India
Evaluation Report of Community Led Sanitation in Odisha
There is a direct relationship between water, sanitation and health. Inadequate water and sanitation infrastructure and unhygienic practices facilitate the transmission of pathogens that cause diarrhoea, which accounts for 2 million child deaths annually in the world, about half of them in India. Globally 1.1 billion people, including an estimated 638 million in India alone, practice open defecation (OD). This is inextricably linked to the very low availability and use of toilets. In India, the 2011 census indicated that less than half (46.9%) of households (HH) have latrines within their premises. Disappointing results from incentive driven government schemes for toilet construction and increased political commitment to sanitation led the Government of India (GoI) to elevate achievement of Open Defecation Free (ODF) status to a national mission in 2014. India aims to achieve ODF status by 2019 through a mix of strategies that include financial incentives for HH toilet construction, recognition and rewards for villages that become ODF, and community led initiatives to mobilise behaviour change. Community Led Total Sanitation (CLTS) is one such community empowerment approach. CLTS seeks to raise awareness of the faecal-oral contamination route, by capitalising on human emotions of disgust and shame to bring about community-wide change in defecation practices, with the ultimate goal of triggering entire villages to become ODF. [86 pages] Read More...
Enhancing Mobile Populations Access to HIV and AIDS Services Information and Support (EMPHASIS) Endline Report
CARE’s Enhancing Mobile Population’s Access to HIV/AIDS Services Information and Support program (EMPHASIS) is a 5 year program, which began in 2009, implemented in CARE Country offices in India, Nepal and Bangladesh. EMPHASIS aims to address cross-border mobility-related vulnerabilities focusing primarily on HIV and AIDS and gender programing for mobile and at-risk populations. EMPHASIS is funded by the Big Lottery Fund, UK.
The CARE EMPHASIS project team identified key project and outcome indicators to measure the success of the project. These indicators were drawn from the project log-frame; EMHPASIS specifically designed its interventions to achieve measurable progress across these indicators. The primary goal of the end-line survey activity was to collect the required data to measure the progress of these key project and outcome indicators longitudinally to the baseline data and between purposefully selected control populations at the end-line activity. [67 pages]
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The CARE EMPHASIS project team identified key project and outcome indicators to measure the success of the project. These indicators were drawn from the project log-frame; EMHPASIS specifically designed its interventions to achieve measurable progress across these indicators. The primary goal of the end-line survey activity was to collect the required data to measure the progress of these key project and outcome indicators longitudinally to the baseline data and between purposefully selected control populations at the end-line activity. [67 pages]
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Early Childhood Care and Development (ECCD) Endline Report
CARE has mainly been involved in initiating interventions in the field of health, education and livelihood to improve life opportunities for women and children. Their past interventions have focused on maternal health and strengthening preschool education to improve children’s school readiness. Integrated Child Development Scheme (ICDS) is the oldest and largest programme of the Government of India which aims to build holistic development of children ages below six years of age. It mainly focuses on health and nutrition needs and has a component of pre-school education for children aged 3-6 years.
CARE-India fulfilled this need of the ICDS programme in their project “Early Childhood Care and Development Project’ (ECCD). This project implemented in Chhattisgarh focuses towards strengthening five domains – Health, Nutrition, Care & Development, Rights & Protection and Economic strengthening and works with 5 levels – Child, Anganwadi Centre, Caregiver, Community and National. [153 pages] Read More...
CARE-India fulfilled this need of the ICDS programme in their project “Early Childhood Care and Development Project’ (ECCD). This project implemented in Chhattisgarh focuses towards strengthening five domains – Health, Nutrition, Care & Development, Rights & Protection and Economic strengthening and works with 5 levels – Child, Anganwadi Centre, Caregiver, Community and National. [153 pages] Read More...
Kutch Livelihood and Education Advancement Project (KLEAP) Endline Report
This endline study was an attempt for measuring the extent to which the stated goals and objectives of the K-LEAP had met and contributed towards increasing the income of the families, thereby resulting in improving the quality of the life. As highlighted across various sections of the report, it was observed that involvement in K-LEAP positively impacted the life of participants and also increased their household income. Various initiatives undertaken as a part of K-LEAP are sustainable and have the potential to be replicated in future. [65 pages] Read More...
