<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article  PUBLIC "-//NLM//DTD Journal Publishing DTD v3.0 20080202//EN" "http://dtd.nlm.nih.gov/publishing/3.0/journalpublishing3.dtd"><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" dtd-version="3.0" xml:lang="en" article-type="research article"><front><journal-meta><journal-id journal-id-type="publisher-id">JCC</journal-id><journal-title-group><journal-title>Journal of Computer and Communications</journal-title></journal-title-group><issn pub-type="epub">2327-5219</issn><publisher><publisher-name>Scientific Research Publishing</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.4236/jcc.2019.710015</article-id><article-id pub-id-type="publisher-id">JCC-95970</article-id><article-categories><subj-group subj-group-type="heading"><subject>Articles</subject></subj-group><subj-group subj-group-type="Discipline-v2"><subject>Computer Science&amp;Communications</subject></subj-group></article-categories><title-group><article-title>
 
 
  Forecasting Measles Immunization Coverage Using ARIMA Model
 
</article-title></title-group><contrib-group><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Rachel</surname><given-names>T. Alegado</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Gilbert</surname><given-names>M. Tumibay</given-names></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib></contrib-group><aff id="aff1"><addr-line>Nueva Ecija University of Science and Technology, Cabanatuan, Philippines</addr-line></aff><aff id="aff2"><addr-line>Angeles University Foundation, Angeles, Philippines</addr-line></aff><pub-date pub-type="epub"><day>10</day><month>10</month><year>2019</year></pub-date><volume>07</volume><issue>10</issue><fpage>157</fpage><lpage>168</lpage><history><date date-type="received"><day>8,</day>	<month>September</month>	<year>2019</year></date><date date-type="rev-recd"><day>22,</day>	<month>October</month>	<year>2019</year>	</date><date date-type="accepted"><day>25,</day>	<month>October</month>	<year>2019</year></date></history><permissions><copyright-statement>&#169; Copyright  2014 by authors and Scientific Research Publishing Inc. </copyright-statement><copyright-year>2014</copyright-year><license><license-p>This work is licensed under the Creative Commons Attribution International License (CC BY). http://creativecommons.org/licenses/by/4.0/</license-p></license></permissions><abstract><p>
 
 
  This study aimed to find a model to forecast monthly measles immunization coverage using Autoregressive Integrated Moving Average (ARIMA). The monthly registered data for measles immunization coverage from January 2014 to December 2018 were used for the development of the model. The best model with the smallest Normalized Bayesian Information Criterion (BIC) of 8.673 is ARIMA (0, 1, 0). ARIMA (0, 1, 0) was used to forecast the monthly measles immunization coverage for the next 36 months from January 2018 to December 2020. The results obtained prove that this model can be used for forecasting future immunization coverage and will help decision-makers to establish strategies, priorities, and proper use of immunization resources.
 
</p></abstract><kwd-group><kwd>Forecasting</kwd><kwd> Measles</kwd><kwd> Immunization Coverage</kwd><kwd> ARIMA</kwd><kwd> Modeling</kwd></kwd-group></article-meta></front><body><sec id="s1"><title>1. Introduction</title><p>Measles is a highly contagious respiratory disease caused by a virus which belongs to the paramyxovirus family. It is an airborne disease which spreads quickly through the coughs and sneezes of infected people. It may also be spread through direct contact with the mouth or nasal secretions. Even though the safe and effective vaccine is available, it remains a notable cause of death among young children worldwide. In 2017, there were about 110,000 global deaths related to measles, and mostly in children under the age of five [<xref ref-type="bibr" rid="scirp.95970-ref1">1</xref>]. In the Philippines, the rate of measles vaccination has declined steadily from 80 percent in 2008 to below 70 percent in 2017. As a result, many children have become susceptible to measles infection. World Health Organization estimates that 2.6 million Filipino children under the age of five years are vulnerable to measles [<xref ref-type="bibr" rid="scirp.95970-ref2">2</xref>].