Abstract
Vaccination day plays a pivotal role in India’s strategy to reduce maternal and child mortality, yet the cognitive and emotional demands placed on Accredited Social Health Activist (ASHA) workers during these sessions remain insufficiently understood. This qualitative study examines the cognitive workload ASHAs encounter in rural immunization settings. Findings reveal that workers operate within an overloaded ecosystem marked by rapid task switching, fragmented documentation, digital unreliability, and decision-making under uncertainty. Drawing on cognitive ergonomics, we propose design interventions aimed at reducing strain and improving workflow reliability. Through a human-centered design (HCD) lens, these insights translate into context-sensitive solutions that support the cognitive and emotional well-being of frontline health workers.
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