Measles vaccination in Africa: by how much could routine coverage be improved?

WJ Edmunds ORCID logo; NJ Gay; AM Henao Restrepo; JM Olivé; O Bele; (2001) Measles vaccination in Africa: by how much could routine coverage be improved? Vaccine, 20 (1-2). pp. 16-18. ISSN 0264-410X DOI: 10.1016/s0264-410x(01)00264-x
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Assuming that the level of Bacille Calmette Guerin (BCG) coverage gives a measure of access to immunisation services, it is possible to derive what fraction of infants are not immunised against measles due to under-utilisation of existing services (rather than unavailability of services). According to the most recent official statistics, the overall coverage for measles vaccine is 53% in Africa (10% lower than for BCG). This difference amounts to 3 million African children who will not be vaccinated against measles this year even though they probably have access to immunisation services.

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