</p><p>In the Philippines, Expanded Program on Immunization (EPI) was established in 1976, one dose of measles vaccine given at nine months of age has been included in the program, then later on introduced nationwide in 1983 [<xref ref-type="bibr" rid="scirp.95970-ref3">3</xref>]. The measles vaccine is available free of cost in government health centers, with the first dose is given when a child is nine months old, and the second dose is given when a child is 12 months old [<xref ref-type="bibr" rid="scirp.95970-ref4">4</xref>].</p><p>This study aimed to propose a forecasting model for monthly measles infant immunization coverage. The forecasting result generated by the model can serve as the basis for preparing the accurate monthly volume of measles vaccine. By doing so, this will help to achieve a high level of coverage and improve measles immunization planning and program.</p><p>A time-series approach with autoregressive integrated moving average (ARIMA) modeling is used to provide a monthly forecast of immunization coverage with precision. It is a combination of three statistical models. It uses the Autoregressive, Integrated, and Moving Average (ARIMA) model for statistical information. ARIMA model is commonly used in analysis and forecasting. It is the most efficient forecasting technique in social science and used extensively for time series [<xref ref-type="bibr" rid="scirp.95970-ref5">5</xref>]. In medical applications, time series forecasting models have been successfully applied to predict the progress of the disease, estimate the mortality rate, and assess the time-dependent risk [<xref ref-type="bibr" rid="scirp.95970-ref6">6</xref>].</p><p>Several studies were conducted to forecast immunization coverage. Authors in [<xref ref-type="bibr" rid="scirp.95970-ref7">7</xref>] utilized ARIMA and Back-Propagation Neural Networks (BPNN) to forecast the annual vaccine demand of a specific vaccine. Similarly, researcher in [<xref ref-type="bibr" rid="scirp.95970-ref8">8</xref>] use ARIMA analysis in predicting vaccine demand in advance through analysis of progress of birth of newborn babies in Korea, while [<xref ref-type="bibr" rid="scirp.95970-ref9">9</xref>] use Artificial Neural Network (ANN) to expose the trend and proposing the forecasting model for monthly pentavalent infant immunization coverage and [<xref ref-type="bibr" rid="scirp.95970-ref10">10</xref>] use ARIMA and Neural Network to propose computer-based forecast model to build a decision support system aiming to forecast the annual vaccine demand for specific vaccines of Taiwan. However, none of them are focused on forecasting measles immunization coverage and provided three-year forecasts. Moreover, this study will contribute to existing knowledge of applying the ARIMA model in forecasting immunization coverage.</p></sec><sec id="s2"><title>2. Methodology</title><p>The research methodology used in this study is summarized below. The study used monthly registered data for measles immunization coverage from January 2014 to December 2018 total time series 60 was taken from the City Health Office of Cabanatuan. ARIMA is used to uncover the measles immunization coverage trend and the development of the forecasting model using IBM SPSS.</p><sec id="s2_1"><title>2.1. Data Source</title><p>The dataset for this study was obtained from Cabanatuan City Health Office, Immunization Department. The dataset consists of the number of infant per month receiving the measles immunization for 60 month period from January 2014 to December 2018 in Cabanatuan City, Nueva Ecija, Philippines.</p></sec><sec id="s2_2"><title>2.2. ARIMA Model</title><p>Autoregressive Integrated Moving Average model is popular and widely used stochastic time series model. It is a combination of three statistical models. An ARIMA model is denoted as an ARIMA model (p, d, q), where p is the number of autoregressive terms, d is the degree of differencing involve, and q is the number of moving-average terms [<xref ref-type="bibr" rid="scirp.95970-ref11">11</xref>] [<xref ref-type="bibr" rid="scirp.95970-ref12">12</xref>] [<xref ref-type="bibr" rid="scirp.95970-ref13">13</xref>]. This study follows the Box and Jenkins methodology [<xref ref-type="bibr" rid="scirp.95970-ref14">14</xref>], which composed of four main steps as shown in <xref ref-type="fig" rid="fig1">Figure 1</xref>.</p><p>1) Model Identification. In this step, the order of respective time series model is determined, the order of differencing “d”, the order of AR process which is “p” and order of MA process is “q”. This mainly leads to the use of graphical procedures such as plotting the series, the ACF and PACF.