Definition and use of “valid” district level vaccination coverage to monitor Global Vaccine Action Plan (GVAP) achievement: evidence for revisiting the district indicator

Author: Brown DW
Category: Global initiatives


The Global Vaccine Action Plan (GVAP) Monitoring and Accountability Framework includes an indicator to reach 90% national vaccination coverage and 80% vaccination coverage in every district or equivalent administrative unit with three doses of diphtheria-tetanus-pertussis containing vaccines (DTP) across all 194 country signatories to GVAP by 2020. Assessment of progress against the district indicator component requires GVAP defined “valid” coverage. GVAP defines district coverage “valid” if the WHO and UNICEF estimate of national immunization coverage for DTP3 in the most recent year is 1) >/=90%, or 2) is identical to the reported national administrative coverage for DTP3 (regardless of coverage level). We draw attention to the potential disconnect that currently exists between GVAP vaccination coverage indicators and the practical capacity to monitor progress against those indicators.


Type Journal article
Language English
Country Not Specified
PubMed URL
Journal Journal of Global Health
Volume 8
Year 2018
Added by David Brown
Added on 9 July 2018 13:50:28
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