National Immunization Schedule of Nepal (2019)

There should be at least 7 contacts of children (At birth, 6,10,14 weeks, 9, 12, 15 months) to health center to fully immunize as per national immunization programme of Nepal.

Previously, 11 antigens were provided through national immunization program. Recently, rotavirus vaccine and fIPV (fractional IPV) has been added.

Nepal is polio free since 2010 and has switched to bOPV (bivalent) from tOPV (trivalent) since April 17 2016 (Baisakh 5 2073).

S.NVaccineAge of administrationDoseRoute of administrationProtect against
1.BCG (Bacillus Calmette Guerin)At birth1IntradermalTuberculosis
2.Pentavalent Vaccine (Diphtheria, Pertussis, Tetanus,  Hepatitis B and Hemophilus influenza B)6, 10 and 14 weeks3IntramuscularDiphtheria, pertussis,Tetanus, Hepatitis B and Haemophilus Influenza B
3.OPV ( Oral Polio Vaccine)6, 10 and 14 weeks3OralPolio
4.PCV (Pneumococcal Conjugate Vaccine)6, 10 weeks and 9 months3IntramuscularPneumococcal diseases (Meninges, ear and chest infections)
5.Rotavirus vaccine6, 10 weeks2OralRota virus diarrhea
5.fIPV (Fractional Injectable polio vaccine)6, 14 weeks2IntramuscularPolio
6.MR (Measles – Rubella)9 and 15 months2SubcutaneousMeasles and Rubella
7.JE (Japanese Encephalitis)12 months1SubcutaneousJapanese Encephalitis

Td (Tetanus diphtheria) for expecting mothers – 2 doses, 1 months apart.

new immunization schedule nepal

Summary of Injection sites

BCG Intradermal Upper left arm
DTP Intramuscular Outer mid-thigh
OPV Oral Mouth
HepB Intramuscular Outer mid-thigh
Measles Subcutaneous Upper left arm
Yellow fever Subcutaneous Upper right arm
Tetanus toxoid Intramuscular Outer, upper arm
Hib Intramuscular Infants — Outer mid-thigh
Older children — Upper
arm
Japanese encephalitis Subcutaneous Upper arm
Meningococcal Subcutaneous Upper arm

WHO recommendations for interrupted or delayed (missed) routine immunizations as updated on April, 2019:
https://www.who.int/immunization/policy/Immunization_routine_table3.pdf

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