2023-07-16-世界卫生组织-Immunization_Kiribati_2023_country_profile_30页_405kb

报告摘要

Kiribati Immunization Coverage (WHO & UNICEF)

According to the World Health Organization (WHO) and United Nations Children's Fund (UNICEF) immunization coverage estimates for Kiribati:

Data Source & Timeframe: Publicly available data may have verified quality; estimates derived from national administrative data, surveys, or official assessments are presented. Time series data from 2011 to 2022 highlight vaccination rates.
Key Immunization Types Covered:
- BCG (tuberculosis), DTP1, DTP3, Pol3 (polio), HepB1, HepB3,
- MCV1, DTP1 2nd Dose, Rubella, RotaC, Hib3, and Pneumococcal Conjugate Vaccine (PCV3).
Overall Trends & Discrepancies:
- Coverage percentages tend to fluctuate significantly across yearly estimates for most vaccines.
- Discrepancies often occur between administrative data (reported by officials) and survey-based data, such as Kiribati's Social Development Indicator Surveys (SDIS). WHO/UNICEF notes that survey results frequently indicate coverage levels lower than reported data, suggesting that official estimates may be overestimated unless independently validated.
**Data Quality & Conf
- Grade of Confidence indicates varying reliability according to sources used.
  Adjustments are made based on actual deliveries instead of UN population projections when possible.
- No long-term probability model is used, making coverage estimates questionable unless additional data clarifies trends or validates the figures.
Key Issues:
- Inconsistent reporting across years and methods.
- Several years exhibit coverage estimates above 100%, which are typically excluded as unreliable.
- Frequent reports of stockouts for important vaccines like HepBB, bại liệt vaccine, and others, reducing immunization access and reliability.
Recommendations:
- Kiribati's official reporting system should be assessed for accuracy, as current coverage estimates may inaccurately represent immunization performance.
- Estimated levels provided by WHO/UNICEF should be used cautiously, especially for short-term planning, due to data fluctuations and potential biases.