Nepal’s cities are vaccinating children at lower rates than rural areas, officials say, citing persistent gaps in reaching all eligible children. In urban settings, healthcare workers face difficulties covering “floating” populations, including people who move frequently for work or other reasons. Officials also point to slum communities, where dense living conditions and limited access to services can hinder consistent immunization. Migrant workers and their families are described as another group that can be missed during routine outreach and follow-up. The reporting highlights that these challenges contribute to lower full vaccination coverage in cities compared with rural areas, where programs may be easier to coordinate through more stable communities. While efforts continue to expand coverage, officials indicate that overcoming urban barriers—such as mobility, informal housing, and service access—remains central to improving vaccination outcomes. The overall picture is that inequities in where children live affect how reliably vaccination schedules are completed.