Child Vaccination Schedule Malaysia 2026: MOH NIP

The child vaccination schedule Malaysia runs on is not a mystery and it is not a secret. It is a single sheet of paper, printed by the Ministry of Health, and a copy of it is already glued into the record book the hospital hands over before you take the baby home. The trouble is that almost nobody reads the sheet until the clinic asks a question about it.

Walao eh, and then there is the other thing. Three editions of that sheet sit on the Ministry’s own site right now, they do not all say the same thing, and the one labelled Terkini — the current one — is the oldest of the three. This page is an administrative guide, not a medical one: what the published schedule says, what is charged and what is not, what the Ministry itself writes about a dose that was missed, and where the record ends up. Anything about your own child belongs with the government clinic or the doctor, not with a web page.

Quick Answer: the Ministry of Health publishes one national schedule for children, the Jadual Imunisasi Kebangsaan, and the most recently dated edition on its site is stamped Kemaskini Ogos 2023, while the page labelled Terkini still serves the poster stamped December 2020. It runs from birth to 15 years, in two blocks: the infant block up to 21 months, done at the clinic, and the school-age block at 7, 13 and 15 years, done through the School Health Service. MOH says these immunisations are free at its health clinics, KKIA, Klinik 1Malaysia and village clinics; a non-citizen child is charged RM40 a visit for child health services. If a dose is missed, MOH’s own answer is to tell the doctor or nurse as soon as possible and a new date will be given. The record lives in the Child Health Record Book — and only there for now, since the official MySejahtera website is, as of today, suspended.

• Most of the table is settled. Three MOH posters and the Child Health Record Book revised in March 2021 print the same ages and the same doses almost all the way through. Exactly two things changed in the August 2023 edition: HPV went from two doses to one dose, and the MR row at 7 years was removed outright.
• The filing around it is a mess. The page labelled current serves the oldest edition, the middle edition carries a validity line that ran out at the end of 2022, two older MOH pages still describe a vaccine that is in the schedule as being outside it, and the portal those pages cite as their source no longer answers.
• Free means free at MOH facilities. That is MOH’s own word. It is a separate thing from the per-visit outpatient charge, and a separate thing again from what a non-citizen is charged.
• The school does not ask for it. KPM’s own Year 1 registration list has five documents on it, and an immunisation record is not one of them.

Below: what the programme is, the full table, the dates printed on the documents, the money, what MOH says about a missed dose, where the record is kept, the school-age part, and the procedure the Ministry follows when a parent says no.

The scheduleFree, and notA missed dose

What the National Immunisation Programme Actually Is

The Program Imunisasi Kebangsaan, or National Immunisation Programme, is the set of injections the Ministry of Health gives to children at its own clinics on a published timetable. MOH’s guideline for the programme dates it from the 1950s and describes its purpose in one sentence: to protect children from vaccine-preventable disease. That is the whole of the administrative definition. What goes into the arm, and whether it should, is a clinical question and this page does not touch it.

Two things follow from the way the programme is organised, and both of them explain the questions parents actually ask.

• It is attached to a visit schedule, not to a calendar. The Child Health Record Book sets out how often the child is seen at all: every month from birth to 6 months, every 2 months from 6 to 12 months, every 3 months from 1 to under 2 years, every 6 months from 2 to 4 years, and once a year from 5 to 6 years. The injections sit inside those visits. That is why the dates on the record book matter more than the dates on any poster.
• Two of the rows are geographic, not national. One vaccine in the table is given in Sabah only and another in Sarawak only. A schedule copied off a Peninsular site will be wrong for an East Malaysian child, and the other way round.

