Immunisation Schedule

South Africa’s immunisation schedule is in line with the World Health Organization’s recommendations of how children should be vaccinated
By Child Magazine

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The World Health Organization’s (WHO) Expanded Programme of Immunization (EPI) encourages vaccination against measles, polio, pertussis (whooping cough), diphtheria, tetanus and tuberculosis. The South African Department of Health’s immunisation schedule is in line with the WHO’s vaccination recommendations. Between two and three million deaths are prevented globally each year by effective immunisation.
 
Recommended immunisation schedule 
Age of child
Vaccine needed
How and where it is given
Birth
BCG
TOPV
Intradermal injection to right upper arm
Drops by mouth
6 weeks
TOPV
RV
DTP-IPV/Hib
Hepatitis B
PCV7
Drops by mouth
Liquid by mouth
Intramuscular injection to the left thigh
Intramuscular injection to the right thigh
Intramuscular injection to the right thigh
10 weeks
DTP-IPV/Hib
Hepatitis B
Intramuscular injection to the left thigh
Intramuscular injection to the right thigh
14 weeks
RV
DTP-IPV/Hib
Hepatitis B
PCV7
Liquid by mouth
Intramuscular injection to the left thigh
Intramuscular injection to the right thigh
Intramuscular injection to the right thigh
9 months
Measles
PCV7
Intramuscular injection to the left thigh
Intramuscular injection to the right thigh
18 months
DTP-IPV/Hib
Measles
Intramuscular injection to the left arm
Intramuscular injection to the right arm
6 years (both boys and girls)
Td
Intramuscular injection to the left arm
12 years (both boys and girls)
Td
Intramuscular injection to the left arm
Source: South African Vaccination and Immunisation Centre 
 
BCG – Bacilli Calmete-Guerin (Anti-tuberculosis vaccine)
TOPV – Trivalent oral polio vaccine
DTP-IPV/Hib – diphtheria, tetanus, pertussis vaccine, inactivated polio vaccine, Haemophilus influenza type b vaccine
Td – tetanus and diphtheria vaccine
RV - rotavirus vaccine
PCV7- 7-valent pneumococcal vaccine
 

These vaccinations are available at government clinics and from private sector health facilities, but at a cost. There are also additional vaccinations, such as the MMR vaccine for measles, mumps and rubella, which should be done at 15 months and again as a booster at five years. Keep a record of your child’s vaccinations as schools may ask for proof of immunisation when you register.

Comments

Anonymous wrote 3 days 7 hours ago

My mother was diagnosed with whooping cough. My children have received all of their injections, but do the standard immunizations protect them against whooping cough?

Tamlyn wrote 16 hours 4 min ago

Yes, the DTP-IPV/Hib vaccinates against pertussis (whooping cough).

Anonymous wrote 1 week 4 days ago

My son will be 24 months on the 10th of February. I started working recently and am scared to ask for an off day. Is there any public clinic that operates on Saturdays because I can't afford the private clinics? Please help,

admin wrote 1 week 16 hours ago

You would need to ask your local clinic or pharmacy if they operate over weekends, or if they are able to direct you to a baby clinic that is open on a Saturday.

Anonymous wrote 2 weeks 14 hours ago

Hi, I have immunised my child up until 5 months old but do not wish to do any further immunisations. Will my child still be alllowed in school without immunisations? Are there any that are compulsory?

admin wrote 2 weeks 10 hours ago

The immunisation schedule above is what is strongly recommended. You are not forced to vaccinate, but it is in the best interests of your child and other children your child comes into contact with, especially those who cannot be vaccinated because of a medical condition. Many schools do insist that your child is vaccinated, so you will need to discuss your choice with the school. Please read this article on the topic: www.childmag.co.za/content/vaccinated-or-vulnerable

Anonymous wrote 3 weeks 5 days ago

Can I take the DTP-IPV-Hib-HBV vaccines while pregnant or does it have to be injected directly to the baby? I read somewhere that if you get it whilst pregnant then you don't need to when the baby is born as they have the vaccine (from the mother). I stand to be corrected. At least this would mean he will get his first injection at 9 months.

admin wrote 3 weeks 5 days ago

We really don't think the information you've been given is correct. And we strongly advise that you chat to your family doctor about all your medical queries.

