Sexual|Reproductive Health
RAPPORT FINAL D’EVALUATION: PROGRAMME PLANNING FAMILIAL ITINERANT (PFI) DE CARE-SERA
Ce rapport est l’évaluation finale du projet de SERA ROMANIA ‘Planning Familial Itinérant’ (PFI), dont le but global était de développer des services itinérants de planning familial afin de limiter le nombre de grossesses non désirées et dans le cas de grossesses, d’en améliorer le suivi en Roumanie. L’évaluation a été commanditée par CARE France. [25 pages] Read More...
Umodzi Project: Men, Women, Boys and Girls in Alliance to Achieve Gender Equality Endline Report
Umodzi Project: Men, Women, Boys and Girls in Alliance to Achieve Gender Equality, was a research project, whose aim was to test the effectiveness of adding gender conscious practice curriculum (GCP) and intergenerational dialogues on existing Auntie Stella life skills curriculum to accelerate and enhance adolescent life skills and sexual reproductive health programming. The project was implemented in Suza Zone. CARE Malawi, in collaboration with the Ministry of Education, Science and Technology (MoEST) at district level, had already been working in Suza and Linyangwa Zones to implement an enhanced life skills curriculum that was being implemented by public school teachers in two zones in Kasungu District. The initiative was supported by PCTFI under the CARE Malawi Adolescent Girls’ Empowerment (AGE) program.
Under the Umodzi project, the idea was to test the effectiveness of adding a gender conscious practice curriculum to the existing life skills curriculum. Therefore, the main activity that was implemented under the project was the delivery of a gender synchronized intervention through the Gender Conscious Practice (GCP) curriculum to the supplementary life skills curriculum that was delivered after school by trained teachers in Suza and Linyangwa Zones in Kasungu District. To enhance adoption of GCP, the project promoted intergenerational discussions through the Working with Men and Boys to Advance Gender Equality and SRH (WMB/SRH) manual targeting mostly older men, commonly called ‘Male Champions of gender’ that were recruited through the Pathways program.
This document is a report of findings of an end line evaluation of the Umodzi Project implemented in Suza Education Zone in Kasungu District in the Central Region of Malawi. Data collection and analysis for the end line evaluation took place in February 2018 while the report was compiled in March 2018. The end line evaluation was part of evaluation activities for the project, which were subcontracted to CDM to support learning. Read More...
Under the Umodzi project, the idea was to test the effectiveness of adding a gender conscious practice curriculum to the existing life skills curriculum. Therefore, the main activity that was implemented under the project was the delivery of a gender synchronized intervention through the Gender Conscious Practice (GCP) curriculum to the supplementary life skills curriculum that was delivered after school by trained teachers in Suza and Linyangwa Zones in Kasungu District. To enhance adoption of GCP, the project promoted intergenerational discussions through the Working with Men and Boys to Advance Gender Equality and SRH (WMB/SRH) manual targeting mostly older men, commonly called ‘Male Champions of gender’ that were recruited through the Pathways program.
This document is a report of findings of an end line evaluation of the Umodzi Project implemented in Suza Education Zone in Kasungu District in the Central Region of Malawi. Data collection and analysis for the end line evaluation took place in February 2018 while the report was compiled in March 2018. The end line evaluation was part of evaluation activities for the project, which were subcontracted to CDM to support learning. 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...
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...
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...
Highlands Sexual, Reproductive and Maternal Health Project
For CARE staff involved in the Highlands Sexual, Reproductive and Maternal Health (HSRMH) project – a project conducted in small communities in the very remote highlands of Papua New Guinea where health indicators are some of the worst in the world – this story demonstrates the significant changes possible from the Community Workshop Series and the project at large. [37 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...
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...