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Evaluation of the Team-Based Goals and Performance Based Incentives (TBGI) Intervention in Bihar
The Team-Based Goals and Performance-Based Incentives (TBGI) intervention, which CARE conceptualized, developed, and implemented as part of the Ananya program in Bihar, leverages the power of incentives and lessons from motivational theory on teamwork and goal-setting to help improve maternal and child health. Under the intervention, CARE set targets for the percentage of eligible beneficiaries in a subcenter catchment area who should have adopted each of seven key health behaviors or goals (Box 1). All frontline health workers (FLWs) in a given subcenter, including the accredited social health activists (ASHAs), Anganwadi workers (AWWs), and the subcenters’ auxiliary nurse midwives (ANMs), received nonmonetary incentives (consisting of small household items) if their subcenters met five of seven goals in a given quarter. The intervention explicitly sought to encourage teamwork and cooperation among FLWs by providing these incentives for achievements by the subcenter as a whole rather than by individual FLWs, and by providing FLWs with information on the concept and importance of teamwork. It included additional elements to motivate the FLWs in each subcenter, such as a service pledge they recited together and a certificate of recognition for subcenters that met their targets in all quarters. Overall, the intervention was expected to lead to improvements in the incentivized outcomes and to broader changes in related, but nonincentivized, outcomes through increased FLW motivation and teamwork. [82 pages]
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Sexual Reproductive Maternal Child Health Project
This report presents the findings of an end of project evaluation for “Sexual Reproductive Maternal Child Health” a project implemented by CARE International in Uganda through Gulu Women’s Economic Development and Globalization-GWED-G a local Non-Governmental Organisation based in Gulu Northern Uganda. The goal of the project was: “Improving Access to Reproductive, Child and Maternal Health in Northern Uganda” in the three districts of Gulu, Amuru and Nwoya, covering 9 Sub Counties (Ongako, Bungatira, Bobi, Koro, Patiko, Awach, Lamogi, Koch Goma and Alero). The three expected results were: 1)All members of the participating households have the required, age appropriate knowledge about key Sexual, Reproductive, Maternal and Child Health issues to support family members in accessing services; 2)Men and adolescent boys demonstrate supportive behaviours with regard to their family members accessing Sexual, Reproductive, Maternal and Child Health services; and 3) Health and Education service providers are more aware of demand based obstacles and actively engage to mitigate deterrents. [98 pages] Read More...
Sexual Reproductive Maternal Child Health End of Project Evaluation
This report presents the findings of an end of project evaluation for “Sexual Reproductive Maternal Child Health” a project implemented by CARE International in Uganda through Gulu Women’s Economic Development and Globalization-GWED-G a local Non-Governmental Organisation based in Gulu Northern Uganda. The goal of the project was: “Improving Access to Reproductive, Child and Maternal Health in Northern Uganda” in the three districts of Gulu, Amuru and Nwoya, covering 9 Sub Counties (Ongako, Bungatira, Bobi, Koro, Patiko, Awach, Lamogi, Koch Goma and Alero). [98 pages] Read More...
Measurement, Learning, and Evaluation Framework for the Bihar Initiative
The Family Health Initiative in Bihar, India (referred to in this report as the “Bihar Initiative”) is one of the foundation’s flagship programs. It represents a new approach to investing in global health, with the goal of yielding greater impacts on health outcomes and mortality, and accelerating progress toward Millennium Development Goals 4 and 5. In particular, the Bihar Initiative takes an integrated approach to improving reproductive, maternal, neonatal, and child health by leveraging and bundling services and delivery mechanisms from several of the foundation’s Global Health Strategies to improve uptake and coverage across the continuum of family health care. These strategies include Maternal, Neonatal, and Child Health; Family Planning; Nutrition; Vaccine Delivery; Tuberculosis; Enteric and Diarrheal Diseases; Pneumonia; and Neglected and Other Infectious Diseases. [60 pages] Read More...
