Immunizations in Malawi

Schedule for immunization

Time Vaccine
Birth BCG and OPV (polio 0)
6 weeks OPV 1 and DPT-HepB-Hib1 and PCV 1 and Rotavirus vaccine 1
10 weeks OPV 2 and DPT-HepB-Hib2 and PCV 2 and Rotavirus vaccine 2
14 weeks OPV 3 and DPT-HepB-Hib3 and PCV 3
9 months Measles and Rubella 1
15 months Measles and Rubella 2

BCG: Bacille Calmette - Guerin vaccine
OPV: Oral polio vaccine
DPT-HepB-Hib: Diphtheria and Tetanus and Pertussis and Hepatitis B and H. influenzae type b
PCV: Pneumococcal conjugate vaccine

Tetanus Toxin

Date vaccine
First contact (15-45 yrs and pregnant women) TT 1
4 weeks after TT 1 TT 2
6 months after TT 2 TT 3
1 year after TT 3 TT 4
1 year after TT 4 TT 5

TT: Tetanus toxoid

TTV In injuries

If the last dose of the primary series, or of subsequent booster injections was given less than 5 years ago for dirty wounds or less than 10 years ago for clean wounds no booster is needed. Otherwise vaccinate (WHO recommodation).

Vitamin A

Time Supplement
At 6 months and after every 6 months up to 59 months Vitamin A (children)
Within 2 weeks of delivery Vitamin A (postnatal mothers)

Further changes

According to WHO guidelines, a child is considered fully immunized if he or she has received:

General Points to Remember

Important points in history

Contraindications to Immunisation

Immunisation in HIV

Immunisation Reactions