Mapping vaccination coverage to explore the effects of delivery mechanisms and inform vaccination strategies

C. Edson Utazi, Julia Thorley, Victor A. Alegana, Matthew J. Ferrari, Saki Takahashi, C. Jessica E. Metcalf, Justin Lessler, Felicity T. Cutts, Andrew J. Tatem

Research output: Contribution to journalArticle

7 Scopus citations

Abstract

The success of vaccination programs depends largely on the mechanisms used in vaccine delivery. National immunization programs offer childhood vaccines through fixed and outreach services within the health system and often, additional supplementary immunization activities (SIAs) are undertaken to fill gaps and boost coverage. Here, we map predicted coverage at 1 × 1 km spatial resolution in five low- and middle-income countries to identify areas that are under-vaccinated via each delivery method using Demographic and Health Surveys data. We compare estimates of the coverage of the third dose of diphtheria-tetanus-pertussis-containing vaccine (DTP3), which is typically delivered through routine immunization (RI), with those of measles-containing vaccine (MCV) for which SIAs are also undertaken. We find that SIAs have boosted MCV coverage in some places, but not in others, particularly where RI had been deficient, as depicted by DTP coverage. The modelling approaches outlined here can help to guide geographical prioritization and strategy design.

Original languageEnglish (US)
Article number1633
JournalNature communications
Volume10
Issue number1
DOIs
StatePublished - Dec 1 2019

All Science Journal Classification (ASJC) codes

  • Chemistry(all)
  • Biochemistry, Genetics and Molecular Biology(all)
  • Physics and Astronomy(all)

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    Utazi, C. E., Thorley, J., Alegana, V. A., Ferrari, M. J., Takahashi, S., Metcalf, C. J. E., Lessler, J., Cutts, F. T., & Tatem, A. J. (2019). Mapping vaccination coverage to explore the effects of delivery mechanisms and inform vaccination strategies. Nature communications, 10(1), [1633]. https://doi.org/10.1038/s41467-019-09611-1