India: WHO and UNICEF estimates of immunization coverage: 2016 revision

July 4, 2017; page 1 WHO and UNICEF estimates of national immunization coverage - next revision available July 15, 2018 data received as of July 3, 2017
 India: WHO and UNICEF estimates of immunization coverage: 2016 revision

BACKGROUND NOTE: Each year WHO and UNICEF jointly review reports submitted by Member immunization and/or campaign or (ii) a sequential schedule of IPV followed by OPV, WHO and
States regarding national immunization coverage, finalized survey reports as well as data from the UNICEF estimates for IPV1 reflect coverage with at least one routine dose of IPV among infants
published and grey literature. Based on these data, with due consideration to potential biases and the <1 year of age among countries. For countries utilizing IPV containing vaccine use only, i.e., no
views of local experts, WHO and UNICEF attempt to distinguish between situations where the recommended dose of OPV, the WHO and UNICEF estimate for IPV1 corresponds to coverage
available empirical data accurately reflect immunization system performance and those where the data for the 1st dose of IPV.
are likely to be compromised and present a misleading view of immunization coverage while jointly Production of IPV coverage estimates, which begins in 2015, results in no change of the
estimating the most likely coverage levels for each country. estimated coverage levels for the 3rd dose of polio (Pol3). For countries recommending routine
immunization with a primary series of three doses of IPV alone, WHO and UNICEF estimated
WHO and UNICEF estimates are country-specific; that is to say, each country’s data are reviewed Pol3 coverage is equivalent to estimated coverage with three doses of IPV. For countries with a
individually, and data are not borrowed from other countries in the absence of data. Estimates are not sequential schedule, estimated Pol3 coverage is based on that for the 3rd dose of polio vaccine
based on ad hoc adjustments to reported data; in some instances empirical data are available from a regardless of vaccine type.
single source, usually the nationally reported coverage data. In cases where no data are available for a MCV1: percentage of surviving infants who received the 1st dose of measles containing vaccine. In
given country/vaccine/year combination, data are considered from earlier and later years and countries where the national schedule recommends the 1st dose of MCV at 12 months or later
interpolated to estimate coverage for the missing year(s). In cases where data sources are mixed and based on the epidemiology of disease in the country, coverage estimates reflect the percentage of
show large variation, an attempt is made to identify the most likely estimate with consideration of the children who received the 1st dose of MCV as recommended.
possible biases in available data. For methods see:
MCV2: percentage of children who received the 2nd dose of measles containing vaccine according to
*Burton et al. 2009. WHO and UNICEF estimates of national infant immunization coverage: methods the nationally recommended schedule.
and processes.
RCV1: percentage of surviving infants who received the 1st dose of rubella containing vaccine. Co
*Burton et al. 2012. A formal representation of the WHO and UNICEF estimates of national
verage estimates are based on WHO and UNICEF estimates of coverage for the dose of measles
immunization coverage: a computational logic approach.
containing vaccine that corresponds to the first measles-rubella combination vaccine. Nationally
*Brown et al. 2013. An introduction to the grade of confidence used to characterize uncertainty around
reported coverage of RCV is not taken into consideration nor are the data represented in the
the WHO and UNICEF estimates of national immunization coverage.
accompanying graph and data table.
HepBB: percentage of births which received a dose of hepatitis B vaccine within 24 hours of delivery.
DATA SOURCES.
Estimates of hepatitis B birth dose coverage are producted only for countries with a universal
ADMINISTRATIVE coverage: Reported by national authorities and based on aggregated birth dose policy. Estimates are not produced for countries that recommend a birth dose to
administrative reports from health service providers on the number of vaccinations administered infants born to HepB virus-infected mothers only or where there is insufficient information to
during a given period (numerator data) and reported target population data (denominator data). determine whether vaccination is within 24 hours of birth.
May be biased by inaccurate numerator and/or denominator data. HepB3: percentage of surviving infants who received the 3rd dose of hepatitis B containing vaccine
OFFICIAL coverage: Estimated coverage reported by national authorities that reflects their following the birth dose.
assessment of the most likely coverage based on any combination of administrative coverage, Hib3: percentage of surviving infants who received the 3rd dose of Haemophilus influenzae type b
survey-based estimates or other data sources or adjustments. Approaches to determine containing vaccine.
OFFICIAL coverage may differ across countries.
RotaC: percentage of surviving infants who received the final recommended dose of rotavirus vaccine,
SURVEY coverage: Based on estimated coverage from population-based household surveys among which can be either the 2nd or the 3rd dose depending on the vaccine.
children aged 12-23 months or 24-35 months following a review of survey methods and results. PcV3: percentage of surviving infants who received the 3rd dose of pneumococcal conjugate vaccine.
Information is based on the combination of vaccination history from documented evidence or In countries where the national schedule recommends two doses during infancy and a booster
caregiver recall. Survey results are considered for the appropriate birth cohort based on the dose at 12 months or later based on the epidemiology of disease in the country, coverage
period of data collection. estimates may reflect the percentage of surviving infants who received two doses of PcV prior to
the 1st birthday.
ABBREVIATIONS YFV: percentage of surviving infants who received one dose of yellow fever vaccine in countries where
BCG: percentage of births who received one dose of Bacillus Calmette Guerin vaccine. YFV is part of the national immunization schedule for children or is recommended in at risk
areas; coverage estimates are annualized for the entire cohort of surviving infants.
DTP1 / DTP3: percentage of surviving infants who received the 1st / 3rd dose, respectively, of
diphtheria and tetanus toxoid with pertussis containing vaccine. Disclaimer: All reasonable precautions have been taken by the World Health Organization and
Pol3: percentage of surviving infants who received the 3rd dose of polio containing vaccine. May be United Nations Children’s Fund to verify the information contained in this publication. However,
either oral or inactivated polio vaccine. the published material is being distributed without warranty of any kind, either expressed or
implied. The responsibility for the interpretation and use of the material lies with the reader. In
IPV1: percentage of surviving infants who received at least one dose of inactivated polio vaccine. In
no event shall the World Health Organization or United Nations Children’s Fund be liable for
countries utilizing an immunization schedule recommending either (i) a primary series of three
damages arising from its use.
doses of oral polio vaccine (OPV) plus at least one dose of IPV where OPV is included in routine