The schedule has moved several times, and MOH’s own history of the programme is unusually specific about when. Smallpox vaccine came in during the 1950s and was compulsory by law at the time; it was stopped in 1980 after the disease was eradicated worldwide. Diphtheria and tetanus followed in the mid-1950s and became a triple antigen with pertussis in 1958. BCG started in 1961, polio in 1972. Malaysia adopted the WHO expanded programme nationally in 1982 and added measles the same year, rubella in 1986, hepatitis B in 1989. Polio-free status came in October 2000. MMR and Hib were added in 2002, the combined DTaP-IPV//Hib injection in 2008, HPV in schools in 2010, and in 2016 MMR was brought forward to 9 and 12 months.

Read that list again and one thing stands out. The only time MOH describes a childhood vaccine as compulsory by law, it is talking about smallpox, in the 1950s, and about a programme that ended in 1980.

The Schedule, Age by Age

Here is the published table, in the most recently dated of MOH’s three editions — the one stamped Kemaskini Ogos 2023. Every row except HPV has been checked a second time against the immunisation page of the Child Health Record Book, the version marked Pindaan 03/2021, which is the page the nurse signs. Where the documents use different words for the same thing, the poster’s wording is used. The two rows where the editions disagree are set out straight after the table.

One note on reading it. The six-in-one row is the one that confuses people the most, because a parent who remembers hepatitis B being given three times separately is not misremembering — that is how it used to work, and the record book still shows only a birth dose of hepatitis B on its own line because the rest arrived inside the combined injection.

And now the part that matters more than any of it: the three editions do not agree. Laid side by side, cell by cell, the December 2020 poster, the 2022 poster and the August 2023 poster differ in exactly two places.

• HPV. The December 2020 and 2022 editions print dose 1 and dose 2 in the 13-year column, and their legend adds that the two are given six months apart. The August 2023 edition prints 1 dose, and that clause about six months is gone from its legend. The sentence describing who it is for is word-for-word the same in all three.
• MR at 7 years. The two earlier editions carry an MR row at 7 years, marked with an asterisk reading “dose 2 for children born before July 2015”. In the August 2023 edition that entire row is gone, and the asterisk with it; at 7 years only DT remains.
• Everything else. Identical. Same columns, same ages, same doses, for BCG, the hepatitis B birth dose, the six-in-one, Measles in Sabah, MMR, PCV, JE in Sarawak, DT and TT.

Which of the three is in force is not something any MOH page states, and it is not something a web page should decide for you. The table above prints the most recently dated one. If your child is at the age where either difference bites — 7 or 13 — the government clinic or the school health team is the place to ask, and it costs nothing.

⚠️ Editor’s Note: the Family Health Development Division’s public page on child health, still live on the MOH site, says hepatitis B is given again at 2 months and 6 months, and lists pneumococcal alongside rotavirus as immunisations that are encouraged but obtainable at private clinics with a charge. Both statements are contradicted by the published schedule and by the record book, where pneumococcal is inside the programme and hepatitis B after birth is inside the six-in-one. The division page appears to predate the change. Where two MOH pages disagree, the clinic holding the record book is the one that answers.

The Date Printed on the Poster

This is the part that is worth knowing before anyone quotes a schedule at you, and it took reading the files themselves rather than the pages linking to them.

MOH publishes the schedule through its Health Education Division, and it has three editions of it online at once. The first is titled Jadual Imunisasi Kebangsaan Terkini — the current national immunisation schedule — and the page gives its year of publication as 2021. Open the PDF it serves and the corner of the poster reads Kemaskini Disember 2020: updated December 2020.

The second is filed in the same library under infographics, carrying the Agenda Nasional Malaysia Sihat mark: a redrawn version of the identical grid, its file last modified on 1 November 2022. Printed at the bottom right, in the same teal as the headings, is a line the first poster does not have:

Jadual terpakai sehingga 31 DISEMBER 2022.

Schedule applicable until 31 December 2022. That date has passed.

And there is a third. Under the title Jadual Imunisasi Kebangsaan (Kemaskini Ogos 2023), on the same site, sits a redrawn grid stamped KEMASKINI OGOS 2023 across the bottom — an image file last modified in September 2023. It is the newest of the three by well over a year. It is not labelled Terkini, it is not linked from the page that is, and it is filed under infographics rather than guidelines. It is also the one carrying the two changes set out earlier: HPV at one dose, and no MR row.

