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Age / Primary 1 : Child at 6 years old

Primary 1 : Child at 6 years old

At the age of 6, your child enters the primary school and start taking care of himself. He will grow into a more confident child and try to learn independently.

During this time, your child will ask a lot of questions and begin to use reasoning to figure out how things work and why things happen. However, his reasoning ability is still limited and his judgment is essentially from his own viewpoint.1

When approaching his sixth birthday, your child will be able to:

  • Manage stairs and playground activities skilfully
  • Wash face and brush teeth independently
  • Write numerals and alphabets with good control
  • Stand on either leg and maintain balance for five seconds or longer
  • Ask meaning of new words heard
  • Understand basic concept of time e.g. morning and afternoon, today and tomorrow, weekdays and holidays, etc.
  • Begin to reason but usually unable to consider several possible factors at the same time.


Child already received several vaccinations since birth to protect him against certain vaccine preventable diseases. Now that he is older and entering the primary school, it’s time to boost his protection against these diseases since immunity can gradually decrease over time. Not only do booster vaccinations improve the immunity of your child  but they can also stop the spread of infection to younger siblings and friends. At six years old or primary one, your child will receive a final booster dose of diphtheria, tetanus, acellular pertussis and inactivated poliomyelitis. Also there is a second dose of Measles, Mumps, Rubella & Varicella (MMRV) Vaccine. Please take note that children born on or after 1.7.2018 receive MMRV vaccine at 18 months old in Maternal and Child Health Centres. 


The Government will provide free or subsidised seasonal influenza vaccination to eligible children of age between 6 months and less than 12 years. Parents can arrange subsidised vaccination for their children in clinics of private doctors enrolled in the Vaccination Subsidy Scheme or Seasonal Influenza Vaccination School Outreach participated by their schools. Please consult your family doctor for further information.3



  1. Family Health Service. Child Health. Child Development 8B — Four to Six years (FHS-C8IIA). (2020). Available at [Accessed Apr 2021]
  2. Family Health Service. Child Health. Schedule of Hong Kong Childhood Immunisation Programme. Available at [Accessed Apr 2021]
  3. Centre for Health Protection. 2020/21 seasonal influenza vaccination programmes to launch in October. (2020). Available at [Accessed Apr 2021]