Anonymous wrote 4 weeks 15 hours ago

Has anybody watched the documentary called "The greater good"? It's the only documentary ever made with facts about vaccines in America. What are your thoughts? Should one vaccinate with risks or not vaccinate, also with risks? I know a lot of moms who's children are older that 11 and have never vaccinated, and they have had all the childhood sicknesses -- measles, mumps, chickenpox etc -- who recovered easily with no harsh side effects.

admin wrote 3 weeks 5 days ago

Please read our article about the importance of vaccinations: www.childmag.co.za/content/vaccinated-or-vulnerable

Kim Patrick wrote 4 weeks 5 days ago

Hi, I took my LB for his 9 month injection last week and was told they no longer do the measles and PCV7 similtaneously. Apparently there are some side-effects. Has anyone else heard about this? They've requested that I go back in a month to do his PCV7.

Anonymous wrote 4 weeks 6 days ago

I lost my son's clinic card and his birth certificate. I have moved to Johannesburg with him and he is due for an immunisation on the 8 January. How can I sort this out without going back to Durban?

admin wrote 4 weeks 5 days ago

You will need to contact the baby clinic where your son received the vaccinations, as they should have records. We're not sure if you can do this remotely.

Greg wrote 6 weeks 5 days ago

My son aged 5 recently recieved an injury to his head from a human mouth, yes a trampoline was involved. The wound was cleaned with savlon and septadine was applied. My question: I see that he is due for a tetanus booster at the age of 6. Do I need to take him for this shot sooner due to the injury?

admin wrote 4 weeks 6 days ago

If he has already had a tetanus shot he is most likely covered until the booster is required, but we advise that you seek proper professional advice rather than take our word for it.

Anonymous wrote 7 weeks 6 days ago

My son is 4 and is currently only missing his Hep A immunization. When we took him to the clinic they informed me that I needed a prescription for Hep A. Is that correct? We never needed for my daughter 3 years ago.

admin wrote 4 weeks 6 days ago

Hep B is on the schedule. We're not sure about Hep A, so all we can recommend is that you enquire with your family doctor.

Anonymous wrote 9 weeks 17 hours ago

My son is 31 months old. The last immunization he had was when he was 24 months. The nurse said he must come again in 6 months. I see there is no immunization after 24 months until 6 years. Should I still take him?

admin wrote 8 weeks 6 days ago

It may be for a booster, so we recommend that you follow the advice of the clinic.

Anonymous wrote 10 weeks 4 days ago

My son just turned 24 months and I was under the impression that this would be the last visit for immunisation until he is 5 years old, but then the nurse said he should come again in 6 months. Should I take him again? This last time they didn't give him any shots, just vitamin A and something to de-worm.

admin wrote 10 weeks 3 days ago

This may be for a booster shot. We recommend that you discuss your concerns with the clinic.

Nkagiseng wrote 10 weeks 6 days ago

My son is 5 years 2 months old. He is asthmatic and he's been going in and out of hospital, so this made him miss some of his immunisations. Can he still get them (the ones he has missed)?

admin wrote 10 weeks 4 days ago

This is what Dr Claudia Gray has to say: “Yes you can. Vaccinations are generally safe across the age groups and postponing vaccines is generally not an issue. However, certain vaccines only carry a license for certain age groups, mainly because they were only studied in that age group or because the immune system responds in different ways at different ages, leading to different recommended vaccines at the various ages. Ask your clinic sister or doctor if the vaccine is still fine to give at your child's age. If not, there will certainly be a similar alternative providing the relevant vaccine cover.”

Anonymous wrote 11 weeks 4 days ago

Hi, my daughter is 7 now and last had an immunisation at 4 years old. I lost her card when we were moving out, and  ever since I have been turned back at the clinic. Now I don't know what to do.

admin wrote 11 weeks 12 hours ago

The clinic(s) where your child had her immunisations should have a record to show what vaccines she has been given to date. If you know what immunisations she still needs to get, you should be able to request these at a baby clinic.

Anonymous wrote 15 weeks 6 days ago

My daughter just turned 7 months old and we were told to bring her in at 6 months, although there is no scheduled vaccine on her health chart for 6 months. Can I just take her to the clinic at 9 months to have her scheduled vaccine? What do they need to do at 6 months?

admin wrote 15 weeks 5 days ago

We're unsure about the reason the clinic requested a visit at six months -- perhaps for a booster injection. We can only advise that you consult with your clinic or doctor.

Ahmed wrote 16 weeks 2 days ago

I took my baby for her 10-week vaccine and noticed that the clinic did not administer the HEP B1 and HEP B2 vaccines at 6 and 10 weeks respectively. Is this normal?

admin wrote 15 weeks 5 days ago

Hi Ahmed. The clinic should follow the schedule set out by the Department of Health, so we do recommend that you query this with your baby clinic.

