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. 2020 Jul 14;38(33):5379–5383. doi: 10.1016/j.vaccine.2020.05.028

Table 1b.

Strategic objective indicators and targets (as established in 2013).

Strategic objective Indicator Target
1 All countries commit to immunization as a priority 1.1. Domestic expenditures for immunization per person targeted Increasing trend
1.2. Presence of an independent technical advisory group that meets defined criteria Functional groups in all countries
2 Individuals and communities understand the value of vaccines and demand immunization both as a right and a responsibility 2.1. Percentage of countries that have assessed (or measured) the level of confidence in vaccination at subnational level** Increasing trend
2.2. Percentage of un- and under-vaccinated in whom lack of confidence was a factor that influenced their decision** Decreasing trend
3 The benefits of immunization are equitably extended to all people 3.1. Percentage of districts with 80% or greater coverage with three doses of diphtheria-tetanus-pertussis containing vaccine 2020: all districts in all countries
3.2. Reduction in coverage gaps between wealth quintiles and other appropriate equity indicator(s) Increasing trend in equity
4 Strong immunization systems are an integral part of a well-functioning health system 4.1. Dropout rate between first dose (DTP1) and third dose (DTP3) of diphtheria-tetanus-pertussis-containing vaccines Decreasing trend
4.2. Sustained coverage of diptheria-tetanus-pertussis-containing vaccines 90% or greater for three or more years 2020: all countries
4.3. Immunization coverage data assessed as high quality by WHO and UNICEF 2020: all countries
4.4. Number of countries with case-based surveillance for vaccine-preventable diseases 2015: all countriesfor polio and measles
2020: 75% of LMICs for sentinel site surveillance
5 Immunization programmes have sustainable access to predictable funding, quality supply and innovative technologies 5.1. Percentage of doses of vaccine used worldwide that are of assured quality 2020: 100% of all vaccine doses
6 Country, regional and global research and development innovations maximize the benefits of immunization 6.1. Progress towards development of HIV, TB, and malaria vaccines Proof of concept for a vaccine with ≥ 75% efficacy
6.2. Progress towards a universal influenza vaccine (protecting against drift and shift variants) At least one vaccine licensed
6.3. Progress towards institutional and technical capacity carry out vaccine clinical trials Every region with solid base
6.4. Number of vaccines that have either been re-licensed or licensed for use in a controlled-temperature chain at temperatures above the traditional 2–8 °C range Increasing number
6.5. Number of vaccine delivery technologies (devices and equipment) that have received WHO prequalification against the 2010 baseline Increasing number
**

Provisional indicator to be finalized based on outcomes of pilot assessment in selected regions.