The official Expanded Programme on Immunization schedule — all 6 routine visits from birth to 15 months. Enter a date of birth to see exactly what is due, overdue and upcoming.
Enter the child's date of birth, then tick any doses already given.
Federal Directorate of Immunization, Government of Pakistan — National Vaccination Schedule 2023. Six visits protect against 12 diseases.
| Visit | Age | Vaccines given | Protects against |
|---|---|---|---|
| 1 | At birth |
BCG
OPV-0
Hepatitis B (birth dose)
|
Childhood tuberculosis, Poliomyelitis, Hepatitis B |
| 2 | 6 weeks |
OPV-1
Rotavirus-1
Pentavalent-1
PCV-1
|
Poliomyelitis, Rotavirus diarrhoea, Diphtheria, Tetanus, Pertussis, Hepatitis B, Haemophilus influenzae type b, Pneumococcal disease (pneumonia, meningitis) |
| 3 | 10 weeks |
OPV-2
Rotavirus-2
Pentavalent-2
PCV-2
|
Poliomyelitis, Rotavirus diarrhoea, Diphtheria, Tetanus, Pertussis, Hepatitis B, Haemophilus influenzae type b, Pneumococcal disease (pneumonia, meningitis) |
| 4 | 14 weeks |
OPV-3
IPV-1
Pentavalent-3
PCV-3
|
Poliomyelitis, Diphtheria, Tetanus, Pertussis, Hepatitis B, Haemophilus influenzae type b, Pneumococcal disease (pneumonia, meningitis) |
| 5 | 9 months |
IPV-2
MR-1
TCV
|
Poliomyelitis, Measles, Rubella, Typhoid fever |
| 6 | 15 months |
MR-2
|
Measles, Rubella |
Background reading — what changed recently, and how to handle a child who presents late: the Pakistan EPI schedule explained.
Pakistan's Expanded Programme on Immunization (EPI) schedule has 6 routine visits from birth to 15 months. At birth: BCG, OPV-0 and Hepatitis B. At 6 weeks: OPV-1, Rotavirus-1, Pentavalent-1 and PCV-1. At 10 weeks: OPV-2, Rotavirus-2, Pentavalent-2 and PCV-2. At 14 weeks: OPV-3, IPV-1, Pentavalent-3 and PCV-3. At 9 months: IPV-2, MR-1 and TCV. At 15 months: MR-2.
The Federal Directorate of Immunization states that completing all 6 visits by 15 months protects a child against 12 potentially fatal diseases, including tuberculosis, polio, hepatitis B, diphtheria, tetanus, pertussis, Haemophilus influenzae type b, pneumococcal disease, rotavirus diarrhoea, measles, rubella and typhoid.
The standalone measles vaccine has been replaced by the Measles-Rubella (MR) vaccine on the national schedule. Two doses are required: MR-1 at 9 months and MR-2 at 15 months. A child who has received only MR-1 is not fully protected.
TCV is given as a single dose at 9 months, alongside MR-1 and IPV-2. Pakistan was the first country in the world to introduce TCV into routine immunisation, following the extensively drug-resistant (XDR) typhoid outbreak that began in Sindh in 2016.
Two. IPV-1 is given at 14 weeks and IPV-2 at 9 months, in addition to the oral polio vaccine doses at birth, 6, 10 and 14 weeks.
Bring the child in as soon as possible and continue the schedule — a missed dose does not mean starting again. This tool shows which doses are overdue, but it does not calculate catch-up intervals. Follow your provincial EPI guidance or discuss with your EPI centre for children who are substantially behind.
WHO advised in 2009 that the rotavirus course should start by 15 weeks and finish by 32 weeks. In its January 2013 position paper WHO removed that universal age restriction for low- and middle-income settings, because the lives saved by vaccinating late substantially outnumber the small intussusception risk. Give the doses on time wherever possible, and follow current national guidance for late presenters.
On the national schedule: BCG intradermally into the right upper arm; MR subcutaneously into the left upper arm; Hepatitis B, Pentavalent and TCV intramuscularly into the right thigh; IPV and PCV intramuscularly into the left thigh; OPV and rotavirus orally. Note that PCV goes into the opposite thigh from Pentavalent, which is easy to get wrong when giving several injections at the same visit.
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