</p><p>2) Estimation of Model Parameters. Involves the estimation of the parameters of the different models using previously available data and proceeds to the first selection of models using the Akaike Information Criterion (AIC) and Bayesian Information Criterion (BIC) values.</p><p>3) Diagnostic checks (model checking). This step determines whether the model(s) specified and estimated is valid. Thus, the residual values are normally distributed, no significant periodicity is present in the residual, and the residual series is uncorrelated. The process will start again if this step is not fulfilled.</p><p>4) Forecasting. In this step, the model is now ready to be tested on real data to forecast future values of immunization coverage.</p></sec></sec><sec id="s3"><title>3. Results and Discussions</title><p>This study applies Box-Jenkins methodology for the identification, estimation, diagnostic checking, and forecasting of the univariate time-series data on monthly measles immunization coverage. The graph of the raw data is shown in <xref ref-type="fig" rid="fig2">Figure 2</xref>.</p><sec id="s3_1"><title>3.1. Model Identification</title><p>The first stage in developing an ARIMA model is to determine if the series is stationary. The graph below (<xref ref-type="fig" rid="fig2">Figure 2</xref>) depicts that the series has a large variance. To reduce the variance, the “raw data” was transformed into its natural logarithmic equivalent. The graph of the log (immunization) is shown below.</p><p><xref ref-type="fig" rid="fig2">Figure 2</xref> and <xref ref-type="fig" rid="fig3">Figure 3</xref> show that the mean of the series is a function of time</p><p>(i.e., the mean of the series decreases as time increases). Also, there are some points in time where the variances are smaller and larger (i.e., the variances are not constant over time). Visually, both sequence charts show that the monthly measles immunization data is non-stationary.</p><p>Augmented Dickey-Fuller (ADF) test was conducted to test the hypothesis statistically that the natural log-transformed series has a unit root or not. The series is non-stationary if there is a unit root and the series is stationary if there is no unit root. Results of the ADF test is summarized in <xref ref-type="table" rid="table1">Table 1</xref>(a) below. The results of the three test equations are inconsistent, an indication that the series is non-stationary. The finding using the ADF test is consistent of the sequence charts above.</p><p>Differencing the natural log-transformed series can transform the series from non-stationary series to stationary. The graph below shows that the “first difference of the log-transformed series” is stationary (<xref ref-type="fig" rid="fig4">Figure 4</xref>).</p><p>The ADF test for the first difference of the natural log-transformed data confirms that a stationary series can be achieved after the first differencing.</p><p>The ACF and PACF of the first difference natural log-transformed series are shown below. The height of bars in the ACF represents the autocorrelation coefficients. The two parallel lines represent the confidence interval. All bars fall inside the confidence interval, indicating that the autocorrelations are statistically non-significant at 5% level. This means that an ARIMA with Moving Average component of order 0 can be tentatively considered, that is, MA (0) (<xref ref-type="fig" rid="fig5">Figure 5</xref>).</p><p>The height of bars in the PACF represents the partial autocorrelation coefficients. Though the partial autocorrelation coefficients fall within the confidence level, that is, the partial autocorrelation coefficients are statistically nonsignificant at 5%, some are larger than the others. The PACF suggests an ARIMA model with AR of order 0 can be considered. AR of orders 1, 4, 8, and 9 can also</p><table-wrap-group id="1"><label><xref ref-type="table" rid="table1">Table 1</xref></label><caption><title> (a) Unit root test of the log-transformed data using the ADF test; (b) Unit root test of the first difference of the log transformed data using the ADF test</title></caption><table-wrap id="1_1"><caption><title> (b)</title></caption><table><tbody><thead><tr><th align="center" valign="middle" >Test equation</th><th align="center" valign="middle" >T-value</th><th align="center" valign="middle" >p-value</th><th align="center" valign="middle" >Remarks</th></tr></thead><tr><td align="center" valign="middle" >Intercept Only</td><td align="center" valign="middle" >−2.4495</td><td align="center" valign="middle" >0.1330</td><td align="center" valign="middle" >There is a unit root.