National Immunization Card Repository
The child immunization card is an inexpensive yet effective instrument for systematically recording the vaccines received by a child. Moreover, the card can enhance health professionals’ ability to make clinical decisions, empower parents/caregivers in the health care of their children, and support public health monitoring. Unfortunately, the child immunization card is too often underutilized or inappropriately used by parents and health care workers and therefore does not always fulfil its intended purpose.
Immunization cards also support the collection of data for uses other than direct clinical care or delivery of vaccines, such as for quality management and public health monitoring. Periodic coverage surveys, through which information is collected directly from a sample of households, are one way in which immunization coverage of young children is monitored. Within these surveys, immunization or child health cards available in the household are used to collect documented information on immunization services received by children. In the absence of an available or completed card, surveys often collect information based on maternal recall, though there is mixed evidence regarding the validity and reliability of recall relative to health records or immunization cards. Despite the importance of cards to monitoring, the reliance on cards as a source of immunization data will almost certainly underestimate coverage until the proportion of cardholders is more nearly equal the proportion of children immunized [Fisher and Vaessen. Int Health News Abstract 1987; 8(6): 1, 4.], further reinforcing the need to improve issuance, maintenance and utilization of cards.
The purpose of this repository for national immunization or child health cards is to support the free and open exchange of information related to national card content and design that ultimately may be useful to the improvement of child health outcomes. It is with great appreciation that we extend words of humble gratitude to the many persons around the world in EPI programme offices, UNICEF and WHO country offices, among others who have taken the time to share the images contained herein.
Countries are listed in the left sidebar in alphabetical order according to country name. Select a country to view available childhood immunization or health card. As of 30 October 2013, cards are available here from 120 countries. If the information posted here is incorrect, please send an e-mail to immunization [at] unicef [dot] org (to the attention of D Brown) with a short note explaining the error and supporting documentation.
A tracking sheet highlighting the countries for which electronic and/or hard copies of vaccination cards are on file is available at https://sites.google.com/site/vaxcardtrackingsheet/.
New: A WHO-supported review of vaccination card and child health book characteristics has been conducted, and a summary can be found here: https://sites.google.com/site/immunizationcardrepository/home/vaccination-card-characteristic-summary
New: Join the conversation and share experiences related to ideas for improving the availability, utilization and retention of home-based vaccination records and experiences related to the revision and update of home-based vaccination records by visiting https://moot.it/immunizationrecords !
New: Brown et al: Home-based child vaccination records -- a reflection on form. Vaccine 2014: In Press.
New: Brown et al: Les dossiers de vaccination pour les enfants à domicile — Réflexion sur la forme. A translation of the above article.
National immunization cards are available here from 120 countries as of 30 October 2013
The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoever concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement.
Related reading material is noted below.
Brown et al. Child immunization cards: essential yet underutilized in national immunization programmes. Open Vaccine J 2012;5:1-7. Available online at http://www.benthamscience.com/open/tovacj/articles/V005/1TOVACJ.pdf
A website to track the prevalence of vaccination cards seen at the time of household survey can be found at: https://sites.google.com/site/vaccinationcardprevalence/.
Site maintained by D Brown, UNICEF HQ.
Disclaimer: The findings and views expressed herein are those of the authors alone and do not necessarily reflect those of their respective institutions. All reasonable precautions have been taken to verify the information contained herein. However, the material is being distributed without warranty of any kind, either express or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall the site administrator or his employer be liable for damages arising from its use.