Bangladesh

Community Support System (CmSS) Evaluation Report

Reduction of maternal and infant morbidity and mortality is a priority area in the Health Nutrition and Population Section Program (HNSP) of the Government of Bangladesh. To address huge unmet needs for maternal and neonatal health (MNH) services, the Ministry of Health and Family Welfare (MOHFW) with support from JICA launched the Safe Motherhood Promotion Project (SMPP) in Narsingdi district in 2006. The purposed of the SMPP project is to improve health status of pregnant and postpartum women and neonates in the project area. [78 pages] Read More...

An impact evaluation of the Safe Motherhood Promotion Project in Bangladesh: Evidence from Japanese aid-funded technical cooperation

This paper reports the findings from a quasi-experimental impact evaluation of the Safe Motherhood Promotion Project (SMPP) conducted in the Narsingdi district of Bangladesh. SMPP is a Japanese aid- funded technical cooperation project aimed at developing local capacities to tackle maternal and new- born health problems in rural areas. We assessed whether the project interventions, in particular, community-based activities under the Model Union approach, had a favorable impact on women’s access to and knowledge of maternal health care during pregnancy and childbirth. The project comprises a package of interlinked interventions to facilitate safe motherhood practices at primary and secondary care levels. [8 pages] Read More...

The Effect of Addressing Demand for as well as Supply of Emergency Obstetric Care in Dinajpur, Bangladesh

The Dinajpur SafeMother initiative (DSI) was designed to test the impact of several interventions on use of obstetric services in government health facilities in Northwester Bangladesh during 1998-2001. Intervention: Facility-based interventions included upgrading health facilities. The sub-district hospitals or Upazila Health Centers (UHCs) had earlier been upgraded to provide basic emergency obstetric care. The project undertook activities designed to improve the quality of care in the facilities which included team-building among providers, case reviews, and a stakeholders' committee. [10 pages] Read More...

Where the Rain Falls (WtRF) Pilot Phase Impact Report

CARE Bangladesh has designed a project titled “Where the Rain Falls (WtRF)”, based on a research, which has been implemented in two sub-districts of Kurigram district in the northwestern Bangladesh with financial support from Prince Albert II of Monaco Foundation. This study provides an account of the effectiveness of a few measures considered under the project, in order to meet the above-mentioned needs of the smallholder farmers of the two target sub-districts. [63 pages] Read More...

A-Card Progress and Prospects

A-card (A stands for Agriculture) is a brand new micro-credit mechanism, the only example in Bangladesh aimed at providing smallholder farmers financing to a digital purchase of farm inputs at a low cost (10%) through the formal financial system linked to a debit card and ICT-enabled platforms.

Addressing the problem of smallholder farmers' lack of access to finance required a consultation among different stakeholders particularly in finding an effective solution. It eventually led to the idea and design of the A-card model. In this regard, the USAID Agricultural Extension Support Activity (AESA) project's interventions effectively engaged with different stakeholders, including small-holder farmers, microfinance institutions (MFIs), formal lenders (i.e. banks) and rural agricultural inputs retailers. The aim of this collaboration was to work for a common goal with differentiated responsibilities. [14 pages] Read More...

A-Card Pilot Initiative Impact Assessment

mSTAR/Bangladesh, working with the Agriculture Extension Support Activity (AESA) led by Dhaka Ahsania Mission (DAM), conducted pre- and postassessments in Faridpur district to understand the impact that a micro-credit product (called A-Card) delivered to smallholder farmers through Bank Asia’s agent banking had on participating farmers, associated ag-input retailers, and other relevant stakeholders, as well as to understand what further action can be taken to improve uptake of these services.
This report includes findings from the pre- and post-assessment surveys, beginning with farmers and retailers’ demographic information, including age, sex and education; as well as their mobile phone ownership, access and usage patterns. It also examines the knowledge and perceptions that stakeholders have of digital financial services (DFS), in addition to their perceived benefits from A-Card, associated challenges, and opportunities to scale up. In addition, this report includes some findings from a separate survey conducted solely by AESA. It concludes with recommendations based on the findings and feedback from stakeholders. [28 pages] Read More...

Krishi Utsho 2017 Annual Report

Krishi Utsho has emerged as a transformative social enterprise over the past several years as a way to identify and bring about progressive advancement in the lives of small holder farmers. As a social enterprise Krishi Utsho (KU) is equivalent to a hybrid of social sector intervention and pure business entrepreneurship, a social venture that can address problems of self-sustainability in a social intervention initiative. To succeed, these ventures must adhere to both social goals and financial viability. Typically, this project’s aim is to benefit small holder farmers, in particular women. It aims to permanently transform their lives by altering a prevailing socioeconomic equilibrium that works to their disadvantage. More importantly, the beneficiary group is an economically disadvantaged or marginalized segment of society that doesn’t have the means to transform its social or economic prospects without assistance. To that end, project focuses on the most important yet often neglected, agricultural sector. [47 pages] Read More...

Midterm Performance Evaluation of the Bangladesh NGO Health Service Delivery Project (NHSDP)

This 159-page midterm performance evaluation of the Bangladesh Non-governmental Organizations (NGO) Health Service Delivery Project (NHSDP) examines the project’s progress toward meeting its goal and objectives. NHSDP is the United States Agency for International Development (USAID)/Bangladesh’s largest health initiative; this flagship project is the latest in a series of programs going back to at least 1998 that have sought to improve the ability of local NGOs to provide basic health services to the poor. NHSDP was designed in 2012, when USAID was implementing significant procurement reforms and emphasizing the need to work more directly with local organizations. In 2013, USAID received gift funds from the United Kingdom’s Department for International Development (DFID) to co-fund NHSDP, which expanded the scope considerably. The DFID supplementary fund has supported the current NHSDP activities and strengthened its focus on family planning (FP) and maternal health outcomes, with a specific focus on improved service delivery for the urban poor. Read More...

Krishi Utsho Micro-franchise Project Impact Assessment

64 page impact assessment of Krishi Utsho Micro-franchise project, an emerging social enterprise project. It runs on a micro- franchise model by CARE Bangladesh. KU started in the year 2012, as a part of Strengthening the Dairy Value Chain (SDVC) project to provide timely access to affordable and quality agro inputs and advisory services to rural smallholder dairy farmers, particularly women. Later on with the support from the Embassy of the Kingdom of the Netherlands (EKN), the project selected shops in villages to ensure last mile access and branded 198 shops so far under KU brand. Those branded shops or franchisee are acting as a one stop solution center for more than 45,000 smallholder farmers combined, particularly for vulnerable women in North-East and South-West regions in Bangladesh, and thereby contributing to increased productivity and ensuring resilience in livelihood. KU will be expanding the product line in the franchisee shops according to farmers’ need. The purpose of this impact assessment was to identify the project impact on the beneficiary groups so far, to capture deviation (intended and unintended) from what it originally set out to do. The assessment thus intends to look at the model’s sustainability even after the project ceases to exist and make recommendations along this line. The information from this assessment will be used internally to make necessary adjustments, so that the project will achieve its intended objective and outcomes. Read More...

Improving Maternal and Infant Health in Bangladesh (IMIHB)

A 36 page evaluation of the IMIHB project which aimed to improve maternal, newborn and child health status of urban and peri-urban areas in Gazipur district of Bangladesh. The project centres around capacity building of the community health provision and support system; awareness generation in the community; and establishing referral and linkages between health facilities. Read More...

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