Polio drops in India are delivered by an army of 2.5 million frontline health workers, including women like Shameema and Tanzeela, who trek over 12 miles through mountain forests to immunize children in remote nomadic settlements. Their dedication ensures that even the most isolated communities receive life-saving protection against this debilitating disease.
The Vital Role of Women Vaccinators in India's Polio Campaign
Women vaccinators form the backbone of India's immunization program, often walking for hours with heavy insulated boxes to reach families living in high-altitude meadows. Shameema, 45, has spent over a decade administering oral polio vaccines, while Tanzeela, 28, joined three years ago. Their work is physically demanding, yet they persist because they have witnessed the devastating effects of polio firsthand.
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As summer temperatures climb to 37°C in Pulwama, these health workers must maintain the cold chain—keeping vaccines between 2°C and 8°C—using ice packs that require careful monitoring. The journey begins before sunrise, navigating dirt tracks that fade into footpaths along pine forests, with horses as the only transport for local Gujjar and Bakarwal families.
Overcoming Geographic and Logistical Challenges
The remote dhokas (seasonal homes) lack electricity and paved roads, making vaccine delivery a logistical feat. Each vaccinator carries a cool box weighing several kilograms, along with registers to record every child immunized. Despite these obstacles, they reach nearly 50 scattered homes in places like Namblan, ensuring no child is left behind.
Shameema recalls a boy in her village with a deformed leg from polio, a memory that fuels her mission: “These mountains need protection too—the children here deserve the same health as those in the cities.” This sentiment drives the entire network of health workers who operate in some of the world's most challenging terrains.

Impact and Statistics: Polio Eradication in India
India was declared polio-free in 2014, but the fight continues to prevent re-importation and maintain herd immunity. The vaccination campaign has reached over 170 million children annually, with more than 2.5 million health workers deployed across the country. Here is a comparison of vaccination coverage:
| Area | Children Reached | Challenges |
|---|---|---|
| Urban | High coverage (95%+) | Less physical strain, better infrastructure |
| Rural | Moderate coverage (85-95%) | Long travel, limited cold storage |
| Remote Mountain | Lower coverage (70-85%) | Extreme terrain, no roads, high effort |
Key Takeaways from the Frontline
- Women vaccinators are essential to reaching marginalized nomadic communities.
- Maintaining the cold chain is critical for vaccine efficacy.
- Community trust and local knowledge enhance immunization acceptance.
- Government and NGO support are vital for sustaining these efforts.
FAQ: Polio Drops and Vaccination Efforts
How do vaccinators keep polio drops cold in remote areas?
They use insulated cool boxes with ice packs that maintain temperatures between 2°C and 8°C, and they monitor the cold chain throughout their journey.
Why are women vaccinators critical in India's polio campaign?
Women vaccinators are often more accepted in conservative communities, and they bring dedication and local knowledge that helps reach families in inaccessible regions.
What is the cold chain and why is it important?
The cold chain is a temperature-controlled supply chain that keeps vaccines effective. If vaccines get too warm or too cold, they lose potency, putting children at risk.
These women's efforts are a testament to human resilience and the collective commitment to eradicating polio. Their story highlights the need for continued investment in healthcare infrastructure and frontline workers.