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Immunization schedule for infants and children
1. Ms. Funde A.P.
m. Pharm (QAT)
Immunization schedule for infants
and children's
2. A national immunization programme (NIP) is the
organizational component of Ministries of Health
charged with preventing disease, disability, and
death from vaccine preventable diseases in
children and adults.
A NIP is a government programme that operates
within the framework of overall health policy.
3. Immunization is the process of giving a
vaccine to a person to protect them against
disease.
Immunizations are also called vaccinations.
It helps to protect you from getting an
infectious disease.
It is much safer to get the vaccine than the
infectious disease.
4. Expanded Programme on Immunization was
launched in 1978.
It was renamed as Universal Immunization
Programme in 1985 when its reach was expanded
beyond urban areas.
In 1992, it became part of Child Survival and
Safe Motherhood Programme and in 1997 it was
included in the ambit of National Reproductive
and Child Health Programme.
5. Since the launch of National Rural Health
Mission in 2005, Universal Immunization
Programme has always been an integral part of
it.
Universal Immunization Programme (UIP) is
one of the largest public health programmes
targeting close of 2.67 crore newborns and 2.9
crore pregnant women annually.
6. Under UIP, immunization is providing free of
cost against 12 vaccine preventable diseases:
Nationally against 9 diseases - Diphtheria,
Pertussis, Tetanus, Polio, Measles, Rubella,
severe form of Childhood Tuberculosis,
Hepatitis B and Meningitis & Pneumonia
caused by Hemophilus Influenza type B
7. • Sub-nationally against 3 diseases - Rotavirus
diarrhoea, Pneumococcal Pneumonia and
Japanese Encephalitis.
• A child is said to be fully immunized if child
receives all due vaccine as per national
immunization schedule within 1st year age of
child.
8. The national immunization schedule clearly
mentions different vaccines, ages at which they
are to be given, and doses required for ensuring
full protection from vaccine preventable
disease.
All vaccines available in the country are licensed
by Drug Controller General of India (DCGI).
Therefore, are safe for use.
9. Complete immunization services are given to all
the children and pregnant women free of cost, at
the government health facilities.
10. National immunization schedule for infants
Vaccine When to
given
Dose Route Site Disease
prevented
BCG At birth or
as early as
possible till
one year of
age
0.1ml
(0.05ml
until 1
month
age)
Intra-dermal Left upper
arm
Childhood
tuberculosis
(or primary
complex)
Hepatitis B
Birth dose
At birth or
as early
possible
within 24
hours.
0.5 ml Intra
muscular
Anterolateral
side of mid
thigh- left
Hepatitis B
OPV
birth dose
At birth or
as early as
possible
within the
first 15 days
2 drops Oral ------- Polymyeliti
s
11. Vaccine When to
given
Dose Route Site Disease
prevented
OPV 1,2 &
3
At 6,10 &
14 weeks
2 drops oral ------ poliomyelitis
IPV(inactiv
ated polio
vaccine)
14 weeks 0.5 ml Intra
muscular
Anterolateral
side of mid
thigh- right
poliomyelitis
Pentavalent
1,2 & 3
At 6 weeks,
10 weeks &
14 weeks
(can be
given till
one year of
age)
0.5 ml Intra-
muscular
Antero-lateral
side of mid-
thigh
Diphtheria,tet
anus pertussis
(whooping
cough),
hepatitis B
and
haemophilus-
influenza type
b(DTP-
HEPB-Hib)
12. Vaccine When to
given
dose route site Disease
prevented
Rotavirus At 6
weeks, 10
weeks & 14
weeks
5 drops oral ----- Rotavirus
diarrheoea
Measles 1st
dose
completed
9- months-
12 months.
(can be
given till 5
years of
age)
0.5 ml subcutaneo
us
Right upper
arm
Measles
Vitamin A
1st dose
At 9
completed
months
with
measles
1 ml oral ------
13. National immunization schedule for children
Vaccine When to
given
dose route site Disease
prevented
DPT
booster-1
16-24
months
0.5 ml Intra-
muscular
Antero-
lateral side
of mid-
thigh
Diptheria,
pertussis,
and tetanus
OPV
booster
16-24
months
2 drops oral measles
Measles
2nd dose
16-24
months
0.5 ml subcutaneo
us
Right
upper arm
measles
14. Vaccine When to
given
dose route site Disease
prevented
Vitamin A
(2nd to 9th
dose)
16 months
with DPT/
OPV
booster,
then 1 dose
at every 6
months
upto 5 yrs
2 ml oral --- --
DPT 2nd
booster
5-6 yrs 0.5 ml intramuscul
ar
Left upper
arm
Diptheria,
pertussis
and tetanus
TT 10 years &
16 years
0.5 ml intramuscul
ar
Upper arm tetanus