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This is really helpful Maurizio! Thanks a bunch!

Dear Dr. Fliegel,
Thanks for your response. One of the versions on the government card on which I had based my redesign included the HIV status. It has been removed in all versions since then, citing privacy concerns as you pointed out too. Efforts of taking this data online have begun some time back. The government has a portal called MCTS (mother and child tracking system) where in data from all the cards/ physical registers is fed-in manually. It will be a while however before all the babies receiving immunizations under universal immunization programme (UIP) show up on the database. Another interesting thing is, immunization data pertaining to babies who receive immunizations from private hospitals (these are not free) is not centrally available online anywhere. I recently came across a video http://youtu.be/YZfr7-KwQ8E?list=PL170B9F43867A12D0 so looks like we are on our way to electronic health records too. The role of technology in preserving and analysing health data is one aspect and another aspect is the role of health workers. In my experience ASHA workers (Accredited Social Health Activist) who are engaged in the last mile delivery of immunization and other health services are doing a lot of good at the grass-roots. This is the MCTS maharashtra website, but without a login and password there's not much one can see- http://nrhm-mcts.nic.in/mch/ and here is the national rural health mission (NRHM) website it has detailed information on state run interventions https://www.nrhm.maharashtra.gov.in/

Dear Meena Kadri,
Thanks for pointing out the post. I have been spending time at the health centres and typically participants of my study are auxiliary nurses and midwives (ANMs) and ASHAs. Let me upload my findings from visits to primary health centres near Mumbai and challenges faced in recording immunization data.