"Effectively used, the MVMH tool can ensure full immunization coverage until 2 years of age and will definitely improve the overall coverage within any geographical area."
My Village My Home (MVMH) is a community-level tool designed to provide the community and local health functionaries with a visual depiction of immunisation status of all infants born in a village. It was developed by the United States Agency for International Development (USAID) Bureau for Global Health's flagship Maternal and Child Health Integrated Program (MCHIP) - India immunisation team. This document was prepared in order to help field-level health workers like Auxiliary Nurse Midwives (ANMs), Anganwadi Workers (AWs), Accredited Social Health Activists (ASHAs), and the community use MVMH for effective tracking of beneficiaries.
As detailed here, the Government of India has appointed ASHAs to create awareness of health and its social determinants and to mobilise the community for increased utilisation and accountability of the existing health services, and also for local health planning. Launched in December 2009, the Ministry of Health and Family Welfare's Maternal and Child Tracking System (MCTS) utilises information technology and captures details of all the beneficiaries in the country in a centralised database. However, there is lack of clarity among health workers about the information to be fed into the software, leading to errors in the information database.
Furthermore, data shared in the document reflect that, although the community has access to immunisation services, inadequate utilisation persists. High drop-out rates point toward ineffective tracking of beneficiaries, coupled with inadequate community involvement and mobilisation. Drop-outs may be caused by poor treatment of mothers at service delivery points and poor communication regarding minor side effects of vaccination and information regarding revisit dates.
In this context, to strengthen service delivery and immunisation coverage at the ground level, MVMH is designed as an offline tool to track beneficiaries. The tool shows information on all children less than 2 years of age in a community under the roof of a house. Each row (from bottom to top), composed of boxes (bricks), is indicative of one beneficiary, and each box (brick) indicates an antigen that is to be provided to the beneficiary. Information on the oldest infant in a community (or village) is on the bottom row, and younger infants are added in the rows upward. Dates of vaccination are written (or coloured) in the respective boxes after the names. Each layer of bricks (if properly laid) strengthens the house, and each missing brick weakens the house. Thus this tool presents immunisation status in the form of properly laid bricks, thereby increasing the strength of the house. A "due list" can be prepared by glancing at the completed tool to see which children are eligible for one or more vaccinations as of the date of the next vaccination session.
The idea is that MVMH can lead to increased community ownership and improved demand generation. It can improve quality of coverage - especially timeliness. And it can be an accessory to the MCTS. The document outlines these and other advantages, also sharing a success story out of Jharkhand that illustrates the evolution (and effectiveness, as per a prospective study) of the MVMH tool.
English and Hindi (tool only)
MCHIP website, November 29 2017.