This article examines the decline in coverage levels of the Routine Immunisation Programme in the better-governed states across three rounds of the District Level Household and Facility Survey. The analysis points to an urban conundrum where proximity to urban centres is a "risk factor." An understanding of peri-urbanisation processes is essential for improving outcomes and governance in urban health services and the National Urban Health Mission.
Purnamita Dasgupta (purnamita.dasgupta@gmail.com) is with the Institute of Economic Growth, New Delhi and Rajib Dasgupta (dasgupta.jnu@gmail.com) is with the Centre of Social Medicine and Community Health, the Jawaharlal Nehru University, New Delhi.
The authors are grateful to Ankush Agrawal for helpful comments and Ishita Sachdeva for research assistance.
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