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Transgender for Immunization Registration, Reminder - Recall and Digital Storytelling to boost Immunization services in the Slums of Delhi.

As a T4D expert, I was one of the key members of the design team which comprises of communication, technology and implementation experts.

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Describe what you intend to do and how you'll do it in one to two sentences (required 350 Characters)

ZMQ Development provides a Sakhee App (extn. of MIRA App) deployed for Transgender / Kinnars, traditionally having strong informant network for identifying families of the new-born for customary celebrations. Sakhee App is designed register new-born, track, remind- recall for immunization and sharing digital Talking Comics for healthy behaviors.

Explain the innovation (2,500 characters)

Despite the supposed proximity of the urban poor to health facilities, their access to healthcare is significantly curtailed in urban slums. The key factors that lead to poor immunization are: a. Inadequate public health delivery system; b. Poor beneficiary mapping due to complex slum structures; c. Weak referral and follow-up system; d. immunization hesitancy - “delay in acceptance or refusal of vaccination despite the availability of vaccination services”; e. And lastly; ineffective outreach and poor communication strategies in the slums; Proposed solution is designed to use innovative approach of using Transgender and their informant network to improve immunization outcomes. In the countries of South Asia like India, Pakistan and Bangladesh, the transgender community is ostracized by society. They often live in the slums. In Delhi, almost 78% transgender population lives in slums. Despite this, they have a very strong informant networks. Their main livelihood is from collecting money (considered begging) during festivities and social-cultural events through dance, dramas, folktales and story-telling. They are among the first to get informed about a child birth in a slum, where the go and perform to make a living. In the proposed solution, we use 4 innovative approaches: 1. The project uses the transgender community and their informant network strength to identify new born and ensure timely follow-ups and reminder-recall system; 2. Use mobile App called Sakhee for the transgender as agent for Immunization tracking; 3. Provisioning digital Talking Comics on different immunizations and vaccines issues on the Sakhee App for mass campaigns and promotion of immunization; 4. Lastly, make the Transgender agents of change a provide them with Direct Benefit Transfer to the bank account of the provider (Transgender) on completion of 1 year of immunization of a new-born. We have tested the proposed solution in a peri-urban slum of Tauru District of Haryana, India, through 5 MIRA (women) and 1 Transgender (Shaanu). Project was tested under MIRA Channel and in the ward of the Transgender it had 98% immunization. We propose similar approaches for other slum clusters of the world based on socio-cultural significance in the clusters.

Which part(s) of the world does this innovation target?

  • Southern Asia

Geographic Focus

We plan to pilot the project in the Slums of Jehangirpuri and Mongolpuri in the state of Delhi in India. Both Jehangirpuri and Mongolpuri have large slum clusters with a population of of over 2 million. More than 42% of the Transgenders of Delhi live in these two clusters.

Stage of Innovation

  • Pilot

Who will work alongside your organization in the project idea? (1,000 characters)

ZMQ Development is working both the slums clusters of Jehangirpuri and Mongolpuri. ZMQ has partnership with Delhi State health Department and Delhi State TB office in the areas. We will work with Delhi State Health Department for accessing immunization services. Also, as the key implementing partners are the Trangender communities living in the two slum clusters. ZMQ will partner with Jenhagirpuri Kinnar Samaj (NGO) in Jahangirpuri and in Nai Kiran Sangathan (NGO) in Mongolpuri. ZMQ will also partner with the Department of Development Communication and Extension, Lady Irwin College, University of Delhi for developing digital stories and studying the impact of the intervention.

How is your idea unique? (750 characters)

The proposed solution is unique in the following ways: Process and Implementation Innovation: 1. Using Transgender and its strong Informant network to identify new-born and House-mapping; 2. Using core skills of folktales and storytelling of the Transgender in sub-continent for building Immunization Awareness; Technology Innovation: 1. Providing a Mobile App (Sakhee App) for Transgender to register new-born, follow-ups, reminder-recall for immunization; 2. Integrating Storytelling App (Talking Comics genre) in the Sakhee App for promoting Immunization Communication and BCC; Business Model Innovation: 1. New Opportunity for Transgender to get into providing main stream services like Immunization; 2. Direct Benefit Model.

What is the name of your organization

ZMQ Development

Explain your organization (250 characters)

ZMQ is leading Technology for Development Organization based in Delhi, India. ZMQ has implemented over 15 system changing solutions in the area of Health, Education and Livelihood in last 18 years. website:

Type of Submitter

  • We are a registered NGO or Non-Profit Organization

Organizational Characteristics

  • Female-led organization
  • Technology for Development Organization (Inter Disciplinary)

Gender and Diversity (500 characters)

ZMQ is work with diverse under-privileged communities of the world. ZMQ's MIRA Channel is one such program reaching to almost 1.2 million rural women in India, Afghanistan, Uganda and Rwanda. Over 50% women employees who are key in design and implementation position. Above all very have every strong gender equity policy in all program and organizational activities. We have recently launched a new initiative - IncLudo to promote Inclusion & Diversity at workplace.

Organization Location (less than 250 Characters)

ZMQ Development is based in India. ZMQ's head Quarter is in Delhi. ZMQ also has a subsidiary office in Kampala (for Africa region). ZMQ is soon starting is international office in Montreal in Canada as ZMQ Global.

Size of organization (number of employees):

  • 21-100 people

Website URL

Key Websites:;;;

Scale of organizational work

  • Global (within 2 or more global regions)

Tell us more about you

Team Comprise of Interdisciplinary teams: Project head - Ms. Ayushi Singh, C4D Expert; Implementation Head - Ms. Hemlata Yadav, Development Expert; Design and Commuincation - Ms. Manisha Bagoria; Technology Development - Mr. Chand Mohd., MCA Solution Design - Subhi Quraishi, CTO Ground Teams: 1. Jag Mohan, Bachelor in Social Work 2. Komal Kumar, Bachelor in Social Work 3. Shahid Ahmad, B.A. 4. Asif Jilani, Trainee

Applying to Gavi INFUSE

  • Gavi Website
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Team (3)

Subhi's profile
Ayushi's profile
Ayushi Singh

Role added on team:

"Ms. Ayushi is the project head with 5 years of experience in Technology and Communication for Development. She is head of the MIRA Channel project at ZMQ developed and designed for multiple community settings in India, Afghanistan, Uganda, Rwanda and Senegal. She is M.Sc. in Communication for Development and Extension. She was key in converting MIRA Toolkit as Sakhee App for Transgenders to provide Immunization registration, reminder-recall, and BCC through digital stories to Communities."

Hemlata's profile
Hemlata Yadav

Role added on team:

"Hemlata is a Communication for Development expert. She has worked on the design of Digital Stories for Immunization. She has 2 years experience in implementation of digital Communication for Development initiatives in areas of MCH, TB, HIV. Polio in India, and Uganda. She is M.Sc. in Communication for Development and Extension."

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Attachments (2)


MIRA Toolkit adapted as Sakhee App.

YST ZMQ Brochure.pdf

Digital StoryTeller


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