TABLE 1. Year of hepatitis B vaccine introduction, hepatitis B vaccination schedule and estimated coverage* with the third vaccine dose, a timely administered hepatitis B vaccine birth dose,† and rates of institutional delivery, by country — World Health Organization African Region, 2016–2021.
| Region, country | Year of introduction |
HepB Schedule | HepB3 coverage, % |
Timely HepB-BD coverage, % |
Rates of institutional delivery, % (most recent source and year) | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HepB | HepBD | 2016 | 2017 | 2018 | 2019 | 2020 | 2021 | 2016 | 2017 | 2018 | 2019 | 2020 | 2021 | |||
|
Central subregion
| ||||||||||||||||
| Angola |
2006 |
2015 |
B, 2, 4, 6 mos |
55 |
52 |
59 |
53 |
47 |
41 |
NR |
NR |
NR |
NR |
NR |
NR |
45.6 (DHS 2015–2016) |
| Burundi |
2004 |
— |
6, 10, 14 wks |
94 |
91 |
90 |
93 |
93 |
94 |
NA |
NA |
NA |
NA |
NA |
NA |
83.9 (DHS 2016–2017) |
| Cameroon |
2005 |
— |
6, 10, 14 wks |
75 |
74 |
67 |
67 |
69 |
69 |
NA |
NA |
NA |
NA |
NA |
NA |
67.0 (DHS 2018) |
| Central African Republic |
2003 |
— |
6, 10, 14 wks |
42 |
42 |
42 |
42 |
42 |
42 |
NA |
NA |
NA |
NA |
NA |
NA |
58.3 (MICS 2018–2019) |
| Chad |
2003 |
— |
6, 10, 14 wks |
41 |
41 |
46 |
50 |
52 |
58 |
NA |
NA |
NA |
NA |
NA |
NA |
27.2 (MICS 2019) |
| Democratic Republic of the Congo |
2003 |
— |
6, 10, 14 wks |
70 |
71 |
71 |
73 |
70 |
65 |
NA |
NA |
NA |
NA |
NA |
NA |
81.5 (MICS 2017–2018) |
| Equatorial Guinea |
2003 |
2018 |
B, 6, 10, 14 wks, 18 mos |
53 |
53 |
53 |
53 |
53 |
53 |
NA |
NA |
NA |
NR |
NR |
NR |
67.3 (DHS 2011) |
| Gabon |
2003 |
— |
6, 10, 14 wks |
75 |
75 |
70 |
70 |
63 |
75 |
NA |
NA |
NA |
NA |
NA |
NA |
90.2 (DHS 2012) |
| Republic of the Congo |
2003 |
— |
8, 12, 16 wks |
71 |
69 |
75 |
79 |
73 |
77 |
NA |
NA |
NA |
NA |
NA |
NA |
91.5 (MICS 2014–2015) |
| Sao Tome and Principe |
2003 |
2010§ |
B, 6, 10, 14 wks |
96 |
95 |
95 |
95 |
96 |
97 |
NA |
NA |
NA |
95 |
82 |
69 |
95.4 (MICS 2019) |
|
East and South subregion
| ||||||||||||||||
| Botswana |
1994 |
1998 |
B, 2, 3, 4 mos |
95 |
95 |
95 |
95 |
95 |
95 |
NR |
NR |
NR |
NR |
NR |
NR |
99.7 (Other NS 2015) |
| Comoros |
2003 |
— |
6, 10, 14 wks |
91 |
91 |
91 |
91 |
87 |
85 |
NA |
NA |
NA |
NA |
NA |
NA |
76.1 (DHS–MICS 2012) |
| Eritrea |
2002 |
— |
6, 10, 14 wks |
95 |
95 |
95 |
95 |
95 |
95 |
NA |
NA |
NA |
NA |
NA |
NA |
33.7 (Other NS 2010) |
| Eswatini |
1996 |
— |
6, 10, 14 wks |
90 |
90 |
90 |
90 |
83 |
77 |
NA |
NA |
NA |
NA |
NA |
NA |
87.7 (MICS 2014) |
| Ethiopia |
2007 |
— |
6, 10, 14 wks |
66 |
68 |
68 |
68 |
71 |
65 |
NA |
