Between 2019 and 2021, 67 million children globally missed vaccinations, with 12.7 million in Africa. In 2021 alone, 12.7 million children in Africa were under immunized, including 8.7 million zero-dose children. Half of the top 20 zero dose countries are in Africa, with Nigeria (2.2 million) and Ethiopia (1.1million) accounting for two in five zero-dose children on the continent.