Enhancing Mobile Populations Access to HIV and AIDS Services Information and Support (EMPHASIS) Baseline
There are a growing number of people migrating between Bangladesh, Nepal and India. Mobility has long been linked with heightened vulnerability to HIV & AIDS. While overall HIV prevalence is low in Bangladesh and Nepal, there is a growing concern that vulnerable mobile populations are forming a bridge between high prevalence areas of India and low prevalence areas in Bangladesh and Nepal. Enhancing Mobile Populations’ Access to HIV & AIDS Services Information and Support (EMPHASIS) is a regional program being implemented by CARE Bangladesh, CARE India and CARE Nepal and led by CARE International UK (CIUK) to reduce AIDS related vulnerabilities among mobile populations crossing the borders of Bangladesh and Nepal into India. This 5-year (August 2009 – July 2014) program, is funded by the Big Lottery Fund (BIG) of United Kingdom. [57 pages] 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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New Born Survival Project (NBS) Endline Report
Care India carried out in the Newborn Survival project in Ajaygarh block in Panna district of Madhya Pradesh. The project focused on strengthening services in maternal and child health by training of frontline health workers, GNMs/ANMs and creating community awareness on health parameters to be taken care of during pregnancy and delivery. A baseline survey was conducted in the beginning of the project to record the then status of health services being provided and community knowledge and perception on the same. This report presents the end line survey findings after the completion of the project. [92 pages] Read More...
Urban Health Initiative (UHI) Endline Report
The benefits of family planning go beyond the prevention of maternal and child mortality and extend to poverty alleviation, environmental sustainability and the empowerment of women. The Bill & Melinda Gates Foundation is committed to reducing unintended pregnancy in the developing world by increasing access to high-quality, voluntary family planning services. The Urban Reproductive Health (RH) Initiative, initiated in 2009, is one component of the foundation’s strategy that targets the expansion of quality family planning services in selected urban areas of Uttar Pradesh, India; Kenya; Nigeria; and Senegal. To build scientific evidence for urban family planning efforts, the Measurement, Learning & Evaluation (MLE) Project, led by the Carolina Population Center at the University of North Carolina at Chapel Hill (UNC-CH), in partnership with the International Center for Research on Women (ICRW), conducted an impact evaluation of the country-specific Urban Health Initiative (UHI) program in Uttar Pradesh, India. [102 pages] Read More...
‘We Pledge to Improve the Health of Our Entire Community’
Motivation is critical to health worker performance and work quality. In Bihar, India, frontline health workers provide essential health services for the state’s poorest citizens. Yet, there is a shortfall of motivated and skilled providers and a lack of coordination between two cadres of frontline health workers and their supervisors. CARE India developed an approach aimed at improving health workers’ performance by shifting work culture and strengthening teamwork and motivation. The intervention—“Team-Based Goals and Incentives”—supported health workers to work as teams towards collective goals and rewarded success with public recognition and non-financial incentives. [19 pages] Read More...
Pathways- Global Baseline Report
CARE’s Pathways program focuses on improving poor women farmers’ productivity by empowering them to more fully engage in equitable agriculture systems. The program is funded by the Bill and Melinda Gates Foundation and implemented in Bangladesh, Ghana, India, Malawi, Mali, and Tanzania. Aligned with other CARE initiatives, such as CARE Australia’s WE-RISE program, Pathways is designed to overcome the constraints to women’s productive and equitable engagement in agriculture. Utilizing a strong gender focus, the program’s Theory of Change posits that marginalized, poor women farmers will be more productive, and their families more food secure when:
women have increased capacity (skills, knowledge, resources), capabilities (confidence, bargaining power, collective voice), and support
local governance and institutions have/implement gender-sensitive policies and programming that are responsive to the rights and needs of poor women farmers
agricultural service, value chain, and market environments of relevance to women are more competitive, gender-inclusive, and environmentally sustainable. [104 pages] Read More...
women have increased capacity (skills, knowledge, resources), capabilities (confidence, bargaining power, collective voice), and support
local governance and institutions have/implement gender-sensitive policies and programming that are responsive to the rights and needs of poor women farmers
agricultural service, value chain, and market environments of relevance to women are more competitive, gender-inclusive, and environmentally sustainable. [104 pages] Read More...