July 4, 2017; page 2 WHO and UNICEF estimates of national immunization coverage - next revision available July 15, 2018 data received as of July 3, 2017
 India - BCG
Description:

2016: Estimate based on coverage reported by national government. The reporting cycle for
the Government of India is from April 1 through March 31. Reported data for April-
December 2015 are provisional. Results from the National Family Health Survey 2015-16
Fact Sheet suggests coverage of 93 percent. GoC=R+ D+
2015: Estimate based on coverage reported by national government. GoC=R+ D+
2014: Estimate based on interpolation between data reported by national government. During
May 2015, the Government of India conducted a review of state-level administrative and
survey-based coverage data to derive a revised time series of official coverage estimates
from 1998 through 2013. WHO and UNICEF are aware of recent state-level surveys
conducted in high-risk states as well as on-going routine coverage monitoring. GoC=S+
2013: Estimate based on coverage reported by national government. GoC=R+ S+ D+
2012: Estimate based on coverage reported by national government supported by survey. Survey
evidence of 91 percent based on 1 survey(s). GoC=R+ S+ D+
2011: Estimate based on coverage reported by national government. GoC=R+ S+ D+
2010: Estimate based on coverage reported by national government. GoC=R+ S+ D+
2009: Estimate based on coverage reported by national government. GoC=R+ S+ D+
2008: Estimate based on coverage reported by national government supported by survey. Survey
evidence of 87 percent based on 1 survey(s). Estimate challenged by: D-
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2007: Estimate based on coverage reported by national government supported by survey. Survey
Estimate 86 86 87 86 88 89 90 90 91 89 87 89 evidence of 87 percent based on 1 survey(s). GoC=R+ S+ D+
Estimate GoC • • ••• • ••• ••• ••• ••• ••• •• •• ••
2006: Estimate based on coverage reported by national government supported by survey. Survey
Official 86 86 87 86 88 89 90 90 91 NA 87 89
Administrative 104 102 100 108 101 95 93 93 93 NA 87 89
evidence of 87 percent based on 1 survey(s). Estimate challenged by: D-
Survey 78 87 87 87 NA NA NA 91 NA NA NA NA 2005: Estimate based on coverage reported by national government supported by survey. Survey
evidence of 78 percent based on 1 survey(s). Estimate challenged by: D-
The WHO and UNICEF estimates of national immunization coverage (wuenic) are based on data and information
that are of varying, and, in some instances, unknown quality. Beginning with the 2011 revision we describe
the grade of confidence (GoC) we have in these estimates. As there is no underlying probability model upon
which the estimates are based, we are unable to present classical measures of uncertainty, e.g., confidence
intervals. Moreover, we have chosen not to make subjective estimates of plausibility/certainty ranges around
the coverage. The GoC reflects the degree of empirical support upon which the estimates are based. It is
not a judgment of the quality of data reported by national authorities.

••• Estimate is supported by reported data [R+], coverage recalculated with an independent denominator
from the World Population Prospects: 2015 revision from the UN Population Division (D+), and at
least one supporting survey within 2 years [S+]. While well supported, the estimate still carries a risk
of being wrong.

•• Estimate is supported by at least one data source; [R+], [S+], or [D+]; and no data source, [R-], [D-], or
[S-], challenges the estimate.

• There are no directly supporting data; or data from at least one source; [R-], [D-], [S-]; challenge the estimate.

In all cases these estimates should be used with caution and should be assessed in light
of the objective for which they are being used.

July 4, 2017; page 3 WHO and UNICEF estimates of national immunization coverage - next revision available July 15, 2018 data received as of July 3, 2017
 India - DTP1
Description:

2016: Estimate based on coverage reported by national government. The reporting cycle for
the Government of India is from April 1 through March 31. Reported data for April-
December 2015 are provisional. GoC=R+ D+
2015: Estimate based on coverage reported by national government. GoC=R+ D+
2014: Estimate based on interpolation between data reported by national government. During
2014, national immunization schedule included DTP as well as DTP-HepB-Hib. DTP-
HepB-Hib combination vaccine introduced during 2013. During May 2015, the Govern-
ment of India conducted a review of state-level administrative and survey-based coverage
data to derive a revised time series of official coverage estimates from 1998 through 2013.
WHO and UNICEF are aware of recent state-level surveys conducted in high-risk states
as well as on-going routine coverage monitoring. GoC=No accepted empirical data
2013: Estimate based on coverage reported by national government. GoC=Assigned by working
group. Estimate is supported by D+
2012: Estimate based on coverage reported by national government. GoC=Assigned by working
group. Estimate is supported by D+
2011: Estimate based on coverage reported by national government. GoC=R+ D+
2010: Estimate based on coverage reported by national government. Estimate challenged by: D-
2009: Estimate based on coverage reported by national government. Estimate challenged by: D-
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2008: Estimate based on coverage reported by national government supported by survey. Survey
Estimate 82 81 81 81 84 86 89 89 90 90 90 91 evidence of 83 percent based on 1 survey(s). Stock out reported however insufficient data
Estimate GoC •• •• •• • • • •• •• •• • •• ••
to reflect impact in the estimate. Estimate challenged by: D-
Official 82 81 81 81 84 86 89 89 90 NA 90 91
Administrative NA NA 101 100 95 93 87 93 90 NA 90 91
2007: Estimate based on coverage reported by national government supported by survey. Survey
Survey 76 83 82 83 NA NA NA NA NA NA NA NA evidence of 82 percent based on 1 survey(s). GoC=R+ S+
2006: Estimate based on coverage reported by national government supported by survey. Survey
The WHO and UNICEF estimates of national immunization coverage (wuenic) are based on data and information evidence of 83 percent based on 1 survey(s). GoC=R+ S+
that are of varying, and, in some instances, unknown quality. Beginning with the 2011 revision we describe
the grade of confidence (GoC) we have in these estimates. As there is no underlying probability model upon
2005: Estimate based on coverage reported by national government supported by survey. Survey
which the estimates are based, we are unable to present classical measures of uncertainty, e.g., confidence evidence of 76 percent based on 1 survey(s). GoC=R+ S+
intervals. Moreover, we have chosen not to make subjective estimates of plausibility/certainty ranges around
the coverage. The GoC reflects the degree of empirical support upon which the estimates are based. It is
not a judgment of the quality of data reported by national authorities.

