How is India simultaneously one of the world’s leading producers and exporters of vaccines, and, a home to a population where less than 44% of young children receive the full schedule of immunizations?
Only 2.1 percent of the national government’s health budget is allocated to routine immunization—a small amount given the country’s large population and number of births. India lags behind other countries of similar per capita gross domestic product in child survival.
India currently stands poised to make sizable public investments in health and increasing allocation of resources to the country’s immunization program is an immediate solution and is well worth the cost.
Although India is a leading producer and exporter of vaccines, the country is home to one-third of the world’s unimmunized children. Fewer than 44 percent of India’s young children receive the full schedule of immunizations. India’s vaccine deficit has several causes: little investment by the government; a focus on polio eradication at the expense of other immunizations; and low demand as a consequence of a poorly educated population and the presence of anti-vaccine advocates. In this article we describe India’s vaccine deficit and recommend that the government move quickly to increase spending on, and otherwise strengthen, national immunization programs.

