Table 2.

Intervention to improve migrants’ access to government healthcare services: summary of intervention components as proposed by stakeholders, Mumbai.

Intervention components	Need of intervention	Preparatory steps	Means of executing intervention
IEC regarding time and location of specific health services provided by MCGM	Migrants were not aware about health services (types of services, their timings, and locations) offered by government and about their time and location	Schedule of health services and their location was prepared for each of the three clusters by medical officers of urban health post. The schedule was translated in Hindi. Materials included pamphlets, posters, and flip charts	(1) Display at prominent locations within community, (2) Display at community festive events, (3) Distribution through community self-help groups and informal networks of core group members
IEC regarding common health issues relevant to slums of Mumbai	Many migrants were not aware of the health risk posed by their environment (for example, unsafe water, mosquitoes, etc.), were not aware of preventive measures, and did not know when to seek healthcare and where	IEC cell of MCGM prepares and tests health education material for specific health condition. The IEC material in Hindi and Marathi covering prevention and treatment of common health conditions, maternal, and child healthcare was reproduced. Materials included pamphlets, posters, and flip charts	(1) Display at prominent locations within community, (2) Display at community festive events, (3) Distribution through community self-help groups and informal networks of core group members
Exposure visits to government health facilities	Migrants have not seen facilities available at government health centers and are not aware about basic administrative steps while seeking care	Medical officers to chalk out plan for exposure visit to primary and secondary level government health facilities catering to the intervention clusters	(1) Exposure visit of migrants’ representatives to government health facilities
Workshop on communication skills for staff of maternity home	Community members pointed unsatisfactory behavior of staff that pushed migrants to either out-of-pocket expenses in private sector or unsafe home deliveries	IEC cell of MCGM designed workshop on communication skills for staff	(1) Workshop conducted by IEC cell
Service provision in community (immunization camp, direct observation of TB treatment)	Migrants, especially women, face barriers in reaching health facility (not aware of city, nobody to look after another child at home, timings of water supply erratic, and clash with facility timings)	Identifying a community volunteer for provision of direct observation of TB treatment, planning immunization camp in community at location, and time convenient to migrants	(1) Scheduling immunization camp at fixed location, time, and date in community and (2) Training of community volunteers for direct observation of TB treatment
Strengthen human resources of community	Sustaining intervention would need a number of peer leaders among migrants with requisite skills	Identifying representative for every 10–20 households or for each industrial unit	(1) Capacity building of community volunteers

MCGM, Municipal Corporation of Greater Mumbai; IEC, Information, Education and Communication; TB, tuberculosis.