Maja Policarpo wrote 17 weeks 3 days ago

Hi guys. My son will soon be getting his 6/8 week vaccinations. Because the private sectors' vaccines are so high (R1645 = 6 wk, R750 = 10 wk, R1855 = 14 wk!) I'd like to know whether the public vaccinations are exactly the same and of the same std as the private sector ones.

admin wrote 17 weeks 3 days ago

We have no reason to believe they are not the same vaccinations, but we do recommend that you ask a pharmacist, medical doctor or clinic sister.

Anonymous wrote 17 weeks 4 days ago

My daughter received her first vaccination at a private hospital. The problem is that it still looks sore because if you touch it he pulls away. Is it still supposed to be like that after five months?

admin wrote 17 weeks 3 days ago

We recommend that you seek medical advice.

Nandi wrote 19 weeks 1 day ago

I just wanted to find out if the vaccinations given at Clicks are as accurate as the clinic. Is there a reason he needs to go every six months at Clicks but not at the clinics?

admin wrote 19 weeks 9 hours ago

Hi Nandi. The schedule published above is recommended by the Department of Health and the frequency of vaccinations is something that they recommend. Please ask them directly if you are concerned about anything.

Anonymous wrote 19 weeks 6 days ago

My son will be 5 years old on 23 September. He has been staying with my mum as I was working far away. Now I'm back I can't find his card and I dont know if she has been taking him for yearly vaccines. Will the clinic help or do I need to go back to here he was born for a new card or I can get him vaccinated at Clicks?

admin wrote 19 weeks 6 days ago

If your child has been vaccinated, the baby clinic should have a record of it, so you can ask them. If you can't determine what vaccinations he has or has not been given, please ask the clinic to recommend what you should do.

Anonymous wrote 20 weeks 6 days ago

My son just turned 5 and received a drop in the mouth. Isn't there supposed to be an injection as well?

admin wrote 20 weeks 4 days ago

It all depends on what vaccine was given. There are some that are given orally and not by injection. See the schedule above. Please consult with your doctor or baby clinic if you are concerned.

Cordy wrote 22 weeks 6 days ago

I have lost my baby's clinic card. She had her vaccinations at private and public clinics. How and where do I get a new card and all the information?

admin wrote 22 weeks 5 days ago

Hi there. The respective clinics should have a record of your child's vaccinations, so we recommend you ask them for the necessary info.

Anonymous wrote 23 weeks 4 days ago

My son is turning 6 months old. We have been given an appointment by the clinic for a 6 month visit. His road to health book does not indicate any vaccines; in addition, we were not told what the visit would cover. Could you assist in indicating what would be done at this visit?

admin wrote 23 weeks 12 hours ago

If your child is up to date with his vaccines, the six-month visit may be for booster shots. But we are not in a position to inform you about the consultation; only your baby clinic can do so.

Mrs Jansen van Vuuren wrote 23 weeks 5 days ago

Since when does a clinic not ave the 3 in 1 for baby? My daughter has missed her 10 and 14 week shot because "they do not have". I am in the Free State, close to Gauteng border.

Mrs Van der Heever wrote 24 weeks 4 days ago

I am currently fostering a little boy who turns two on 30 September. He has been with me for two months. His parents have failed to bring his clinic card to the social worker. He has a mark on his arm, which is usually the mark seen from the BCG received at birth. Seeing as we have no record as to whether he has or has not had any other jabs, what should we do?

admin wrote 24 weeks 4 days ago

We recommend speaking to your family doctor or baby clinic about your concerns. They will be able to advise you about the best course of action.

Kha2 wrote 24 weeks 6 days ago

Is it advisable to mix child vaccinations from private clinics and public clinics? I took my child to a private clinic for her vaccinations when she was six weeks old. But now due to how expensive it is, I am thinking of taking my child to a government/public clinic. Is there any problem with mixing the two? Or is it the same vaccination, just from a different supplier? Please help.

admin wrote 24 weeks 5 days ago

You will get the same vaccinations at public clinics as you do at private ones. The only difference is that some optional vaccines are only available at private clinics.

Anonymous wrote 28 weeks 5 days ago

I want to know when children are given the chickenpox vaccine?

admin wrote 28 weeks 5 days ago

The chickenpox vaccine is optional, not mandatory. You will need to check with your baby clinic or with your doctor about what age it is recommended, if you want your child to receive the immunisation.

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