exact)
No Decision
SLOVAKIA
Introduced into NIP:
Universal
1/1/2000 (Month
Unknown)
Introduced into NIP:
Universal
1/1/2009 (Month
Unknown)
No Decision
SLOVENIA
Introduced into NIP:
Universal
1/1/2000 (Month
Unknown)
Introduced into NIP:
Risk
1/1/2005 (Month
Unknown)
No Decision
SOLOMON ISLANDS
Introduced into NIP:
Universal
8/1/2008 (Exact)
GAVI plan to apply
28
Introduction Status
PNEUMO
Date of Introduction
3/1/2009 (Day
Unknown)
Introduction Status
Non-GAVI Planning
Introduction
No Decision
Date of Introduction
HIB
PNEUMO
Country
Introduction Status
SOMALIA
GAVI approved/
approved with
clarification
SOUTH AFRICA
Introduced into NIP:
Universal
1/1/1999 (Month
Unknown)
Introduced into NIP:
Universal
4/1/2009 (Exact)
Introduced into NIP:
Universal
SPAIN
Introduced into NIP:
Universal
1/1/1998 (Month
Unknown)
Introduced into NIP:
Risk
1/1/2003 (Month
Unknown)
No Decision
SRI LANKA
Introduced into NIP:
Universal
1/1/2008 (Exact)
No Decision
Non-GAVI Planning
Introduction
SUDAN
Introduced into NIP:
Universal
1/2/2008 (Exact)
GAVI approved/
approved with
clarification
Introduced into NIP:
Universal
SUDAN, REPUBLIC OF
SOUTH
GAVI plan to apply
No Decision
No Decision
SURINAME
Introduced into NIP:
Universal
1/1/2005 (Month
Unknown)
No Decision
No Decision
SWAZILAND
Introduced into NIP:
Universal
6/4/2009 (Exact)
Non-GAVI Planning
Introduction
Non-GAVI Planning
Introduction
SWEDEN
Introduced into NIP:
Universal
1/1/1992 (Month
Unknown)
Introduced into NIP:
Universal
1/1/2009 (Day
Unknown)
No Decision
SWITZERLAND
Introduced into NIP:
Universal
1/1/1990 (Month
Unknown)
Introduced into NIP:
Universal
1/1/2006 (Month
Unknown)
No Decision
SYRIAN ARAB REPUBLIC Introduced into NIP:
Universal
1/1/2001 (Month
Unknown)
No Decision
No Decision
TAJIKISTAN
Introduced into NIP:
Universal
8/1/2008 (Day
Unknown)
GAVI plan to apply
GAVI plan to apply
TANZANIA, UNITED
REPUBLIC OF
Introduced into NIP:
Universal
4/1/2009 (Exact)
GAVI approved/
approved with
clarification
GAVI approved/
approved with
clarification
THAILAND
No Decision
No Decision
Introduced into a
regional immunization
program
29
Date of Introduction
Introduction Status
ROTA
Date of Introduction
No Decision
Introduction Status
Date of Introduction
No Decision
8/1/2009 (Exact)
7/18/2011 (Exact)
9/1/2012 (Month
Unknown)
HIB
Country
Introduction Status
TIMOR-LESTE
GAVI approved/
approved with
clarification
TOGO
Introduced into NIP:
Universal
TONGA
PNEUMO
Date of Introduction
Introduction Status
ROTA
Date of Introduction
Introduction Status
No Decision
Non-GAVI Planning
Introduction
7/3/2008 (Exact)
GAVI approved/
approved with
clarification
GAVI approved/
approved with
clarification
Introduced into NIP:
Universal
1/1/2005 (Month
Unknown)
No Decision
No Decision
TRINIDAD AND TOBAGO Introduced into NIP:
Universal
1/1/1999 (Month
Unknown)
Introduced into NIP:
Risk
TUNISIA
Introduced into NIP:
Universal
4/1/2011 (Day
Unknown)
No Decision
TURKEY
Introduced into NIP:
Universal
1/1/2006 (Month
Unknown)
Introduced into NIP:
Universal
TURKMENISTAN
Introduced into NIP:
Universal
12/1/2010 (Month
Unknown)
No Decision
No Decision
TUVALU
Introduced into NIP:
Universal
7/1/2009 (Day
Unknown)
No Decision
No Decision
UGANDA
Introduced into NIP:
Universal
1/1/2002 (Month
Unknown)
GAVI approved/
approved with
clarification
GAVI plan to apply
UKRAINE
Introduced into NIP:
Universal
9/1/2006 (Day
Unknown)
No Decision
No Decision
UNITED ARAB EMIRATES Introduced into NIP:
Universal
1/1/1999 (Month
Unknown)
Introduced into NIP:
Universal
6/1/2007 (Month
Unknown)
Non-GAVI Planning
Introduction
UNITED KINGDOM
Introduced into NIP:
Universal
1/1/1992 (Month
Unknown)
Introduced into NIP:
Universal
9/1/2006 (Day
Unknown)
No Decision
UNITED STATES
Introduced into NIP:
Universal
1/1/1990 (Month
Unknown)
Introduced into NIP:
Universal
7/1/2000 (Day
Unknown)
Introduced into NIP:
Universal
URUGUAY
Introduced into NIP:
Universal
1/1/1994 (Month
Unknown)
Introduced into NIP:
Universal
3/1/2008 (Day
Unknown)
No Decision
UZBEKISTAN
Introduced into NIP:
Universal
3/1/2009 (Day
Unknown)
GAVI plan to apply
30
1/1/2009 (Month
Unknown)
Date of Introduction
