What are the key barriers in identifying zero-dose children in India? Examine the role of socio-geographic inequities in limiting immunisation access. Suggest targeted measures for reaching underserved populations.
Kartavya Desk Staff
Topic: Issues relating to development and management of Social Sector/Services relating to Health
Topic: Issues relating to development and management of Social Sector/Services relating to Health
Q4. What are the key barriers in identifying zero-dose children in India? Examine the role of socio-geographic inequities in limiting immunisation access. Suggest targeted measures for reaching underserved populations. (15 M)
Difficulty Level: Medium
Reference: TH
Why the question Recent data from The Lancet Global Burden of Disease Study 2025 revealed India has the second-highest number of zero-dose children globally, raising questions about identification, equity, and access in immunisation. Key demand of the question The question requires analysing the systemic and administrative challenges in identifying zero-dose children, understanding how spatial and social inequities exacerbate exclusion, and suggesting focused strategies to reach the most affected populations. Structure of the Answer: Introduction Mention India’s achievement in immunisation yet highlight the invisible crisis of zero-dose children in marginalised areas. Body Barriers in identification: data gaps, exclusion of migrants, documentation issues, and siloed health systems Role of socio-geographic inequities: tribal, conflict-affected, and slum areas lacking access and visibility Targeted measures: hyperlocal outreach, inclusive tech design, lifecycle monitoring, and community partnerships Conclusion Stress the need for convergence, decentralisation, and demand-side mobilisation to ensure equity in immunisation access.
Why the question Recent data from The Lancet Global Burden of Disease Study 2025 revealed India has the second-highest number of zero-dose children globally, raising questions about identification, equity, and access in immunisation.
Key demand of the question The question requires analysing the systemic and administrative challenges in identifying zero-dose children, understanding how spatial and social inequities exacerbate exclusion, and suggesting focused strategies to reach the most affected populations.
Structure of the Answer:
Introduction Mention India’s achievement in immunisation yet highlight the invisible crisis of zero-dose children in marginalised areas.
• Barriers in identification: data gaps, exclusion of migrants, documentation issues, and siloed health systems
• Role of socio-geographic inequities: tribal, conflict-affected, and slum areas lacking access and visibility
• Targeted measures: hyperlocal outreach, inclusive tech design, lifecycle monitoring, and community partnerships
Conclusion Stress the need for convergence, decentralisation, and demand-side mobilisation to ensure equity in immunisation access.