The Ministry has noted with concern the continuing decline in Child sex ratio as per Census 2011. Although the overall sex ratio has increased from 927 in 2001 to 940 in 2011, child sex ratio (0-6 years) has declined from 927 females per thousand males in 2001 to 914 females per 1000 males in 2011 as per Census 2011. The data released by the Ministry of Statistics and Programme Implementation also points to a decline in child sex ratio in the ( 0-6 yrs) group.
As per UNICEF’s Coverage Evaluation Survey-2009 (CES-2009), 39% of children between 12-24 months in the country are not fully vaccinated with all vaccines under Universal Immunization Programme.
Reasons for partial or no immunization include the following:
(i) Did not feel need (ii) Not knowing about vaccine (iii) Not knowing where to go for immunization (iv) Time not convenient (v) Fear of side effects (vi) Do not have time (vii) Vaccine not available (viii) Place not convenient (ix) ANM absent (x) Long waiting time (xi) Place too far (xii) Service not available.
The Government of India has declared year 2012-13 as the year of intensification of Routine Immunization. Various steps have been taken under Immunization programme to increase coverage and these include need based Central funding and commodity assistance to States, support for logistics such as Alternate Vaccine Delivery (AVD), capacity building of service providers at all levels, strengthening reporting and management of Adverse Event Following Immunization (AEFI), Strengthen supportive supervision at all levels, involvement of ASHAs for social mobilization of children, carrying out immunization weeks in North Eastern States, Uttar Pradesh, Bihar, Madhya Pradesh, Rajasthan, Gujarat, Jharkhand, Intensified IEC/Behaviour change Communication, increasing community participation and strengthening the follow up of children through mother and child tracking system etc.