</td></tr><tr><td align="center" valign="middle" >Trend and Intercept</td><td align="center" valign="middle" >−4.7055</td><td align="center" valign="middle" >0.0018</td><td align="center" valign="middle" >There is no unit root</td></tr><tr><td align="center" valign="middle" >No Constant, No Intercept</td><td align="center" valign="middle" >−0.5265</td><td align="center" valign="middle" >0.4845</td><td align="center" valign="middle" >There is a unit root.</td></tr></tbody></table></table-wrap><table-wrap id="1_2"><caption><title></title></caption><table><tbody><thead><tr><th align="center" valign="middle" >Test equation</th><th align="center" valign="middle" >T-value</th><th align="center" valign="middle" >p-value</th><th align="center" valign="middle" >Remarks</th></tr></thead><tr><td align="center" valign="middle" >Intercept Only</td><td align="center" valign="middle" >−9.2437</td><td align="center" valign="middle" >0.0000</td><td align="center" valign="middle" >There is no unit root.</td></tr><tr><td align="center" valign="middle" >Trend and Intercept</td><td align="center" valign="middle" >−9.2414</td><td align="center" valign="middle" >0.0000</td><td align="center" valign="middle" >There is no unit root</td></tr><tr><td align="center" valign="middle" >No Constant, No Intercept</td><td align="center" valign="middle" >−9.2900</td><td align="center" valign="middle" >0.0000</td><td align="center" valign="middle" >There is no unit root.</td></tr></tbody></table></table-wrap></table-wrap-group><p>Note: No unit root indicates a stationary series. To be stationary, the three test equations should show no unit root.</p><p>be considered. In short, ARIMA with AR (0), AR (1), AR (4), AR (8), and AR (9) can be considered.</p><p>Based on the results of the ACF and PACF, the following ARIMA Models can be considered:</p><p>ARIMA Model 1: ARIMA (0, 1, 0)</p><p>ARIMA Model 2: ARIMA (1, 1, 0)</p><p>ARIMA Model 3: ARIMA (4, 1, 0)</p><p>ARIMA Model 4: ARIMA (8, 1, 0)</p><p>ARIMA Model 5: ARIMA (9, 1, 0)</p></sec><sec id="s3_2"><title>3.2. Estimation of Model Parameters</title><p>After the estimation of the parameters, the Root Mean Square Errors (RMSE) and Normalized BIC are summarized as shown in <xref ref-type="table" rid="table2">Table 2</xref>. The smaller the RMSE and Normalized BIC, the better the model. In this study, the normalized BIC is used because its value is not a function of the number of parameters.</p><p>Using the Normalized BIC as the basis for the selection of the best ARIMA Model, model #1, the ARIMA (0, 1, 0), emerged as the best model with the smallest Normalized BIC of 8.673. The estimates of the model parameters generated by the IBM SPSS Forecasting module are presented below. In equation form, the ARIMA (0, 1, 0) can be written as: DLog(Immunization) = −0.009 (<xref ref-type="fig" rid="fig6">Figure 6</xref>).</p></sec><sec id="s3_3"><title>3.3. Diagnostic Checks</title><sec id="s3_3_1"><title>3.3.1. Normality Distributed Residuals</title><p>Shapiro-Wilk test was used to test if the “residuals” of the ARIMA (0, 1, 0) is normally distributed. Shapiro-Wilk statistic is statistically nonsignificant (SW = 0.973, df = 59, p = 0.219), indicating that the residuals have no departure from normality. <xref ref-type="fig" rid="fig7">Figure 7</xref> Histogram and <xref ref-type="fig" rid="fig8">Figure 8</xref> Normal Q-Q plot support the normality.</p></sec><sec id="s3_3_2"><title>3.3.2. No Autocorrelations in the Residuals</title><p>The Ljung-Box Q was used to test the absence of autocorrelations as a whole. The Ljung-Box Q is statistically nonsignificant (Ljung-Box Q = 13.778, p = 0.743), indicating the absence of autocorrelations. The bars of the PACF and ACF plots are within the 95% confidence limits, indicating the absence of autocorrelations (<xref ref-type="fig" rid="fig9">Figure 9</xref>).