Background:The aim of this study is to assess the childhood immunization uptake and its determinants among the internal migrant population living in nonnotified slums of Hyderabad City, India.Methodology:This is a cross-sectional study of 768 rural-urban migrant mothers with a child under 2 years of age residing for period minimum of 30 days, but not more than 10 years. Data were collected for sociodemographic details, health-seeking behavior, antenatal, postnatal services, and reception of vaccines appropriate for age.Results:Full immunization coverage among the children of migrants was same as the general population of the State of Telangana (66.7%). The likelihood of child's reception of full immunization decreases with age of the mother and rose with the attainment of higher education. The head of household of salaried class, expectant mothers utilizing antenatal services, and the visit of postnatal health worker for counseling of expectant mothers, were significantly associated with reception of full immunization. Immunization coverage rates of children of 12–23 months age is lower than the general population of Telangana. The frequency of visits by health worker is low.Conclusion:Immunization uptake among the migrants and vulnerable segments of the population can be increased by locating new settlements, improving utilization of services and capacity building of health staff.

Background: Despite increase in accessibility and utilization of maternal health services in the state of Telangana, penetration of these services in vulnerable communities is inadequate. Aims & Objectives: To understand the determinants of utilization of reproductive health services by migrant population living in non-notified slums of Hyderabad city in the Indian state of Telangana. Material & Methods: It is a community based cross sectional study of 761 rural to urban internal migrant mothers with a child of less than 2 years of age residing for a period minimum of 30 days and not more than 10 years. Information was collected for socio demographic details, antenatal care and child delivery. Results: Mothers receiving at least 4 antenatal care visits and institutional deliveries in migrants was 69.6% and 69% respectively, compared to 85.8% and 97% in general population of Hyderabad city. The likelihood of mothers receiving adequate care is 6.7 times higher in mothers with secondary education compared to formal education. The likelihood of institutional delivery is 7.8 times higher in mothers availing adequate antenatal care versus inadequate care and 2.2 times higher in mothers with secondary education versus formal education. Conclusion: Utilization of antenatal care services and promotion of institutional deliveries can be improved by acting on the supply side barriers such as health care infrastructure and demand side barriers such as indirect consumer costs, financial constraints and community engagement