••• Estimate is supported by reported data [R+], coverage recalculated with an independent denominator
from the World Population Prospects: 2015 revision from the UN Population Division (D+), and at
least one supporting survey within 2 years [S+]. While well supported, the estimate still carries a risk
of being wrong.

•• Estimate is supported by at least one data source; [R+], [S+], or [D+]; and no data source, [R-], [D-], or
[S-], challenges the estimate.

• There are no directly supporting data; or data from at least one source; [R-], [D-], [S-]; challenge the estimate.

In all cases these estimates should be used with caution and should be assessed in light
of the objective for which they are being used.

July 4, 2017; page 4 WHO and UNICEF estimates of national immunization coverage - next revision available July 15, 2018 data received as of July 3, 2017
 India - DTP3
Description:

2016: Estimate based on coverage reported by national government. The reporting cycle for
the Government of India is from April 1 through March 31. Reported data for April-
December 2015 are provisional. Results from the National Family Health Survey 2015-16
Fact Sheet suggests coverage of 78 percent. GoC=R+ D+
2015: Estimate based on coverage reported by national government. GoC=R+ D+
2014: Estimate based on interpolation between data reported by national government. During
2014, national immunization schedule included DTP as well as DTP-HepB-Hib. DTP-
HepB-Hib combination vaccine introduced during 2013. During May 2015, the Govern-
ment of India conducted a review of state-level administrative and survey-based coverage
data to derive a revised time series of official coverage estimates from 1998 through 2013.
WHO and UNICEF are aware of recent state-level surveys conducted in high-risk states
as well as on-going routine coverage monitoring. GoC=S+
2013: Estimate based on coverage reported by national government. GoC=R+ S+ D+
2012: Estimate based on coverage reported by national government supported by survey. Survey
evidence of 75 percent based on 1 survey(s). GoC=R+ S+ D+
2011: Estimate based on coverage reported by national government. GoC=R+ S+ D+
2010: Estimate based on coverage reported by national government. Estimate challenged by: D-
2009: Estimate based on coverage reported by national government. Estimate challenged by:
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 D-S-
Estimate 65 65 64 70 74 79 82 82 83 85 87 88 2008: Estimate based on coverage reported by national government supported by survey. Survey
Estimate GoC • • • • • • ••• ••• ••• •• •• ••
evidence of 72 percent based on 1 survey(s). Stock out reported however insufficient data
Official 65 65 64 70 74 79 82 82 83 NA 87 88
Administrative 96 97 94 96 99 91 89 84 75 NA 87 88
to reflect impact in the estimate. Estimate challenged by: D-
Survey 55 68 63 72 NA NA NA 75 NA NA NA NA 2007: Estimate based on coverage reported by national government supported by survey. Survey
evidence of 63 percent based on 1 survey(s). Estimate challenged by: D-
The WHO and UNICEF estimates of national immunization coverage (wuenic) are based on data and information 2006: Estimate based on coverage reported by national government supported by survey. Survey
that are of varying, and, in some instances, unknown quality. Beginning with the 2011 revision we describe
the grade of confidence (GoC) we have in these estimates. As there is no underlying probability model upon
evidence of 68 percent based on 1 survey(s). Estimate challenged by: D-
which the estimates are based, we are unable to present classical measures of uncertainty, e.g., confidence 2005: Estimate based on coverage reported by national government supported by survey. Sur-
intervals. Moreover, we have chosen not to make subjective estimates of plausibility/certainty ranges around vey evidence of 67 percent based on 1 survey(s). India National Family Health Survey
the coverage. The GoC reflects the degree of empirical support upon which the estimates are based. It is
not a judgment of the quality of data reported by national authorities. (NFHS-3) 2005-2006 card or history results of 55 percent modifed for recall bias to 67
percent based on 1st dose card or history coverage of 76 percent, 1st dose card only cov-
••• Estimate is supported by reported data [R+], coverage recalculated with an independent denominator erage of 98 percent and 3d dose card only coverage of 87 percent. Estimate challenged
from the World Population Prospects: 2015 revision from the UN Population Division (D+), and at
least one supporting survey within 2 years [S+]. While well supported, the estimate still carries a risk
by: D-
of being wrong.

•• Estimate is supported by at least one data source; [R+], [S+], or [D+]; and no data source, [R-], [D-], or
[S-], challenges the estimate.

• There are no directly supporting data; or data from at least one source; [R-], [D-], [S-]; challenge the estimate.

In all cases these estimates should be used with caution and should be assessed in light
of the objective for which they are being used.

July 4, 2017; page 5 WHO and UNICEF estimates of national immunization coverage - next revision available July 15, 2018 data received as of July 3, 2017
 India - Pol3
Description:

2016: Estimate based on coverage reported by national government. The reporting cycle for
the Government of India is from April 1 through March 31. Reported data for April-
December 2015 are provisional. Results from the National Family Health Survey 2015-16
Fact Sheet suggests coverage of 73 percent. GoC=R+ D+
2015: Estimate based on coverage reported by national government. GoC=R+ D+
2014: Estimate based on interpolation between data reported by national government. During
May 2015, the Government of India conducted a review of state-level administrative and
survey-based coverage data to derive a revised time series of official coverage estimates
from 1998 through 2013. WHO and UNICEF are aware of recent state-level surveys
conducted in high-risk states as well as on-going routine coverage monitoring. GoC=No
accepted empirical data
2013: Estimate based on coverage reported by national government. Estimate challenged by: D-
2012: Estimate based on coverage reported by national government. Estimate challenged by: D-
2011: Estimate based on coverage reported by national government. GoC=R+ D+
2010: Estimate based on coverage reported by national government. Estimate challenged by: D-
2009: Estimate based on coverage reported by national government. Estimate challenged by: D-
2008: Estimate based on coverage reported by national government supported by survey. Survey
evidence of 70 percent based on 1 survey(s). Estimate challenged by: D-
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2007: Estimate based on coverage reported by national government supported by survey. Survey
Estimate 65 66 67 69 73 76 79 79 82 84 86 86 evidence of 66 percent based on 1 survey(s). Estimate challenged by: D-
Estimate GoC • • • • • • •• • • • •• ••
2006: Estimate based on coverage reported by national government supported by survey. Survey
Official 65 66 67 69 73 76 79 79 82 NA 86 86
Administrative 96 97 92 99 98 90 85 88 90 NA 86 86
evidence of 68 percent based on 1 survey(s). Estimate challenged by: D-
Survey 78 68 66 70 NA NA NA NA NA NA NA NA 2005: Estimate based on coverage reported by national government. India National Family
Health Survey (NFHS-3) 2005-2006 results ignored by working group. The 2005 Na-
The WHO and UNICEF estimates of national immunization coverage (wuenic) are based on data and information tional Family Health Survey results likely include campaign doses.India National Family
that are of varying, and, in some instances, unknown quality. Beginning with the 2011 revision we describe
the grade of confidence (GoC) we have in these estimates. As there is no underlying probability model upon
Health Survey (NFHS-3) 2005-2006 card or history results of 78 percent modifed for re-
which the estimates are based, we are unable to present classical measures of uncertainty, e.g., confidence call bias to 83 percent based on 1st dose card or history coverage of 93 percent, 1st dose
intervals. Moreover, we have chosen not to make subjective estimates of plausibility/certainty ranges around card only coverage of 98 percent and 3d dose card only coverage of 87 percent. Estimate
the coverage. The GoC reflects the degree of empirical support upon which the estimates are based. It is
not a judgment of the quality of data reported by national authorities. challenged by: D-

