• Measles remains a public health concern despite vaccination programs.

• The study performed a secondary analysis of NFHS-5 data on the information of 43,864 children aged 24-35 months.

• The study results showed that challenges persist in India, with 11.5% of children receiving no measles vaccine (zero-dose).

• Children from the poorer wealth quintiles and those of the fourth birth order had around 16% and 17% zero-dose rates, respectively.

• High concentrations of unvaccinated children were found in northeastern states.

• The study's conclusions include the following:

1. Addressing sociodemographic determinants and implementing interventions with a spatial focus can increase coverage

2. Swift action is required to close last-mile immunization gaps.

• There is a need to incorporate the lessons from the various effective campaigns to eliminate measles.

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