“Complete Immunization Schedule Recommendations for Children from IDAI – CNN Indonesia”

Jakarta, CNNIndonesia —

Indonesian Pediatrician Association (IDAI) just updated the recommendations immunization complete in 2023. This is important for parents to know as a guide for completing immunizations childespecially those left behind during the Covid-19 pandemic.

Immunizations can be given from 0 to 18 years old.

Pediatrician and Head of IDAI, Piprim Basarah said, referring to data from the Ministry of Health, as many as 1.7 million Indonesian children had not completed basic immunization. As a result, various kinds of infectious diseases that could have been prevented by vaccination have again become epidemics.

“Even immunizations of less than 60 percent can cause an outbreak. You don’t have to wait until zero for this disease to reappear. That’s why immunization must be carried out and fulfilled,” Piprim said at the 2023 Childhood Immunization Recommendation Launch and Exposure event at the Shangrila Hotel, Jakarta, Monday (29/5).

The following is a complete immunization schedule recommendation from IDAI which can be a guide for parents:

1. Hepatitis B (HB) vaccine

The hepatitis B (HB) vaccine is injected into babies immediately after birth before they are 24 hours old. The administration of the vaccine is preceded by an injection of vitamin K1 at least 30 minutes beforehand.

Infants with a birth weight of less than 2000 grams, hepatitis B immunization should be postponed until one month of age or when they return from the hospital. Unless the baby is HBsAg positive and the baby is fit, HB immunization can be given immediately after birth but this is not counted as the primary dose.

If HBIg is given too late, it can still be given for up to seven days. Babies need to be checked for anti-HBs at the age of 9-12 months. If the last dose is late the test is done 1-2 months after the last dose.

2. Polio Vaccine

Oral polio vaccine (bOPV) is given to infants by dripping it into the mouth. Administration of the complete polio vaccine consists of bOPV at birth, 3 times bOPV and at least 2 times IPV, according to the Ministry of Health’s guidelines at the age of 4 and 9 months.

3. BCG vaccine

The BCG vaccine is injected immediately after birth or before one month old. However, the baby of an active TB mother giving this vaccine can be postponed until it is proven that the baby is not infected with TB.

At the age of three months or more BCG is given if the tuberculin test is negative. If the tuberculin test is not available, BCG is still given, but if a local reaction occurs in the first week, further examination should be carried out for a diagnosis of TB.

4. DTP vaccine

This vaccine can be given at the age of 2, 3, 4 months or 2, 4, 6 months. The first booster is 18 months old. The next boosters are 5-7 years and 10-18 years.

5. Vaksin Haemophilus influenzae B

The Hib vaccine, which is an inactivated vaccine, is injected in combination form according to the pentavalent or hexavalent vaccine schedule, which is given at 2,4,6 months or 2,3,4 months, and 18 months of age.

6. Pneumococcal vaccine (PCV)

The PCV vaccine is injected at 2, 4 and 6 months of age. Then booster at the age of 12-15 months. If not given at 7-12 months of age, give PCV 2 times at least 1 month apart and a booster at 12-15 months at 2 months apart from the previous dose.

If not given 1-2 years of age, give PCV 2 times with a minimum distance of 2 months. If it has not been given at the age of 2-5 years, PCV10 is given 2 times 2 months apart, PCV13 is given 1 time.

For children older than 5 years who are at high risk of pneumococcal infection and have never received PCV vaccine, 1 dose of PCV13 is strongly recommended.

7. Rotavirus (RV) vaccine

Monovalent RV vaccine (RV1) instilled into the mouth is given in 2 doses, the first dose at 6-12 weeks of age. Second dose at intervals of at least 4 weeks, no later than 24 weeks of age.

Pentavalent RV vaccine (RV5) is given in 3 doses, the first dose is at 6-12 weeks of age, the interval between doses is 4-10 weeks, the third dose is no later than 32 weeks of age. Since 2022, the monovalent rotavirus vaccine (RV1) has been gradually included in the national program.

Check out the latest complete immunization schedule recommendations from IDAI next.