••• Estimate is supported by reported data [R+], coverage recalculated with an independent denominator
from the World Population Prospects: 2015 revision from the UN Population Division (D+), and at
least one supporting survey within 2 years [S+]. While well supported, the estimate still carries a risk
of being wrong.

•• Estimate is supported by at least one data source; [R+], [S+], or [D+]; and no data source, [R-], [D-], or
[S-], challenges the estimate.

• There are no directly supporting data; or data from at least one source; [R-], [D-], [S-]; challenge the estimate.

In all cases these estimates should be used with caution and should be assessed in light
of the objective for which they are being used.

July 4, 2017; page 6 WHO and UNICEF estimates of national immunization coverage - next revision available July 15, 2018 data received as of July 3, 2017
 India - IPV1
Description:

2016: Programme reports 56 percent coverage achieved in 85 percent of the national target
population. Estimate is based on annualized coverage in the national target popula-
tion. Programme is delivering fractional doses of IPV. Reported data excluded due to
unexplained sudden change in coverage from 1 level to 56 percent. The reporting cy-
cle for the Government of India is from April 1 through March 31. Reported data for
April-December 2015 are provisional. Estimate challenged by: R-
2015: Estimate based on coverage reported by national government. Inactivated polio vaccine
introduced in November 2015. GoC=R+ D+

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
Estimate NA NA NA NA NA NA NA NA NA NA 1 47
Estimate GoC NA NA NA NA NA NA NA NA NA NA •• •
Official NA NA NA NA NA NA NA NA NA NA 1 56
Administrative NA NA NA NA NA NA NA NA NA NA 1 56
Survey NA NA NA NA NA NA NA NA NA NA NA NA

The WHO and UNICEF estimates of national immunization coverage (wuenic) are based on data and information
that are of varying, and, in some instances, unknown quality. Beginning with the 2011 revision we describe
the grade of confidence (GoC) we have in these estimates. As there is no underlying probability model upon
which the estimates are based, we are unable to present classical measures of uncertainty, e.g., confidence
intervals. Moreover, we have chosen not to make subjective estimates of plausibility/certainty ranges around
the coverage. The GoC reflects the degree of empirical support upon which the estimates are based. It is
not a judgment of the quality of data reported by national authorities.

••• Estimate is supported by reported data [R+], coverage recalculated with an independent denominator
from the World Population Prospects: 2015 revision from the UN Population Division (D+), and at
least one supporting survey within 2 years [S+]. While well supported, the estimate still carries a risk
of being wrong.

•• Estimate is supported by at least one data source; [R+], [S+], or [D+]; and no data source, [R-], [D-], or
[S-], challenges the estimate.

• There are no directly supporting data; or data from at least one source; [R-], [D-], [S-]; challenge the estimate.

In all cases these estimates should be used with caution and should be assessed in light
of the objective for which they are being used.

July 4, 2017; page 7 WHO and UNICEF estimates of national immunization coverage - next revision available July 15, 2018 data received as of July 3, 2017
 India - MCV1
Description:

2016: Estimate based on coverage reported by national government. The reporting cycle for
the Government of India is from April 1 through March 31. Reported data for April-
December 2015 are provisional. Results from the National Family Health Survey 2015-16
Fact Sheet suggests coverage of 81 percent. GoC=R+ D+
2015: Estimate based on coverage reported by national government. GoC=R+ D+
2014: Estimate based on interpolation between data reported by national government. During
May 2015, the Government of India conducted a review of state-level administrative and
survey-based coverage data to derive a revised time series of official coverage estimates
from 1998 through 2013. WHO and UNICEF are aware of recent state-level surveys
conducted in high-risk states as well as on-going routine coverage monitoring. GoC=S+
2013: Estimate based on coverage reported by national government. GoC=R+ S+ D+
2012: Estimate based on coverage reported by national government supported by survey. Survey
evidence of 79 percent based on 1 survey(s). GoC=R+ S+ D+
2011: Estimate based on coverage reported by national government. GoC=R+ S+ D+
2010: Estimate based on coverage reported by national government. GoC=R+ S+ D+
2009: Estimate based on coverage reported by national government. Estimate challenged by: D-
2008: Estimate based on coverage reported by national government supported by survey. Survey
evidence of 74 percent based on 1 survey(s). Estimate challenged by: D-
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2007: Estimate based on coverage reported by national government supported by survey. Survey
Estimate 68 69 70 72 78 82 84 83 83 85 87 88 evidence of 69 percent based on 1 survey(s). Estimate challenged by: D-S-
Estimate GoC • • • • • ••• ••• ••• ••• •• •• ••
2006: Estimate based on coverage reported by national government supported by survey. Survey
Official 68 69 70 72 78 82 84 83 83 NA 87 88
Administrative 93 93 91 97 95 88 89 89 89 NA 87 88
evidence of 71 percent based on 1 survey(s). Estimate challenged by: D-
Survey 59 71 69 74 NA NA NA 79 NA NA NA NA 2005: Estimate based on coverage reported by national government supported by survey. Survey
evidence of 59 percent based on 1 survey(s). Estimate challenged by: D-
The WHO and UNICEF estimates of national immunization coverage (wuenic) are based on data and information
that are of varying, and, in some instances, unknown quality. Beginning with the 2011 revision we describe
the grade of confidence (GoC) we have in these estimates. As there is no underlying probability model upon
which the estimates are based, we are unable to present classical measures of uncertainty, e.g., confidence
intervals. Moreover, we have chosen not to make subjective estimates of plausibility/certainty ranges around
the coverage. The GoC reflects the degree of empirical support upon which the estimates are based. It is
not a judgment of the quality of data reported by national authorities.

