CARE Sexual, Reproductive & Maternal Health

ACHIEVING THE OUTCOME: Sexual, Reproductive and Maternal Health & Rights

2015 Progress rePort

ACHIEVING THE OUTCOME: Sexual, Reproductive and Maternal Health & Rights

100 Million WoMen & Girls

Power ChoiCeVoice Rights

2015 ProGress rePort

Acronyms

CeG CAre emergencies Group

CsC Community score Card

ePP emergency Preparedness Plan

GBV Gender-Based Violence

GsK GlaxosmithKline

Gsr Gender, sexuality and rights

Hss&i Health systems support and innovation

iAWG inter-Agency Group on reproductive Health in Crises

MisP Minimum initial service Package

PPP Public Private Partnerships

sAA social Analysis and Action

sAFPAC supporting Access to Family Planning and Post Abortion Care

srH sexual and reproductive Health

srMH sexual, reproductive and Maternal Health

srHe sexual and reproductive Health in emergencies

UnFPA United nations Population Fund

July 2015 : srMH Progress report 1

One Global Vision for Sexual, Reproductive and Maternal Health & Rights

By 2020, 100 Million Women and Girls exercise their rights to sexual, reproductive and maternal health (srMH) and a life free from violence.

By strengthening women’s voice and improving gender equality, promoting inclusive governance and increasing resilience, CARE hopes to deliver lasting change to the lives of women and girls around the world.

inputs

staff

Global experience & Knowledge

technical expertise

Financial support

evidence

Partnerships

100 million women

and girls exercise

their rights to srMH & life free

from violence

strengthening Gender equality

& Women’s Voice

Promoting inclusive

Governance

increasing resilience

Approaches impact

Gender, sexuality & rights

srMH & Governance

srH in emergencies & Fragile Contexts

Health systems support & innovation

Advocacy

strategic Areas of Focus

CHANGING THE WAy WE WORkTo advance the goals of the CARE 2020 PROGRAM STRATEGy, we have changed the way we work: We are making catalytic investments of core funds and resources to multiply the impact of our restricted resources and maximize our impact.

Funded

3 NEW

POSITIONS

Reallocated staff to serve as

FOCAl POINTS and resource persons to build and support

4 COllABORATIVE

GROUPS ACROSS CARE

Hosted or supported participation in

6+ CARE GlOBAl MEETINGS TO

SET dIRECTION

ANd FOCUS

Actively influencing

4 GlOBAl NORM

SETTING PROCESSES to leverage CARE’s unique expertise in participatory monitoring, accountability and practical rights-based

programming.

July 2015 : srMH Progress report2

Since our first global meeting in London, March 2014, there has been tremendous progress across the organization to advance CARE’s thinking, practice, visibility and credibility around SRMH & Rights.

> We have developed an SRMH & Rights Strategy.

> We are generating evidence and sharing learning: 11 publications and reports,

9 external presentations, 200+ CARE SRMH listserv members.

> We are advancing program quality: 5 tools and guidance documents to support

programs, 4 learning events planned.

> We are positioning CARE to be a global leader and partner of choice: 5 new partnerships of global influence.

> We agreed to focus on 5 strategic areas: Gender, Sexuality and Rights (GSR),

SRH in Emergencies (SRHE), SRMH & Governance, Health Systems Support & Innovation

(HSS&I), and Advocacy.

WORkING TOGETHERAligned with the CARE 2020 PROGRAM STRATEGy

GlOBAl MEETING lONdON 2014

3 days 23 people 12 CARE Offices

July 2015 : SRMH Progress Report 3

STRATEGIC AREAS OF FOCUSGender, Sexuality and Rights (GSR)The GSR collaborative group was established with participation from 19 CARE offices. Together, this group has worked to advance GENDER EQUALITY AND WOMEN’S VOICE in SRMH programming across CARE.

Highlights: • Helping set strategic direction for CARE’s global programs:

> Attended several CARE global meetings to support coordination and integration of gender and SRMH programming, such as the CI Gender Network meeting.

