Collaboration: measuring trust around vaccinator training

The Mukhtari Project is an innovative initiative designed to enhance the well-being, emotional resilience, and technical capacity of vaccinators serving high-risk communities in Malir, Sindh, Pakistan. Led by the Centre for Arts-based Methodologies & Wellbeing (CFAW), the project uniquely integrates Arts-Based Methodologies (ABM) and Motivational Interviewing (MI) techniques to address critical challenges in immunization efforts, including vaccine hesitancy and the psychosocial strain faced by frontline health workers.

The project is particularly relevant as Pakistan works toward achieving the Immunization Agenda 2030 goals of 90% vaccine coverage. By creating supportive spaces for vaccinators' self-expression and equipping them with culturally sensitive communication skills, the Mukhtari Project aims to build trust, increase accessibility, and foster community engagement through a human-centered approach. The intervention involves structured workshops, field application of skills, and ongoing support to measure improvements in vaccinator motivation, self-efficacy, and ultimately, vaccination uptake in targeted communities. The projects aims to show impact through micro evidence generation to create macro scale impact. 

“Vaccinators are often referred to just as a number,” says Rutaba Syed (Organizational Lead), “and eventually they even start referring to themselves as just a number. Our work with Mukhtari was designed to remind them that they’re more than that – they’re people, too”

We’re working with CFAW to concretely measure the trust impact of the Mukhtari project – on the vaccinators involved, and on the communities they serve. Stay tuned as we work towards defining the impact of this exciting intervention.

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The Vaccine Trust Framework in the Lancet Global Health