So the position on 22 September 2026 is this. Three editions, one domain, one of them labelled current — and the one labelled current is the oldest. The MOH portal itself, rebuilt since, has no public immunisation page in its sitemap at all. The ministry’s open data catalogue returns nothing for imunisasi. Nothing anywhere says which edition applies.

What none of that means is that any of the schedules has lapsed. No official page says so, and the bulk of the table is plainly in use: the Child Health Record Book revised in March 2021 prints the same infant ages and doses, every cell. What it does mean is narrower and more useful. The official paperwork describing the programme is filed badly and updated erratically, several of the pages around it are visibly out of date, and the one portal two state health departments cite as their source — myhealth.moh.gov.my — no longer answers at all. If you need to know what your child is due, the answer is in the book in your bag and at the clinic counter, not in a poster someone forwarded you.

Free, and the Charges That Sit Next to It

MOH’s wording on cost is direct: the immunisation is given secara percuma, free of charge, at all health clinics, maternal and child health clinics (KKIA), Klinik 1Malaysia and village clinics under the Ministry of Health. That is the sentence, and it is about the immunisation itself.

Sitting beside it, on a different MOH page, is the ordinary schedule of charges for going to a government facility at all. These are two separate things and it is worth keeping them apart rather than adding them together.

Which vaccines are outside the schedule is a question MOH answers only loosely, and the answer on its pages is out of date in at least one place. The Family Health Development Division names rotavirus and pneumococcal; a state health department page adds meningococcal, varicella and hepatitis A. Pneumococcal has since moved into the programme, which is the point of the editor’s note above. For the others, MOH says what it says and no more: available privately, charged, no figure given. Anyone quoting you a price is quoting a private facility, not the ministry.

A Dose Was Missed, or Nothing Was Ever Given

There are two different situations here and MOH answers them in two different documents.

A dose was missed. MOH’s own frequently-asked-questions section, inside the programme guideline, puts the question in the parent’s words — what should I do if my child missed an immunisation dose? — and answers it in two sentences: tell the doctor or nurse as soon as possible, and a new date for the next dose will be given. That is the whole official answer, with no penalty, restart or form mentioned anywhere in it.

Nothing was ever given. For a child arriving at a clinic for the first time with no immunisation history at all, MOH’s published instruction is that immunisation should be started at that first visit, and the schedule that follows is worked out from how old the child is on the day they walk in rather than from the standard infant timetable. The published tables set out four age bands at that first visit — under 2 months, 2 to 6 months, 6 to 12 months, and over 1 year but under 6 — and one flat rule inside them: a child aged 7 years or older is given DT only (not the other catch-up items).

⚠️ Editor’s Note: those catch-up tables are reproduced here only as far as the principle, not the rows. Both of the state health department pages that publish them show the older five-in-one DTaP-IPV//Hib with hepatitis B as separate doses and no pneumococcal at all, which means they were written before the December 2020 schedule. Both cite myhealth.moh.gov.my as their source, and that site does not respond. No updated catch-up table was found on any MOH page. The catching-up is worked out at the clinic against the child’s own record book, and that is the only honest thing to say about it.

Where the Record Lives, and the Website That Is Down

Every baby born in an MOH hospital is given the Buku Rekod Kesihatan Bayi dan Kanak-kanak (0-6 Tahun) — the Child Health Record Book — before discharge, and it is free. If it was not handed over, MOH’s instruction is to ask the staff on duty in the ward where the birth happened. It is a small book, and the registration of the birth itself is a different errand at a different counter, covered in Birth Registration Malaysia.

