The Mandsaur Model refers to the community-based HPV vaccination strategy developed in Mandsaur district, Madhya Pradesh, which achieved 100% vaccination coverage in about 40 days during India’s HPV vaccination campaign. It is now being viewed as a replicable model for last-mile public health delivery.
Objectives
- Achieve universal HPV vaccination among eligible adolescent girls.
- Reduce cervical cancer incidence through early immunisation.
- Eliminate vaccine hesitancy.
- Ensure no eligible beneficiary is left out.
Key Features of the Mandsaur Model
- Data-driven beneficiary identification using multiple databases (such as school records and state welfare databases) to prepare a verified master list of eligible girls.
- Micro-planning at village, ward and school level to ensure complete coverage.
- Door-to-door verification to identify out-of-school and migrant girls.
- School-based vaccination sessions supplemented by outreach camps.
- Behavioural ‘nudge’ strategy to address myths and improve vaccine acceptance.
- Community mobilisation through teachers, ASHA workers, Anganwadi workers, local leaders and parents.
- Special focus on vulnerable groups, including difficult-to-reach and marginalised communities.
- Real-time monitoring of vaccination progress to identify and cover missed beneficiaries quickly.
Significance
- Demonstrated effective last-mile healthcare delivery.
- Showed the importance of convergence between health, education and local administration.
- Reduced vaccine hesitancy through community participation rather than coercion.
- Provides a scalable model for future immunisation and public health campaigns.
Current Relevance
The success of the Mandsaur Model is expected to guide implementation of:
- HPV vaccination programmes
- Mission Indradhanush
- adolescent health initiatives
- future adult vaccination campaigns
- other targeted public health interventions requiring high community participation.
