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.N||Vaccine||Age of administration||Dose||Route of administration||Protect against|
|1.||BCG (Bacillus Calmette Guerin)||At birth||1||Intradermal||Tuberculosis|
|2.||Pentavalent Vaccine (Diphtheria, Pertussis, Tetanus, Hepatitis B and Hemophilus influenza B)||6, 10 and 14 weeks||3||Intramuscular||Diphtheria, pertussis,Tetanus, Hepatitis B and Haemophilus Influenza B|
|3.||OPV ( Oral Polio Vaccine)||6, 10 and 14 weeks||3||Oral||Polio|
|4.||PCV (Pneumococcal Conjugate Vaccine)||6, 10 weeks and 9 months||3||Intramuscular||Pneumococcal diseases (Meninges, ear and chest infections)|
|5.||Rotavirus vaccine||6, 10 weeks||2||Oral||Rota virus diarrhea|
|5.||fIPV (Fractional Injectable polio vaccine)||6, 14 weeks||2||Intramuscular||Polio|
|6.||MR (Measles – Rubella)||9 and 15 months||2||Subcutaneous||Measles and Rubella|
|7.||JE (Japanese Encephalitis)||12 months||1||Subcutaneous||Japanese Encephalitis|
Td (Tetanus diphtheria) for expecting mothers – 2 doses, 1 months apart.
Summary of Injection sites
|BCG||Intradermal||Upper left arm|
|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|
|Japanese encephalitis||Subcutaneous||Upper arm|
WHO recommendations for interrupted or delayed (missed) routine immunizations as updated on April, 2019: