Maternal Health
USAID’s Community Nutrition and Health Activity (CNHA) Report – Consultation (Meetings with Stakeholders, Households & Community People to Understand Information Sources, Media Access and Habits of CNHA Primary Target Groups to Inform CNHA SBC Strategy)
The USAID Community Nutrition and Health Activity (CNHA) is a five-year project (2023-2028) aimed at improving the nutritional status of women and children within the first 1,000 days of life in vulnerable communities across Bangladesh. Implemented in collaboration with CARE-Bangladesh and partners, the project spans 50 Upazilas in 14 districts and focuses on enhancing service delivery at the community level through health facilities and a strong Social and Behavior Change (SBC) strategy. The project aims to increase the adoption of family planning, maternal and child nutrition, and other health-related practices among its target population of 4 million direct and 10 million indirect participants. To inform its SBC strategy, CNHA conducted stakeholder consultations in February 2024, gathering data from various groups, including pregnant and lactating mothers, adolescents, and community health service providers, through individual and group consultations.
The consultations revealed key findings on the sources and trustworthiness of health-related information, with community health workers like CHCPs and FWAs emerging as the most trusted sources. Although many pregnant and lactating mothers received information on nutrition and family planning, adolescents and mothers-in-law were less informed. Common barriers to accessing accurate information included limited literacy, restricted access to health facilities due to poor transportation, and traditional beliefs that discouraged the adoption of new practices. Despite the widespread use of mobile phones, especially smartphones, media access was limited, with most women relying on family and community gatherings for information. The consultations also highlighted the need for improved communication flow from health facilities to the community, particularly for nutritional information and family planning services. The consultations also highlighted the need for improved communication flow from health facilities to the community, particularly for nutritional information and family planning services, emphasizing the importance of targeted interventions to bridge gaps in knowledge and access within these vulnerable groups.
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The consultations revealed key findings on the sources and trustworthiness of health-related information, with community health workers like CHCPs and FWAs emerging as the most trusted sources. Although many pregnant and lactating mothers received information on nutrition and family planning, adolescents and mothers-in-law were less informed. Common barriers to accessing accurate information included limited literacy, restricted access to health facilities due to poor transportation, and traditional beliefs that discouraged the adoption of new practices. Despite the widespread use of mobile phones, especially smartphones, media access was limited, with most women relying on family and community gatherings for information. The consultations also highlighted the need for improved communication flow from health facilities to the community, particularly for nutritional information and family planning services. The consultations also highlighted the need for improved communication flow from health facilities to the community, particularly for nutritional information and family planning services, emphasizing the importance of targeted interventions to bridge gaps in knowledge and access within these vulnerable groups.
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Endline Report: An interim analysis of baseline and endline data for key indicators
TAMANI is a complex intervention for improving maternal and newborn health in Tabora, Tanzania. The overarching objective of this intervention is to address the challenges linked to (1) the decision to seek care, (2) the barriers to accessing care, and (3) the provision of the highest possible quality of care, collectively known as the “three delays”. Addressing these delays requires a complex set of changes in behaviors, attitudes, access to and use of resources, skills, and knowledge of clients and service providers. The intervention targeted the supply side by improving the quality of care at health facilities, and the demand side through programs to increase utilization of care through community engagement and addressing gender barriers to accessing care by women and their families. Read More...
End of the Project Evaluation | Strengthening Approaches for Improved Maternal, Neonatal and Reproductive Health in Myanmar: Lashio Township, Northern Shan State, Myanmar
GSK and CARE Myanmar have been working together in the country since 2012 to provide better health services. The project was expanded from 45 villages to 60 villages in northern Shan State, based on successes and lessons learned in 2012-2015. The project goal is to contribute to the reduction of maternal and neonatal mortality through increased access to, and quality of, sexual and reproductive health, and maternal and child health services. Read More...
The Final Evaluation of the Opportunities for Mother and Infants Development Project
The Opportunities for Mother and Infant Development (OMID) is a three year project (from 2018 to 2021), funded by The Glaxo Smith Kline (GSK). The current phase of the project has been implemented in the two districts (16th and 17th) in Kabul city. The main purpose of the project is to improve the health and reduce the mortality among mothers, newborns and children in the most vulnerable communities through community-based interventions facilitated and delivered by Community Health Workers (CHWs) and Community Midwives (CMWs).
