Maternal|Child Health

SHOUHARDO III Mid Term Summary

recommendations for the remaining life of the program to increase effectiveness in achieving sustainable impact and increase efficiency in use of resources. The MTE was planned and implemented over the period from late October 2017, through mid-June, 2018, with information gathering and preliminary analysis undertaken in Bangladesh from February 12 through March 12. The SHOUHARDO III Program is being implemented in 947 villages in 115 unions in 23 upazilas in 8 districts1 in northern Bangladesh. The goal of the program is to achieve improved gender equitable food and nutrition security and resilience for vulnerable people living in the flood-prone Char and Haor Regions of Bangladesh by 2020. The program is specifically targeting people defined by their communities as poor or extreme poor (PEP), expecting to have lasting impact by the end of its life on around 675,000 persons. The overall program value is USD 80 million3 from the United States Government with a complementary funding of USD 7,707,490 million from the Government of Bangladesh (GoB). A total of 126,810 Metric Tons (MTs) of commodities are planned for monetization over the life of the program, and 11,540 MT of commodities are planned for distribution under the maternal and child health and nutrition component (Purpose 2) of the program. (82 pages) Read More...

mHealth Experiences: from Rigorous Research to Transformative Scale

This report outlines the background, data, and results of a mobile health program for continuum of care services. [28 slides] Read More...

Bihar Story 2017: PowerPoint Presentation

This presentation contains data collected from a household survey regarding socio-demographic profile, maternal & newborn health, nutrition, and immunizations. [114 slides] Read More...

SECOND TREND SURVEY REPORT 2ND DRAFT MAZIKO PROJECT (NUTRITION FOUNDATIONS FOR MOTHERS AND CHILDREN)

This report presents results of the 2014 second trend survey carried out by CARE Malawi, in March, 2014. The report is the source of information of outcome indicators for children, lactating and pregnant mothers’ wellbeing which include health, nutrition, water and sanitation gender and social empowerment. In addition to presenting values for the specific indicators CARE Malawi values the report because it provides valuable information on the status of its activities on women and children in term of access to basic needs such as food, nutrition and health. The report also reveals the progress made over the two years towards the contribution of MAZIKO to the wellbeing of children and caregivers in Kasungu and Dowa. [127 pages] Read More...

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...

Situación de las Prácticas de Alimentación y Nutrición Materna Infantil Estudio de Línea de Base

El Instituto de Investigación Nutricional realizó la línea de base en el ámbito del proyecto “Ventana de Oportunidad” de CARE Perú en las Regiones de Ayacucho y Apurímac en grupos de intervención del proyecto y grupos de control. Las encuestas fueron realizadas entre septiembre y noviembre de 2010 y fueron aplicadas a una muestra de madres de niños/as entre 0 y 2 años de edad seleccionados al azar en los distritos seleccionados para el proyecto. [153 pages] Read More...

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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Integrated Family Health Initiative: Catalysing change for healthy communities

Recent trends in the Infant Mortality Rate (IMR), Maternal Mortality Rate (MMR), nutritional status, immunization and family planning, as highlighted in Figure 1, 2, 3 and 4, indicate that there are substantial gaps in achieving related MDG goals 4 and 5.

Despite recent gains and commitments from the Government of Bihar (GoB) and active leadership of key stakeholders to improve health infrastructure and outcomes, deep-rooted problems limit the government’s ability to affect lasting change. Persistent barriers include poor quality and availability of frontline and primary health center level services and staff, limited access to services by neglected and marginalized populations, lack of accurate data, lack of effective program management, weak training systems, absence of supervision in health facilities, poor functional integration of interventions, inadequate public health infrastructures, and an underdeveloped and unregulated private sector.

With support from the Bill and Melinda Gates Foundation, the Integrated Family Health Initiative (IFHI) program seeks to support the GoB to improve family health outcomes statewide as well as build their leadership and ownership towards these services. Ultimately this is to accelerate the progress toward MDG 4 to reduce child mortality and MDG 5 to improve maternal health. [12 pages] Read More...

Evaluation of the Information and Communication Technology (ICT) Continuum of Care Services (CCS) Intervention in Bihar

The Information and Communication Technology (ICT) Continuum of Care Services (CCS) intervention was conceptualized and implemented by CARE as part of the Ananya program in Bihar.1 The intervention involves the provision of ICT-enabled mobile-phone-based tools for frontline workers (FLWs) that aim to increase the coverage and quality of services that FLWs provide, enhance their communication with beneficiaries, and facilitate supervision (Box 1 summarizes the features of the ICT-CCS tool). [123 pages] Read More...

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