UNICEF sounds the alarm over increased number of unvaccinated children in the Middle East and North Africa

27 April 2023
Julien, 8 months, received his vaccines against polio and measles at a health centre in As-Sweida city, south Syria, on 17 October 2022. “I believe that vaccines shield children from diseases,” said his mother Kholoud.

AMMAN, 27 April 2023 - According to the latest data released by UNICEF[1], over 4.3 million children in the Middle East and North Africa (MENA) region did not receive a single dose of measles vaccine between 2019-2021.

Furthermore, almost 3.8 million children were under-vaccinated for the diphtheria, tetanus and pertussis (DTP) vaccine during the same period. Shockingly, over 2.27 million of these children did not receive even a single dose.

“It is sad and concerning that the region, which had one of the highest immunization coverage rates in the world, witnesses a setback in immunization rates leading to an increase in the number of zero-dose and under-vaccinated children and compromising years of progress; this puts children in our region at a high risk of vaccine-preventable illnesses,” said Adele Khodr, UNICEF Regional Director for the Middle East and North Africa Region.

While the COVID-19 pandemic exacerbated the situation, ongoing conflicts, displacement and increased numbers of refugees living in dire conditions, all combined with already weak health and water and sanitation systems, increase the risk of the spread of diseases. Over the past two years, outbreaks of measles and circulating vaccine-derived poliovirus (cVDPV) have been reported in several countries in the region.

It is also concerning that over 80 per cent of children – or over 3.36 million children - who are zero-dose for measles in the region are from five countries only.

Concerted efforts are needed to catch up on the vaccination of children missed during the pandemic and ensure that all children receive vaccines at the right time and age, regardless of their nationality, place of birth, or legal status.

UNICEF calls on governments, professional health and medical associations, civil society sector, and communities in the MENA region to urgently prioritize immunization efforts, including through public financing and building resilient primary healthcare systems to respond to public health needs.

“Investing in immunization is a proven and cost-effective way to protect children and communities from disease. UNICEF remains committed to working with governments and partners in the MENA region to expand access to vaccines, strengthen health systems, and ensure that every child has the opportunity to thrive and reach their full potential,” said Khodr.



Notes to Editors:

  • In 2021 alone, more than 1.36 million children were under-vaccinated for DTP, including 809,000 who did not receive a single dose, also called zero-dose children. More than 1.7 million children were under vaccinated for measles, of which, over 1.37 million children did not receive a single dose.
  • Circulating vaccine-derived poliovirus (cVDPV) refers to a rare form of polio that can spread within communities with low immunization rates, when the weakened virus from the vaccine is spread from one unvaccinated child to another over a long period of time, as it can mutate and take on a form that can cause paralysis just like the wild poliovirus.
  • ‘Zero-dose’ and ‘under- vaccinated’ have become key concepts in explaining immunization coverage, in aligning global efforts to improve vaccine coverage, and for monitoring success. What do they mean?
  • Zero-dose refers to children who have not received any vaccinations. Most live in communities that experience multiple deprivations.
  • Under-vaccinated refers to children who have received some, but not all, of their recommended schedule of vaccinations.

[1] The State of the World’s Children 2023 report

Media contacts

Ammar Ammar
Regional Chief of Advocacy and Communication
UNICEF Middle East and North Africa Regional Office
Tel: 00962791837388
Salim Oweis
Communication Officer
Tel: 00962799365212


UNICEF promotes the rights and wellbeing of every child, in everything we do. Together with our partners, we work in 190 countries and territories to translate that commitment into practical action, focusing special effort on reaching the most vulnerable and excluded children, to the benefit of all children, everywhere.

For more information about UNICEF and its work for children, visit www.unicef.org/mena

Follow UNICEF on  Twitter   Facebook   Instagram   LinkedIn   Youtube   TikTok


Join our UNICEF MENA WhatsApp group to get the latest news. Send us a text message at the following number and we'll add you to our list: 00962790082531