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Despite concerted efforts of the central and state governments and other immunization stakeholders, full immunization rates in India remain low. This paper outlines the findings of a comprehensive review of the Government's Universal Immunization Programme (UIP) and provides recommendations to formulate an action plan for improving routine immunization coverage. A mixed-method approach was adopted to collect data under four areas i.e. program implementation, vaccine logistics & cold chain, data recording & reporting system, and program communication in five high priority states. Results obtained for indicators under each thematic area, were further divided into four categories. The methodology of the review will help in identifying critical gaps and strengths in the immunization processes and in formulating an immunization coverage improvement plan (ICIP) in the states. This resource is useful for implementers. Click here to read the paper.