••• Estimate is supported by reported data [R+], coverage recalculated with an independent denominator
from the World Population Prospects: 2015 revision from the UN Population Division (D+), and at
least one supporting survey within 2 years [S+]. While well supported, the estimate still carries a risk
of being wrong.

•• Estimate is supported by at least one data source; [R+], [S+], or [D+]; and no data source, [R-], [D-], or
[S-], challenges the estimate.

• There are no directly supporting data; or data from at least one source; [R-], [D-], [S-]; challenge the estimate.

In all cases these estimates should be used with caution and should be assessed in light
of the objective for which they are being used.

July 4, 2017; page 8 WHO and UNICEF estimates of national immunization coverage - next revision available July 15, 2018 data received as of July 3, 2017
 India - MCV2
Description:

Coverage estimates for the second dose of measles containing vaccine are for children by the
nationally recommended age.

2016: Estimate based on coverage reported by national government. The reporting cycle for
the Government of India is from April 1 through March 31. Reported data for April-
December 2015 are provisional. GoC=R+ D+
2015: Estimate based on coverage reported by national government. GoC=R+ D+
2014: Estimate based on interpolation between reported values. GoC=No accepted empirical
data
2013: Estimate based on reported administrative estimate. Estimate is based on reported data.
GoC=R+ D+
2012: Estimate based on reported administrative estimate. GoC=R+ D+
2011: Estimate based on reported administrative estimate. Measles second dose administered
subnationally among children aged 16-24 months. GoC=R+ D+

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
Estimate NA NA NA NA NA NA 27 36 51 60 69 76
Estimate GoC NA NA NA NA NA NA •• •• •• • •• ••
Official NA NA NA NA NA NA NA NA NA NA 69 76
Administrative NA NA NA NA NA NA 27 36 51 NA 69 76
Survey NA NA NA NA NA NA NA NA NA NA NA NA

The WHO and UNICEF estimates of national immunization coverage (wuenic) are based on data and information
that are of varying, and, in some instances, unknown quality. Beginning with the 2011 revision we describe
the grade of confidence (GoC) we have in these estimates. As there is no underlying probability model upon
which the estimates are based, we are unable to present classical measures of uncertainty, e.g., confidence
intervals. Moreover, we have chosen not to make subjective estimates of plausibility/certainty ranges around
the coverage. The GoC reflects the degree of empirical support upon which the estimates are based. It is
not a judgment of the quality of data reported by national authorities.

••• Estimate is supported by reported data [R+], coverage recalculated with an independent denominator
from the World Population Prospects: 2015 revision from the UN Population Division (D+), and at
least one supporting survey within 2 years [S+]. While well supported, the estimate still carries a risk
of being wrong.

•• Estimate is supported by at least one data source; [R+], [S+], or [D+]; and no data source, [R-], [D-], or
[S-], challenges the estimate.

• There are no directly supporting data; or data from at least one source; [R-], [D-], [S-]; challenge the estimate.

In all cases these estimates should be used with caution and should be assessed in light
of the objective for which they are being used.

July 4, 2017; page 9 WHO and UNICEF estimates of national immunization coverage - next revision available July 15, 2018 data received as of July 3, 2017
 India - RCV1

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
Estimate NA NA NA NA NA NA NA NA NA NA NA NA
Estimate GoC NA NA NA NA NA NA NA NA NA NA NA NA
Official NA NA NA NA NA NA NA NA NA NA NA NA
Administrative NA NA NA NA NA NA NA NA NA NA NA NA
Survey NA NA NA NA NA NA NA NA NA NA NA NA

The WHO and UNICEF estimates of national immunization coverage (wuenic) are based on data and information
that are of varying, and, in some instances, unknown quality. Beginning with the 2011 revision we describe
the grade of confidence (GoC) we have in these estimates. As there is no underlying probability model upon
which the estimates are based, we are unable to present classical measures of uncertainty, e.g., confidence
intervals. Moreover, we have chosen not to make subjective estimates of plausibility/certainty ranges around
the coverage. The GoC reflects the degree of empirical support upon which the estimates are based. It is
not a judgment of the quality of data reported by national authorities.

••• Estimate is supported by reported data [R+], coverage recalculated with an independent denominator
from the World Population Prospects: 2015 revision from the UN Population Division (D+), and at
least one supporting survey within 2 years [S+]. While well supported, the estimate still carries a risk
of being wrong.

•• Estimate is supported by at least one data source; [R+], [S+], or [D+]; and no data source, [R-], [D-], or
[S-], challenges the estimate.

• There are no directly supporting data; or data from at least one source; [R-], [D-], [S-]; challenge the estimate.

In all cases these estimates should be used with caution and should be assessed in light
of the objective for which they are being used.

July 4, 2017; page 10 WHO and UNICEF estimates of national immunization coverage - next revision available July 15, 2018 data received as of July 3, 2017
 India - HepBB
Description:

2016: Estimate based on coverage reported by national government. The reporting cycle for
the Government of India is from April 1 through March 31. Reported data for April-
December 2015 are provisional. GoC=R+ D+
2015: Estimate based on coverage reported by national government. GoC=R+ D+
2014: Estimate based on interpolation between reported values. GoC=No accepted empirical
data
2013: Estimate based on reported administrative estimate. Estimate is based on reported data.
GoC=R+ D+
2012: Estimate based on reported administrative estimate. GoC=R+ D+
2011: Estimate based on reported administrative estimate. GoC=R+ D+
2010: Estimate based on extrapolation from data reported by national government. GoC=No
accepted empirical data
2009: Estimate based on extrapolation from data reported by national government. GoC=No
accepted empirical data
2008: Estimate based on extrapolation from data reported by national government. GoC=No
accepted empirical data

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
Estimate NA NA NA 8 8 8 8 23 37 41 44 47
Estimate GoC NA NA NA • • • •• •• •• • •• ••
Official NA NA NA NA NA NA NA NA NA NA 44 47
Administrative NA NA NA NA NA NA 8 23 37 NA 44 47
Survey NA NA NA NA NA NA NA NA NA NA NA NA

The WHO and UNICEF estimates of national immunization coverage (wuenic) are based on data and information
that are of varying, and, in some instances, unknown quality. Beginning with the 2011 revision we describe
the grade of confidence (GoC) we have in these estimates. As there is no underlying probability model upon
which the estimates are based, we are unable to present classical measures of uncertainty, e.g., confidence
intervals. Moreover, we have chosen not to make subjective estimates of plausibility/certainty ranges around
the coverage. The GoC reflects the degree of empirical support upon which the estimates are based. It is
not a judgment of the quality of data reported by national authorities.

