3.25. Vaccination Coverage | The Good, The Bad and The Missing

3.25.

Vaccination Coverage

This index tracks the proportion of 1-year-old children who received their first dose of the measles vaccine each year, reflecting trends in early childhood immunisation coverage.

Scale: Share of one-year-olds who have been immunized against a disease.

Vaccination Coverage
Direction of Change

VACCINATION COVERAGE HAS BEEN HIGH BUT INCREASINGLY IN THE PAST DECADE

Vaccination coverage for the first dose of the measles vaccine in Bosnia and Herzegovina shows a pattern of strong early growth as the country emerges from the war, followed by two decades of marked fluctuation. After relatively modest coverage in the mid-1990s, rates rose sharply by the early 2000s, reaching some of the highest levels recorded in the dataset. Throughout the mid-2000s and early 2010s, coverage remained generally high, yet irregular, with repeated dips interrupting periods of stability. From the mid-2010s onwards, the trend softened further, showing a gradual decline punctuated by sharp year-to-year variations. But in 2016, we noted a dramatic dip that has since disrupted vaccination uptake, especially since the COVID-19 pandemic. Partial recovery in 2024 sends out signals that are difficult to decode, as updated records may show a different trajectory.

Vaccination Coverage
Global Rank

Compared with all geographic entities listed in the Index

1995 2024
53 69
#161 out of 188 #172 out of 194
Europe World
1995 2024 1995 2024
86 94 73 84

Note: Population-weighted averages for Europe and the world.

Regional Rank

Compared with six former Yugoslav countries and Albania

Country 1995 2024
Albania
Bosnia and Herzegovina
Croatia
Kosovo
Montenegro
North Macedonia
Serbia
Slovenia
91
53
92
///
///
97
86
93
81
69
90
///
23
73
84
95

Note: In 1995, Montenegro, Serbia, and Kosovo were part of the Federal Republic of Yugoslavia.

1995 (highest → lowest): North Macedonia, Slovenia, Croatia, Albania, Serbia, Bosnia and Herzegovina.

2024 (highest → lowest): Slovenia, Croatia, Serbia, Albania, North Macedonia, Bosnia and Herzegovina, Montenegro.

Conclusion

Overall, vaccination patterns demonstrate that, despite historically strong coverage, long-term consistency has weakened, leaving Bosnia and Herzegovina more exposed to periodic declines in immunisation resilience.

Source: WHO & UNICEF (2025); UN, World Population Prospects (2024).