P akistan’s progress toward human development and the Millennium Development Goals (MDG) targets has been uneven. Despite some improvements, Pakistan remains one of the worst performers against MDG targets in the South Asia Region, especially with respect to maternal and child health. Child mortality rates are almost twice the MDG targets. Stunting among children under five remained around 44 percent in the past few decades. Routine immunization of children in Pakistan has also been stagnating.
The proportion of children fully immunized is less than 60 percent, and this figure varies considerably across geographic, social and political boundaries. The regrettable deficits in immunization coverage are reflected in continued incidence of endemic polio transmission and the recent measles outbreaks especially in the Newly Merged District (NMD).