In 2010, the CORE Group Polio Project (CGPP) in India undertook a communication-centred initiative to deliver the oral polio vaccine (OPV) as well as routine immunisation (RI) to underserved, high-risk areas. Formed in 1999 in Uttar Pradesh, CGPP's India Secretariat implements the project via an extensive network of Community Mobilization Coordinators (CMCs) who conduct social mobilisation activities in high-risk areas to promote acceptance of the OPV. CGPP CMCs also partner with United Nations Children's Fund (UNICEF) CMCs to make up the Social Mobilization Network (SM Net), which works with underserved communities in high-risk areas in coordination with district governments, NPSP (National Polio Surveillance Project), and other polio partners.
As part of this effort, 276 auxiliary nurse midwives (ANMs) carried out 263 sessions in an effort to confront challenges such as the fact that there is only one ANM posted in the urban Sambhal block of Moradabad for a population of 300,000, and there is resistant behaviour on the part of the community to accepting OPV. In advance of the immunisation drive, press briefings were conducted by health officials for local media. CMCs distributed RI invitation slips to all parents and conducted interpersonal communication (IPC) sessions with mothers on RI and OPV. Public announcements were made 2 days prior to the campaign - as well as on the day of immunisation - using megaphones. Leaflets announcing the date and venue of the immunisation sessions were posts in shops and clinics. Pamphlets on vaccination, sanitation, and diarrhoea management were distributed to parents. Session sites were decorated with local and printed materials. Influencers such as members of the National Integrated Medical Association (NIMA) worked to mobilise families resistant to RI, and physicians inaugurated the sessions. CMCs advised mothers about the next immunisation drive. In total, 21,860 children were immunised.
Immunisation and Vaccines
CORE Group Polio Project (CGPP) India website, October 25 2012.