Which vaccines should I give to this child?
A tool for health workers in Timor-Leste who vaccinate
Use this guide to decide which vaccines to give to a young child today. Step 1: Find out from the child’s immunization record or from the caregiver:
1. How old is the child today?
2. Which vaccines has the child already received?
Step 2: Use the chart below to make the right decision.
Vaccines ；;When to give ； ？;Do NOT give ？;
OPV 0 From birth to 2 weeks After the first two weeks
BCG As soon as possible after birth After 12 months of age
OPV 1 As soon as possible after 6 weeks Before 6 weeks
DPT 1 After 2 years of age
OPV 2 As soon as possible after 10 Before 10 weeks
DPT 2 weeks After 2 years of age
HepB 2 And at least 4 weeks after dose 1
OPV 3 As soon as possible after 14 Before 14 weeks
DPT 3 weeks After 2 years of age
HepB 3 And at least 4 weeks after dose 2
Measles As soon as possible after reaching Before 9 months of age
9 months (39 weeks)
?DPT and HepB may be available as separate vaccines or together in a combination vaccine. The schedule is the same.;
?Give all the vaccines that a child is eligible to receive today. For example, it is safe and effective to give
BCG, DPT 1, HepB 1, OPV 1 and measles vaccinations in the same contact to a 9-month old child who
has never been immunized.
?Never repeat dose 1 or dose 2 of DPT, HepB or OPV, even if a long time has passed since the last dose.
The goal of the Ministry of Health is to fully immunize each child in Timor-Leste
by the child’s first birthday.
Schedule for tetanus toxoid immunization for women:
TT1 At first contact, or as soon as possible during pregnancy
TT2 At least 4 weeks after TT 1
TT3 At least 6 months after TT 2
TT4 At least one year after TT 3 or during next pregnancy
TT5 At least one year after TT 4 or during next pregnancy
Endorsed by: MdS, WHO, UNICEF, TAIS (add logos} draft: 6 September 2007
Sites and dose administration
BCG DTP-HepB Measles OPV
Site Outer upper Outer mid-thigh Outer upper left Oral
right arm arm
How given Intradermal Intramuscular Subcutaneous Oral dropper
injection injection injection
Dose 0.05 ml 0.5 ml 0.5 ml 2 drops Type Powder+diluent Ready-to-use Powder+diluent Vial with oral
1. Diluent are not interchangeable, different vaccines have different diluents; mixing
and administering the wrong diluent has led to serious adverse events including
2. Always use diluent from the same manufacturer as the vaccine
3. Diluent should be cooled before being mixed with the vaccine
4. Do not reconstitute vaccines until you are ready to immunize