Reena Jani rose early, finished her chores in the crisp January cold and walked uphill to the road that skirts her remote tribal hamlet of Pendajam in eastern India.

Riding pillion on a neighbor's motorcycle for 40 minutes through hillsides dotted with paddy fields, the 34-year-old health worker was headed for the Mathalput Community Health Center.

Jani's name was on a list of 100 health workers at the center, making her one of the first Indians to be inoculated against COVID-19 earlier this month as the country rolls out a vaccination program the government calls the world's biggest.