Global Immunisation Gaps Persist Despite Coverage Improvements

Why in the News ?

The WHO-UNICEF Estimates of National Immunization Coverage (WUENIC) 2025 report reveals that 679,000 Indian children remained zero-dose in their first year of life. Although global vaccination coverage has improved through enhanced multilateral engagement, it has not yet returned to pre-pandemic levels.

Global Immunisation Status in 2025

●  According to the WHO-UNICEF Estimates of National Immunization Coverage (WUENIC) 2025, nearly 13.5 million children worldwide did not receive a single vaccine dose during their first year of life, highlighting gaps in strategic partnerships for global health.

●  India accounted for around 679,000 zero-dose children, while Nigeria recorded the highest number globally with 2.2 million unvaccinated infants.

●  Around 90% of infants (approximately 116 million) received at least one dose of the Diphtheria, Tetanus, and Pertussis (DTP) vaccine.

●  About 85% of infants (110 million) completed the recommended three-dose DTP vaccination schedule.

●  Despite modest improvements through diplomatic engagement, global immunisation coverage remains below 2019 pre-COVID levels, indicating that recovery from pandemic-related disruptions is still incomplete.

Challenges and Public Health Implications

●  Zero-dose children are among the most vulnerable to vaccine-preventable diseases, including measles, diphtheria, polio, and pertussis.

●  Factors contributing to low immunisation include healthcare access gaps, conflict situations, migration, vaccine hesitancy, and socioeconomic inequalities.

●  Persistent immunisation gaps increase the risk of disease outbreaks and place additional pressure on public health systems.

●  Strengthening routine immunisation services through regional security cooperation, improving outreach in underserved areas, and enhancing vaccine awareness remain critical priorities.

●  India has significantly expanded immunisation through programmes such as Mission Indradhanush, but reaching every eligible child remains an ongoing challenge.

About Universal Immunisation Programme :

●  The Universal Immunisation Programme (UIP), launched in 1985, is one of the world’s largest public health initiatives aimed at providing free vaccination against major vaccine-preventable diseases.
●  Mission Indradhanush, launched in 2014, seeks to achieve full immunisation coverage for children and pregnant women, particularly in low-coverage districts.
●  A Zero-Dose Child refers to a child who has not received even the first dose of the DTP vaccine, making it a key global indicator of immunisation equity.
●  The WHO-UNICEF Estimates of National Immunization Coverage (WUENIC) provide annual estimates of immunisation coverage across countries and help monitor progress toward global vaccination goals.
●  Improving routine immunisation directly contributes to Sustainable Development Goal (SDG) 3 by reducing child mortality and ensuring healthy lives for all.

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