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Lasting change goes beyond the present to promise a brighter future. See the multiplying effect of our programmes on communities.

HEALTH

Delivering health care to a billion-plus population of India is very complex. CARE India has worked in close collaboration with State and Central Government to secure better maternal and child health in the marginalised communities. We worked towards identifying the root causes of health problems and helped provide health care services to marginalized population.

SAKSHAM
AXSHYA 
Family Health Initiative
SWASTH
EMPHASIS
Urban Health Initiative
IMPACT
CHCMI
SEHAT

 

SAKSHAM 

Location: Andhra Pradesh

SAKSHAM project’s key objective is that by 2012, NGOs and CBOs will have enhanced capacity to apply community mobilisation strategies for reducing risk of HIV/AIDS and STD contraction amongst marginalised populations, particularly sex-workers. SAKSHAM works to train institutions and civil society through programmes to mobilize communities and develop innovative strategies for reaching sex workers with interventions for HIV/AIDS and STD prevention. These interventions include training that builds capacities of sex workers to address socio-cultural and political structures which keep them exploited, disadvantaged and excluded in society, thereby increasing their vulnerability to HIV/AIDS and STDs. Training is provided to programme implementation units, mentoring programmes are utilized, and evaluation is undertaken to determine programme effectiveness. Support is also provided in the form of technical assistance in implementation of the National AIDS Control Programme (NACP).

In the current phase II of the SAKSHAM project, CARE is shifting the focus of work to the Government of India’s HIV/AIDS prevention efforts and transferring the learnings from phase I to the government’s programme in AP. CARE will facilitate adoption of best practice on community mobilisation amongst NGOs and CBOs working with the government, and strengthen learning sites so that community mobilisation strategies can be documented and replicated by NGOs and CBOs. CARE will also document the success stories of community mobilisation for HIV/AIDS prevention among female sex workers, and share it with all partners and stakeholders for wider dissemination.

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AXSHYA

Location: Madhya Pradesh, Jharkhand, Chhattisgarh

AXSHYA works to address identified challenges in the treatment of Tuberculosis (TB) such as insufficient laboratory capacity for detection and follow up of requisite drug resistance cases along with funding gaps for procurement of second line drugs for all Multi-Drug Resistant TB (MDR-TB) cases to be initiated with treatment.  The first objective is to establish and enhance capacity for quality assured rapid diagnosis of Drug Resistant TB (DR-TB) in 43 Culture and Drug Susceptibility Testing (DST) laboratories in India by 2015.  The next objective is to scale-up care and management of DR-TB in 35 States/Union Territories of India resulting in the initiation of treatment of 55,350 additional cases by 2015. Another objective is to improve the reach, visibility and effectiveness of the Revised National TB Control Programme (RNTCP) through civil society support in 374 districts across 23 states by 2015. The final objective is to engage communities and community-based care providers in 374 districts across 23 states by 2015 to improve TB care and control, especially for marginalised and vulnerable populations including TB-HIV co-infected patients.

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Family Health Initiative

Location: Bihar

Bihar, one of the poorest states in India, is poised to significantly improve maternal, newborn and child health outcomes by 2015.  Strong government leadership, movement toward integration and system strengthening through the Bihar Health Sector Reform Programme (BHSRP), and increased resources create a unique opportunity for progress.  In this context, the Family Health Initiative in Bihar, with support from the Bill and Melinda Gates Foundation, catalyses a dynamic process of developing, testing, and scaling-up innovative solutions that transform frontline and first level facility family health services, dramatically increasing coverage and quality of life-saving interventions, improving survival and health for women, newborns and children throughout the state. 

Project goals include:

  1. Increasing the consistent availability of high impact and cost-effective family health interventions
  2. Improving the quality of key family health services and delivery processes
  3. Increasing utilization of key services and uptake of health promoting behaviors
  4. Facilitating identification and consistent adoption of successful approaches concurrently at state level and nationally. 

By the end of the 5-year project period, significant reductions in maternal, neonatal and infant mortality – consistent with government of Bihar targets – and in malnutrition will have been achieved. This will result from improved health behaviors and increased coverage of services known to be associated with mortality and nutritional impacts: increased contraceptive prevalence rate, skilled birth attendance, emergency obstetric care, immediate newborn care, asphyxia management, prevention and management of newborn sepsis, early and exclusive breastfeeding, appropriate complementary feeding, and complete immunization.  In concert with the other Foundation grantees in Bihar as well as other stakeholders, CARE will increase equity in the receipt of health services by ensuring that all families are mapped and included by frontline workers; equity is monitored and addressed by supervisors and managers; and accountability mechanisms benefit all population groups.  Documentation of effectiveness of strategies, tools and innovations that can benefit family health throughout India and globally will also be produced from project learnings. 

