India's success in eradicating polio is a remarkable achievement, especially considering the country's vast population and inadequate hygiene and sanitation, which contributed to the spread of the disease. To address these challenges, India implemented a multi-faceted approach.

Government Commitment and Administrative Action The government played a crucial role in India's polio eradication efforts, demonstrating consistent commitment and translating it into diligent administrative action at the operational level. This included district administrators being fully aligned with and committed to taking corrective measures based on evidence.

Effective Multi-Actor System India also leveraged an effective multi-actor system, allowing partners to provide technical assistance at the implementation level. Real-time data, including monitoring data, guided timely corrective actions.

Community Engagement and Infrastructure The government focused on building community engagement and infrastructure, deploying community influencers, and ensuring collective action. This included targeted awareness campaigns, celebrity endorsements, and health and hygiene education.

Key Strategies Some key strategies employed by India included:

- Microplanning: Creating house-by-house representations of demographic and vaccination data to inform the polio vaccination strategy.

- Community Health Workers: Training local health workers to administer oral polio vaccines, especially in hard-to-reach areas.

- Cultural Sensitivity: Ensuring community health workers reflected the diversity of the local population, addressing vaccine hesitancy and cultural concerns.

- Partnerships: Collaborating with global health organizations, such as the World Health Organization (WHO), UNICEF, and Rotary International .

By implementing these strategies, India was able to overcome the challenges posed by its vast population and inadequate hygiene and sanitation, ultimately achieving polio eradication in 2011.