CBL -COMMUNITY
MEDICINE
EPI-
IMMUNIZATION
SCHEDULE
Dr. Sehrish Zehra
Updated 02.07.2024
SCENARIO II
You are working as medical officer in a village of
Rawalpindi. A mother comes to your OPD with a
new born child of 20 days with no previous
vaccination. She is concerned about required
immunization of her child.
TASK 1
What are EPI recommended vaccinations for this
child? (tell in detail timing, dose, route of
administration and site)
• At birth vaccines will be given now BCG, as
below 4 weeks, zero dose of polio & Hep.B
• Follow rest of schedule as such.
EPI Schedule in Pakistan
The Expanded Programme on Immunization (EPI)
Pakistan protects children against following ten diseases:
1. Childhood tuberculosis
2. Poliomyelitis
3. Diphtheria
4. Pertussis
5. Tetanus
6. Measles
7. Hepatitis B
8. Pneumonia and meningitis due to Haemophilus
influenzae type b
9. Pneumonia and meningitis due to S. pneumoniae
10. Rota Diarrhea
11. Rubella
12. Typhoid
VISITS AGE VACCINES
At birth At birth BCG, OPV-0, Hep B
2nd visit 6 weeks OPV –I,
Penatvalent-I (DPT+Hep B + Hib),
Pneumocccal I,
Rota virus I
3rd visit 10 weeks OPV –II,
Penatvalent-II,
Pneumocccal II,
Rota virus II
4th visit 14 weeks OPV –III, Penatvalent-III,
Pneumocccal III, IPV-I
5th visit 9 months IPV-II, MR-I, TCV
6th visit 15 months MR-II
AGE ANTIGEN DOSE SITE OF
ADMINISTRATION
At Birth BCG 0.05ml Intradermal
OPV-0 2 drops Oral
Hepatitis-B 0.5ml Intramuscular
6 weeks OPV –I 2 drops Oral
Penatvalent-I 0.5ml Intramuscular
Pneumocccal I 0.5ml Intramuscular
Rota virus I 1 ml Oral
10 weeks OPV –II 2 drops Oral
Penatvalent-II 0.5ml Intramuscular
Pneumocccal II 0.5ml Intramuscular
Rota virus II 1 ml Oral
14 weeks OPV –III 2 drops Oral
Penatvalent-III 0.5ml Intramuscular
Pneumocccal III 0.5ml Intramuscular
IPV-I 0.5ml Intramuscular
9 months IPV-II 0.5ml Intramuscular
MR-I 0.5ml Subcutaneous
TCV 0.5ml Intramuscular
15 months MR-II 0.5ml Subcutaneous
Source: https://epi.gov.pk/immunization-schedule/
TASK 2
What are the types of vaccines (live, attenuated
& killed)?
S.NO. VACCINE TYPE
1 BCG Live Attenuated
2 OPV Live Attenuated
3 IPV Killed
4 Diphtheria Toxoid
5 Pertussis Killed
6 Tetanus Toxoid
7 MR Live Attenuated
8 Rota Virus Live Attenuated
9 Hib (Haemophilus influenzae type b) Conjugate vaccine
10 Pneumococal Conjugate vaccine
11 Hepatitis B Killed
12 TCV Conjugate vaccine
Routine Immunization Schedule
Pakistan
SCENARIO II
A 22 years old unmarried woman comes to
mother and child health center. She is anxious
about her vaccination.
TASK 1
Does EPI have any vaccination schedule for
women of child bearing age?
TT for child bearing age women
VACCINE TIMINGS DOSE & SITE
TT1 As early as possible
TT2 One month after TT1 0.5 ml intramuscular
injection on upper arm
TT3 6 months after TT2
TT4 One year after TT3
TT5 One year after TT4
TASK 2
Why is rubella vaccination important for
women?
• Rubella vaccination protects fetus from
congenital rubella syndrome, an infection
that if occurred in early pregnancy can cause
serious birth defects.
• Rubella vaccine 0.5 ml, S/ C given
• MMR can be administered to young girls
preferably before marriage.
• If female is married, she should avoid
pregnancy for 3 months.