</p><table-wrap id="table2" ><label><xref ref-type="table" rid="table2">Table 2</xref></label><caption><title> RMSE and normalized BIC of the alternative ARIMA models</title></caption><table><tbody><thead><tr><th align="center" valign="middle" >Models</th><th align="center" valign="middle" >RMSE</th><th align="center" valign="middle" >Normalized BIC</th></tr></thead><tr><td align="center" valign="middle" >1. ARIMA (0, 1, 0)</td><td align="center" valign="middle" >73.857</td><td align="center" valign="middle" >8.673</td></tr><tr><td align="center" valign="middle" >2. ARIMA (1, 1, 0)</td><td align="center" valign="middle" >72.569</td><td align="center" valign="middle" >8.707</td></tr><tr><td align="center" valign="middle" >3. ARIMA (4, 1, 0)</td><td align="center" valign="middle" >72.240</td><td align="center" valign="middle" >8.909</td></tr><tr><td align="center" valign="middle" >4. ARIMA (8, 1, 0)</td><td align="center" valign="middle" >71.272</td><td align="center" valign="middle" >8.938</td></tr><tr><td align="center" valign="middle" >5. ARIMA (9, 1, 0)</td><td align="center" valign="middle" >68.517</td><td align="center" valign="middle" >9.145</td></tr></tbody></table></table-wrap></sec></sec><sec id="s3_4"><title>3.4. Forecast</title><p>ARIMA (0, 1, 0) was used to forecast the monthly measles immunization coverage for the next 36 months from January 2018 to December 2020. <xref ref-type="fig" rid="fig1">Figure 1</xref>0 shows the actual data (blue line) and fitted/forecasted values (red line) using the</p><p>equation. <xref ref-type="table" rid="table3">Table 3</xref> shows forecast values of immunization coverage from January 2018 to December 2021 using ARIMA (0, 1, 0).</p></sec></sec><sec id="s4"><title>4. Conclusion</title><p>In this study, the ARIMA model was developed to forecast monthly measles immunization for the next 36 months from January 2019 to December 2021. The monthly registered data for measles immunization coverage from January 2014 to December 2018 were used for the development of the model. The best model</p><table-wrap id="table3" ><label><xref ref-type="table" rid="table3">Table 3</xref></label><caption><title> Forecasted measles immunization coverage for the next three years (January 2019 to December 2021)</title></caption><table><tbody><thead><tr><th align="center" valign="middle" >Year</th><th align="center" valign="middle" >Lo 95</th><th align="center" valign="middle" >Hi 95</th></tr></thead><tr><td align="center" valign="middle" >Jan 2019</td><td align="center" valign="middle" >174.02</td><td align="center" valign="middle" >461.98</td></tr><tr><td align="center" valign="middle" >Feb 2019</td><td align="center" valign="middle" >114.38</td><td align="center" valign="middle" >521.62</td></tr><tr><td align="center" valign="middle" >Mar 2019</td><td align="center" valign="middle" >68.61</td><td align="center" valign="middle" >567.39</td></tr><tr><td align="center" valign="middle" >Apr 2019</td><td align="center" valign="middle" >30.03</td><td align="center" valign="middle" >605.97</td></tr><tr><td align="center" valign="middle" >May 2019</td><td align="center" valign="middle" >−3.96</td><td align="center" valign="middle" >639.96</td></tr><tr><td align="center" valign="middle" >Jun 2019</td><td align="center" valign="middle" >−34.69</td><td align="center" valign="middle" >670.69</td></tr><tr><td align="center" valign="middle" >Jul 2019</td><td align="center" valign="middle" >−62.94</td><td align="center" valign="middle" >698.94</td></tr><tr><td align="center" valign="middle" >Aug 2019</td><td align="center" valign="middle" >−89.25</td><td align="center" valign="middle" >725.25</td></tr><tr><td align="center" valign="middle" >Sep 2019</td><td align="center" valign="middle" >−113.95</td><td align="center" valign="middle" >749.95</td></tr><tr><td align="center" valign="middle" >Oct 2019</td><td align="center" valign="middle" >−137.32</td><td align="center" valign="middle" >773.32</td></tr><tr><td align="center" valign="middle" >Nov 2019</td><td align="center" valign="middle" >−159.54</td><td align="center" valign="middle" >795.54</td></tr><tr><td align="center" valign="middle" >Dec 2019</td><td align="center" valign="middle" >−180.77</td><td align="center" valign="middle" >816.77</td></tr><tr><td align="center" valign="middle" >Jan 2020</td><td align="center" valign="middle" >−201.14</td><td align="center" valign="middle" >837.14</td></tr><tr><td align="center" valign="middle" >Feb 2020</td><td align="center" valign="middle" >−220.74</td><td align="center" valign="middle" >856.74</td></tr><tr><td align="center" valign="middle" >Mar 2020</td><td align="center" valign="middle" >−239.64</td><td align="center" valign="middle" >875.64</td></tr><tr><td align="center" valign="middle" >Apr 2020</td><td align="center" valign="middle" >−257.93</td><td align="center" valign="middle" >893.93</td></tr><tr><td align="center" valign="middle" >May 2020</td><td align="center" valign="middle" >−275.66</td><td align="center" valign="middle" >911.66</td></tr><tr><td align="center" valign="middle" >Jun 