Redesign of the Immunization card for INDIA
The Universal Immunisation Programme (UIP), run by the Government of India, makes essential immunisation available for free to children between ages 0 to 5 years. The mother and child protection health card that contains demographic and health information, as well as immunisation status of a child, is an important part of UIP. For every child immunised under this program, there exists a home-based physical record as well as a clinic side copy of the same. The language, content and design of the immunisation card vary from state to state.
Analysis of the immunisation cards from three states – Bihar, Gujarat and Maharashtra – as well as contextual enquiries conducted at a primary health care centre in Mumbai, revealed several issues faced by the stakeholders in the immunisation process. The three types of stakeholders were: healthcare service providers; parents and caregivers of the child; and surveyors and policy-makers who rely on the information on such cards for gathering data about the population.
We use this article to illustrate how we have tackled problems of comprehension, effort required and accuracy, managing the needs of various stakeholders while entering and retrieving data and practical issues, such as durability of the immunization card through our redesign.