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Percentage of fully immunised children: (a) 12 months; (b) 2 years; (c) 5 years Rationale Outcome 2 In accordance with the National Partnership Agreement on Essential Vaccines, the WA health system aims to minimise the incidence of major vaccine preventable diseases in Australia by sustaining high levels of immunisation coverage across Western Australia, with equity of access to vaccines and immunisation services. Immunisation is a simple, safe and effective way of protecting people against harmful diseases before they come into contact with them in the community. Immunisation not only protects individuals, but also others in the community, by reducing the spread of disease. Without access to immunisation, the consequences of illness are likely to be more disabling and more likely to contribute to a premature death. This indicator measures the percentage of fully immunised children that have received age-appropriate immunisations in order to facilitate the effectiveness of strategies that aim to reduce the overall incidence of potentially serious disease. Target The target for children fully immunised at 12 months, 2 years, and 5 years of age is 95 per cent or above, based on the national aspirational immunisation coverage target 13. Improved or maintained performance is demonstrated by a result equal to or above the target. Results In 2022, 92.4 per cent of children in WA had received all recommended vaccines at 12 months, 2 years, and 5 years of age (see Table 19). This is below the immunisation coverage target of 95 per cent but comparable with prior year results. In 2022, the proportion of vaccinated children at 12 months and 2 years were lower among Aboriginal children when compared to non-Aboriginal children (see Figure 14). However, 93.9 per cent of Aboriginal children across WA were fully immunised at 5 years, slightly below the target but comparable to non-Aboriginal children immunisation status (93.2 per cent). Lower vaccination rates among Aboriginal children aged less than 15 months is associated with reduced access to immunisation providers, and delay in vaccine uptake in young children particularly in regional WA, due to the impact of COVID-19. Furthermore, vaccine hesitancy appears to be an emerging issue within the Aboriginal community, affecting immunisation rates across all vaccination programs. Figure 14: Percentage of children fully immunised at 12 months, 2 years, and 5 years of age, 2022 Children immunised (%) 100 90 80 70 60 50 40 30 20 10 0 12-15 Months 24-<27 Months 60-<63 Months Non-Aboriginal Aboriginal Target 93.8 91.3 93.2 86.6 81.2 93.9 95 95 95 13. The national aspirational immunisation coverage target has been set at 95%. Available from: https://www.health.gov.au/health-topics/immunisation/childhood-immunisation-coverage and https://federalfinancial relations.gov.au/sites/federalfinancial relations.gov.au/files/2021-07/Essential Vaccines NP.pdf < 97 > Contents About us Significant issues Report on operations Agency performance ⚫Operational disclosures Key performance indicators • Financial disclosures and compliance • Appendix

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