Baseline Findings from the Ananya Evaluation
The Ananya program (ananya is a Sanskrit word meaning “unique” or “unlike others”) was created by the Bill & Melinda Gates Foundation (the foundation) to address some of the important family health challenges in Bihar, one of India’s most populous and poorest states. Ananya started as a five-year program (2011–2015) with the long-term goals of reducing maternal, newborn, and child mortality; fertility; and undernutrition rates in Bihar. To achieve these goals, the foundation is funding a synergistic set of complementary grants focused on improving the reach, coverage, and quality of family health services in two main areas: (1) essential reproductive, maternal, newborn, and child health services and (2) diagnosis and treatment of infectious diseases, including pneumonia, diarrhea, tuberculosis, and visceral leishmaniasis. Since its inception, the program has also expanded to include additional interventions that focus on improving sanitation in Bihar and on strengthening the system for health payments, including health-related incentives for households and incentives and payments for frontline health workers. [126 pages] Read More...
USAID Gap Women and Water Alliance Year 6 and Final Report
Gap Inc. is proud to close an enriching and impactful six years of implementation of the USAID Gap Inc. Women + Water Alliance. Looking back at six years of programming, Gap Inc. has learned immensely about the challenges and range of locally driven solutions related to women’s empowerment and improving access to water, sanitation, and hygiene (WASH) in communities touched by the apparel industry in India. Thanks to this partnership, Gap Inc. is now able to articulate the power of WASH and women’s empowerment work in both strengthening relationships with cotton growing communities and building pride for Gap Inc. among employees.
The Women + Water Alliance launched in 2017 with five partners and ambitious goals. Over six years, the partnership’s theory of change evolved to prioritize activities that proved most effective in reaching women’s empowerment and WASH goals. Learning and adaptation included adding a sixth partner, WaterAid, to strengthen the partnership’s community water management approach. Through COVID-19 partners adapted their approach to implementation to allow for virtual coaching and distanced learning to progress on empowerment and WASH goals. To realize the full potential of the W+W Alliance and make up for delays associated with COVID-19 related implementation, the W+W Alliance was extended for one additional year, moving its end date from 2022 to 2023. Read More...
The Women + Water Alliance launched in 2017 with five partners and ambitious goals. Over six years, the partnership’s theory of change evolved to prioritize activities that proved most effective in reaching women’s empowerment and WASH goals. Learning and adaptation included adding a sixth partner, WaterAid, to strengthen the partnership’s community water management approach. Through COVID-19 partners adapted their approach to implementation to allow for virtual coaching and distanced learning to progress on empowerment and WASH goals. To realize the full potential of the W+W Alliance and make up for delays associated with COVID-19 related implementation, the W+W Alliance was extended for one additional year, moving its end date from 2022 to 2023. Read More...
Gaining Recovery: Improvement of Maternal and Child health in Return Areas of North Iraq
In 2016, Federal Ministry for Economic Cooperation and Development-Germany (BMZ) has provided funding to CARE-Iraq to implement the project titling "Gaining Recovery: Improvement of Maternal and Child health in Return Areas of North Iraq". The aim of this project was to enhance the opportunities of SRMH and child health care for the people of North Iraq specifically the returnees in Zummar, Bardiya, Rabiya and Qasir Serij areas of Ninewa Governorate of Iraq.
The overall goal of the project was "Contributing to Sustainable Development Goad (SDG) 3 – Ensure healthy lives and promote well-being for all at all ages, as well as Goal 3.1 – Reduction of maternal mortality ratio and goal 3.7 – ensure universal access to sexual and reproductive health-care services".
The project objective was "Improvement of maternal and child health in Northern Iraq". CARE-Iraq involved its partner, Harikar, for implementation of activities related to improving mother and child health through multi-dimensional approach. In CARE-Iraq’s multi-dimensional approach, mix methods of service delivery and community sensitization were adopted. Read More...
The overall goal of the project was "Contributing to Sustainable Development Goad (SDG) 3 – Ensure healthy lives and promote well-being for all at all ages, as well as Goal 3.1 – Reduction of maternal mortality ratio and goal 3.7 – ensure universal access to sexual and reproductive health-care services".