••• Estimate is supported by reported data [R+], coverage recalculated with an independent denominator
from the World Population Prospects: 2015 revision from the UN Population Division (D+), and at
least one supporting survey within 2 years [S+]. While well supported, the estimate still carries a risk
of being wrong.

•• Estimate is supported by at least one data source; [R+], [S+], or [D+]; and no data source, [R-], [D-], or
[S-], challenges the estimate.

• There are no directly supporting data; or data from at least one source; [R-], [D-], [S-]; challenge the estimate.

In all cases these estimates should be used with caution and should be assessed in light
of the objective for which they are being used.

July 4, 2017; page 11 WHO and UNICEF estimates of national immunization coverage - next revision available July 15, 2018 data received as of July 3, 2017
 India - HepB3
Description:

2016: Estimate based on coverage reported by national government. The reporting cycle for
the Government of India is from April 1 through March 31. Reported data for April-
December 2015 are provisional. GoC=R+ D+
2015: Estimate based on coverage reported by national government. GoC=R+ D+
2014: Estimate based on interpolation between reported values. National immunization schedule
included pediatric monovalent HepB vaccine in addition to DTP-HepB-Hib. GoC=No
accepted empirical data
2013: Estimate based on reported administrative estimate. GoC=R+ D+
2012: Estimate based on reported administrative estimate. GoC=R+ D+
2011: Estimate based on reported administrative estimate. Hepatitis B vaccine introduced in
all states from 2011. HepB vaccine was introduced in Madhya Pradesh, Maharashtra,
Punjab, Tamil Nadu, West Bengal from 2007-2008. GoC=R+ D+
2010: Estimate based on reported administrative estimate. GoC=R+ D+
2009: Estimate based on reported administrative estimate. GoC=R+ D+
2008: Estimate based on reported administrative estimate. India 2009 Coverage Evaluation
Survey results ignored by working group. Population sample for HepB is not nationally
representative. It represents 10 states and 3 union territories. GoC=R+ D+
2007: Sixty-nine percent coverage reached in 7 percent of the national target population.
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 GoC=No accepted empirical data
Estimate 8 6 6 29 37 38 44 73 70 79 87 88 2006: Seventy-two percent coverage reached in 8 percent of the national target population.
Estimate GoC • • • •• •• •• •• •• •• • •• ••
GoC=No accepted empirical data
Official NA NA NA NA NA NA NA NA NA NA 87 88
Administrative NA NA NA 29 37 38 44 73 70 NA 87 88
2005: Seventy-eight percent coverage reached in 2.3 million children. GoC=No accepted empir-
Survey NA NA NA 59 NA NA NA NA NA NA NA NA ical data

The WHO and UNICEF estimates of national immunization coverage (wuenic) are based on data and information
that are of varying, and, in some instances, unknown quality. Beginning with the 2011 revision we describe
the grade of confidence (GoC) we have in these estimates. As there is no underlying probability model upon
which the estimates are based, we are unable to present classical measures of uncertainty, e.g., confidence
intervals. Moreover, we have chosen not to make subjective estimates of plausibility/certainty ranges around
the coverage. The GoC reflects the degree of empirical support upon which the estimates are based. It is
not a judgment of the quality of data reported by national authorities.

••• Estimate is supported by reported data [R+], coverage recalculated with an independent denominator
from the World Population Prospects: 2015 revision from the UN Population Division (D+), and at
least one supporting survey within 2 years [S+]. While well supported, the estimate still carries a risk
of being wrong.

•• Estimate is supported by at least one data source; [R+], [S+], or [D+]; and no data source, [R-], [D-], or
[S-], challenges the estimate.

• There are no directly supporting data; or data from at least one source; [R-], [D-], [S-]; challenge the estimate.

In all cases these estimates should be used with caution and should be assessed in light
of the objective for which they are being used.

July 4, 2017; page 12 WHO and UNICEF estimates of national immunization coverage - next revision available July 15, 2018 data received as of July 3, 2017
 India - Hib3
Description:

2016: Estimate based on coverage reported by national government. The reporting cycle for
the Government of India is from April 1 through March 31. Reported data for April-
December 2015 are provisional. Estimate is based on reported data following introduc-
tion. GoC=R+ D+
2015: Estimate based on coverage reported by national government. GoC=R+ D+
2014: Estimate reflects annualized coverage using the reported number of children vaccinated
and the reported target population for third dose of DTP containing vaccine. GoC=No
accepted empirical data
2013: Estimate reflects annualized coverage using the reported number of children vaccinated
and the reported target population for third dose of DTP containing vaccine. Eighty-
eight percent coverage achieved in 23 percent of the national target population. Hib
vaccine introduced subnationally in two states during 2011 and in eight states during
2013. Reporting began in 2013. Estimate challenged by: R-

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
Estimate NA NA NA NA NA NA NA NA 20 20 45 80
Estimate GoC NA NA NA NA NA NA NA NA • • •• ••
Official NA NA NA NA NA NA NA NA 88 NA 45 80
Administrative NA NA NA NA NA NA NA NA 88 NA 45 80
Survey NA NA NA NA NA NA NA NA NA NA NA NA

The WHO and UNICEF estimates of national immunization coverage (wuenic) are based on data and information
that are of varying, and, in some instances, unknown quality. Beginning with the 2011 revision we describe
the grade of confidence (GoC) we have in these estimates. As there is no underlying probability model upon
which the estimates are based, we are unable to present classical measures of uncertainty, e.g., confidence
intervals. Moreover, we have chosen not to make subjective estimates of plausibility/certainty ranges around
the coverage. The GoC reflects the degree of empirical support upon which the estimates are based. It is
not a judgment of the quality of data reported by national authorities.

