Protection of your child’s health is a priority for us. Primaya Hospital understands that the health of you and your family is very important, especially the health of your baby. Immunization is the best way to protect your baby from diseases. Schedule basic immunizations for your child from birth as babies and toddlers are very susceptible to disease. By immunizing your child, you can protect your family and your environment to stay healthy.
Immunization has become a worldwide disease prevention program. All member countries of the World Health Organization (WHO) have their own immunization programs to reduce the risk of transmission of certain diseases and improve public health. In Indonesia, the Ministry of Health implements immunizations for children from 0 to 18 years of age.
Definition and Types of Childhood Immunization
Childhood Immunization is giving vaccines to children to prevent transmission of certain diseases. Vaccines are substances that help build immunity against infection with a number of infectious diseases. Vaccines come from germs that are weakened or killed.
Indonesia recognizes the concept of complete routine immunization which consists of two types of immunization, namely basic immunization and advanced immunization. The implementation of the two types of immunization for children depends on the age of the child. Children need basic immunization as the main preventive measure. Advanced immunization is also important in order to maintain optimal immunity as the children grow. In addition, there are repeat immunizations or boosters as an immune booster.
Immunization Benefits
Immunization is one way to fight serious diseases. If you have received immunizations, your body will be better able to deal with and defeat infection. Apart from being useful for increasing children’s immunity against certain diseases, immunization for children is also beneficial for the general public.
When children are immunized, they help protect the general health of the general public as a whole. Because, when there are enough people in a community who are immune to infection, the more difficult it is for the disease to spread and infect other people who have not been immunized. This condition is known as herd immunity or community immunity. So, indirectly the children who receive immunizations have contributed to their community in terms of health.
Childhood Immunization Schedule
Indonesian Pediatric Society (Ikatan Dokter Anak Indonesia -IDAI) publishes recommended immunization schedules that serve as guidelines for health facilities. IDAI compiles these recommendations based on the latest developments regarding the immunization program and the results of immunization research globally. Therefore, there are updates in IDAI recommendations such as those in the 2020 immunization schedule.
According to IDAI’s 2020 Childhood Immunization schedule, there are a number of changes from the previous recommendations. Here are the details:
source: IDAI 2020 Immunization Schedule from IDAI Official Website
-
Hepatitis B Vaccine
Four times primary:
If the baby weighs> 2000 grams, the first vaccine is given within 24 hours of birth. However, if the body weight has not reached 2000 grams, the first Hepatitis B vaccine is postponed unless the baby’s mother is proven to have hepatitis B from laboratory tests. After the first Hepatitis B vaccine, the baby should be given the advanced Hepatitis B vaccine at the age of 2, 3, and 4 months.
One-time booster: When the baby is 18 months old.
-
Polio Vaccine
Four times primary: Ages 0-1, 2, 3, and 4 months
One time booster: When the baby is 18 months old.
-
BCG vaccine
One-time primary: 0-1-month old
-
DTP vaccine
Three times primary: Ages 2, 3, and 4 months
Twice booster: Ages 18 months and 5-7 years
Use the Td or Tdap vaccine if given after the child is 7 years old. Td Booster is given back in 5th grade and then repeated every 10 years.
-
Hib Vaccine
Three times primary: Ages 2, 3, and 4 months
One-time booster: Age 18 months
-
PCV Vaccine
Three times primary: Ages 2, 4, and 6 months
One-time booster: Age 12-15 months
-
Rotavirus Vaccine
Monovalent Rotavirus Vaccine
Given 2 times. The first dose is given starting at 6 weeks of age, then the second dose is given at intervals of at least 4 weeks and must be completed at 24 weeks of age.
Pentavalent Rotavirus Vaccine
Given 3 times. The first dose is given from 6-12 weeks of age, then the second and third doses are given at 4-10 week intervals and must be completed at 32 weeks of age.
-
Influenza Vaccine
The first time was given at the age of 6 months. However, if the first influenza vaccine is given at age <9 years, the vaccine is given in 2 doses with a minimum interval of 4 weeks. Then, influenza vaccine will be repeated once a year at the age of 18 months-18 years.
-
MR / MMR vaccine
One time MR primary:
Age: 9 months
MR / MMR repetitions:
Age: 18 months and 5-7 years
-
Japanese Encephalitis Vaccine
One-time primer:
Age: 9 months
One-time booster:
Age: 2-3 years
-
Varicella Vaccine
Two times primary:
Age: 12-15 months with an interval of 6 weeks-3 months.
At age> = 13 years it is given at intervals of 4-6 mg.
-
Hepatitis A vaccine
Two times primary:
Age: 12-15 months with an interval of 6-36 months
-
Typhoid Vaccine
One-time primer:
Age: 24 months
Should be repeated every three years at the age of 5-18 years
-
HPV vaccine
Given to girls. Twice given at the age of 9-14 years with an interval of 6-15 months. If given at the age of 15 years or more, the vaccine should be given 3 times with an interval of 0, 1, and 6 months (bivalent vaccine) or an interval of 0, 2, and 6 months (quodrivalent vaccine).
-
Dengue Vaccine
Three times primary:
Age: 9-16 years with 6 month intervals
The dengue vaccine is only given to children who have had dengue infection as evidenced by laboratory tests
Immunization Benefits for Children
As children get older, the health risks vary. One of them is infectious diseases. Not all infectious diseases are at serious risk. However, despite the development of healthcare, several types of diseases can lead to medical risks that endanger children; from disability to death.
Before vaccines were intoduced, many children were victims of infectious diseases such as measles and polio. The immunization program has proven to be successful in reducing morbidity, disability, and mortality due to diseases that can be prevented by immunization. Therefore, children can get the benefits of immunization in the form of the best protection from serious diseases so as to provide peace of mind for parents.
Primaya Hospital provides Pediatricians to serve your baby. Mother and Child Service Center is one of Primaya Hospital’s excellent services. See our Pediatrician schedule here.