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Microsoft Word - AMICS-29Jan2013 - Childinfo.org

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Percentage of children age 12-23 months currently vaccinated against childhood diseases, Afghanistan, 2010-2011<br />

BCG<br />

At<br />

birth<br />

Percentage of children who received:<br />

Polio<br />

DPT<br />

1 2 3 1 2 3<br />

Measles None All<br />

Percentage<br />

with<br />

vaccination<br />

card seen<br />

Number<br />

of<br />

children<br />

age 12-<br />

23<br />

months<br />

Mother s education<br />

None 62.4 46.1 70.4 61.7 46.6 55.6 50.2 38.3 53.5 25.1 28.7 29.5 2,267<br />

Primary 78.1 65.5 79.2 68.8 60.5 72.2 64.3 54.9 73.6 15.8 41.9 40.7 122<br />

Secondary + 85.9 69.9 83.8 72.1 63.2 78.5 71.9 64.0 75.2 11.2 44.0 43.4 108<br />

Wealth index<br />

quintile<br />

Poorest 54.4 34.0 68.4 58.4 40.0 47.3 41.6 28.9 43.7 27.6 23.1 23.0 532<br />

Second 63.0 48.6 71.9 63.9 49.2 55.3 52.3 40.1 55.6 24.3 30.0 30.8 549<br />

Middle 59.8 44.2 67.7 60.0 43.4 53.8 47.8 36.4 52.2 28.1 28.2 29.3 495<br />

Fourth 66.8 51.1 70.4 62.0 51.0 59.7 54.2 43.5 59.7 25.8 32.7 33.4 473<br />

Richest 79.3 65.4 79.8 69.1 58.1 73.4 65.2 54.4 68.1 13.0 37.3 37.9 447<br />

Total 64.2 48.1 71.4 62.5 48.0 57.5 51.9 40.2 55.5 24.0 30.0 30.6 2,497<br />

In Afghanistan, 30% of children aged 12-23 months are fully vaccinated (Table 6.3). One in four<br />

children are not vaccinated at all against any diseases (24%). There is no significant gender<br />

disparity in immunization coverage; however, a disparity between urban (37%) and rural (29%)<br />

areas is observed. The situation differs considerably by region: in the North Eastern region,<br />

children have the highest rate of vaccination coverage against communicable diseases (42%).<br />

However, in the Southern region, fewer than 2% of children are fully vaccinated, an alarming<br />

situation that stands in contrast to all other regions.<br />

The mother s education appears to be a factor significantly influencing children s immunization<br />

rates. The higher the mother s educational level, the more her children tend to be vaccinated.<br />

For example, 63% of children whose mothers are educated to the secondary level received the<br />

third dose of polio vaccine, while only 47% of children are fully protected against polio if their<br />

mothers have no education at all.<br />

Overall, 64% of children aged 12-23 are protected against tuberculosis as a result of having<br />

received the BCG vaccine. More children living in urban areas (79%) are immunized with the<br />

BCG vaccine compared to those living in rural areas (61%). In the Central region, almost four in<br />

five children received the BCG vaccine, while in the Southern region, one in three children are<br />

immunized.<br />

Table 6.3 shows a regressive trend in the immunization coverage of the oral polio vaccine up to<br />

the third dose, according to the immunization schedule. Children in the North Eastern region<br />

(81%) are protected against polio 1 most frequently, followed by children in the Central and<br />

Eastern regions (80%). However, the coverage rate of polio 3 drops to 58% in the North East<br />

region, to 57% in the Central region, and to 53% in the East region by the third polio<br />

vaccination. Among the eight regions, the Southern region has the lowest coverage from polio<br />

1 to 3.<br />

48

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