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Six-Component Combined Vaccine Application

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In accordance with the update to the childhood vaccination schedule in Türkiye, the six-component combination vaccine came into effect on 14 April 2025. With this regulation, the previously separate five-component combination vaccine and hepatitis B vaccine have been combined into a single injection.
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This article was automatically translated from the original Turkish version.

Article

December 3, 2025

The six-component karma vaccine program is a new vaccination initiative that came into effect on 14 April 2025, in accordance with an update to Türkiye’s childhood immunization schedule. Under this revision, the previously separate pentavalent combined vaccine and hepatitis B vaccine have been consolidated into a single injection.


Representative image of the six-component combined vaccine – Image generated by artificial intelligence.

Implementation Start

The first administration of the six-component combined vaccine took place on 14 April at the Çayyolu Education Family Health Center in the Çankaya district of Ankara. The event was attended by Minister of Health Professor Dr. Kemal Memişoğlu, Director General of the General Directorate of Health People Associate Professor Dr. Muhammad Emin Demirkol, and Ankara Provincial Health Director Specialist Dr. Ali Niyazi Kurtcebe. In his remarks on the initiative, Minister Memişoğlu stated: “We are now adding the hepatitis B vaccine to our existing pentavalent vaccine, which already provides protection against diphtheria, whooping cough, tetanus, child polio and Haemophilus influenzae type b influenza type.”

Composition and Target Diseases

The new vaccine provides protection against the following six diseases:

  • Diphtheria
  • Pertussis
  • Tetanus
  • Polio (Poliomyelitis)
  • Haemophilus influenzae type b (Hib)
  • Hepatitis B

Vaccination Schedule and Administration Periods

The six-component combined vaccine has been incorporated into the National Childhood Immunization Schedule. According to this schedule, the vaccine will be administered in four doses at the end of the 2nd, 4th, 6th and 18th months. The first dose of hepatitis B vaccine, administered immediately after birth, will continue as before, but subsequent doses will be covered by this combined vaccine. In a statement by the Ministry of Health, “Thus, our combined vaccine has been included in the program to protect against six diseases, in line with the recommendation of our advisory board,” place was made.

Implementation Scope and Target Population

Vaccines are distributed by the Ministry of Health and are provided free of charge at all Family Health Centers and other relevant health facilities across Türkiye. Children who began their vaccination series with the previous five-component combined vaccine will complete their series with the new six-component vaccine. The six-component combined vaccine targets individuals during infancy and early childhood.


Altı bileşenli karma aşının ilk uygulaması nedeniyle düzenlenen programda Sağlık Bakanı Kemal Memişoğlu, 14 Nisan 2025, Çankaya Çayyolu Eğitim Aile Sağlığı Merkezi - Anadolu Ajansı

Minister of Health’s Statements

At the event introducing the program, Minister of Health Memişoğlu made the following remarks regarding the role of vaccines in public health:


“Thanks to vaccines today, humanity is able to combat infectious diseases far more easily. Our life expectancy has increased. The primary reason we no longer see polio or diphtheria around us, and why flower has disappeared from the world, is vaccines.” He also emphasized the importance of the public following the guidance of health professionals, stating: “We expect our society, especially, to adhere to vaccination programs in accordance with the recommendations of our doctors, nurses and health workers.” movement

Bibliographies






Anadolu Ajansı. "5 Soruda Altı Bileşenli Karma Aşı Uygulaması." Accessed April 15, 2025. https://www.aa.com.tr/tr/saglik/5-soruda-alti-bilesenli-karma-asi-uygulamasi/3538848

Anadolu Ajansı. "Altı Bileşenli Karma Aşı Uygulaması Başladı." Accessed April 15, 2025. https://www.aa.com.tr/tr/gundem/alti-bilesenli-karma-asi-uygulamasi-basladi-/3537733

Anadolu Ajansı. “Çocukluk Dönemi İçin Altı Bileşenli Karma Aşı Uygulaması Bugün Başlıyor.” Accessed April 15, 2025. https://www.aa.com.tr/tr/saglik/cocukluk-donemi-icin-alti-bilesenli-karma-asi-uygulamasi-bugun-basliyor/3537031

Ministry of Health. "Altı Bileşenli Karma Aşı’nın İlk Uygulaması Gerçekleştirildi." T.C. Sağlık Bakanlığı Halk Sağlığı Genel Müdürlüğü. Accessed April 15, 2025. https://hsgm.saglik.gov.tr/tr/haberler/alti-bilesenli-karma-asi-nin-ilk-uygulamasi-gerceklestirildi.html

Ministry of Health. "Aşı Takvimindeki Son Güncellemeler." *asi.saglik.gov.tr*. Accessed April 15, 2025. https://asi.saglik.gov.tr/bagisiklama-programi-ve-asi-takvimi/asi-takvimindeki-son-guencellemeler.html

Türkiye Cumhuriyeti Sağlık Bakanlığı [@saglikbakanligi]. “Altı Bileşenli Karma Aşı çocukluk dönemi bağışıklama programına dahil edilmiştir.” X (Twitter), April 12, 2025. Accessed April 15, 2025. https://x.com/saglikbakanligi/status/1911313898881405090

Author Information

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AuthorEdanur KarakoçDecember 3, 2025 at 5:21 AM

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Summary

Türkiye’de çocukluk çağı aşı takviminde yapılan güncelleme ile beşli karma aşı ve hepatit B aşısı birleştirilerek oluşturulan altı bileşenli karma aşı uygulaması, 14 Nisan 2025’te yürürlüğe girdi. Difteri, boğmaca, tetanos, çocuk felci, Hib ve hepatit B’ye karşı koruma sağlayan aşı, 2., 4., 6. ve 18. aylarda uygulanacak. Sağlık Bakanı Kemal Memişoğlu, uygulamanın ilk dozunu Ankara’da başlattı.

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Contents

  • December 3, 2025

    Implementation Start

  • December 3, 2025

    Composition and Target Diseases

  • December 3, 2025

    Vaccination Schedule and Administration Periods

  • December 3, 2025

    Implementation Scope and Target Population

  • December 3, 2025

    Minister of Health’s Statements

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