GOVERNANCE
"Behavioural nudges, data-driven governance and community participation are essential for achieving universal healthcare coverage." Discuss in the context of the HPV vaccination model adopted by Mandsaur district.
Model Answer
Introduction
- Human Papillomavirus (HPV) causes nearly 95% of cervical cancer cases.
- India accounts for around 25% of the global cervical cancer burden.
- The Mandsaur (Madhya Pradesh) HPV Vaccination Model demonstrates how data-based planning, behavioural insights, and community participation can improve public healthcare delivery.
Key Features of the Mandsaur Model
- Data-Driven Governance
- Used RBSK, SAMAGRA MP, and Ladli Laxmi Yojana
- Conducted door-to-door surveys.
- Prepared Village Master Line Lists.
- Identified low-coverage and high-resistance areas.
- Inclusive Approach
- Prioritised Banchhada community, nomadic tribes, urban slums, and school dropouts.
- Ensured no eligible beneficiary was left behind.
- Behavioural Nudges
- Presented vaccination as the default choice.
- Conducted repeated counselling for hesitant families.
- Publicly recognised vaccinated girls as Peer Champions.
- Used digital reminders for frontline workers.
- Community Participation
- Involved doctors, students, religious leaders, athletes, media personalities, and GenZ influencers.
- Addressed myths regarding infertility through awareness campaigns.
- Convergence of Schemes
- Integrated vaccination with Routine Immunisation, Antenatal Care Clinics, and Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA).
Outcomes
- Achieved 100% vaccination target within 40 days.
- Conducted 493 vaccination sessions through 12 permanent and 27 temporary sites.
- Covered girls from 893 villages and 190 urban wards.
- Reduced vaccine hesitancy and improved healthcare access.
Way Forward
- Replicate the Mandsaur Model across India.
- Strengthen digital health databases and last-mile delivery.
- Promote behavioural science (Nudge Theory) in public policy.
- Increase community awareness through continuous IEC (Information, Education and Communication) campaigns.
Conclusion
The Mandsaur HPV Vaccination Model shows that combining data-driven governance, behavioural nudges, community participation, and convergence of health schemes can successfully bridge the last-mile gap and strengthen preventive healthcare, making it a replicable model for achieving Universal Health Coverage (UHC) in India.