Sexual|Reproductive Health

Strengthening the Community Support System to Improve Maternal and Infant Health

Evaluation on Strengthening the Community Support System to Improve Maternal and Infant Health project in Gaibandha District, Bangladesh from November 2015-November 2017. [39 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...

C-Change Endline Report: FP/HIV Integration through SBCC in Zambia

Between November 2009 and June 2011, the Academy for Educational Development (AED)1 partnered with CARE Zambia through the Communication for Social Change (C-Change) initiative to implement a project designed to explore the effects of social and behavior change communication on family planning uptake. The project aimed to increase family planning utilization and as well as address the underlying social norms that influence uptake of family planning services. The project had a particular goal of exploring the effect of these interventions on uptake of family planning among HIV-positive individuals.

The project was implemented in the Mwase Zonal Rural Health Center (Mwase RHC) catchment area in Lundazi District, Eastern Province, Zambia. Study participants included HIV-positive and HIV-negative men and women of reproductive age (18-50). Survey participants were selected from a sampling frame built from the Mwase RHC ART and VCT registers. [122 pages] Read More...

Sexual Reproductive Maternal Child Health End of Project Evaluation

This report presents the findings of an end of project evaluation for “Sexual Reproductive Maternal Child Health” a project implemented by CARE International in Uganda through Gulu Women’s Economic Development and Globalization-GWED-G a local Non-Governmental Organisation based in Gulu Northern Uganda. The goal of the project was: “Improving Access to Reproductive, Child and Maternal Health in Northern Uganda” in the three districts of Gulu, Amuru and Nwoya, covering 9 Sub Counties (Ongako, Bungatira, Bobi, Koro, Patiko, Awach, Lamogi, Koch Goma and Alero). [98 pages] Read More...

Zambia Prevention, Care & Treatment Partnership Project II Mid-Term

ZPCT II is a five-year, $124 million contract supporting Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS) service delivery in six of Zambia’s ten provinces (Central, Copperbelt, Luapula, Muchinga, Northern, and North Western). To date, $82 million has been obligated into the award, spanning nine program areas. The five main objectives of ZPCT II are the following:
1. Expanding existing HIV/AIDS services and scaling up new services, as part of a comprehensive package that emphasizes prevention, strengthening the health system, and supporting the priorities of the Ministry of Health (MOH) and the National HIV/ AIDS/Sexually Transmitted Infection (STI)/ Tuberculosis (TB) Council (NAC).
2. Increasing the involvement and participation of partners and stakeholders to provide a comprehensive HIV/AIDS service package that emphasizes prevention, strengthens the health system, and supports the priorities of the MOH and the NAC.
3. Increasing the capacity of the Provincial Medical Offices (PMOs) and District Medical Offices (DMOs) to perform technical and program management functions.
4. Building and managing public-private partnerships (PPPs) to expand and strengthen HIV/AIDS service delivery, emphasizing prevention, in private sector health facilities.
5. Integrating service delivery and other activities, emphasizing prevention, at the national, provincial, district, facility, and community levels through joint planning with the GRZ, other United States Government (USG), and non-USG partners. [111 pages] Read More...

Communities, Organizing and Mobilizing to Eliminate mother to child Transmission (COMET)

This End of Project Evaluation was done to highlight results for implementing the above mentioned interventions over the last two years. The study was conducted between December 2015 and January 2016 and generated results through the use of both quantitative and qualitative assessment methods; field visits, household interviews, key informant interviews, focus group discussions, project document reviews (i.e., MoH-National PMTCT reports and protocols including COMET project progress reports and facility Health Management Information System – 2015)). The subsequent sections will highlight some of the findings. [44 page] Read More...

Assessment of Private Health Facilities’ Engagement in Provision of Maternal and Child Health Care Services

Care International has implemented Opportunity for Mother and Infant Development (OMID) project in Afghanistan. OMID is a community based maternal and child health project. OMID is holistic health care delivery approach targeting districts 01 and 02. Care International plans to scale up this approach to district 06 as well.
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Men’s knowledge and awareness of maternal, neonatal and child health care in urban Afghanistan- Descriptive cross sectional study

The status of men’s knowledge and awareness on maternal, neonatal and child health care are largely unknown in Afghanistan and the effect of community focused interventions in improving men’s knowledge is largely unexplored. This study identifies the extent of men’s knowledge and awareness on maternal, neonatal and child health. [9 pages] Read More...

Final Evaluation of Opportunities for Mothers and Infants Development Project

The evaluation was conducted to ascertain the degree of achievement and progress toward project output, outcome and overall objectives and determine the extent of project contribution in health needs of community examine. A multi-stage, stratified sampling design was used to select mothers from eligible women— women who were married, living in both districts and aged 14 to 49 years.
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Baseline Assessment on Maternal New Born and Child Health in District Two of Kabul City

The KAP survey aimed to identify knowledge gaps, attitude patterns, and practices that may facilitate understanding and action or create barriers to Maternal, New-born and Child Health (MNCH). A Cross-sectional descriptive study design was utilized to provide information on key knowledge, attitude and practice variables related to maternal, newborn and child health with 375 household in 2nd district.

Among others, the following are the key findings of the survey:

1. High total fertility rate,
2. Low uptake of family planning/ birth spacing methods, especially long term methods,
3. High drop outs in routine vaccinations
4. High level of pregnancy complications
5. High level of miscarriage, abortion and children death after birth.
6. High delivery related risks and
7. Low level of delivery preparedness
8. Low ANC services uptake.
9. Considerable knowledge gaps and misconceptions regarding some aspects of MNCH Read More...

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Adolescents Agriculture AIDS Basic and Girls' Education Cash Vouchers Child Health child marriage Child Nutrition Civil Society and Governance Climate Change Conflict Mitigation COVID 19 COVID 19 RGA Disaster Risk Reduction Economic Development Education Emergency and Humanitarian Aid Entrepreneurship Environment FFBS Food Security Gender Gender Based Violence Gender Equality Health Livelihoods Maternal Migrants and Refugees Natural Resources Nexus Nutrition Resilience RGA Sexual Sexual and Reproductive Health Shelter Social Norms Usaid Value Chain VSLA WASH Water Women's Economic Empowerment Women's Empowerment Youth