Overall, the project has been effective in achieving the intended outcomes. Access and utilization of Maternal and Neonatal Child Health (MNCH) services have improved as demonstrated by achievement of the project’s key performance indicators across the continuum of care.
This included increases in the %:
- of women reporting ANC utilization
- of women who undertook the first ANC visit before by the 3rd trimester of their pregnancy
- of those who knew the date that the baby was expected to arrive
- of those women who had a plan where she would deliver the baby
- of those women who believed health facility is safer to deliver there
And decreases in the %:
- of those who didn’t go for ANC and believed it is not important
- of those who didn’t go for ANC and indicated the high cost of care as reason
The community systems strengthening undertaken by the project through establishment of community based health facilities and CHWs was effective in increasing health awareness and adoption of positive MNCH behaviors and practices. Read More...
Overall, the project has been effective in achieving the intended outcomes. Access and utilization of Maternal and Neonatal Child Health (MNCH) services have improved as demonstrated by achievement of the project’s key performance indicators across the continuum of care.
This included increases in the %:
- of women reporting ANC utilization
- of women who undertook the first ANC visit before by the 3rd trimester of their pregnancy
- of those who knew the date that the baby was expected to arrive
- of those women who had a plan where she would deliver the baby
- of those women who believed health facility is safer to deliver there
And decreases in the %:
- of those who didn’t go for ANC and believed it is not important
- of those who didn’t go for ANC and indicated the high cost of care as reason
The community systems strengthening undertaken by the project through establishment of community based health facilities and CHWs was effective in increasing health awareness and adoption of positive MNCH behaviors and practices. Read More...
A Glimpse on Poor and Extreme Poor Pregnant and Lactating Women’s Situation in Sunamganj, amidst COVID-19
The global pandemic COVID19 outbreak has crippled the economy after the nationwide lockdown imposed by the Bangladesh government since the end of March 2020 and has thrown millions of its population into poverty and food insecurity. Sunamganj, district is highly susceptible to natural hazards such as heavy rain, storm, thunderstorm, flash flood, which severely affect their livelihood and food and nutrition security where the COVID19 crisis has speeded up the devastation of daily livelihood. While writing this report the total number of infected corona patients in Sunamganj was 1162 and nine died. To better understand how pregnant and lactating women in the poor and the extremely poor household of Sunamganj district, are experiencing and adapting during this COVID 19 crisis, Collective Impact for Nutrition (CI4N), CARE Bangladesh conducted a rapid mobile-based survey from May 14 to 23, 2020. This report represents unofficial survey findings to keep a finger on the pulse of the food and nutrition security situation in rural Bangladesh. Read More...
End line Survey Report: Meeting Basic Needs livelihood, Enhancing Access to WASH and Improving Reproductive Health Services in Yemen, 2018-2020
CARE Yemen has been implementing the “Meeting basic needs livelihood, Enhancing Access to WASH and Improving Reproductive Health Services in Yemen” project from 01 April 2018 to 31 March 2020. The project aimed to address the WASH, Health and food security needs of the most vulnerable and conflict affected communities living in the targeted areas. The key results of the project were: (1) increased capacity for vulnerable and conflict affected households, especially women, to meet livelihoods and basic needs; (2) improved access to safe water, sanitation and hygiene services for vulnerable households in conflict affected areas; (3) increased equitable access to Sexual Reproductive Health and Right (SRHR) services for targeted communities. Read More...