••• Estimate is supported by reported data [R+], coverage recalculated with an independent denominator
from the World Population Prospects: 2015 revision from the UN Population Division (D+), and at
least one supporting survey within 2 years [S+]. While well supported, the estimate still carries a risk
of being wrong.

•• Estimate is supported by at least one data source; [R+], [S+], or [D+]; and no data source, [R-], [D-], or
[S-], challenges the estimate.

• There are no directly supporting data; or data from at least one source; [R-], [D-], [S-]; challenge the estimate.

In all cases these estimates should be used with caution and should be assessed in light
of the objective for which they are being used.

July 4, 2017; page 13 WHO and UNICEF estimates of national immunization coverage - next revision available July 15, 2018 data received as of July 3, 2017
 India - RotaC
Description:

2016: Rotavirus vaccine was introduced during 2016 through a phased approach in four states.
Programme reports 65 percent coverage achieved in six percent of the national target
population. Estimate is based on annualized coverage achieved in the national target
population. The reporting cycle for the Government of India is from April 1 through
March 31. Reported data for April-December 2015 are provisional. Estimate challenged
by: R-

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
Estimate NA NA NA NA NA NA NA NA NA NA NA 4
Estimate GoC NA NA NA NA NA NA NA NA NA NA NA •
Official NA NA NA NA NA NA NA NA NA NA NA 65
Administrative NA NA NA NA NA NA NA NA NA NA NA 65
Survey NA NA NA NA NA NA NA NA NA NA NA NA

The WHO and UNICEF estimates of national immunization coverage (wuenic) are based on data and information
that are of varying, and, in some instances, unknown quality. Beginning with the 2011 revision we describe
the grade of confidence (GoC) we have in these estimates. As there is no underlying probability model upon
which the estimates are based, we are unable to present classical measures of uncertainty, e.g., confidence
intervals. Moreover, we have chosen not to make subjective estimates of plausibility/certainty ranges around
the coverage. The GoC reflects the degree of empirical support upon which the estimates are based. It is
not a judgment of the quality of data reported by national authorities.

••• Estimate is supported by reported data [R+], coverage recalculated with an independent denominator
from the World Population Prospects: 2015 revision from the UN Population Division (D+), and at
least one supporting survey within 2 years [S+]. While well supported, the estimate still carries a risk
of being wrong.

•• Estimate is supported by at least one data source; [R+], [S+], or [D+]; and no data source, [R-], [D-], or
[S-], challenges the estimate.

• There are no directly supporting data; or data from at least one source; [R-], [D-], [S-]; challenge the estimate.

In all cases these estimates should be used with caution and should be assessed in light
of the objective for which they are being used.

July 4, 2017; page 14 WHO and UNICEF estimates of national immunization coverage - next revision available July 15, 2018 data received as of July 3, 2017
 India - PcV3

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
Estimate NA NA NA NA NA NA NA NA NA NA NA NA
Estimate GoC NA NA NA NA NA NA NA NA NA NA NA NA
Official NA NA NA NA NA NA NA NA NA NA NA NA
Administrative NA NA NA NA NA NA NA NA NA NA NA NA
Survey NA NA NA NA NA NA NA NA NA NA NA NA

The WHO and UNICEF estimates of national immunization coverage (wuenic) are based on data and information
that are of varying, and, in some instances, unknown quality. Beginning with the 2011 revision we describe
the grade of confidence (GoC) we have in these estimates. As there is no underlying probability model upon
which the estimates are based, we are unable to present classical measures of uncertainty, e.g., confidence
intervals. Moreover, we have chosen not to make subjective estimates of plausibility/certainty ranges around
the coverage. The GoC reflects the degree of empirical support upon which the estimates are based. It is
not a judgment of the quality of data reported by national authorities.

••• Estimate is supported by reported data [R+], coverage recalculated with an independent denominator
from the World Population Prospects: 2015 revision from the UN Population Division (D+), and at
least one supporting survey within 2 years [S+]. While well supported, the estimate still carries a risk
of being wrong.

•• Estimate is supported by at least one data source; [R+], [S+], or [D+]; and no data source, [R-], [D-], or
[S-], challenges the estimate.

• There are no directly supporting data; or data from at least one source; [R-], [D-], [S-]; challenge the estimate.

In all cases these estimates should be used with caution and should be assessed in light
of the objective for which they are being used.

July 4, 2017; page 15 WHO and UNICEF estimates of national immunization coverage - next revision available July 15, 2018 data received as of July 3, 2017
 India - survey details
2012 Rapid Survey on Children, 2013-2014 DTP3 Card or History 68 12-23 m 22888 71
MCV1 Card or History 71 12-23 m 22888 71
Pol1 Card or History 82 12-23 m 22888 71
Vaccine Confirmation method Coverage Age cohort Sample Cards seen Pol3 Card or History 68 12-23 m 22888 71
BCG Card or History 91 12-23 m 17311 84
DTP3 Card or History 75 12-23 m 17311 84
MCV1 Card or History 79 12-23 m 17311 84 2005 India National Family Health Survey (NFHS-3) 2005-2006

