Presentation

Addressing inequity by reaching marginalised groups to improve immunization coverage – Lessons from India Polio Eradication Program for health system strengthening and universal coverage

The India Polio Program has identified migrants, construction workers, nomads, brick kiln workers, as High-Risk Groups (HRGs). As per epidemiological data, HRGs shared a dis-proportionately higher burden of
polio cases to their population because they remain outside of any service delivery mechanism like immunization. Also, poor sanitation and hygiene conditions are added causative factors to the same.

The successful strategies and activities of the India polio program implemented at a large scale can be replicated to reduce inequity and improve universal coverage of health services like immunization, DOTS for TB, sanitation, etc.