As a parent, watching your baby get the vaccine shot can get arduous at times. Not to forget, a vaccination shot is a vital fortification against infectious diseases like whooping cough, pneumococcal infections, polio, hepatitis, measles, tuberculosis, and many others.
Immunisation or vaccination, administered during the initial years of a child’s development, protects from vaccine-preventable diseases which can otherwise cause impairment of limbs, liver disorders, paralysis, hearing impairment, brain infection, and even death.
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Immunisation Schedule in India 2022
The National immunisation schedule 2022 under the Universal Immunisation Program focuses on providing immunisation against 12 vaccine-preventable diseases:
Nationally against 9 diseases –
- Rubella – a severe form of Childhood Tuberculosis
- Hepatitis B
- Pneumonia caused by Haemophilus Influenzae type B.
Sub-nationally against 3 diseases –
- Pneumococcal Pneumonia
- Japanese Encephalitis where JE vaccine is provided only in endemic districts.
Child Vaccination Chart in India with Approximate Vaccine Cost or Price
The Advisory Committee on Vaccines and Immunisation practises (ACVIP) of the Indian Academy of Paediatrics (IAP) reviews the vaccination schedule every year to incorporate the new vaccines, safety guidelines, dose recommendations, and research protocols. The New immunisation Schedule 2022 in India, recommended by the Indian Academy of Paediatrics (IAP) is illustrated below.
|Age (week/months/year of completion)||Vaccine||Approximate Cost/ Price|
|AT BIRTH||Bacillus Calmette Guerin (BCG)||₹80 to ₹1050|
|Hepatitis B||₹55 to ₹6000|
|Oral Polio Vaccine; OPV-0 (zero dose)||₹250|
|AT WEEK 6||Inactivated Polio Vaccine; IPV- 1||₹450|
|Pentavalent vaccine (Diphtheria, Pertussis, Tetanus, Hepatitis B, Hib)- 1||₹550- ₹800|
|Rotavirus Vaccine; RVV- 1||₹600 – ₹1500|
|Pneumococcal Conjugate Vaccine; PCV- 1||₹1500 – ₹3800|
|AT WEEK 10||Pentavalent vaccine (Diphtheria, Pertussis, Tetanus, Hepatitis B, Hib)- 2||₹550- ₹800|
|Rotavirus Vaccine; RVV- 2||₹600 – ₹1500|
|Pneumococcal Conjugate Vaccine; PCV- 2||₹1500 – ₹3800|
|AT WEEK 14||Pentavalent vaccine (Diphtheria, Pertussis, Tetanus,Hepatitis B, Hib)- 3||₹550- ₹800|
|Rotavirus Vaccine; RVV- 3||₹600 – ₹1500|
|Pneumococcal Conjugate Vaccine; PCV- 3||₹600 – ₹3800|
|Inactivated Polio Vaccine; IPV- 2||₹450|
|6 MONTHS||Influenza; IIV- 1||₹250 – ₹600|
|7 MONTHS||Influenza- IIV- 2||₹250 – ₹600|
|6-9 MONTHS||Typhoid Conjugate Vaccine (single dose recommendation)||₹150 – ₹600|
|9 MONTHS||Measles, Mumps, Rubella; MMR-1||₹150 – ₹600|
|12 MONTHS||Hepatitis A-1; HepA-1 (Single dose for live attenuated virus)||₹1000 – ₹1400|
|15 MONTHS||Measles, Mumps, Rubella; MMR- 2||₹150 – ₹600|
|Varicella-1||₹1600 – ₹2300|
|Pneumococcal Conjugate Vaccine; PCV booster||₹600 – ₹3800|
|16 TO 18 MONTHS||Diphtheria, Pertussis, Tetanus; DTwP or DTaP- Booster 1||₹250|
|Haemophilus Influenzae Type; Hib B1||₹100 – ₹250|
|Inactivated Polio Vaccine; IPV B1||₹450|
|18 MONTHS||Varicella- 2||₹1600 – ₹2300|
|Hepatitis A-2 (it Hep A-1 is administered)||₹1000 – ₹1400|
|4 TO 6 YEARS||Diphtheria, Pertussis, Tetanus; DTwP or DTaP- Booster 2||₹250|
|Inactivated Polio Vaccine; IPV B2||₹450|
|Mumps, Measles, Rubella -3; MMR- 3||₹150 – ₹600|
|10 TO 12 YEARS||Tetanus & adult Diphtheria; Tdap or Td||₹700 – ₹1100|
|Human Papillomavirus; HPV (two doses at 6 months interval for children upto 14 years of age.)||₹2000 – ₹2300|
NOTE: The above vaccination chart is as per the IAP Recommended Vaccines for routine use taken from https://www.indianpediatrics.net/jan2021/jan-44-53.htm. The vaccination course, dosage and other parameters like the route of administration should be as prescribed by your paediatrician. The vaccine manufacturing and marketing company decides the cost of the vaccination and is subjected to change accordingly.
