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


11 Viewpoints 💬 on “National Immunization Schedule of Nepal (2019)”

  1. Could you please tell me which PCV is given to Kid in Nepal Government Hospital.
    Is it Prevenar 13 or Synflorix. I must know because I have taken two doses in Nepal. Now
    I am in India, so they are asking me to confirm it.

    1. Prevenar is PCV-13 and Synflorix is PCV-10. The vaccine Nepali children receive, PCV-10, protects against 10 pneumococcal serotypes.

      1. Hi Epomedicine,
        Thanks for you valuable information.
        My son has taken two doses of PCV from Nepal government hospital. Currently I am staying in Bangalore. As per Nepal Vaccination table, 3rd should should be taken in 9 months. According to Indian vaccination schedule, they are giving PCV booster in 15 months. Kindly suggest me when it would be better to take PCV-10 Booster (Synflorix) as 3rd PCV for my son. Now he is already 1 year old.

        1. The PCV immunization strategy of Nepal is 2P+1 dose, i.e. 2 primary dose at 6 wks and 10 wks and a booster dose at 9 months. This can vary according to the country. For a 2P+1 schedule with PCV-10, WHO has given following recommendations:

          1. 2 primary doses should ideally be completed by 6 months, starting as early as 6 weeks of age with a minimum interval of 8 weeks between doses.

          2. One booster dose should be given between 9-15 months of age. In this schedule, the booster does of pneumococcal vaccine may be given along with measles vaccine and Vitamin A supplementation.

          https://apps.who.int/iris/bitstream/handle/10665/90378/WHO_IVB_13.09_eng.pdf

          Studies found that use of a 2+1 PCV schedule with booster at age 9 months in a resource-poor setting improved antibody persistence through early childhood without compromising antibody responses in early infancy.

    1. Under the GAVI aid, more than 3,00,000 has entered Nepal. Government has planned to start its use after June 29 (Asar 15). About 6,20,000 infants will be immunized with the vaccine.

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