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.