Child ill- health is a multifaceted problem which is directly linked to a large extent to mother’s health conditions, safe delivery conditions, socio economic conditions of the family and the health care system. Over the time, the nation has implemented a number of child centric programmes, poor health status of women and children in terms of high mortality and morbidity was another health priority in this country. Health facilities like hospitals and health centers were established for providing Maternal and Child Health care through ante natal, intra natal and post-natal services. In addition, a number of special programmes and schemes like immunization against vaccine preventable diseases, nutrition interventions like iron and folic acid distribution and vitamin A supplementation, diarrhoeal disease control through Oral Rehydration Therapy (ORT), Acute Respiratory Infection (ARI) control programme etc. were implemented over the past. In order to, ensure maximum benefit from these programmes and to provide services in an integrated manner to these vulnerable groups strong monitoring system required.