Dear Rebecca and all friends,
This is to just add a bit on the Indian scenario regarding the role of CHWs in the vaccine space.
Much of the success story in the eradication of Polio in India was due to the involvement of CHWs in the Pulse Polio campaign.
ASHA workers are primarily involved in MCH services, including immunization services.
Primary immunization has also been an important responsibility- with accountability- for another cadre of health workers in the Primary care settings (Government hospitals), the auxiliary nurse midwives (ANMs), who are salaried and uniformed health workers in the public health space.
Duplication of work between the different categories of health workers does create a problem in terms of human dynamics but the system on the whole is well geared towards the delivery of immunisation services.
HIFA Profile: Sunanda Kolli Reddy is a Developmental Paediatrician from New Delhi, India, with a special interest in Early Child Care and Development of children with neurodevelopmental problems in underserved communities. She is actively involved in health promotion, community-based research, care provider training for promoting abilities of children with special needs, through the various programmes of Centre for Applied Research and Education on Neurodevelopmental Impairments and Disability- related Health Initiatives (CARENIDHI), which she heads (www.carenidhi.org). Her work in the community settings to widen the disability-in-development model of CBR encompasses the wider determinants of health and human capabilities and issues which impact the lives of the poor. She combines her experience in developmental paediatrics with the core work of CARENIDHI's grassroots convergence programmes in partnership with groups working in the area of Implementation research and policy. She is a member of the HIFA working group on Community Health Workers.
Email: write2sunanda AT gmail.com