Public Health
Graphic Designer @ Immunization Technical Support Unit - Ministry of Health & Family Welfare, anchored by John Snow India Pvt. Ltd
Publications
Key National and State-level Operational Guidelines and Documents
Mahila Arogya Samiti Flipchart
An awareness and educational tool for the National Urban Health Mission, India. The MAS flipchart is known as the Mahila Arogya Samiti Flipchart. Mahila Arogya Samitis function as a community group involved in community awareness, interpersonal communication, community-based monitoring and establishing linkages with services and referrals. This group focuses on preventive and promotive health care, facilitating access to identified facilities and management of untied fund. A key function of the MAS is to support community members to access health entitlements.
The flipchart describes the functions of MAS, how they help communities, along with information on topics of maternal and child health, sanitation, family planning, menstruation, and lifestyle diseases which are most prevalent in modern day life.
Currently, The Flipchart has been adapted by 2 States of India, Uttar Pradesh and Bihar, in the Hindi language. An English translated version is being developed by the USAID and MRITE Project.
Project Contributions: Illustrated all the image pages describing the chapters.
First Published: August 2022
India’s Zero Dose Implementation Plan
Launched in Feb'2024, the ZIP document aims to provide an understanding of the concept of Zero Dose (ZD) children & missed communities in India’s context. It captures the processes and outcomes of the multiple stakeholder consultations that were held in identified high priority areas and priority populations to understand the challenges encountered in reaching the unreached communities and to develop context specific interventions. A brief outline is provided for the approach that can be adopted for reaching the zero dose children and missed communities with full course of vaccines available under UIP. This guidance aligns with the Identify – Reach – Monitor – Measure – Advocate (IRMMA) framework & Immunization Agenda 2030.
The intended audience of this document are the program managers of the Universal Immunization Program i.e., Block Officers, District Officers, State & National level Program Managers and all the implementing partners for the identified activities.
Project Contributions: Designed complete guidelines including the layout and infographics.
Published: February 2024
Adverse Events Following Immunization: Surveillance & Response - Operational Guidelines 2024
The objectives of the AEFI surveillance system are (i) to promptly detect, report and respond to AEFI; (ii) expeditious identification of unusually high rates of AEFI related to a specific vaccine lot/brand; (iii) promptly address programmatic errors through implementation of corrective measures; (iv) estimate serious AEFI rates in the population and compare these with local and global data and; (v) identify signals of unexpected adverse events and generate new hypotheses about these events that must be confirmed by planned studies and laboratory investigations.
Through the AEFI surveillance programme, the safety profile of the vaccines can be monitored to help regulators and programme managers take necessary actions and continuously conduct benefit-risk assessments to inform public health policies and sustain public confidence. The COVID-19 mass vaccination campaign was used as an opportunity to further strengthen the AEFI surveillance system. These guidelines provide the reader with technical and operational updates and details of the improvements made to the surveillance system since 2015.
These guidelines are intended for health workers and medical officers at various health facilities, programme managers at the PHC level, district and state level, members of the AEFI committees at all levels, partner agencies including drug regulators at all levels, state AEFI technical collaborating centres in medical colleges, faculties and students of medical colleges, and other stakeholders in the private and public sector involved in or responsible for vaccine safety and quality.
Project Contributions: Designed complete guidelines including the layout and infographics.
Published: January 2024
Comprehensive Universal Immunization Programme Review 2024
The Comprehensive Universal Immunization Programme (UIP) Review 2024 explores the program's efforts in vaccinating millions of children and pregnant women annually, focusing on immunization challenges in urban areas. Conducted in 9 selected NUHM cities, the review covers four zones—North, South, East, and West—representing states such as Kerala, Tamil Nadu, Andhra Pradesh, Goa, Maharashtra, Madhya Pradesh, Rajasthan, Chhattisgarh, and Punjab.
While India has made significant progress in boosting Full Immunization Coverage (FIC) from 62% in 2015 to 76.4% by 2021, the review highlights a concerning trend where urban FIC has fallen below rural levels for the first time. Urban FIC stands at 75.5%, compared to 76.8% in rural areas, reversing the historical pattern of urban areas outperforming rural ones. This decline is attributed to several barriers specific to urban environments, such as diverse, migratory populations, mobility challenges, and limited healthcare access in densely populated regions. Vulnerable groups, including construction workers, rag pickers, and nomadic communities, are particularly hard to reach.
The review identifies major gaps in program implementation, logistics, supply chain management, and healthcare access in these cities. It also highlights the importance of monitoring and evaluation to ensure more effective service delivery. Tailored interventions are necessary to address these challenges, improve immunization coverage, and strengthen public health resilience, especially in vulnerable urban settings
Project Contributions: Designed complete guidelines including the layout and infographics
Published: October 2024
Intensified Mission Indradhanush 5.0: Operational Guidelines
Intensified Mission Indradhanush (IMI) 5.0: “The Big Catch-Up”
India launched its flagship programme, Mission Indradhanush (MI), a periodic immunization intensification drive in December 2014, with an aim to strengthen Routine Immunization.
The mission was further intensified in 2017 with increased focus on urban areas with better interdepartmental coordination.Over the last nine years, routine immunization intensification activities have shown a positive impact on immunization coverage. However, globally and in India, the achievements made in the past have been hindered by the COVID-19 pandemic. This coupled with other existing inequities in immunization as a result of socio-economic status, education level, urban-rural setting, etc., have further contributed to the immunization gap. As the cohort of partially and unvaccinated children and pregnant women increases in an area/pocket, the risk of disease outbreaks also increases. Thus, to catch up on gaps that might have emerged due to the COVID-19 pandemic, Intensified Mission Indradhanush 5.0 has been planned across the country, to reach the unvaccinated and partially vaccinated children and pregnant women.
The objective of IMI 5.0 is to identify all children up to 5 years for missed doses, register them on U-WIN and vaccinate them in specially planned IMI sessions.
The guidelines will be used by the states of India to implement IMI 5.0.
Project Contributions: Designed complete guidelines including the layout and infographics
Published: November 2023
Urban Routine Immunization Project: Baseline Situation Analysis Report - Bihar
The document provides a strategic overview of efforts to enhance urban immunization access. It outlines a five-step approach—Diagnose, Design, Deliver, Demand, and Diffuse—to improve outcomes. Tailored for stakeholders in Bihar, it offers actionable recommendations to strengthen service delivery and coverage in urban areas.
Project Contributions: Designed complete report including the layout and infographics
Published: April 2022
Urban Routine Immunization Project: Baseline Situation Analysis Report - Uttar Pradesh
The document provides a strategic overview of efforts to enhance urban immunization access. It outlines a five-step approach—Diagnose, Design, Deliver, Demand, and Diffuse—to improve outcomes. Tailored for stakeholders in Uttar Pradesh, it offers actionable recommendations to strengthen service delivery and coverage in urban areas.
Project Contributions: Designed complete report including the layout and infographics
Published: April 2022
