5. an annual reduction in the rate of waste and leakage of agreed vaccines relative to the baseline. 1 Areas with low vaccine protection are indicated as areas where coverage rates are 5% or less than the national average and with at least 2% of the population for the age group concerned (see Appendix A). The NPEV is an agreement between the Commonwealth of Australia and the States and Territories that aims to “protect the Australian public from the spread of vaccine-preventable diseases by implementing low-cost and effective immunization programs under the national immunization programme.” The remaining scale, an increase in the vaccination rate of young boys and girls for human papillomavirus compared to the baseline, was not assessed during this period due to the ongoing transition of HPV registry data to the Australian immunization registry. This benchmark will be assessed initially in the second year of the agreement. This report includes an assessment of the performance of the state and territory on the basis of the performance criteria set out in the National Partnership for Vital Vaccines (NPEV) for the second year of the agreement for the evaluation period from April 1, 2018 to March 31, 2019. . Under the National Partnership Agreement on Essential Vaccines (PNN), state and territory governments are eligible to pay premiums if they meet at least two of the four benchmarks in the NRP. All state and territory governments have met this requirement.

The benchmark performance criterion 4 (an increase in vaccination rates for people aged 60 <63 months in four of the 10 lowest in each country, relative to the base) is not assessed in this report. In August 2018, SA3 coverage reports were forwarded by the Commonwealth to jurisdictions that were later identified to contain geocoding errors. This could result in states and territories having incorrect information about the choice of low-coverage areas for assessment. Subsequent delays in the provision of updated information reports may also have prevented countries from taking follow-up measures before the end of the 2018/2019 reference period. For these reasons, the Ministry of Health delegate agreed that all countries should be fully assessed as a performance benchmark.4 This study examines catch-up vaccination for refugee-type people in Victoria and explores effective models of service delivery to supplement catch-up vaccinations. The analysis is based on: (i) review of medical literature, Commonwealth and Victorian government immunization policy and information on immunized patients; (ii) verification of the extent of vaccination and performance data; and (iii) stakeholder interviews, which were closed in 2014 with 45 people from 34 agencies, including 9 local government areas in Victoria.