Why is the Dutch vaccination schedule different from my country's — is my kid under-vaccinated?

Comparing a child's vaccination record against the Dutch schedule tends to throw up apparent gaps: no hepatitis B dose at birth, no BCG, nothing for chickenpox. Parents moving from countries with different programmes often read those as omissions, when the two schedules are simply built on different reasoning about timing and risk.

Answers

Almost certainly not — the RIVM's Rijksvaccinatieprogramma just structures things differently, not less thoroughly. Hepatitis B is a good example of a common misconception: the Netherlands doesn't give a routine birth-dose Hep B shot the way some countries do, but it's not skipped — it's folded into the combination shot, alongside DKTP and Hib, that starts around 2 months old, with a separate birth dose reserved only for babies of Hep B-positive mothers or other defined risk groups. BCG (the tuberculosis vaccine) genuinely isn't part of the standard schedule — it's offered only to infants in specific risk groups, generally families with recent ties to countries with high TB rates, because blanket BCG vaccination isn't considered necessary given the Netherlands' low background TB rate. Chickenpox (varicella) also isn't on the standard schedule; it's treated as a common, generally mild childhood illness here rather than something routinely vaccinated against, unlike in some other countries. If you're moving with a child who has a different vaccination history, bring the vaccination booklet or records to your first consultatiebureau (well-baby clinic) visit — the JGZ nurse or doctor will map what your child has already had against the Dutch schedule and advise on any catch-up doses needed. It's a routine part of registering, not a red flag.