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IMUNISASI

1. Imunisasi Wajib
a. Imunisasi Rutin sesuai jadwal
i. Imunisasi Dasar untuk bayi ( < 1 tahun)
1. Hepatitis B 0 (Bayi baru lahir)
2. Polio
a. Polio 1 (Usia 1 bulan, sebelum bayi dipulangkan)
b. Polio 2 (Usia 2 bulan)
c. Polio 3 (Usia 3 bulan)
d. Polio 4 (Usia 4 bulan)
3. BCG (Usia 1 bulan, sebelum bayi dipulangkan)
4. DPT HB-HiB
a. DPT HB HiB 1(Usia 2 bulan)
b. DPT HB HiB 2 (Usia 3 bulan)
c. DPT HB HiB 3 (Usia 4 bulan) status imunisasi T2
5. Campak (usia 9 bulan)
ii. Imunisasi Lanjutan/ Imunisasi Ulangan
1. Batita
a. DPT HB HiB 4 (Usia 18 bulan) Status imunisasi T3
b. Campak (Usia 24 bulan)
2. Usia sekolah dasar BIAS
a. Campak (Kelas 1 SD Bulan Agustus)
b. DT (Kelas 1 SD Bulan November) Status imunisasi T4
c. Td (Kelas 2 SD Bulan November & Kelas 3 SD Bulan November) Status
imunisasi T5
3. Wanita usia subur/ ibu hamil TT (Tidak perlu diberikan bila status imunisasi T5)
a. T1
b. T2 (4 minggu setelah T1)
c. T3 (6 bulan setelah T2)
d. T4 (1 Tahun setelah T3)
e. T5 (1 tahun setelah T4)
b. Imunisasi Tambahan untuk kelompok paling beresiko
i. Backlog fighting melengkapi imunisasi dasar pada batita untuk desa yang 2 tahun berturut
turut tidak mencapai UCI
ii. Crash program mencegah KLB
iii. PIN serentak di suatu negara dalam waktu yang singkat tanpa memandang status imunisasi
sebelumnya
iv. SubPIN serupa dengan PIN tetapi dilaksanakan di wilayah terbatas
v. Catch up Campaign Campak pada anak usia seklah dasar (Usia 6 12 tahun/ Kelas 1 6 SD)
tanpa mempertimbangkan status imunisasi sebelumnya
vi. ORI penanganan KLB
c. Imunisasi Khusus untuk situasi tertentu
i. Meningitis Meningococcus
ii. Yellow Fever
iii. Rabies
2. Imunisasi Pilihan

BCG

Target
Semua bayi harus dapat pada

CATCH UP
Bila > 3 bulan, uji tuberkulin

lokasi
Lengan kanan

Kondisi khusus
New fi ndings indicate that

usia < 3 bulan.

dahulu berikan bila uji

atas

infants who have HIV

tuberkulin negatif.

infection are at high

BCG is recommended for

risk for disseminated BCG

infants living in countries with a

BCG vaccine is not

disease. Therefore, BCG

high TB disease burden and

recommended after 12

vaccine should not be

high-risk children living in

months of age because the

given to children known to

countries with a low disease

protection provided is less

be HIV-infected. As infants

burden. It should be given

certain

cannot always be

routinely at, or as soon as

identifi ed as HIV-infected

possible after, birth to all

at birth, BCG vaccine

infants except those known to

should be given to all

have HIV or any condition that

infants

results in a decreased or

at birth in areas with a

abnormal immune system

high prevalence of both TB

response.

and of HIV, except those

KONT
1
2

3
4
5

known to be infected with


In areas where TB is highly

HIV.

endemic but services are


limited, BCG should be given
at birth to all infants regardless
of HIV exposure. Infants with
known HIV-positive mothers
should be followed closely to
monitor for any BCG-related
complications. If services are
available, BCG should be
postponed until HIV-exposed
infants (born to known HIVpositive mothers) can be
DTP

confirmed to be HIV negative.


5x pada usia:

Unimmunized children aged

0.5 ml doses

Dapat diberikan bersama

one to seven years should

given

vaksin lain

receive three doses of DTP

intramuscularly

with an interval of two

in the

Untuk usia > 7 tahun diberi Td

months between the first and

anterolateral

atau Tdap diulang tiap 10

second doses and an

(outer) thigh in

tahun sekali

interval of six to 12 months

infants and in

between the second and

the deltoid

third doses.

muscle (upper

1. 2,4,6,18,4-6 tahun atau


2. 2,3,4,18,SD kelas 1

A three-dose primary series


starting as early as six weeks
of age, with an interval of four
to six weeks between doses, is

arm) of older
For all children over seven

children and

generally recommended

years of age and for all

adults.

adults, including pregnant


When combined with tetanus

women, dT should be used

vaccine, a total childhood

since it has a lower

schedule of five doses is

concentration of diphtheria

required: three in infancy,

toxoid. For unimmunized

another (DT) in early childhood

individuals over seven years

(16 years) and another (dT)

of age, two doses of dT one

during adolescence (1215

to two months apart followed

years). A further dose in

by a third dose after six to 12

adulthood is likely to provide

months is recommended.