What the book does is carry the record. The nurse writes into it, at every visit, the findings of the check, the treatment given, the type of immunisation and the date of the injection, and the date of the next appointment. MOH asks for it to be brought to every visit to a clinic or hospital, government or private, which is the detail most people miss: a private paediatrician writes into the same book. Inside it, the immunisation page is a plain grid with columns for the vaccine, the date and time, the batch number and a signature.

Which brings us to the digital copy, and to the least satisfying answer on this page. MOH’s own portal footer links to MySejahtera. Follow that link on 22 September 2026 and you arrive at this:

Account Suspended. This Account has been suspended. Contact your hosting provider for more information.

That is the official MySejahtera website, on the ministry’s own domain, returning a hosting suspension page. Both the Malay homepage and the English page that used to hold the immunisation-record questions redirect to it. Checked twice, from two different machines, once with a plain request and once in a real browser. Nothing here is a statement about the mobile application, which was not tested and cannot be read from a suspended website — only that the site MOH still points at is not serving anything. Treat the paper book as the record that exists, and ask the clinic if you need a copy of what is in it.

The School Part: Year 1, Form 1, Form 3 – and What KPM Asks For

The bottom rows of the table are given through the School Health Service, whose standard operating procedure organises them by school year rather than by age: a visit for Year 1, a visit for Form 1 girls, and a visit for Form 3 — except a non-schooling 13-year-old citizen due for HPV, who is not reached by a school visit and would need to ask a health clinic directly. Map the school-year visits against the poster and the ages line up — 7, 13 and 15. This is also the block where the three editions disagree, so it is worth knowing which sheet somebody is quoting at you.

The HPV row has the most detail published about it, because it has its own implementation guideline. The target group is written in two parts: schoolgirls in Form 1, regardless of their actual age and regardless of citizenship status, and Malaysian girls aged 13 who are not in school. The condition attached is written permission from a parent or guardian. That permission requirement is worth knowing in advance, because it arrives as a form in a school bag with a deadline on it.

⚠️ Editor’s Note: MOH publishes three different dose counts for HPV, and all three are live. The December 2020 and 2022 schedule posters say 2 doses, given six months apart. The August 2023 schedule poster says 1 dose, and drops the six-month clause from its legend. The HPV implementation guideline on the same ministry site sets out 3 doses — at 0 months, 1 month after the first, and 6 months after the first; it carries no revision date on its face. All three are printed here because all three are published; which one applies to a particular cohort is a question for the school health team or the health clinic, not for us.

Now the question that sends parents looking for the book in the first place: does the school ask for an immunisation record when you register a child?

On KPM’s own published list, no. The Ministry of Education’s frequently-asked-questions page for Year 1 registration sets out what has to accompany the Borang Perakuan Sekolah, originals plus certified copies, and there are five items: the child’s birth certificate, the parent’s or guardian’s identity card, custody documents where relevant, the marriage certificate, and a utility bill. An immunisation record is not among them, and neither is anything else health-related. The registration process itself — cohorts, dates, the online system, placement and appeals — is a separate errand entirely, set out in Year 1 Registration Malaysia.

One caution on reading that. A list not mentioning something is not the same as a rule that it will never be asked for; individual schools and district offices ask for what they ask for. What can be said is that KPM does not list it.

What Happens on Paper If a Parent Refuses

This section describes a procedure written in a ministry guideline. It takes no position on the decision, and it is here for one reason only: people assume something dramatic happens, and what actually happens is paperwork.

MOH’s guideline sets out a sequence for a parent or guardian who declines an injection at a hospital or health facility. First, advice from the paramedic on duty. If that does not resolve it, counselling by the medical officer. If that does not resolve it, referral to a specialist for counselling. At each stage, if the parent agrees, the injection is given and the sequence ends.

If the parent still declines, the guideline’s instruction is administrative:

• An Immunisation Refusal Form (Borang Penolakan Imunisasi) is completed.
• The form is attached into the Child Health Record Book, and a copy is kept at the clinic or hospital.
• The facility enters it in a register, and the case is reported monthly through the state health department to the Family Health Development Division.
• Follow-up visits continue on schedule. The flow chart says so explicitly; the child is not discharged from the clinic’s list.

