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Coronavirus pandemic
This Week in AsiaHealth & Environment

How will India vaccinate 1.3 billion people? Its army of auxiliary nurses and midwives know

  • These thousands of vaccinators form the first point of ground-level contact in the country’s health care system, and are ready to take on the coronavirus
  • But immunisation drives in India can be a fraught process, with distrust of both the vaccines and those who administer them common

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India trains workers to handle Covid-19 mass vaccination programme

India trains workers to handle Covid-19 mass vaccination programme
Kunal Purohit

In New Delhi, the countdown to a vaccine has begun.

Last week, the Narendra Modi government announced that it was planning to vaccinate 300 million people against the coronavirus by June. The same week, three different Covid-19 vaccine developers – Pfizer, Oxford-AstraZeneca and domestically developed Covaxin – applied for emergency authorisations so their vaccines could be used immediately.
But even though approvals won’t be given until the vaccines pass a series of safety protocols, Modi has said India is just weeks away from starting its inoculation drive.
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At the heart of these moves is a country grappling with a core question: how do you vaccinate 1.3 billion people? For an answer, the example of Pratibha Shirke could offer some insight.

Women like Seema Dhabade, an accredited social health activist (ASHA) worker, play a crucial role in running India’s immunisation programmes by going door to door, encouraging children and expectant mothers to get vaccinated. Photo: Kunal Purohit
Women like Seema Dhabade, an accredited social health activist (ASHA) worker, play a crucial role in running India’s immunisation programmes by going door to door, encouraging children and expectant mothers to get vaccinated. Photo: Kunal Purohit
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For 32 years, Shirke has walked long distances, climbed mountains and crossed rivulets in Raigad district, a little more than 70km away from India’s gleaming commercial capital, Mumbai.

The 56-year-old is one of the thousands of auxiliary nurses and midwives (ANMs) that form the first point of ground-level contact in India’s health care system. ANMs, among other their other tasks, are the vaccinators who drive India’s massive Universal Immunisation Programme (UIP), one of the largest health programmes in the world.

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