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National Immunization Schedule of Nepal (2024)

immunization schedule nepal

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)Child under 1 year (14 weeks and 9 months, 2 doses)

Child under 5 years (Missed dose): 2 doses should be separated by 8 weeks
2IntramuscularPolio
6.MR (Measles – Rubella)9 and 15 months2SubcutaneousMeasles and Rubella
7.JE (Japanese Encephalitis)12 months1SubcutaneousJapanese Encephalitis
8.Typhoid vaccine15 months1IntramuscularTyphoid

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

Summary of Injection sites

BCGIntradermalUpper left arm
DTPIntramuscularOuter mid-thigh
OPVOralMouth
HepBIntramuscularOuter mid-thigh
MeaslesSubcutaneousUpper left arm
Yellow feverSubcutaneousUpper right arm
Tetanus toxoidIntramuscularOuter, upper arm
HibIntramuscularInfants — Outer mid-thigh
Older children — Upper arm
Japanese encephalitisSubcutaneousUpper arm
Meningococcal Subcutaneous Upper arm
TyphoidIntramuscularOuter-mid-thigh

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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