Fear as a tool is used to communicate significance of immunization. In case of mothers employed as daily wage workers, earning enough for a day to feed the child becomes a larger priority than immunizing it against a disease that may strike in future. 

So we added photographs of diseases indicating what would happen if the immunizations are missed.

But later we changed them to illustrations as photographs were found to be very disturbing. They hindered reading of information. Here, the illustrations become an important tool for the health worker to convince the mother regarding importance of immunization. 

Health worker can communicate to the caregiver significance of each vaccine and on what part of body it will be given, possible reactions arising due to immunization. Colour-coded check-boxes have been placed in the information blurbs, to give a visual clue of ‘how many doses of this vaccine does my child need to take’. Health workers can encourage parents to check these boxes after an immunization.

Colour codes from the immunization card are continued so that parents can relate vaccine names and diseases prevented quickly.