Where every child vaccinated is a building block
In February 2014, at an event to celebrate India's three years of freedom from polio, the Government of India recognized Ms. Das as the district’s best performer (ANM cadre) for her contributions to the polio immunization program.
Various coverage evaluation surveys and publications note that a significant number of children are missing immunization (left-outs and drop-outs). However, the reports do not pinpoint the communities of these missing children, so communities are not aware of the immunization status of their children and do not participate in the immunization program.
The tool represents each vaccine dose administered to a child as a brick in a home. As more children get vaccinated and complete their due vaccinations, more bricks are filled in, thus strengthening the home, which depicts the village. The tool is posted in a public place (Anganwadi center) in the community.
During 2011, MCHIP (the USAID-funded Maternal and Child Health Integrated Program) introduced the MVMH tool in 28 Anganwadi centers in Jamtara and Deoghar districts to capture and follow the immunization status of all children born in the village in a year (one birth cohort) up to the age of 24 months. Use of the MVMH tool yielded good results, with improved coverage for all antigens during the prospcetive study conducted in April 2012–13 (BCG-96%, OPV1-93%, DPT1-94%, HEP1-93.9%), and only 1.9% left unimmunized. Also, national and state-level program managers found the MVMH tool was a good way to track beneficiaries for immunization.
Following the results achieved in the field, and sustained advocacy by MCHIP at the state level, the Government of Jharkhand decided to implement the tool across all immunization session sites in the state.