National-level stockouts

The GVAP target for indicator SO 5.2: Availability of Vaccines for Routine Immunization at National Level (Stockouts) is a two-thirds reduction in countries reporting national-level stockouts by 2020 (from 2010 level). The following visualisation presents a summary of national-level vaccine stock-outs and their duration that took place between 2010 and 2015.

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Whereas the stockout indicators analysed above are the primary GVAP performance measure for an immunization supply chain, four additional indicators were included in the WHO-UNICEF joint reporting form as of 2014 to allow further understanding of immunization supply chains according to the three objectives of availability, quality and efficiency.

  • Y/N to whether the country has an electronic stock management system at district levels and below
  • The % of cold chain equipment at sub-national levels of the supply chain in a country that is equipped with continuous temperature monitors
  • Y/N to whether the country has an immunization supply chain improvement plan
  • Y/N to whether the country has a dedicated supply chain manager at national level

Note: A stock-out event is defined as having taken place when a stock-out of a vaccine occurred for a duration of at least one month at national level. To improve cross-country comparison, the analysis focuses on select vaccines common to all national immunization schedules. These include: bacillus Calmette–Guérin (BCG) vaccine, diphtheria-pertussis-tetanus (DTP) containing vaccine, measles-containing vaccine (excluding DTP-HepB-Hib and measles, mumps, and rubella [MMR] vaccine) and polio vaccine (excluding inactivated polio vaccine [IPV]). Source of data is the WHO-UNICEF Joint Reporting Form.