No fine appears anywhere in that guideline, and no court. Whether that is a good thing or a bad thing is somebody else’s argument. As an administrative fact, it is a counselling ladder and a form.

Walaoeh Verdict

The book beats the internet, including this page. The Child Health Record Book has the child’s own dates, the batches, the signatures and the next appointment, and it is the document every clinic and hospital in the country writes into. A poster tells you what the programme does in general. The book tells you what happened to your child. Keep it, and take it to every visit, private clinic included.

Check your state before you check anything else. Two rows of the national table are not national. If you are in Sabah there is a measles dose at 6 months that a Peninsular schedule will not show you, and if you are in Sarawak there is a JE dose at 9 months and a booster at 21 months. This is the single most common way a copied-and-pasted schedule goes wrong.

Check which sheet you are reading, especially at 7 and at 13. The infant half of the schedule is consistent everywhere. The school-age half is not: the newest edition, stamped August 2023, gives HPV as one dose and carries no MR row at 7 years, while the two older editions give HPV as two doses and do carry MR — and the page MOH labels current is one of the older ones. Around all of that sits a validity line that expired at the end of 2022, a division page that still puts pneumococcal outside the programme, a source portal that no longer loads, and an official app website returning a hosting suspension. When official pages disagree, the clinic holding your record book is the tie-breaker, and it costs nothing to ask.

And for the two questions people arrive with: a missed dose gets a new date, not a restart; and the school registration form does not ask for the record at all.

Frequently Asked Questions (FAQ)

Sources

Every age, dose, charge and rule on this page comes from a Malaysian government page or document, checked on 22 September 2026. Three access notes, because they affect what could and could not be verified. The main MOH portal blocks ordinary requests at its edge and had to be read in a real browser. The published schedule is an image with no text layer in all three of its editions, so each was rendered at 300 dpi, read, compared against the others cell by cell, and then checked against the Child Health Record Book, which is text-extractable — that book is the independent second source for the infant half of the table. And myhealth.moh.gov.my, the portal two state health departments name as their source for the schedule, does not respond on either port; nothing from it is used here. Sarawak’s Protection of Public Health Ordinance 1999 was also downloaded in full and contains no immunisation provision, which is why no claim about a legal duty appears anywhere above.

• MOH Health Education Division — Jadual Imunisasi Kebangsaan Terkini (the schedule MOH currently serves)
• MOH — Jadual Imunisasi Kebangsaan poster, stamped Kemaskini Disember 2020 (PDF)
• MOH Health Education Division — Jadual Imunisasi Kebangsaan infographic, the edition carrying the validity line
• MOH Health Education Division — Jadual Imunisasi Kebangsaan (Kemaskini Ogos 2023), the most recently dated edition
• MOH Family Health Development Division — Rekod Kesihatan Bayi dan Kanak-kanak (0-6 Tahun), Pindaan 03/2021 (PDF)
• MOH — Panduan Program Imunisasi Kebangsaan Bayi dan Kanak-Kanak, 2017 (PDF; history, missed-dose answer, refusal procedure)
• MOH Family Health Development Division — child health services, the record book, and the free-of-charge statement
• MOH — Buku Panduan Pelaksanaan Program Pelalian HPV Kebangsaan (PDF; target group, consent, the three-dose schedule)
• MOH — Prosedur Operasi Piawai Perkhidmatan Kesihatan Sekolah, 2013 (PDF; the Year 1, Form 1 and Form 3 visit groups)
• MOH — Caj Pesakit Luar (outpatient charges)
• MOH — Caj Bagi Warga Asing (charges for foreign nationals)
• Perlis State Health Department — the catch-up guidance for a child coming late to the clinic
• MySejahtera official website (the suspended page described above)
• KPM — Soalan Lazim, Pendaftaran Murid Tahun 1 (the five-document list)