 

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SWASTH

Location: Bihar

As part of Sector Wide Approach to Strengthen Health in Bihar (SWASTH), CARE is providing Technical Assistance (TA) support to Government of Bihar (GoB) to develop a comprehensive health sector reform, a nutrition policy and capacity building within the concerned departments. CARE’s approach to health sector reform makes concerted efforts to link improved health status to poverty reduction and human development. The overall strategy adopted by CARE under this initiative is to enhance understanding and acceptance of the sector approach in the government. The project is divided into three phases: design; interim; and the implementation phase. The project is currently in the implementation phase, though the design phase focused on situational analysis in Bihar, and made policy recommendations, while the implementation phase focuses on developing ownership of the policy recommendations. Key focus areas include: poor and vulnerable sections, health service delivery, nutrition service delivery, capacity building of health service providers, behaviour change, health financing, institutional development, and public-private partnership.

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EMPHASIS

Location: Delhi, Uttar Pradesh, West Bengal

This project has been developed by CARE’s three country offices to address vulnerability in terms of HIV-AIDS amongst population from low prevalence countries Bangladesh and Nepal to high prevalence areas in neighbouring India. The target groups under this project include mobile populations and their families, with a particular focus on women. The target locations are the two high mobility routes in the region: (i) from Achcham in Western Nepal, down through northern India to Mumbai; and (ii) ten selected unions in Jessore and Satkira districts of Bangladesh, across to Kolkata in West Bengal in India. The project includes multiple closely linked interventions focusing on: improving access to HIV prevention and care support for inter-country mobile populations; capacity building of government, civil society and community efforts to reduce vulnerability of mobile populations; and facilitating evidence-based advocacy towards creation of an enabling environment supportive of reducing vulnerability of mobile populations to HIV-AIDS in India, Bangladesh and Nepal.  

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Urban Health Initiative

Location: Uttar Pradesh

The Urban Reproductive Health Initiative in Uttar Pradesh (the Initiative)  is designed to contribute to India’s efforts to achieve the Millennium Development  Goals, especially its target to achieve universal access to reproductive health (RH) by 2015. The project aims to to increase contraceptive prevalence rate (CPR) by 20 percentage points in  four major cities of Uttar Pradesh.

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IMPACT

Location: West Bengal

The goal of IMPACT(Initiative to Manage People Centred Alliances in Control of TB) is to support the Revised National Tuberculosis Control Programme (RNTCP) to decrease the morbidity and mortality caused by Tuberculosis (TB), Multi-Drug Resistant TB (MDR-TB) and HIV/AIDS co-infection, in West Bengal in India. The project achieves this goal through several strategic objectives.  First, intensification and expansion of community based DOTS treatment in the poor performing  units; next, strengthening and case-holding and completion of treatment among re-treatment and MDR TB patients. The project also works to strengthen the TB-HIV/AIDS coordination at state and district level to improve cross referrals.

To achieve these outcomes the following strategies are employed:

a)  Supporting positive health seeking behaviour of patients by linking them with existing welfare schemes.

b)  Improving community capacities to support patients to adhere and complete treatment

c)  Facilitation of participation of partners in TB/HIV interventions

d)  Building capacities of partners

e)  Strengthening managerial capacities and linkages of state and district level RNTCP structures to sustain the developed linkages.

The project is funded by USAID and the MDR TB component supported through Lilly MDR TB partnership

 

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CHCMI

Location: West Bengal

The Community Health Care Management Initiative (CHCMI) is an opportunity for CARE and the Government of West Bengal to collaborate on the public health agenda through pro-active engagement with PRIs, civil society organisations and government departments. Some of the constraints that CARE has experienced during its association with CHCMI will also be addressed through comprehensive planning to enable this pioneering initiative to have a sustained impact. The project strengthens health and nutrition interventions through micro-planning processes across five districts and involves PRIs and CBOs with proper representation of women from the poorest and most marginalised groups. The project works to improve the health care delivery system at the Gram Sansad level through institutional development and convergence of health and ICDS services and advocates for good practices for replication in blocks of remaining districts.

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SEHAT

Location: Madhya Pradesh

The goal of the project is to improve nutrition and health status of women and children and enable access to quality education for children from Scheduled Caste and Scheduled Tribe (SC/ST) communities in 500 villages across Sidhi and Shahdol districts of Madhya Pradesh.  The main objectives are to strengthen the system that addresses malnutrition with utmost emergency, improve quality in pre and primary education that increases enrollment and attendance and to improve access to livelihoods.

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