/Handwritten Provide me the latest immunization schedule of nepal with easy memory tips
Nepal national immunization schedule 2024 2025 latest
Nepal EPI expanded programme immunization schedule 2025 vaccines age
A handwritten-style medical study notes page titled "Nepal National Immunization Schedule 2025" with a clean notebook/paper background. The content should be organized in a table-like format with sections by age: HEADER: "Nepal National Immunization Schedule 2025" (underlined, bold, pen-written style) Subtitle: "National Immunization Programme (NIP) - EPI, GoN" TABLE SECTIONS (handwritten pen style, two-tone colors for alternating rows): AT BIRTH: BCG (Intradermal, left arm) - "Baby Born = BCG" 6 WEEKS: Penta-1, OPV-1, PCV-1, RV-1 — mnemonic "6 weeks = 4 shots: POPR (Penta, OPV, PCV, RV)" 10 WEEKS: Penta-2, OPV-2, PCV-2, RV-2 — "10 = POPR again" 14 WEEKS: Penta-3, OPV-3, fIPV-1 — "14 = POP+fIPV (fIPV starts)" 9 MONTHS: MR-1, PCV-3, fIPV-2 — "9 months = MPF (MR, PCV, fIPV)" 12 MONTHS: JE — "1 year = JE (Japan at 1)" 15 MONTHS: MR-2, Typhoid (TCV) — "15 months = MR-T (MR booster + Typhoid)" 16-24 MONTHS: DPT Booster, OPV Booster — "DPT + OPV BOOSTER" 5 YEARS: DPT Booster (school entry) — "5 = School DPT" 10-12 YEARS (Girls only): HPV (2 doses, school-based) — "Girls at 10 = HPV" PREGNANT WOMEN: Td — "1st pregnancy: 2 doses (1 month gap); 2nd onwards: 1 dose" MEMORY TIPS BOX (colored sticky-note style): - "Birth = BCG only (B for Birth)" - "6-10-14 weeks = POPR Club (Penta, OPV, PCV, RV)" - "fIPV joins at 14 weeks & 9 months" - "9 months = MPF trio" - "12 months = JE (Japan at ONE)" - "15 months = MT (MR booster + Typhoid)" - "HPV = Girls Grade 6-10" Color scheme: blue and green ink on cream/lined notebook paper, with red highlights for mnemonics. Neat, professional handwritten medical student notes style.
Nepal National Immunization Schedule 2025 (Latest)
CHILDREN
| Age | Vaccine | Doses | Route | Protects Against |
|---|---|---|---|---|
| At Birth | BCG | 1 | Intradermal (left arm) | Tuberculosis |
| 6 Weeks | Pentavalent (DPT-HepB-Hib) | 1st | IM | Diphtheria, Pertussis, Tetanus, Hep B, Hib |
| 6 Weeks | OPV | 1st | Oral | Polio |
| 6 Weeks | PCV | 1st | IM | Pneumococcal disease |
| 6 Weeks | Rotavirus (RV) | 1st | Oral | Rotavirus diarrhea |
| 10 Weeks | Pentavalent, OPV, PCV, RV | 2nd doses | Same routes | Same as above |
| 14 Weeks | Pentavalent, OPV | 3rd doses | Same | Same as above |
| 14 Weeks | fIPV (Fractional IPV) | 1st | Intradermal | Polio |
| 9 Months | MR (Measles-Rubella) | 1st | Subcutaneous | Measles, Rubella |
| 9 Months | PCV | 3rd (booster) | IM | Pneumococcal disease |
| 9 Months | fIPV | 2nd | Intradermal | Polio |
| 12 Months | JE (Japanese Encephalitis) | 1 | Subcutaneous | Japanese Encephalitis |
| 15 Months | MR | 2nd (booster) | Subcutaneous | Measles, Rubella |
| 15 Months | Typhoid (TCV) | 1 | IM | Typhoid Fever |