The project objective was "Improvement of maternal and child health in Northern Iraq". CARE-Iraq involved its partner, Harikar, for implementation of activities related to improving mother and child health through multi-dimensional approach. In CARE-Iraq’s multi-dimensional approach, mix methods of service delivery and community sensitization were adopted. Read More...
SHOUHARDO III Longitudinal Study (RMS) Report
The overarching program goal is to improve gender equitable food and nutrition security and resilience of the vulnerable people living in the Char and Haor regions in Bangladesh by 2020. To achieve its goal, SHOUHARDO III focuses on three principal purposes and two cross- cutting purposes: 1) Increased equitable access to income for both women and men, and nutritious food for men, women, boys, and girls; 2); Improved nutritional status of children under five years-of-age, pregnant and lactating women, and adolescent girls; 3) Strengthened gender equitable ability of people, households, communities and systems to mitigate, adapt to and recover from man-made and natural shocks; 4) Increased women’s empowerment and gender equity at both the family and community levels; and 5) Increased provision and utilization of public services (e.g., local elected bodies and nation building departments) for communities, especially for poor and extremely poor women. Within its program areas of agriculture and livelihoods; health, hygiene, and nutrition; and disaster and climate risk management, the project delivers an integrated set of services – a holistic framework with an emphasis on women’s empowerment, gender issues, and good governance.
This report is a longitudinal study of Shouhardo III and identifies key impact areas. It reports on survey rounds of project participants, collected every six months throughout the project. Read More...
This report is a longitudinal study of Shouhardo III and identifies key impact areas. It reports on survey rounds of project participants, collected every six months throughout the project. Read More...
Start Early: Read in Time (SERT) Endline Report
Start Early: Read in Time is a CARE India Solution for Sustainable Development (CISSD) initiative in select districts of Uttar Pradesh and Odisha with an overall goal of improving “early grade reading skills of children (6-9 years of age), especially girls from marginalized Dalit and Adivasi communities in the formal primary schools in Odisha and Uttar Pradesh.”
In order to reach this goal of improving early grade reading in government schools, the project has been implementing innovate techniques in three districts in UP and one in Odisha since 2014. The project extended to two more districts in UP in 2016 and another district in Odisha in 2017. This report presents the findings of the endline study conducted in the initial four districts under the program, namely- Bahraich, Balrampur and Shravasti in UP and Mayurbhanj in Odisha. [86 pages]
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In order to reach this goal of improving early grade reading in government schools, the project has been implementing innovate techniques in three districts in UP and one in Odisha since 2014. The project extended to two more districts in UP in 2016 and another district in Odisha in 2017. This report presents the findings of the endline study conducted in the initial four districts under the program, namely- Bahraich, Balrampur and Shravasti in UP and Mayurbhanj in Odisha. [86 pages]
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PCTFI Malawi: FY15 to FY17 Performance Monitoring and Evaluation Plan
The redesigned PCTFI Malawi project takes a holistic approach to adolescent girls’ empowerment with interventions in education and SRH underpinned by cross-cutting activities in gender, participatory governance and capacity building and buoyed by a proactive learning agenda to influence policy at all levels through advocacy. Its goal is to empower adolescent girls in rural Kasungu to claim and exercise their rights to good quality education and sexual and reproductive information and services.
The project strategy leverages six years of PCTFI implementation in Malawi, best practices, lessons learned and proven approaches and tools for the CARE world; and opportunities for collaboration at all levels to map out the pathways to achieving the impact goal. The proposed interventions are organized under 3 thematic areas related to the adolescent girl’s agency and relations and to the structures that influence her empowerment. Read More...
The project strategy leverages six years of PCTFI implementation in Malawi, best practices, lessons learned and proven approaches and tools for the CARE world; and opportunities for collaboration at all levels to map out the pathways to achieving the impact goal. The proposed interventions are organized under 3 thematic areas related to the adolescent girl’s agency and relations and to the structures that influence her empowerment. Read More...