Immunization is one of the cost effective interventions to prevent a series of major illnesses particularly in environments where children are undernourished and may die from preventable diseases. The status of child immunization is a good indicator of equity, accessibility and outreach of healthcare services. In India, the Universal Immunization Programme was launched in 1985 and has been achieved a coverage of 43.5% by 2005-06 as per NFHS 3. The case is helpful to discuss issues of planning, demand generation, logistics management and dealing with adverse effects. Team approach to providing immunization services can also be discussed.