No Decision
No Decision
11/1/2008 (Day
Unknown)
No Decision
GAVI plan to apply
1/1/2006 (Month
Unknown)
HIB
PNEUMO
Country
Introduction Status
Date of Introduction
Introduction Status
VANUATU
Introduced into NIP:
Universal
1/31/2011 (Day
Unknown)
No Decision
VENEZUELA
Introduced into NIP:
Universal
1/1/2000 (Month
Unknown)
VIET NAM
Introduced into NIP:
Universal
6/1/2010 (Exact)
GAVI plan to apply
YEMEN
Introduced into NIP:
Universal
1/1/2005 (Month
Unknown)
Introduced into NIP:
Universal
ZAMBIA
Introduced into NIP:
Universal
2/1/2004 (Day
Unknown)
GAVI approved/
approved with
clarification
ZIMBABWE
Introduced into NIP:
Universal
1/1/2008 (Day
Unknown)
Introduced into NIP:
Universal
31
ROTA
Date of Introduction
Introduction Status
Date of Introduction
No Decision
Non-GAVI Planning Introduction
No Decision
Introduced into NIP:
Universal
1/1/2006 (Month
Unknown)
GAVI plan to apply
1/29/2011 (Exact)
7/26/2012 (Exact)
Introduced into NIP:
Universal
8/1/2012 (Day
Unknown)
Introduced into a
regional immunization
program
1/23/2012 (Exact)
GAVI approved/
approved with
clarification
ACKNOWLEDGEMENTS AND NOTES
This report and the Vaccine Information Management System (VIMS) is supported by the GAVI Alliance through the
Accelerated Vaccine Initiative Technical Assistance Consortium (AVI TAC). This report has been generated by the Vaccine
Information Management System (VIMS) database developed and maintained at the Johns Hopkins Bloomberg School of
Public Health for use by the International Vaccine Access Center (IVAC) and its affiliated projects and partners. VIMS provides
a centralized, web-based warehouse for key information related to work in vaccine access that all interested parties can use.
Information was gathered from internationally recognized sources, such as UNICEF, World Health Organization, vaccine
manufacturers, ministries of health and news media.
Please note that all forecasted dates in this report rest on assumptions and actual dates may vary.
Vaccine introduction dates do not imply an obligation by GAVI to support coverage.
All information, methodologies and sources are available in the VIMS database.
This report can be found at: http://www.jhsph.edu/ivac/index.html. The full report and a PowerPoint presentation with
graphics can be found in the VIMS database. To gain access to VIMS, please email [email protected].
32
SOURCES
GAVI Eligibility Status
DTP3 Coverage Rate
Surviving Infants
Projected Introduction Dates
Dates of Introduction
Current Vaccine Use Status
and Program Type
33
GAVI Alliance. GAVI Eligible Countries. 2011. Last accessed February 24, 2012 at
http://www.gavialliance.org/support/apply/countries-eligible-for-support/
World Health Organization. WHO Vaccine Preventable Diseases Monitoring System
(WHO/UNICEF Best Estimates). Aug 3, 2011. Last accessed Sept, 2011 at:
http://www.who.int/immunization_monitoring/data/data_subject/en/index.html
UNICEF. Immunization Summary (2012 Edition): A Statistical Reference Containing
Data through 2010. Last accessed February 24, 2012 at: http://www.childinfo.org/
immunization.html
This information comes from a variety of sources, primarily the most recent AVI
Strategic Demand Forecast and WHO regional projections. For more information,
please contact [email protected]
This information comes from a variety of sources, such as the GAVI Alliance,
WHO, UNICEF, ministries of health, the news media and IVAC partners/contacts.
For more information, please contact [email protected]
It is cross-referenced with WHO information (below).
Vaccine Introduction. World Health Organization. 2012. Updated 29 Feb, 2012.
Accessed at: http://www.who.int/entity/immunization_monitoring/data/year_
vaccine_introduction.xls
This information comes from a variety of sources, such as the GAVI Alliance,
WHO, UNICEF, ministries of health, the news media and IVAC partners/contacts.
For more information, please contact [email protected]
SELECTED KEY TERMS
Any definitions not provided below can be found in the Glossary located in the Help section in VIMS.
Approved: the application meets all the criteria and is approved for GAVI support.
