This study was planned to evaluate the Maternal & Child Health services, particularly immunization in rural areas of the Tamil Nadu.

A community–based, cross–sectional survey using the WHO 30 cluster technique was carried out in rural areas of Tamil Nadu. The information collected was analyzed manually.

Nearly three fourth (71.9%) of the children were fully immunized with 1 Dose of B.C.G., 3 Doses of D.P.T. & O.P.V. and 1 Dose of Measles Vaccines. Nearly all the children (99.52%) were given B.C.G. vaccine. More than three fourth of the children were immunized against Measles.  The   main  reasons  for  drop–out  or  no immunization  were  “lack  of information about the  immunization program” (76.27 %) main contributing factor being Invalid Immunization (55.93 %).

The problem of Below target coverage of immunization could be overcome by taking up capacity building exercise for health care professional involved in Immunization services and  creating awareness about  the program and relevance of 2nd and 3rd doses of DPT and  Polio vaccines amongst the community. Increasing community participation through sustained and focused Information Education Communication  campaign should also be undertaken.