Vaccinations in South Africa: a guide for expat families

Home Healthcare Healthcare Basics Vaccinations in South Africa

Last update on April 22, 2020

Written by Anouch Bezelgues

South Africa has a well-developed inoculation system with a number of recommended vaccines for infants and youth. What vaccinations in South Africa can you expect your children to receive?

If you are moving to South Africa, it is crucial to check which vaccinations are mandatory or recommended in South Africa. Follow this guide to know everything about vaccinations in the country.

Immunization is available for free at government clinics, with the first vaccines given at birth. However, there is much more to know about vaccinations in South Africa, especially when you’re moving there as an expat.

The South African vaccination system
Insurance for vaccinations in South Africa
Child vaccinations in South Africa
Travel vaccinations in South Africa
Useful resources

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 on the whole continent, though these concerns are far less present than elsewhere on the continent. To get more information, the National Department of Health is a great resource.

To raise awareness of the importance of vaccinations, the World Health Organization is also active in South Africa. In addition, other organizations like the South African Vaccination and Immunization Center aim to educate about the importance of sticking to a vaccination schedule.

Insurance for vaccinations in South Africa

Government healthcare coverage in South Africa has improved over the last couple of decades, although it remains significantly underfunded. Undeniably, there is a large gap between the quality of care you can expect between public and private clinics.

Government healthcare in South Africa is subsidized for citizens and permanent residents; however, how much you’ll pay depends on your level of income. The highest co-payment you can receive from the government towards your medical costs is 40%, though.

Private insurance coverage is also possible in South Africa. A wide variety of health insurance providers offer plans here, such as:

The cost of different treatments is regulated across South Africa through the Uniform Patient Fee Schedule.

Keep in mind that more than half of the healthcare budget in South Africa is put towards private services. To learn more about healthcare in South Africa, explore our guide.

Child vaccinations in South Africa

South Africa offers an extensive baby immunization program, although they are only available for free at public clinics. You also have the option to get vaccinations at a private clinic. The government recommends the following vaccination scheduling, including vaccines such as:

Birth: oral polio vaccine against Polio, Bacillus Calmette Guerin against Tuberculosis
Six weeks: Oral Polio vaccine against Polio; Rotarix against Rotavirus; Pneumococcal conjugate vaccine against Pneumococcal diseases; Pentaxim (five-in-one) against Diphtheria, tetanus, acellular pertussis (whooping cough), inactivated polio vaccine, Hemophilus influenzae type B; Hepatitis b against HBV
10 weeks: Pentaxim against Diphtheria, tetanus, whooping cough, polio, Hemophilus influenzae type B; Hepatitis B vaccine against HBV
14 weeks: Rotarix against Rotavirus; Prevenar against Pneumococcal diseases; Pentaxim against Diphtheria, tetanus, whooping cough, polio, Hemophilus influenzae type B; Hepatitis B vaccine
6–9 months: Measles vaccine
Nine months: Prevenar against Pneumococcal diseases
12–18 months: Measles vaccine
18 months: Pentaxim against Diphtheria, tetanus, whooping cough, polio, Hemophilus influenzae type B
Six years: Diftavax against Tetanus, Diphtheria
12 years: Diftavax against Tetanus, Diphtheria

Learn more about child vaccinations from the National Department of Health.

Travel vaccinations in South Africa

If you are from a Western European country, then you don’t require any vaccinations to enter South Africa. However, you should be up to date on routine vaccinations before traveling to any destination.

Check in advance if you are vaccinated against:

Measles
Routine vaccines, such as rubella, mumps, diphtheria-tetanus-pertussis, varicella, polio vaccine, and influenza

In South Africa, you might want to get extra shots before going such as:

Hepatitis A: Advised.
Typhoid: Advised; it is possible to contract typhoid through contaminated food or water.
Malaria: Avoid areas where mosquitos are present. You may need to take prescription medicine before, during, and after your trip.
Rabies: This is carried by dogs, bats, and other mammals in South Africa. As a result, the Center for Disease Control and Prevention recommends this vaccination if you are planning outdoor activities such as camping or hiking.
Yellow fever: Although there is no risk of yellow fever in South Africa, the government requires proof of yellow fever vaccination if you’re arriving from a country where there is a risk of yellow fever.