Approved with clarification: the application lacks specific pieces of data, which must be provided generally within a
month. Data must be received before the application is considered officially approved for GAVI Support.
Children with access: the number of children (based on surviving infants 2010) who live in a country that has introduced
the vaccine into the national immunization program. This does not include countries with widespread market use or
high-risk programs. For regional introductions, those regions that have introduced may be included and the regions
which have not introduced excluded.
Covered Children: the number of children (based on surviving infants of 2010) who are likely to receive the vaccination
based upon the coverage rates of countries who have introduced. The WHO/UNICEF best estimate DTP3 vaccination
coverage rate is used as a proxy for Hib, Pneumo and Rotavirus rates.
Introduced into national immunization program: the vaccine has been incorporated into the national government’s
immunization program, either for all children or at-risk subset and it may include programs that are being phased in
over time. This status can apply to any country, regardless of GAVI eligibility.
Introduced into regional immunization program: the vaccine has been introduced into the vaccination schedule for a
geographic subset of the country. This status can apply to any country, regardless of GAVI eligibility.
GAVI application submitted under review: the country has submitted a New and Underused Vaccines Support (NVS)
application for this vaccine and is awaiting GAVI evaluation.
GAVI approved/clarification: the country’s application to GAVI for New and Underused Vaccines Support (NVS) financing
for this vaccine has been approved or approved with clarifications.
GAVI conditional approval to introduce: the application to GAVI for New and Underused Vaccines Support (NVS) for
this vaccine does not fulfill specific or significant application requirements. Missing requirements must be provided in
a subsequent round to complement the original application. If the conditions are not met within the given timeframe
after the first submission, re-submission of a new application is required.
GAVI resubmission: the New and Underused Vaccines Support (NVS) application for this vaccine is incomplete and a
full application should be submitted in a future round.
GAVI plan to apply: country has made a public statement (through government or other recommending body on vaccines)
that they plan to introduce the vaccine and apply for GAVI New and Underused Vaccines Support (NVS), but has not
yet submitted an application.
No Decision: the country has not indicated a firm decision to introduce the vaccine into its national immunization
program or to apply for GAVI New and Underused Vaccines Support (NVS) for the vaccine.
Non-GAVI Planning Introduction: a country that is not eligible for GAVI support has plans to introduce the vaccine
into its national immunization program, and has taken steps to initiate its program, such as contacting the vaccine
manufacturer. OR A country that is eligible for GAVI support and plans to introduce without it.
34
Planning Introduction: is the combination of countries that have announced plans to apply for GAVI support, GAVI
countries that have announced plans to introduce the vaccine without GAVI support, or non-GAVI countries that have
announced a plan to introduce.
Risk: program for this vaccine only covers children in specific high risk groups—this may include children with health
conditions, those of vulnerable socioeconomic statuses or ethnic groups, or those living in regions of high risk.
Regional: local government immunization programs, but the national government has not included the vaccine in its
immunization program.
Unknown: sources differ or are unclear on whether this country has a national program or not.
Widespread coverage through private market: most (over half) of the target population is receiving the vaccine through
private market use.
35
APPENDIX
VIMS was conceived at the Johns Hopkins Bloomberg School of Public Health as a collaborative project between the
Hib Initiative, PneumoADIP and the GAVI Alliance. It provides a centralized, web-based warehouse for key information
related to the vaccine access. This includes data on the global uptake of Hib, Pneumococcal, Rotavirus and Hep B
vaccines; demographic indicators; and tools for strategic social mapping of key vaccine policy stakeholders and decision
makers. The data contained in VIMS can be accessed using the search functions within each tab, or downloaded via
the report generation functions. The data are continuously updated as information is received, so as to permit real time
reporting.
VIMS has been under development since 2008 and is now in full operational use by the International Vaccine Access
Center (IVAC). Bringing together inputs from a range of sources into one secure location, we believe this tool could be
of great use to the global vaccine community and are rolling it out to key partners.
Support and funding for VIMS is provided by the GAVI Alliance Accelerated Vaccine Initiative Technical Assistance
Consortium (AVI TAC).
Use of VIMS:
Using VIMS, stakeholders can generate their own custom reports based on any combination of countries, demographic
data, and vaccine information, or print out specific country reports as needed.
Due to the sensitive nature of some of the information in VIMS, only authorized parties are given access to the system.
If you have further questions or would like to learn how to obtain a user ID for access to VIMS, please contact the
VIMS team at [email protected].
Any data on projected introduction dates should not be reproduced or disseminated without prior consent from VIMS
personnel. If data is used in a presentation, please cite VIMS accordingly:
Source: IVAC, Johns Hopkins Bloomberg School of Public Health. Vaccine Information Management System (VIMS)
Global Vaccine Introduction Report, October, 2012. www.jhsph.edu/ivac/vims.html. Accessed: Date of access.
Information on a particular country’s GAVI application status may be confidential. Please do not share this information
publicly without consent from VIMS personnel.
36