Vaccinations

Healthcare Basics

Vaccinations in South Africa

From childhood vaccines to shots for pensioners, here’s what you need to know about (mandatory and optional) vaccinations in South Africa.

Vaccinations South Africa
writer

Updated 13-6-2025

Getting vaccinated in South Africa is a pretty straightforward procedure. And, although the county doesn’t have a mandatory vaccination schedule, vaccines are free and help protect you and others against infectious diseases.

This guide explains everything you need to know about vaccinations in South Africa, including the following:

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The South African vaccination system

As with other countries, you should be aware of some diseases before you move to South Africa. Indeed, infectious diseases are generally a major concern throughout the continent, although these concerns are far less prevalent than elsewhere on the continent.

Man getting vaccinated
Photo: Nappy/Unsplash

Vaccinations in South Africa are managed by the National Department of Health, with support from the National Advisory Group on Immunization (NAGI). Through the Expanded Programme on Immunization (EPI), the country offers free routine childhood vaccines, such as BCG, polio, and measles.

Vaccines aren’t mandatory, but they are widely available and generally well accepted, especially for children. In the last decade, however, vaccine hesitancy has been on the rise, particularly following the rollout of COVID-19 vaccines. The government responded with public education campaigns and a digital registration system, the Electronic Vaccination Data System (EVDS).

Insurance for vaccinations in South Africa

Through its public healthcare system, South Africa ensures that the majority of childhood vaccinations are free (or low-cost) and universally available to all residents. Vaccines that are not included may be covered by a wide range of insurance providers, including these global companies catering specifically to expats:

Childhood vaccinations in South Africa

Children in South Africa receive free vaccinations at public clinics. Expat children also have the option to get vaccinated at a private clinic, which, of course, requires private insurance coverage.

If you just had a baby, your newborn(s) will get immunized at the hospital.

Doting mom and newborn baby are lying on their side on the bed and having a mother-daughter bonding moment. The mother is looking at her baby girl ever so fondly while baby is also touching her mom's face.
Photo: Morten Falch Sortland/Getty Images

Mandatory and recommended vaccinations

South Africa doesn’t have mandatory vaccinations. However, the following are strongly recommended:

VaccineDiseases and infections it protects againstNumber of doses
BCG vaccineTuberculosisOne
Hexavalent vaccine
(DTaP-IPV-Hib-HBV)
Diphtheria, tetanus, whooping cough (pertussis), polio, Hib disease, and Hepatitis BFour
HPV (Cervarix) vaccineHuman papillomavirusOne
MR vaccineMeasles/Rubella (MR)Two
OPV vaccinePolioTwo
PCV vaccineStreptococcus pneumoniae bacteria (like pneumonia, meningitis, and blood poisoning)Three
RV vaccineRotavirusTwo
Tdap vaccineTetanus, diphtheria, and whooping cough (pertussis)Two

Other vaccines available within the public system (though not within the scope of the EPI):

  • COVID-19
  • Influenza
  • Meningococcal Meningitis
  • Yellow Fever

Other optional vaccinations in South Africa

South Africa’s private sector offers the following additional vaccines:

  • MCV
  • MMR
  • MMRV
  • Varicella
  • Hepatitis A
  • Tdap-IPV
  • HPV (Gardasil)

Vaccination schedule in South Africa

The following is a recommended schedule for vaccinations in South Africa:

AgeVaccine
BirthFirst (only) dose of BCG vaccine
Less than 6 monthsFirst and second dose of OPV vaccine
First and second dose of PCV vaccine
9 monthsThird dose of PCV vaccine
Less than 11 monthsFirst dose of MR vaccine
12 monthsSecond dose of MR vaccine
Less than 20 monthsFirst and second dose of RV vaccine
Less than 24 monthsSecond dose of RV vaccine
Less than 5 yearsFirst dose of Hexavalent vaccine, second and third dose after four-week intervals, and fourth dose 12 months after the third one
Less than 6 yearsFirst dose of Tdap vaccine
9 years and olderFirst (only) dose of HPV (Cervarix) vaccine
12 yearsSecond dose of Tdap vaccine

COVID-19 vaccinations in South Africa

Anyone over 12 can access COVID-19 vaccines throughout South Africa, free of charge. You can visit the website of the National Institute for Communicable Diseases for any recent COVID-19 updates and vaccine mandates.

Vaccinations for pensioners in South Africa

Adult vaccinations are not mandatory in South Africa. However, doctors encourage anyone over 60 to get vaccinated against:

  • Common flu
  • Herpes zoster (shingles)
  • Pneumococcal diseases (PCV13 and/or PPSV23)
Close-up of an older woman getting a vaccine
Photo: Anchiy/Getty Images

Medical workers at community health centers typically administer vaccines for seniors, but nursing staff at local hospitals or medical care facilities can do it as well. On very rare occasions, the pharmacy may also provide certain vaccinations.

Vaccinations for special groups in South Africa

Beyond routine schedules, certain groups in South Africa receive special vaccination recommendations. For example:

  • Pregnant people – it’s recommended that you get vaccinated against influenza and Tdap during every pregnancy (typically between 26 and 34 weeks). Pregnant people are also advised to get the routine antenatal tetanus shots.
  • Patients living with HIV – you’re encouraged to get the annual flu vaccine, regardless of your CD4 count. HIV patients are also recommended to get vaccinated against pneumococcal diseases. Additional vaccines such as Hepatitis A/B and HPV may be advisable based on your individual risk assessment.
  • Healthcare workers – you’re strongly advised to get all three doses of the Hepatitis B vaccination, along with the standard adult vaccines like influenza and Tdap.

Travel vaccinations in South Africa

All travellers to South Africa must be up to date with routine vaccinations, such as MMR, Polio, and Tdap. Depending on your country of origin, you may need additional vaccines, for example:

  • Cholera (only when travelling to regions experiencing active cholera outbreaks)
  • Hepatitis A and B
  • Typhoid
  • Rabies

Be sure to check with your embassy or family doctor (GP) before your departure.

Useful resources

Author

Anouch Bezelgues

About the author

Anouch has worked as a journalist in France for several years. She holds a Bachelor’s in Communication and a Master’s in Journalism from La Sorbonne Nouvelle, Paris. She is fluent in French (native).