2008 India 2009 Coverage Evaluation Survey Vaccine Confirmation method Coverage Age cohort Sample Cards seen
BCG C or H <12 months 76 12-23 m 10419 38
BCG Card 97 12-23 m 10419 38
Vaccine Confirmation method Coverage Age cohort Sample Cards seen BCG Card or History 78 12-23 m 10419 38
BCG Card or History 87 12-23 m 22604 52 BCG History 67 12-23 m 10419 38
DTP1 Card or History 83 12-23 m 22604 52 DTP1 C or H <12 months 73 12-23 m 10419 38
DTP3 Card or History 72 12-23 m 22604 52 DTP1 Card 98 12-23 m 10419 38
HepB1 Card or History 71 12-23 m 22604 52 DTP1 Card or History 76 12-23 m 10419 38
HepB3 Card or History 59 12-23 m 22604 52 DTP1 History 62 12-23 m 10419 38
MCV1 Card or History 74 12-23 m 22604 52 DTP3 C or H <12 months 52 12-23 m 10419 38
Pol3 Card or History 70 12-23 m 22604 52 DTP3 Card 87 12-23 m 10419 38
DTP3 Card or History 55 12-23 m 10419 38
DTP3 History 36 12-23 m 10419 38
2007 India District-Level Household and Facility Survey 2007-2008 (DHLS- MCV1 C or H <12 months 48 12-23 m 10419 38
3) MCV1 Card 81 12-23 m 10419 38
MCV1 Card or History 59 12-23 m 10419 38
MCV1 History 45 12-23 m 10419 38
Vaccine Confirmation method Coverage Age cohort Sample Cards seen Pol1 C or H <12 months 89 12-23 m 10419 38
BCG Card or History 87 12-23 m 65628 43 Pol1 Card 98 12-23 m 10419 38
DTP1 Card or History 82 12-23 m 65628 43 Pol1 Card or History 93 12-23 m 10419 38
DTP3 Card or History 63 12-23 m 65628 43 Pol1 History 90 12-23 m 10419 38
MCV1 Card or History 69 12-23 m 65628 43 Pol3 C or H <12 months 73 12-23 m 10419 38
Pol1 Card or History 93 12-23 m 65628 43 Pol3 Card 87 12-23 m 10419 38
Pol3 Card or History 66 12-23 m 65628 43 Pol3 Card or History 78 12-23 m 10419 38
Pol3 History 73 12-23 m 10419 38

2006 India Coverage Evaluation Survey 2006

2004 India Coverage Evaluation Survey 2005
Vaccine Confirmation method Coverage Age cohort Sample Cards seen
BCG Card or History 87 12-23 m 22888 71 Vaccine Confirmation method Coverage Age cohort Sample Cards seen
DTP1 Card or History 83 12-23 m 22888 71 BCG Card or History 83 12-23 m 15676 71

July 4, 2017; page 16 WHO and UNICEF estimates of national immunization coverage - next revision available July 15, 2018 data received as of July 3, 2017
 India - survey details

DTP1 Card or History 80 12-23 m 15676 71 1999 India, Multiple Indicator Cluster Survey India (MICS-II) 2000
DTP3 Card or History 67 12-23 m 15676 71
MCV1 Card or History 68 12-23 m 15676 71
Pol1 Card or History 79 12-23 m 15676 71 Vaccine Confirmation method Coverage Age cohort Sample Cards seen
Pol3 Card or History 61 12-23 m 15676 71 BCG Card or History 68 12-23 m - -
DTP1 Card or History 64 12-23 m - -
DTP3 Card or History 47 12-23 m - -
2002 Reproductive and Child Health (District Level Household Survey 2002- MCV1 Card or History 50 12-23 m - -
2004) - India Pol1 Card or History 70 12-23 m - -
Pol3 Card or History 59 12-23 m - -

Vaccine Confirmation method Coverage Age cohort Sample Cards seen

BCG Card or History 75 12-23 m 62505 31 1997 Evaluation of Routine Immunization 1998-99
DTP1 Card or History 73 12-23 m 62505 31
DTP3 Card or History 58 12-23 m 62505 31
Vaccine Confirmation method Coverage Age cohort Sample Cards seen
MCV1 Card or History 56 12-23 m 62505 31
BCG Card or History 72 12-23 m 7855 48
Pol3 Card or History 57 12-23 m 62505 31
DTP1 Card or History 73 12-23 m 7855 48
DTP3 Card or History 69 12-23 m 7855 48
MCV1 Card or History 55 12-23 m 7855 48
2001 Routine Immunization and Maternal Care, CES, 2002 Pol1 Card or History 73 12-23 m 7855 48
Pol3 Card or History 69 12-23 m 7855 48
Vaccine Confirmation method Coverage Age cohort Sample Cards seen
BCG C or H <12 months 74 12-23 m - 54
DTP1 C or H <12 months 71 12-23 m - 54
1997 National Family Health Survey, India 1998-99
DTP3 C or H <12 months 64 12-23 m - 54
MCV1 C or H <12 months 61 12-23 m - 54 Vaccine Confirmation method Coverage Age cohort Sample Cards seen
Pol3 C or H <12 months 68 12-23 m - 54 BCG C or H <12 months 69 12-23 m 10076 34
BCG Card 95 12-23 m 3393 34
BCG Card or History 72 12-23 m 10076 34
2000 Routine Immunization and Maternal Care, CES, 2001 BCG History 60 12-23 m 6684 34
DTP1 C or H <12 months 69 12-23 m 10076 34
DTP1 Card 99 12-23 m 3393 34
Vaccine Confirmation method Coverage Age cohort Sample Cards seen
DTP1 Card or History 71 12-23 m 10076 34
BCG C or H <12 months 73 12-23 m - 57
DTP1 History 58 12-23 m 6684 34
DTP1 C or H <12 months 71 12-23 m - 57
DTP3 C or H <12 months 52 12-23 m 10076 34
DTP3 C or H <12 months 64 12-23 m - 57
DTP3 Card 86 12-23 m 3393 34
MCV1 C or H <12 months 56 12-23 m - 57
DTP3 Card or History 55 12-23 m 10076 34
Pol3 C or H <12 months 70 12-23 m - 57
DTP3 History 40 12-23 m 6684 34
MCV1 C or H <12 months 42 12-23 m 10076 34

July 4, 2017; page 17 WHO and UNICEF estimates of national immunization coverage - next revision available July 15, 2018 data received as of July 3, 2017
 India - survey details
MCV1 Card 73 12-23 m 3393 34 Pol1 History 76 12-23 m 6684 34
MCV1 Card or History 51 12-23 m 10076 34 Pol3 C or H <12 months 59 12-23 m 10076 34
MCV1 History 39 12-23 m 6684 34 Pol3 Card 85 12-23 m 3393 34
Pol1 C or H <12 months 80 12-23 m 10076 34 Pol3 Card or History 63 12-23 m 10076 34
Pol1 Card 98 12-23 m 3393 34 Pol3 History 51 12-23 m 6684 34
Pol1 Card or History 84 12-23 m 10076 34

Further information and estimates for previous years are available at:
http://www.data.unicef.org/child-health/immunization
http://www.who.int/immunization/monitoring_surveillance/routine/coverage/en/index4.html

July 4, 2017; page 18 WHO and UNICEF estimates of national immunization coverage - next revision available July 15, 2018 data received as of July 3, 2017