| April 26, 2025
Introduction
As parents, protecting our children’s health is paramount. One of the most effective ways to safeguard them from serious infectious diseases is through vaccination. In Singapore, the National Immunisation Schedule (NIP) provides a clear roadmap for parents, outlining the recommended vaccines from birth through adolescence.
Understanding the NIP can feel overwhelming with various acronyms and timelines. This guide aims to clarify the schedule, explain the importance of key vaccines, address common concerns, and highlight how we can support your child’s immunisation journey.
What is the National Immunisation Schedule (NIP)?
The NIP is developed by Singapore’s Ministry of Health (MOH) based on robust scientific evidence and local disease patterns. It details the vaccinations recommended for children at specific ages to provide optimal protection when they are most vulnerable. Following the NIP helps protect not only your child but also contributes to “herd immunity,” protecting vulnerable individuals in the community who cannot be vaccinated.
Key Vaccines on the Schedule
The NIP includes vaccinations against several serious diseases. Here are some key components:
Mandatory Vaccinations (Under the Infectious Diseases Act):
- Diphtheria & Measles: These are legally required. They are typically administered as part of combination vaccines.
Highly Recommended Vaccines (Covered under NIP):
- 6-in-1 Combination Vaccine: Protects against Diphtheria, Tetanus, Pertussis (Whooping Cough), Polio, Haemophilus influenzae type b (Hib), and Hepatitis B. Given in multiple doses during infancy.
- Pneumococcal Conjugate Vaccine (PCV): Protects against invasive pneumococcal disease, which can cause meningitis, pneumonia, and blood infections. Given in multiple doses.
- Measles, Mumps, and Rubella (MMR): Protects against these three highly contagious viral illnesses. Typically given in two doses.
- Human Papillomavirus (HPV): Protects against HPV strains that cause most cervical cancers and other cancers. Usually offered to girls (and increasingly boys) in early adolescence, often through school-based programmes but also available at clinics.
- Hepatitis B: Included in the 6-in-1, with an additional dose given at birth.
- Varicella (Chickenpox): Protects against chickenpox, which can sometimes lead to serious complications. Given in two doses.
Optional (but Recommended) Vaccines:
These are not always covered by national subsidies but offer valuable protection:
- Rotavirus Vaccine: Protects against rotavirus, a common cause of severe diarrhoea and vomiting in infants. Given orally in multiple doses during early infancy.
- Influenza Vaccine: Recommended annually for children aged 6 months and older to protect against seasonal flu, which can be serious for young children.
- Hepatitis A Vaccine: Protects against Hepatitis A, a viral liver infection spread through contaminated food or water.
(Note: The NIP schedule and specific vaccine recommendations may be updated by MOH. Always consult your doctor for the latest information.)
Addressing Common Parental Concerns: Vaccine Safety
It’s natural for parents to have questions about vaccine safety. Here’s what you should know:
- Rigorous Testing: Vaccines undergo extensive testing for safety and efficacy through clinical trials before they are approved for use by regulatory bodies like Singapore’s Health Sciences Authority (HSA).
- Ongoing Monitoring: Safety monitoring continues long after vaccines are introduced.
- Mild Side Effects: Like any medication, vaccines can have side effects. Most are mild and temporary, such as soreness at the injection site, mild fever, or fussiness. These are signs the immune system is learning to respond.
- Serious Side Effects are Rare: The risk of serious side effects from vaccines is extremely low, far lower than the risk of serious complications from the diseases they prevent.
- Benefits Outweigh Risks: Decades of scientific evidence overwhelmingly show that the benefits of vaccination in preventing serious illness and death far outweigh the minimal risks.
We encourage you to discuss any specific concerns you have with our doctors. We are happy to provide evidence-based information to help you make informed decisions.
Why Timing Matters
Following the NIP schedule closely is important because it’s designed to protect infants and children early in life, before they are likely to be exposed to potentially dangerous diseases. Delaying vaccinations leaves your child unnecessarily vulnerable.
Optional Vaccines at [Your Clinic Name]
Beyond the mandatory and nationally recommended vaccines, we also offer important optional vaccines like Rotavirus, Hepatitis A, and the annual Influenza vaccine. We can discuss which optional vaccines are suitable for your child based on their individual needs and risk factors.
Conclusion
Singapore’s National Immunisation Schedule is a vital tool for protecting your child from preventable diseases. Understanding the schedule, the importance of timely vaccination, and the robust safety measures in place can provide peace of mind. Partnering with your family doctor ensures your child receives the right vaccines at the right time.
Protect Your Child’s Health
Ensure your child is up-to-date with their vaccinations according to the NIP. Schedule an appointment for your child’s immunisations or discuss any vaccination queries with our team.
Book Your Appointment Online or call us at 6920 1952.