Gujarat state of India has come a long way in improving the health indicators since independence, but progress in reducing vital rates (CBR, CDR, IMR, MMR etc) has been slow and largely unmeasured or documented. There are several challenges for reducing these vital statistics to be target to assess progress towards achievements of MDG. In spite of several national level surveys (NFHS & RCH) there are several challenges yet to be address to know the reach of the services being imparted to the resident population in an area. Government of Gujarat has initiated its efforts to know the status of some important MCH service indicators as well vital statistics at district level and the state level in the state of Gujarat. Taking lead from this Gujarat was the first State in India who took initiative for district level estimates by conducting District Level Rapid Household Survey (DLRHS) for evaluating MCH services (on some focused indicators) in the state of Gujarat taking proportionate sample from all 26 districts. The first time learning experience shows wide variation of MCH services among the districts of the Gujarat that have affected vital statistics. Circulation: Restricted for more details contact drharshitsinha@consultant.com