NA |
NA |
NA |
NA |
NA |
47.5 (DHS (Mini) 2019) |
| Kenya |
2001 |
— |
6, 10, 14 wks |
89 |
82 |
92 |
91 |
91 |
91 |
NA |
NA |
NA |
NA |
NA |
NA |
61.2 (DHS 2014) |
| Lesotho |
2003 |
— |
6, 10, 14 wks |
87 |
87 |
87 |
87 |
87 |
87 |
NA |
NA |
NA |
NA |
NA |
NA |
89.4 (MICS 2018) |
| Madagascar |
2002 |
— |
6, 10, 14 wks |
68 |
65 |
65 |
68 |
66 |
55 |
NA |
NA |
NA |
NA |
NA |
NA |
38.7 (MICS 2018) |
| Malawi |
2002 |
— |
6, 10, 14 wks |
84 |
88 |
92 |
95 |
90 |
93 |
NA |
NA |
NA |
NA |
NA |
NA |
96.7 (MICS 2019–2020) |
| Mauritius |
1996 |
1996§ |
R¶, 6, 10, 14 wks, 18 mos |
72 |
96 |
97 |
97 |
93 |
92 |
NA |
NA |
NA |
NA |
NA |
NA |
98.4 (MoH 2003) |
| Mozambique |
2001 |
— |
6, 10, 14 wks |
88 |
88 |
88 |
88 |
79 |
61 |
NA |
NA |
NA |
NA |
NA |
NA |
54.8 (DHS 2011) |
| Namibia |
2009 |
2014 |
B, 6, 10, 14 wks |
85 |
88 |
89 |
87 |
93 |
93 |
85 |
81 |
76 |
81 |
86 |
86 |
87.4 (DHS 2013) |
| Rwanda |
2002 |
— |
6, 10, 14 wks |
98 |
98 |
97 |
98 |
91 |
88 |
NA |
NA |
NA |
NA |
NA |
NA |
93.1 (DHS 2019–2020) |
| Seychelles |
1996 |
— |
3, 4, 5 mos |
96 |
97 |
99 |
99 |
97 |
94 |
NA |
NA |
NA |
NA |
NA |
NA |
NR |
| South Africa |
1995 |
— |
6, 10, 14 wks, 18 mos |
85 |
84 |
82 |
85 |
84 |
86 |
NA |
NA |
NA |
NA |
NA |
NA |
95.9 (DHS 2016) |
| South Sudan |
2014 |
— |
6, 10, 14 wks |
45 |
47 |
49 |
49 |
49 |
49 |
NA |
NA |
NA |
NA |
NA |
NA |
11.5 (SHHS 2010) |
| Tanzania |
2002 |
— |
6, 10, 14 wks |
92 |
90 |
89 |
89 |
86 |
81 |
NA |
NA |
NA |
NA |
NA |
NA |
62.6 (DHS 2015–2016) |
| Uganda |
2002 |
— |
6, 10, 14 wks |
93 |
94 |
93 |
93 |
89 |
91 |
NA |
NA |
NA |
NA |
NA |
NA |
73.4 (DHS 2016) |
| Zambia |
2005 |
|
6, 10, 14 wks |
95 |
94 |
90 |
88 |
84 |
91 |
NA |
NA |
NA |
NA |
NA |
NA |
83.8 (DHS 2018–2019) |
| Zimbabwe |
1994 |
— |
6, 10, 14 wks |
90 |
89 |
89 |
90 |
86 |
86 |
NA |
NA |
NA |
NA |
NA |
NA |
85.5 (MICS 2019) |
|
West subregion
| ||||||||||||||||
| Algeria |
2001 |
2001 |
B, 2, 4, 12 mos |
91 |
91 |
91 |
91 |
91 |
91 |
99 |
99 |
99 |
99 |
99 |
99 |
98.6 (MICS 2018–2019) |
| Benin |
2002 |
2020 |
B, 6, 10, 14 wks |
76 |
76 |
76 |
76 |
72 |
76 |
NA |
NA |
NA |
NA |
21 |
71 |
83.9 (DHS 2017–2018) |
| Burkina Faso |
2006 |
— |
8, 12, 16 wks |
91 |
91 |
91 |
91 |
91 |
91 |
NA |
NA |
NA |
NA |
NA |
NA |
82.2 (Other NS 2015) |
| Cabo Verde |
2002 |
2002 |
B, 2, 4, 6, 18 mos |
96 |
97 |
99 |
97 |
94 |
94 |
96 |
96 |
97 |
96 |
96 |
96 |
97.0 (IDSR 2018)** |
| Côte d'Ivoire |
2003 |
2019 |
B, 6, 10, 14 wks |
87 |
83 |
84 |
81 |
75 |
76 |
NA |
NA |
NA |
9 |
62 |
66 |
69.8 (MICS 2016) |
| The Gambia |
1995 |
1999 |
