South African childhood vaccination schedule

The routine South African public childhood immunisation schedule from birth to 12 years, plus school campaigns and commonly offered private add-ons.

South African public schedule

Birth to 12 years

View official guideline
  1. At birth
    • BCG Tuberculosis vaccine
    • OPV 0 Oral polio vaccine
  2. 6 weeks
    • OPV 1 Oral polio vaccine
    • RV 1 Rotavirus vaccine
    • Hexavalent 1 Diphtheria, tetanus, pertussis, polio, hepatitis B and Hib
    • PCV 1 Pneumococcal vaccine
  3. 10 weeks
    • Hexavalent 2 Diphtheria, tetanus, pertussis, polio, hepatitis B and Hib
  4. 14 weeks
    • RV 2 Rotavirus vaccine
    • Hexavalent 3 Diphtheria, tetanus, pertussis, polio, hepatitis B and Hib
    • PCV 2 Pneumococcal vaccine
  5. 6 months
    • MR 1 Measles and rubella vaccine
  6. 9 months
    • PCV 3 Pneumococcal vaccine
  7. 12 months
    • MR 2 Measles and rubella vaccine
  8. 18 months
    • Hexavalent 4 Diphtheria, tetanus, pertussis, polio, hepatitis B and Hib
  9. 6 years
    • Tdap Tetanus, reduced diphtheria and acellular pertussis booster
  10. 12 years
    • Tdap Tetanus, reduced diphtheria and acellular pertussis booster
Common private add-ons

Extra protection to discuss with your clinic

This is a guide to commonly offered additions, not one fixed schedule. Private clinics may also use different brands or wider-valency pneumococcal vaccines for routine doses; those can be alternatives rather than extra injections.

Usually starts at 10 weeks
MenB Meningococcal B vaccine

The 2026 private infant schedule shows doses at 10 and 18 weeks, followed by a booster at 12–15 months.

From 6 months
Flu Seasonal influenza vaccine

Given every year. A child younger than 9 receiving flu vaccine for the first time usually needs two doses one month apart.

9 and 12–15 months
MenACWY Meningococcal A, C, W and Y vaccine

The private infant schedule shows two doses, with at least three months between them.

12 months, then booster
MMR Measles, mumps and rubella vaccine

Private MMR adds mumps protection to the public measles-rubella programme. The 2026 schedule shows a first dose at 12 months and a second at 6 years.

From 12 months
HepA Hepatitis A vaccine

Two paediatric doses are commonly given, with the second at least six months after the first.

From 12 months
Varicella Chickenpox vaccine

Product and prior infection matter. A two-dose schedule commonly starts at 12–15 months, with the routine second dose at 6 years; a clinician may use a shorter permitted interval.

From 9 years
HPV Human papillomavirus vaccine for girls and boys

Private HPV vaccination is available to both sexes. Product-labelled schedules generally use two doses six months apart at ages 9–13/14; older or immunocompromised patients need an individual schedule.

Travel vaccines and extra doses for children with particular medical risks are not shown here. Ask a doctor or clinic nurse to reconcile the public and private records so doses are not unnecessarily repeated.

Routine childhood immunisations are free at public clinics. Bring your child's Road to Health Booklet to every visit. If any doses were missed, ask a clinic nurse for an individual catch-up plan rather than restarting the schedule.

Vaccine products have different minimum ages and intervals. A healthcare professional should make the final plan from your child's Road to Health Booklet, private-clinic record, health risks and previous doses.

Sources and review date

Reviewed 10 August 2026.

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