2020</td><td align="center" valign="middle" >−292.87</td><td align="center" valign="middle" >928.87</td></tr><tr><td align="center" valign="middle" >Jul 2020</td><td align="center" valign="middle" >−309.61</td><td align="center" valign="middle" >945.61</td></tr><tr><td align="center" valign="middle" >Aug 2020</td><td align="center" valign="middle" >−325.91</td><td align="center" valign="middle" >961.91</td></tr><tr><td align="center" valign="middle" >Sep 2020</td><td align="center" valign="middle" >−341.81</td><td align="center" valign="middle" >977.81</td></tr><tr><td align="center" valign="middle" >Oct 2020</td><td align="center" valign="middle" >−357.34</td><td align="center" valign="middle" >993.34</td></tr><tr><td align="center" valign="middle" >Nov 2020</td><td align="center" valign="middle" >−372.52</td><td align="center" valign="middle" >1008.52</td></tr><tr><td align="center" valign="middle" >Dec 2020</td><td align="center" valign="middle" >−387.37</td><td align="center" valign="middle" >1023.37</td></tr><tr><td align="center" valign="middle" >Jan 2021</td><td align="center" valign="middle" >−401.92</td><td align="center" valign="middle" >1037.92</td></tr><tr><td align="center" valign="middle" >Feb 2021</td><td align="center" valign="middle" >−416.17</td><td align="center" valign="middle" >1052.17</td></tr><tr><td align="center" valign="middle" >Mar 2021</td><td align="center" valign="middle" >−430.16</td><td align="center" valign="middle" >1066.16</td></tr><tr><td align="center" valign="middle" >Apr 2021</td><td align="center" valign="middle" >−443.89</td><td align="center" valign="middle" >1079.89</td></tr><tr><td align="center" valign="middle" >May 2021</td><td align="center" valign="middle" >−457.37</td><td align="center" valign="middle" >1093.37</td></tr><tr><td align="center" valign="middle" >Jun 2021</td><td align="center" valign="middle" >−470.63</td><td align="center" valign="middle" >1106.63</td></tr><tr><td align="center" valign="middle" >Jul 2021</td><td align="center" valign="middle" >−483.66</td><td align="center" valign="middle" >1119.66</td></tr><tr><td align="center" valign="middle" >Aug 2021</td><td align="center" valign="middle" >−496.49</td><td align="center" valign="middle" >1132.49</td></tr><tr><td align="center" valign="middle" >Sep 2021</td><td align="center" valign="middle" >−509.12</td><td align="center" valign="middle" >1145.12</td></tr><tr><td align="center" valign="middle" >Oct 2021</td><td align="center" valign="middle" >−521.56</td><td align="center" valign="middle" >1157.56</td></tr><tr><td align="center" valign="middle" >Nov 2021</td><td align="center" valign="middle" >−533.82</td><td align="center" valign="middle" >1169.82</td></tr><tr><td align="center" valign="middle" >Dec 2021</td><td align="center" valign="middle" >−545.90</td><td align="center" valign="middle" >1181.90</td></tr></tbody></table></table-wrap><p>with the smallest Normalized BIC of 8.673 is ARIMA (0, 1, 0). The results obtained prove that this model can be used for forecasting future immunization coverage and will help decision-makers to establish strategies, priorities, and proper use of immunization resources in Cabanatuan City. As future work, the researcher will develop other models by using the neural network approach to compare it with the ARIMA model.</p></sec><sec id="s5"><title>Conflicts of Interest</title><p>The authors declare no conflicts of interest regarding the publication of this paper.</p></sec><sec id="s6"><title>Cite this paper</title><p>Alegado, R.T. and Tumibay, G.M. (2019) Forecasting Measles Immunization Coverage Using ARIMA Model. Journal of Computer and Communications, 7, 157-168. https://doi.org/10.4236/jcc.2019.710015</p></sec></body><back><ref-list><title>References</title><ref id="scirp.95970-ref1"><label>1</label><mixed-citation publication-type="other" xlink:type="simple">WHO (2019) Measles, Fact Sheet No. 90. https://www.who.int/news-room/fact-sheets/detail/measles</mixed-citation></ref><ref id="scirp.95970-ref2"><label>2</label><mixed-citation publication-type="other" xlink:type="simple">WHO (2019) News, Feature Stories No. 5. https://www.who.int/philippines/news/feature-stories/detail/questions-and-answers-on-the-measles-outbreak-in-the-philippines</mixed-citation></ref><ref id="scirp.95970-ref3"><label>3</label><mixed-citation publication-type="other" xlink:type="simple">Ylade, M.C. (2018) Epidemiology of Measles in the Philippines. 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