B, 2, 3, 4 mos |
95 |
92 |
93 |
88 |
86 |
82 |
NR |
NR |
NR |
NR |
NR |
25 |
83.7 (DHS 2019–2020) |
| Ghana |
2002 |
— |
6, 10, 14 wks |
93 |
99 |
97 |
97 |
94 |
98 |
NA |
NA |
NA |
NA |
NA |
NA |
77.9 (MICS 2017–2018) |
| Guinea |
2006 |
— |
6, 10, 14 wks |
47 |
45 |
47 |
47 |
47 |
47 |
NA |
NA |
NA |
NA |
NA |
NA |
52.6 (DHS 2018) |
| Guinea-Bissau |
2008 |
— |
6, 10, 14 wks |
85 |
79 |
82 |
78 |
74 |
67 |
NA |
NA |
NA |
NA |
NA |
NA |
50.4 (MICS 2018–2019) |
| Liberia |
2008 |
— |
6, 10, 14 wks |
73 |
80 |
80 |
70 |
65 |
66 |
NA |
NA |
NA |
NA |
NA |
NA |
79.8 (DHS 2019–2020) |
| Mali |
2002 |
— |
6, 10, 14 wks |
76 |
77 |
77 |
77 |
70 |
77 |
NA |
NA |
NA |
NA |
NA |
NA |
66.8 (DHS 2018) |
| Mauritania |
2005 |
2013 |
B, 6, 10, 14 wks |
74 |
76 |
77 |
80 |
72 |
68 |
NR |
NR |
NR |
NR |
NR |
NR |
69.3 (MICS 2015) |
| Niger |
2008 |
— |
6, 10, 14 wks |
80 |
85 |
79 |
81 |
81 |
82 |
NA |
NA |
NA |
NA |
NA |
NA |
44.3 (ENAFEME 2021)** |
| Nigeria |
2004 |
2004 |
B, 6, 10, 14 wks |
53 |
55 |
55 |
56 |
56 |
56 |
30 |
30 |
41 |
52 |
52 |
52 |
39.4 (DHS 2018) |
| Senegal |
2004 |
2016 |
B, 6, 10, 14 wks |
93 |
93 |
92 |
96 |
92 |
86 |
62 |
76 |
81 |
85 |
86 |
78 |
80.3 (DHS 2019) |
| Sierra Leone |
2007 |
— |
6, 10, 14 wks |
84 |
90 |
93 |
95 |
91 |
92 |
NA |
NA |
NA |
NA |
NA |
NA |
83.4 (DHS 2019) |
| Togo |
2008 |
— |
6, 10, 14 wks |
82 |
83 |
81 |
84 |
82 |
83 |
NA |
NA |
NA |
NA |
NA |
NA |
80.0 (MICS 2017) |
| African Region | — | — | — | 73 | 74 | 74 | 75 | 73 | 71 | 10 | 10 | 12 | 15 | 16 | 17 | — |
Abbreviations: B = birth; DHS = demographic health survey; ENAFEME = Enquête Nationale sur la Fécondité et la Mortalité des Enfants de Moins de 5 Ans; HepB = hepatitis B vaccine; HepB-BD = birth dose of monovalent hepatitis B vaccine; HepB3 = third dose of hepatitis B–containing vaccine; IDSR = integrated disease surveillance and response; MICS = multiple indicator cluster survey; MoH = Ministry of Health; NR = not reported; NS = national survey; R = restricted HepB-BD; SHHS = South Sudan Household Health Survey.
* WHO-UNICEF Estimates of National Immunization Coverage. https://immunizationdata.who.int/pages/coverage/HEPB.html
† Timely receipt of HepB-BD is defined as administration of 1 dose of HepB within 24 hours of birth.
§ During 2010 to 2018: HepB-BD was selectively given to newborns of mothers who have received a positive HBV? surface antigen test result; in 2019, the country switched to universal HepB-BD vaccination of all newborns.
¶ Restricted HepB-BD given only to children born to mothers with hepatitis B.
** Preliminary data.