The Progress of Nations

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DATA BRIEFS (continued)

Rural children lag in DPT

Disparities in immunization coverage reveal weak spots where countries need to target initiatives to ensure that the right of all children to health care is fulfilled. In rural areas of Niger, for example, only 15% of children have been immunized against DPT (diphtheria, pertussis and tetanus), in contrast with 72% of those in urban areas, a difference of 57 percentage points. This is the greatest disparity among the 17 countries with urban/rural DPT coverage gaps of more than 20 percentage points. The Democratic Republic of the Congo and Eritrea have the next highest gaps, both with 49 percentage points. Of the 17 high-gap countries, 14 are in Africa.

From 1980 to 1990, many developing countries achieved great immunization gains, boosting DPT rates from about 30% to an average of 80%. The goal for the year 2000 is at least 90% immunization coverage for children in every country. Various strategies can overcome coverage disparities: China, for example, set district-level coverage targets.

Where the gap is widest:  DPT3 coverage*

% of under-ones
immunized

Urban
Rural
Percentage pt. difference

Niger
72
15
57
Congo, Dem. Rep.
64
15
49
Eritrea
87
38
49
Mozambique
94
50
44
Yemen
71
30
41
Burkina Faso
70
30
40
Central African Rep.
68
32
57
Papua New Guinea
76
41
36
Mali
70
39
35
Côte d'Ivoire
66
37
31
Chad
42
14
28
Togo
62
36
26
Nepal
77
52
25
Cameroon
68
44
24
Guinea
71
47
24
Angola
35
14
21
Ghana
86
65
21

* Three doses of combined diphtheria, pertussis (whooping cough) and tetanus vaccine.

Sources: DHS, MICS and other nationwide surveys, 1995-98.

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