The NGO Health Service Delivery Project 2012 – 2018 – Final Report
From 2012 to 2017, USAID supported the Surjer Hashi (SH), or Smiling Sun, network through the NGO Health Service Delivery Project (NHSDP). The UK Department for International Development (DfID) provided additional funding beginning in the second project year. A consortium led by Pathfinder International, NHSDP provided material and technical support to 25 NGOs, who served a catchment area of 26.3 million people through a network of 399 static and 10,872 satellite clinics and 11,842 community service providers (CSPs). In its five years of implementation, the SH network made 251,490,942 services contacts, 8,237,567 of which were for antenatal care (ANC) and 42,577,833 were adolescents or youth. More than three million visits to SH clinics for children under five years of age integrated activities to monitor children’s growth and promote healthy nutrition. By providing 7,839,430 Couple Years' Protection, the SH network averted 2,000 maternal and 10,000 child deaths and 1.9 million unwanted pregnancies. Read More...
Evaluation finale de l’Initiative Maman Lumière II de CARE Niger
Dans le cadre de son projet Initiative Maman Lumière II, CARE International en partenariat avec l'Institut National de la Statistique (INS) a organisé une enquête d'évaluation de fin de projet du 4 au 15 janvier 2020.
En 2016, une enquête de base a été réalisée dans l'ensemble des villages d'intervention du projet. Cette enquête avait pour objectif de doter le projet d'indicateurs de référence qui serviront d'éléments de comparaison à la fin du projet afin d'informer les acteurs et le bayer des progrès réalisés en trois années de vie du projet.
L'enquête d'évaluation finale à concerner tous les villages d'intervention du projet. Cependant, pour des questions sécuritaires, 18 villages du département de Madarounfa n'ont pas été couvert par l'opération.
La méthodologie utilisée pour cette étude est basée sur un sondage par grappe à deux degrés. Les populations cibles sont définies selon les modules : les enfants de 6 à 59 mois et les femmes de 45 à 49 pour l'anthropométrie, les enfants de 0 à 23 mois pour l'ANJE, les enfants de 0 à 11 mois pour la vaccination.
La collecte des données a été effectuée sur des tablettes avec l'application ODK (Open Data Kit). L'analyse des données est effectuée sur ENA for SMART et STATA. Read More...
En 2016, une enquête de base a été réalisée dans l'ensemble des villages d'intervention du projet. Cette enquête avait pour objectif de doter le projet d'indicateurs de référence qui serviront d'éléments de comparaison à la fin du projet afin d'informer les acteurs et le bayer des progrès réalisés en trois années de vie du projet.
L'enquête d'évaluation finale à concerner tous les villages d'intervention du projet. Cependant, pour des questions sécuritaires, 18 villages du département de Madarounfa n'ont pas été couvert par l'opération.
La méthodologie utilisée pour cette étude est basée sur un sondage par grappe à deux degrés. Les populations cibles sont définies selon les modules : les enfants de 6 à 59 mois et les femmes de 45 à 49 pour l'anthropométrie, les enfants de 0 à 23 mois pour l'ANJE, les enfants de 0 à 11 mois pour la vaccination.
La collecte des données a été effectuée sur des tablettes avec l'application ODK (Open Data Kit). L'analyse des données est effectuée sur ENA for SMART et STATA. Read More...
Gender Equity and Women’s Empowerment: The Journey So far; The Experience of the ENSURE Program
The ENSURE Food Security Program is a USAID-funded, five-year intervention designed to profoundly and sustainably impact 215,000 vulnerable and food- insecure Zimbabweans in Manicaland and Masvingo Provinces. The program is a shared commitment by four partners and one service provider—World Vision, CARE, SNV, SAFIRE and ICRISAT—who work together to mainstream gender equity and natural resource management in the three key areas of maternal and child nutrition and health, agricultural production and marketing, and community resilience.
The success of ENSURE can be portrayed through the accounts of thousands of women and men whose lives have been changed through its various programme interventions. Tangible gender transformative changes can be noticed on several dimensions: joint household decision making; reduced violence against women; increased women’s leadership in community leadership; men assisting women with household chores and childcare; women’s ownership of high value productive assets; and increased access and control over income.
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The success of ENSURE can be portrayed through the accounts of thousands of women and men whose lives have been changed through its various programme interventions. Tangible gender transformative changes can be noticed on several dimensions: joint household decision making; reduced violence against women; increased women’s leadership in community leadership; men assisting women with household chores and childcare; women’s ownership of high value productive assets; and increased access and control over income.
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