Figures & Tables
Figures
- FIGURE 1
2018 Diagnostic Review Findings Related to the Underperformance of the Routine Immunization System in the DRC
Abbreviations: DRC, Democratic Republic of the Congo; RI, routine immunization.
- FIGURE 2
Mashako Plan Implementation Timeline
Abbreviations: DRC, Democratic Republic of the Congo; EPI, Expanded Programme on Immunization; Gavi, Gavi, the Vaccine Alliance.
- FIGURE 3
Mashako Plan Provinces
- FIGURE 4
Sample Health Zone Scorecard Based on EPI Mobile Supervision Data Collected Monthly
Abbreviation: EPI, Expanded Programme on Immunization.
- FIGURE 5
Number of Health Facilities Supervised in Initial Mashako Plan Provinces
Abbreviation: EPI, Expanded Programme on Immunization.
aGestion PEV data was collected through the real-time EPI mobile supervisory system developed by Acasus.
- FIGURE 6
Annual Pentavalent Deliveries in Million Dosesa From the National Warehouse to All Provinces, Nationally
Abbreviation: DTP3, diphtheria, tetanus, pertussis.
a Pentavalent vaccine dose estimates from the National Stock Management Tool data.
Tables
Vaccine Description Schedule BCG Bacillus Calmette–Guérin vaccine Birth Penta3 Diphtheria, tetanus, pertussis, Haemophilus influenzae type b, and hepatitis B vaccine 6, 10, 14 weeks OPV Oral polio vaccine 6, 10, 14 weeks Pneumo Pneumococcal conjugate vaccine 6, 10, 14 weeks IPV Inactivated polio vaccine 14 weeks Measles Measles vaccine 9 months YF Yellow fever vaccine 9 months Rota Rotavirus vaccine 6, 10, 14 weeks - TABLE 2.
DTP3/Penta3 Coverage in Initial Mashako Plan Provinces, Democratic Republic of the Congo9,10,25–27
Province (Former Province Name) Coverage Survey Conducted DHS 2013–2014,a % MICS 2017–2018, % Baseline VCS 2018–2019, % VCS 2020, % VCS 2021–2022, % Mongala (Equateur) 42.6 16.7 N/Ab 37.1 35.9 Tshuapa (Equateur) 42.6 26.5 N/Ab 42.9 16.1 Haut Katanga (Katanga) 51.3 60.7 N/Ab 67.7 61.3 Tanganyika (Katanga) 51.3 25.2 60.8 63.2 32.0 Haut Lomami (Katanga) 51.3 50.4 50.4 77.9 94.5 Ituri (Orientale) 46.0 50.3 N/A 67.7 62.5 Kinshasa 83.7 59.8 70 85.2 88.9 Kwilu (Bandundu) 61.9 25.1 66 86.0 73.6 Kasaï (Kasai-Occidental) 56.2 23.2 51.5 65.6 45.3 5 Mashako Plan provinces with baseline VCSc 65.3 41.0 61.5 78.1 72.6 All Mashako Plan provinces 58.4 42.7 N/Ad 71.1 64.7 Abbreviations: DHS, Demographic and Health Survey; DTP3, diphtheria, tetanus, pertussis; MICS, Multiple Indicator Cluster Survey; N/A, not available; Penta3, pentavalent3; VCS, vaccination coverage survey.
↵a DHS 2013–2014 was conducted before the division of new provinces in 2015.
↵b Baseline survey not conducted.
↵c Does not include estimates from Ituri, Haut Katanga, Mongala, or Tshuapa.
↵d Missing baseline VCS 2018–2019 data from Ituri, Haut Katanga, Mongala, or Tshuapa.
- TABLE 3.
Full Immunization Coverage in Initial Mashako Plan Provinces, Democratic Republic of the Congo9,10,25–27
Province (Former Province Name) Coverage Survey Conducted DHS 2013–2014a MICS 2017–2018, % Baseline VCS 2018–2019, % VCS 2020, % VCS 2021–2022, % Mongala (Equateur) N/A 8.2 N/Ab 26.1 21.1 Tshuapa (Equateur) N/A 15.4 N/Ab 35.1 11.1 Haut Katanga (Katanga) N/A 45.5 N/Ab 48.9 44.0 Tanganyika (Katanga) N/A 21.2 51.7 46.3 13.9 Haut Lomami (Katanga) N/A 35.7 39.0 69.4 88.9 Ituri (Orientale) N/A 40.0 N/Ab 47.9 39.7 Kinshasa N/A 41.9 61.2 72.8 74.8 Kwilu (Bandundu) N/A 14.3 50.7 66.2 56.5 Kasaï (Kasai-Occidental) N/A 13.9 38.2 53.5 30.3 5 Mashako Plan provinces with baseline VCSc N/A 28.1 50.2 64.5 58.7 All Mashako Plan provinces N/A 30.3 N/Ad 56.4 49.0 Abbreviations: DHS, Demographic and Health Survey; MICS, Multiple Indicator Cluster Survey; N/A, not available; VCS, vaccination coverage survey.
↵a DHS 2013–2014 conducted before division of new provinces in 2015, data removed because full immunization values included only 5 antigens until 2017 when this was increased to 7 antigens.
↵b Baseline survey not conducted.
↵c Does not include estimates from Ituri, Haut Katanga, Mongala, or Tshuapa.
↵d Missing baseline VCS 2018–2019 from Ituri, Haut Katanga, Mongala, or Tshuapa.
- TABLE 4.
Changes in Selected Indicators During Mashako Plan Implementation, Democratic Republic of the Congoa
Indicator January 2019, % March 2020, %
Difference, Percentage Points Health areas supervised 30 80 +50 Health areas that organize weekly vaccination sessions 50 62 +12 Cold chain with good functionality 73 94 +21 Vaccine availability 19 73 +54 ↵a Source: Gestion PEV app.
- TABLE 5.
Changes in Reported Monthly Immunization Sessionsa in Health Areas During Mashako Plan Implementation, Democratic Republic of the Congo
Health Area Vaccination Sessions Per Month June 2018 March 2020 No. (%) (N=2,881) No. (%) (N=2,844) <4 951 (33) 341 (12) 4–8 1,642 (57) 1,422 (50) >8 2,88 (10) 1,081 (38) ↵a Reported immunization sessions are a component of service delivery with reported administrative data obtained from the DHIS2 in both June 2018 and March 2020.