Vaccine Recommendations by IAP for High-risk Children
Most babies are born healthy, grow and develop normally through childhood. However, there are identifiable high-risk groups of children like preterm infants or those with certain health conditions, birth anomalies, and malnutrition. Some of the high-risk groups of children include:
- Congenital or acquired immuno deficient children (including HIV infection, immunosuppressive therapy, radiation).
- Chronic cardiac conditions, pulmonary conditions (including asthma if treated with prolonged high-dose of oral corticosteroids).
- Children with chronic kidney diseases (including nephrotic syndrome), haematological conditions, hepatic disorders, or diabetes.
- Functional/ anatomic asplenia/ hyposplenia including sickle cell anaemia, autoimmune disorders.
- Cerebrospinal fluid leaks, cochlear implants for pneumococcal infections.
- Children with pets at home. Or those identified with a higher threat of getting bitten by stray animals while outdoors/ travelling.
These children who are perceived to have high health risks or developmental problems may need an extra layer of protection from specific environmental and genetic factors. IAP recommends additional vaccines as mentioned below for children under specific circumstances:
- Meningococcal vaccine
- Japanese Encephalitis (JE) vaccine
- Oral Cholera vaccine
- Rabies vaccine
- Yellow fever vaccine
- Pneumococcal Polysaccharide vaccine – PPSV 23
For Specific high-risk groups depending on their environmental conditions
- Rabies vaccine – Children having pets at home
- Japanese encephalitis vaccine – In JE endemic areas (Northern and Eastern states of India)
- Oral cholera vaccine – During cholera outbreaks
- Rabies vaccine, Meningococcal vaccine, Yellow fever vaccine – For travellers.
For further information regarding these vaccines and if your child needs them, it is advisable to speak to your paediatrician.
Things to Consider During Vaccination
While your child gets the shot, you will need to ascertain a few things to have a hassle-free vaccine administration.
- Always ensure to remember and vaccinate your child as per the schedule. Discuss with your paediatrician about the vaccines your child should be taking. And by any chance if you miss a vaccine, take a suitable appointment at the earliest to administer the same as per your paediatrician’s advice.
- Do not vaccinate your child when your child has an ongoing fever or flu. Inform the paediatrician about the health condition of your baby and reschedule the vaccine date accordingly.
- After Immunisation, the child may have fever, pain, or discomfort for a couple of days. A sponge bath (if suggested) can help reduce the body temperature. However, if fever persists beyond 2 days, reach out to the paediatrician immediately.
- Certain vaccines also have a painless alternative available. Check the details with your paediatrician and make informed decisions because all you need is the best immunity for your child.
- A child, during vaccination, can get cranky, cry, or shout loudly. Take a family member/spouse along with you to pacify the baby during vaccine administration. It may be necessary to distract or comfort the child. Carrying the child’s favourite toy/food along can help as well.
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Vaccination or Immunisation is essential to protect your child from the various health conditions the child is likely to encounter during their developmental years. The New Immunisation Schedule in India is a recommendation from IAP based on the Indian conditions and environment. Besides, Government Health Units and Primary Health Centres in India, different private hospitals, and child care centres/clinics provide necessary vaccines at subsidised rates. Ensure to get your child immunised with all the prescribed vaccines as recommended by the IAP and your paediatrician.