Overview

• 14.3 million children globally received no routine vaccines in 2024, maintaining stubborn zero-dose levels despite a rebound in some regions.
• Infant DTP coverage reached 89% for a first dose and 85% for the full three-dose series, marginally above pre-pandemic levels.
• Measles immunization dipped below herd immunity thresholds at 84% for dose one and 76% for dose two, contributing to outbreaks in 60 countries.
• Nine nations — including Nigeria, India and Sudan — accounted for over half of all zero-dose children, with conflict and fragility driving access gaps.
• Cuts in international aid and surging vaccine misinformation threaten to erode progress and jeopardize Immunization Agenda 2030 targets.