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. Author manuscript; available in PMC: 2023 Jun 9.
Published in final edited form as: Risk Anal. 2015 May 15;37(6):1052–1062. doi: 10.1111/risa.12409

Table III.

Program Performance Indicators Used in the World Health Organization Measles Programmatic Risk Assessment

Program Performance Indicators (Information Source(s)) Rationale Cut-Off Criteria (Risk Points) Comments
Trends in MCV1 coverage (administrative coverage reports, survey coverage estimates) Addresses sustainability of vaccination coverage Increasing or same (+0)
≤10% decline (+2)
>10% decline (+4)

  • Assess administrative coverage and assign risk point for slope/trend in the past three years.

  • If coverage survey estimates available at district level (conducted within past three years and includes birth cohorts of recent three years) can replace administrative coverage.
Trends in MCV2 coverage (administrative coverage reports, survey coverage estimates) Addresses sustainability of vaccination coverage Increasing or same (+0)
≤10% decline (+2)
>10% decline (+4)

  • Assess administrative coverage and assign risk point for slope/trend in the past three years.

  • If coverage survey estimates available at district level (conducted within past three years and includes birth cohorts of recent three years) can replace administrative coverage.

  • If MCV2 has not been introduced, then give maximum score.
MCV1–MCV2 drop-out rate (administrative coverage reports, survey coverage estimates) Indicates failure to complete the measles vaccination schedule ≤10% (+0)
> 10% (+ 4)

  • Assign risk point using administrative coverage data from most recent year.

  • If coverage survey estimates available at district level (conducted within past three years and includes birth cohorts of recent three years) can replace administrative coverage.

  • If MCV2 has not been introduced, then give maximum score.
DPT1–MCV1 drop-out rate (administrative coverage reports, survey coverage estimates) Indicates failure to start measles vaccination schedule after beginning RI schedule ≤10% (+0)
> 10% (+ 4)

  • Assign risk point using administrative coverage data from most recent year.

  • If coverage survey estimates available at district level (conducted within past three years and includes birth cohorts of recent three years) can replace administrative coverage.

  • First dose of pentavalent vaccination (Penta1) may substitute DPT1 if used in country.

DPT1= first dose in series for diphtheria, pertussis, and tetanus vaccination; RI: routine immunization; MCV1 = first dose in RI series for measles-containing vaccination; MCV2 = second dose in RI series for measles-containing vaccination.