| 16-24 Months | DPT Booster + OPV Booster | 1 each | IM / Oral | DPT, Polio |
| 5 Years | DPT Booster | 1 | IM | Diphtheria, Pertussis, Tetanus |
| 10-12 Years (Girls) | HPV | 1 dose (school-based) | IM | Cervical Cancer |
PREGNANT WOMEN
| Timing | Vaccine | Doses |
|---|---|---|
| 1st Pregnancy | Td (Tetanus-Diphtheria) | 2 doses, 1 month apart |
| 2nd Pregnancy onwards | Td | 1 dose |
Easy Memory Tips
The "POPR Club" (6-10-14 Weeks)
Penta + OPV + PCV + RV = POPR (like "POPPER")
- All four given at 6 and 10 weeks
- At 14 weeks: Penta + OPV continue, but RV stops and fIPV joins
The "fIPV Rule"
fIPV = 14 weeks and 9 months (only 2 doses, intradermal)
- Remember: "fIPV = 14 & 9"
9 Months = "MPF Trio"
MR + PCV + fIPV - think "MoPeF" (MR, PCV, fIPV)
12 Months = "Japan at ONE"
JE vaccine at exactly 12 months (1 year). Japan = J = JE = 1 year.
15 Months = "MR + Typhoid = MRT"
MR booster + Typhoid at 15 months - like the MRT metro system (remember the train!)
HPV = "Girls in Grade 6"
HPV for girls only, grades 6-10 (age 10-12), school-based program
Birth = "BCG Only"
At birth, only BCG is given. "Birth = BCG"
Quick Recall Table
| Mnemonic | Meaning |
|---|---|
| B = B | Birth = BCG |
| POPR Club | 6 & 10 wks: Penta+OPV+PCV+RV |
| 14 = fIPV joins | fIPV replaces RV at 14 wks |
| 9 = MPF | MR + PCV + fIPV at 9 months |
| Japan at 1 | JE at 12 months |
| MRT | MR booster + Typhoid at 15 months |
| Girls Grade 6 | HPV school-based for girls |
| Td for Moms | 2 doses 1st pregnancy, 1 dose after |
Note: The HPV schedule was updated to a single-dose school-based program for girls in grades 6-10 (approximately age 10-12). Always verify with the latest MoHP Nepal / CHD guidelines as updates may occur.
Now route and dose /handwritten
A handwritten medical student notes page on cream/lined notebook paper titled "Nepal NIP - Route, Dose & Volume" in bold underlined pen style. Blue and green ink with red highlights for key points. Neat, organized medical notes aesthetic. CONTENT TO INCLUDE: TITLE: "Nepal NIP Vaccines - Route, Dose & Volume" (bold, underlined) A neat handwritten table with columns: VACCINE | DOSE/VOLUME | ROUTE | SITE Rows (alternating light blue and white rows): 1. BCG | 0.05 mL (birth) / 0.1 mL (>1yr) | Intradermal (ID) | Left upper arm 2. Pentavalent (DPT-HepB-Hib) | 0.5 mL | Intramuscular (IM) | Anterolateral thigh (left) 3. OPV | 2 drops | Oral (PO) | Mouth 4. PCV | 0.5 mL | Intramuscular (IM) | Anterolateral thigh (right) 5. Rotavirus (RV) | 1.5 mL | Oral (PO) | Mouth 6. fIPV | 0.1 mL | Intradermal (ID) | Right upper arm 7. MR | 0.5 mL | Subcutaneous (SC) | Right upper arm / outer thigh 8. JE | 0.5 mL | Subcutaneous (SC) | Left upper arm 9. Typhoid (TCV) | 0.5 mL | Intramuscular (IM) | Right upper arm 10. DPT Booster | 0.5 mL | Intramuscular (IM) | Anterolateral thigh 11. HPV | 0.5 mL | Intramuscular (IM) | Deltoid (upper arm) 12. Td (pregnant) | 0.5 mL | Intramuscular (IM) | Upper arm (deltoid) MEMORY TIPS BOX (yellow sticky note style in corner): "ROUTE MNEMONICS: - ID = BCG & fIPV (Both small: 0.05/0.1 mL) - Oral = OPV (drops) & RV (liquid) - SC = MR & JE (Live vaccines go SC) - IM = Everything else (Penta, PCV, TCV, DPT, HPV, Td) - 0.5 mL = Most vaccines - 2 drops = OPV - 1.5 mL = RV only (biggest oral dose) - BCG at birth = 0.05 mL (HALF of usual)" SECOND SMALL TABLE: "Live vs Killed" Live (SC/Oral): BCG, OPV, RV, MR, JE Killed/Inactivated (IM/ID): Penta, PCV, fIPV, TCV, HPV, Td, DPT FOOTER NOTE in red: "Live vaccines → SC or Oral | Killed → IM or ID (fIPV exception: ID)" Handwritten pen style, medical student aesthetic, cream paper background, blue/green ink, red for important points
Nepal NIP - Route, Dose & Volume (Complete)
| Vaccine | Volume/Dose | Route | Site |
|---|---|---|---|
| BCG | 0.05 mL (at birth) / 0.1 mL (>1 yr) | Intradermal (ID) | Left upper arm |
| Pentavalent (DPT-HepB-Hib) | 0.5 mL | Intramuscular (IM) | Anterolateral thigh (left) |
| OPV | 2 drops | Oral | Mouth |
| PCV | 0.5 mL | Intramuscular (IM) | Anterolateral thigh (right) |
| Rotavirus (RV) | 1.5 mL | Oral | Mouth |
| fIPV | 0.1 mL | Intradermal (ID) | Right upper arm |
| MR | 0.5 mL | Subcutaneous (SC) | Right upper arm / outer thigh |
| JE | 0.5 mL | Subcutaneous (SC) | Left upper arm |
| Typhoid (TCV) | 0.5 mL | Intramuscular (IM) | Right upper arm / deltoid |
| DPT Booster | 0.5 mL | Intramuscular (IM) | Anterolateral thigh |
| HPV | 0.5 mL | Intramuscular (IM) | Deltoid (upper arm) |
| Td (Pregnant) | 0.5 mL | Intramuscular (IM) | Deltoid (upper arm) |
Route Memory Tips
The 4 Routes - Quick Grouping
| Route | Vaccines | Memory Hook |
|---|---|---|
| Intradermal (ID) | BCG, fIPV | "ID = Itty-tiny doses" (0.05 & 0.1 mL only) |
| Oral | OPV (drops), RV (liquid) | "OPV = Oral, RV = dRink" |
| Subcutaneous (SC) | MR, JE | "Live Attenuated go SC" - MR & JE are live |
| Intramuscular (IM) | Penta, PCV, TCV, DPT, HPV, Td | "Everything else = IM" |
Dose/Volume Memory Tips
| Mnemonic | Meaning |
|---|---|
| "Most = 0.5 mL" | Almost every vaccine is 0.5 mL |
| "RV = 1.5 mL" | RV is the biggest oral dose (3x the ID dose) |
| "OPV = 2 drops" | No mL needed - just 2 drops |
| "fIPV = 0.1 mL" | Small ID dose like BCG |
| "BCG at birth = HALF" | 0.05 mL at birth (half the older-child dose of 0.1 mL) |
Live vs. Killed - Route Rule
LIVE vaccines → SC or Oral KILLED/Inactivated → IM or ID
────────────────────────────────────────────────────────
BCG → ID (live) Pentavalent → IM
OPV → Oral (live) PCV → IM
RV → Oral (live) fIPV → ID ← exception!
MR → SC (live) TCV → IM
JE → SC (live) HPV → IM
Td/DPT → IM
Key exception to memorize: fIPV is an inactivated vaccine given intradermally (ID), not IM - this is the one exception to the "killed = IM" rule.