Pertussi

lifelong protection.
A three-dose primary series is

recommended; it should be

started at six weeks of age with


subsequent doses given four to
eight weeks apart. Ideally, all
three doses of pertussis
vaccine should be given by six
months of age. A booster is
recommended at between one
and six years of age, preferably
between one to two years of
age. The booster dose should
be given at least six months
Campak

after the last primary dose.


1. 9 bulan
2. Diulang umur 2 tahun
dan masuk sekolah SD

All unvaccinated children

HARUS diberikan pada

over 12 months should be

anak sehat karena vaksin

offered MCV1 using every

HIDUP

Vaksin kombinasi MMR

opportunity when the child

diberikan pada umur > 12

comes in contact with health

In measles outbreaks or in

bulan dan diulang saat anak

services

areas where there is a

masuk sekolah SD

high rate of both HIV


infection and measles, the

All children should receive two

first dose of MCV1 may be

doses of MCV. Very high (90

offered as early as age six

95%) coverage with both doses

months. Two additional

is required to prevent measles

doses of measles vaccine

outbreaks. The first dose

should be administered to

(MCV1) should be given at

these children according to

nine or 12 months of age.

the national immunization

Because many cases of

schedule.

measles occur in children over


12 months of age who have not

been vaccinated, routine

Because of their increased

delivery of MCV1 should not be

risk for early and severe

limited to infants ages nine to

measles infection,

12 months.

infants with HIV should


receive a dose of standard

MCV2 should be given

measles vaccine at 6

between 1518 months of age.

months of age and a

Vaccinating in the second year

second dose as soon as

of life reduces the number of

possible after 9 months of

unprotected children. This may

age, unless they are

be linked to the timing of other

severely

routine immunizations (for

immunocompromised at

example, a DTP booster).

that time.

Screening for measles


vaccination at school entry
helps to ensure that all children
Mump

receive both doses.


Two doses of mumps-

subcutaneous

containing vaccines are


required for long-term
protection. The first dose
should be given at the age of
1218 months. The second
should be given at least one
month before school entry; the
age may range from the
second year of life to about six
years. Countries should decide
on optimal timing to maximize
programme coverage. The
required minimum interval
between doses is one month.
Pertussi

0.5 ml doses

given
intramuscularly
in the
anterolateral
(outer) thigh in
infants and in
the deltoid
muscle (upper
arm) of older
children and

Hepatitis

3 dosis vaksin sebelum usia 6

Anak dan remaja yang

adults
administered as

Bayi lahir dari ibu dengan

bulan

belum divaksinasi HARUS

0.5 ml doses

HbsAg + harus divaksin

divaksin sebanyak 3 dosis

given

sebelum usia 12 jam +

intramuscularly

imunoglobulin HepB pada

in the

saat yang sama pada

anterolateral

paha yang berbeda

1. Saat lahir sebelum


usia 12 jam
2. Usia 1 - 2 bulan
3. Usia 6 12 bulan

(outer) thigh in

Untuk vaksin kombinasi


mengandung Hepatitis B,
dapat 4 dosis, dosis tambahan
ini tidak berbahaya
All infants should receive HepB
vaccine at birth, preferably

infants and in

Pemberian vaksinasi dan

the deltoid

imunoglobulin hepatitis B

muscle (upper

setelah pemberian

arm) of older

suntikan Vit. K1 Periksa

children and

HbsAg dan AntiHBs pada

adults.

usia 9 - 18 bulan

Dapat dikombinasi

within the first 24 hours. Only


stand-alone HepB vaccine can
be used for the birth dose. It
can be given with BCG
vaccine. HepB combinations
such as pentavalent vaccine
are recommended for
subsequent doses. Two
additional doses can be given
in the form of pentavalent1 and
3. Alternatively, three additional
doses can be given in the form
of pentavalent1, 2 and 3. There
should be a minimum interval
HiB

of four weeks between doses.


3 atau 4 dosis tergantung usia

Usia > 5 tahun TIDAK

administered as

anak

butuhKECUALI bila anak

0.5 ml doses in

2,4,6 bulan dan diulang 12

atau orang dewasa akan

the

vaccination may be

15 bulan

menjalani operasi

anterolateral

delayed for HIV-positive

pengangkatan limpa atau

(outer) thigh.

children if the child is

setelah transplantasi sutul

For older

severely

children (1224

immunocompromised

Since serious Hib disease


occurs mainly before 24
months of age, and infants are

Children who start

months of age),

most at risk at between four

vaccination late, but are

they may be

and 18 months of age, Hib-

aged less than 12 months,

given in the

containing vaccines should be

should complete the

deltoid muscle

included in all infant

schedule. When a first dose

(upper arm).

immunization schedules. Any

is given to a child over 12

of three schedules may be

months of age, only one

1
2
3

followed: three primary doses

dose is recommended. Hib

without a booster (3p+0), two

vaccine is not required for

primary doses plus a booster

healthy children after five

(2p+1), and three primary

years of age.

doses with a booster (3p+1).


The series should start from six
weeks of age, or as early as
possible thereafter. The interval
between doses should be at
least four weeks if three
primary doses are given, and
at least eight weeks if two
primary doses are given. When
given, the booster dose should
be given at least six months
after completion of the primary
Polio

series.
4 dosis:
Dosis pertama saat lahir,
dilanjutkan umur 2,4,6 bulan
Diulang pada umur 18 bulan
dan pada 4 6 tahun

TIDA

HARU