National Immunization Schedule (NIS) for Infants, Children and Pregnant Women

 

                 National Immunization Schedule (NIS) for Infants, Children and Pregnant Women

Vaccine	When to give	Dose	Route	Site
For Pregnant Women
TT-1	Early in pregnancy	0.5 ml	Intra-muscular	Upper Arm
TT-2	4 weeks after TT-1*	0.5 ml	Intra-muscular	Upper Arm
TT- Booster	If received 2 TT doses in a pregnancy within the last 3 yrs*	0.5 ml	Intra-muscular	Upper Arm
For Infants
BCG	At birth or as early as possible till one year of age	0.1ml (0.05ml until 1 month age)	Intra-dermal	Left Upper Arm
Hepatitis B - Birth dose	At birth or as early as possible within 24 hours	0.5 ml	Intra-muscular	Antero-lateral side of mid-thigh
OPV-0	At birth or as early as possible within the first 15 days	2 drops	Oral	Oral
OPV 1, 2 & 3	At 6 weeks, 10 weeks & 14 weeks (OPV can be given till 5 years of age)	2 drops	Oral	Oral
Pentavalent 1, 2 & 3	At 6 weeks, 10 weeks & 14 weeks (can be given till one year of age)	0.5 ml	Intra-muscular	Antero-lateral side of mid-thigh
Rotavirus#	At 6 weeks, 10 weeks & 14 weeks (can be given till one year of age)	5 drops	Oral	Oral
IPV	Two fractional dose at 6 and 14 weeks of age	0.1 ml	Intra dermal two fractional dose	Intra-dermal: Right upper arm
Measles /MR 1st Dose$	9 completed months-12 months. (can be given till 5 years of age)	0.5 ml	Sub-cutaneous	Right upper Arm
JE - 1**	9 completed months-12 months.	0.5 ml	Sub-cutaneous	Left upper Arm
Vitamin A (1st dose)	At 9 completed months with measles- Rubella	1 ml ( 1 lakh  IU)	Oral	Oral
For Children
DPT booster-1	16-24 months	0.5 ml	Intra-muscular	Antero-lateral side of mid-thigh
Measles/ MR 2nd dose $	16-24 months	0.5 ml	Sub-cutaneous	Right upper Arm
OPV Booster	16-24 months	2 drops	Oral	Oral
JE-2	16-24 months	0.5 ml	Sub-cutaneous	Left Upper Arm
Vitamin A*** (2nd to 9th dose)	16-18 months. Then one dose every 6 months up to the age of 5 years.	2 ml (2 lakh IU)	Oral	Oral
DPT Booster-2	5-6 years	0.5 ml.	Intra-muscular	Upper Arm
TT	10 years & 16 years	0.5 ml	Intra-muscular	Upper Arm

·         *Give TT-2 or Booster doses before 36 weeks of pregnancy. However, give these even if more than 36 weeks have passed. Give TT to a woman in labour, if she has not previously received TT.

·         **JE Vaccine is introduced in select endemic districts after the campaign.

·         *** The 2^nd to 9^th doses of Vitamin A can be administered to children 1-5 years old during biannual rounds, in collaboration with ICDS.

·         #Phased introduction, at present in Andhra Pradesh, Haryana, Himachal Pradesh and Orissa from 2016 & expanded in Madhya Pradesh, Assam, Rajasthan, and Tripura in February 2017 and planned in Tamil Nadu & Uttar Pradesh in 2017.

·         $ Phased introduction, at present in five states namely Karnataka, Tamil Nadu, Goa, Lakshadweep and Puducherry. (As of Feb’ 2017)

Child Development Milestones for 16-18 Months

 

What are the cognitive milestones for a 16-18 month old?

At this age, toddler is very curious and loves to explore new things, experiment, and play. This is how they develop imagination, creativity, and problem-solving skills. Your toddler will play with toys in a meaningful way (for example, feeding a doll or pushing a toy car) and engage in pretend play (like pretending to eat with a toy spoon). You may notice that your child copies you doing household activities, like folding clothes or setting the table.

 

What are the physical milestones for a 16-18 month old?

At this age, toddler starts to walk without holding on and may try to run or walk up and down stairs with support from you or sturdy objects. Children will also climb on and off a chair without help. Around 16-18 months, your child will feel much more confident with scribbling, drinking from a cup, using a spoon, and turning pages in a book.

 

What are the speech and language milestones for a 16-18 month old?

Around 16-18 months, child might say a few words and you will hear more and more real words, like the names of objects and labeling actions, as they babble. Your child begins to follow simple commands without gestures, like ‘open the door’ or ‘give the cup to papa.’ They will also begin to understand their own name.

What are the social and emotional milestones for a 16-18 month old?

At this age, toddler has developed strong emotional attachments to the people they love. You may notice your child moving away from you to play but look to make sure you are close by. They may also exhibit separation anxiety, which is typical at this age of development. Your child will participate in more daily routines with ease, like putting out their hands for you to wash them, looking at a few pages in a book with you, and helping you dress them.

Tips for parents

Encourage your child to participate in everyday routines like getting dressed.