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Impact, Influence, and Innovation: Reflecting on 10 Years of the CARE-GSK Frontline Health Worker Initiative

In recognition of their critical role in health linkages and systems strengthening, CARE and GSK established a decade long strategic investment in frontline health workers (FHW) and community health workers (CHW) in 2011 called the Frontline Health Worker Initiative. Following 10 years of partnership and programming, this report explores the resulting impacts, influence, and innovation. It synthesizes reach and impact data from 13 programmes across the 9 countries included in the Frontline Health Worker Initiative between 2011 and 2021. The countries included in this initiative are Afghanistan, Bangladesh, Cambodia, Cameroon, Chad, Laos, Myanmar, Nepal, and Togo.
The data presented here is specific to the communities in which CARE delivered sexual and reproductive health, maternal and child health, nutrition, and sanitation programming with GSK’s support. The analysis is designed to identify the changes in overall health outcomes that occurred at a population level. While these findings do not necessarily imply causation, CARE’s efforts have likely reasonably contributed towards these changes within the specific communities.
The Frontline Health Worker initiative has achieved these results across multiple development and humanitarian contexts – including slow-onset and sudden shocks, conflict, and most recently the COVID-19 pandemic. Many of these results were only made possible through the long-term investment from GSK and scalable actions that were implemented across all nine countries. Critically, the Frontline Health Worker Initiative established platforms, networks and health service capacity-building that served as a catalyst for CARE to pivot towards the response to the COVID-19 pandemic quickly in the communities where these projects exist.
Learnings from this programme will serve to strengthen CARE’s private sector partnership models for future programmes to build resilience and achieve health impact in communities. Read More...

Her Voice 2024

About this report
Increases in global conflict, the economic impact of COVID-19, market inflation, and the growing effects of climate change are compounding global crises. Those crises disproportionately affect the most vulnerable communities, especially women and girls. Addressing the unprecedented and overwhelming humanitarian crisis requires response and recovery efforts to listen to and address the needs of those affected the most, especially women and girls.

What are women telling us?
1. Crises are compounding: Women are reporting climate change, food insecurity, and conflict as the top three crises that drive impact on livelihood, food security, and safety.

2. Impact on livelihood and food security continue to be the top two reported impacts: 78% of women and 67% of men reported an impact on their livelihood. 74% of women and 72% of men reported an impact on food security. Women are more likely to eat less and sell their assets than men. Soaring food prices and inflation on essential commodities are significant factors that also affect access and availability of food.

3. Safety has overtaken mental health as one of the biggest impact areas: 47% of women and 62% of men reported an impact on their safety. In 2020 and 2021, mental health was the third prioritized impact area; in 2023, however, more women and men prioritized safety.

In the face of unimaginable and compounded crises and impacts, women still show leadership and take action to support their households and communities – 59% of women and 62% of men are trying to restore their livelihood. Women are also supporting to lead community response and are leading at the grassroots level, however, the space for their participation and leadership is shrinking.

The best way to understand what is happening to crises affected population is to listen to their voices and experiences and understand the support they need. This year, we asked women what we should recommend, and their top four asks are: livelihood recovery; addressing food insecurity; strengthening health services and addressing safety concerns.

This report represents 9,517 respondents (7,208 women) from twelve countries and provides quantitative and qualitative insights from countries that CARE conducted assessments in 2023. Read More...

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