> Contributed to the CARE Gender-Based Violence (GBV) strategy.• Advancing learning and program quality:

> Conducted a mapping exercise to identify global experiences and tools that have been used to address the underlying social and gender causes of poor sexual, reproductive and maternal health and gender-based violence. A global learning event to share tools and experiences is planned for 2016.

• Developing global capacity in implementation of the Social Analysis and Action (SAA) approach (CARE Bangladesh, Timor Leste, Australia, India and USA).

• Adapting SAA for use with health providers and adolescents (CARE USA, Bangladesh and Honduras).• Generated and contributed to new evidence:

> CARE Ethiopia’s experience using SAA with widowed and divorced women in Ethiopia was published in Culture, Health and Sexuality.

> CARE Rwanda’s experience facilitating a Gender Gap Analysis – led by CARE Rwanda’s Sustainable Access to Financial Services for Investment (SAFI) and Social Change for Family Planning Results Initiative (FPRI) teams, with support from the CARE USA SRMH team – was highlighted in Interaction’s “Embracing Evaluative Thinking for Better Outcomes: Four NGO Case Studies.”

> The TESFA (Toward Economic and Sexual/Reproductive Health Outcomes for Adolescent Girls) Project was highlighted in the International Center for Research on Women (ICRW)’s report about promising strategies to prevent child marriage (CARE Ethiopia).

In the coming year, CARE PNG will begin two new rights-based SRMH projects to conduct in-depth research into SRMH-related vulnerabilities for young women and to lay the groundwork for piloting the SASA! model.

SASA! is a Kiswahili word meaning “now”. The SASA! model is a methodology for addressing the link between violence against women and HIV/AIDS. It is meant to inspire, enable and structure effective community mobilization to prevent violence against women and HIV/AIDS.

Building Capacity to Address GBV: The SASA! Tool

July 2015 : SRMH Progress Report4

SRMH and GovernanceBuilding on a well-established partnership with CARE International UK (CIUK) and several country offices working in governance, we have continued to advance SRMH outcomes through PROMOTING INCLUSIVE GOVERNANCE. We have identified CARE assets, innovations and learning from CARE country programs and shared them widely to increase global visibility, influence and impact.

Highlights:• Strategically partnered to influence at all levels including forming relationships with FP2020, White Ribbon Alliance,

World Bank and others to advance our SRMH governance agenda. • Invited to key global forums including the Woodrow Wilson Dialogue Series on Maternal Health, Expert Meeting on the

Family Planning Social Accountability Evidence Base, and the Global Partnership for Social Accountability, to share CARE’s experience with participatory monitoring approaches.

• Supported country office exchanges (e.g. CARE Malawi training CARE Mozambique on the Community Score Card) and development of new approaches (e.g. new social accountability approach in Bihar by CARE India, USA and CIUK).

• Generated and contributed to new evidence: > CARE’s and the Overseas Development Institute’s paper “CARE’s experience with community score cards: what

works and why?” (CIUK, USA, Malawi, Rwanda, Ethiopia, and Tanzania).> CORE Group’s “The Role of Social Accountability in Improving Health Outcomes: Overview and Analysis of Selected

International NGO Experiences to Advance the Field” (CARE Malawi & USA).> International Planned Parenthood Federation’s “Social Accountability: What are the Lessons for Improving Family

Planning and Reproductive Health Programs? A Review of the Literature” (CARE USA, Malawi, Tanzania, Peru).

CARE’S COMMUNITY SCORE CARD

The Community Score Card is unique in that it brings together the community and the health providers, as well as the local authorities, to jointly identify barriers to delivery and utilization of quality health services, implement solutions, and track the effectiveness of those solutions in an ongoing process of quality improvement and mutual accountability.

Availability of supervisory support for the health center

Relantionship between health workers & communities

Level of male involvement

Level of youth involvement

Availability and accessibility of health information

Availability of resources (drugs & supplies)

12%

37%

23%

32%

22%

14%

CARE Malawi and USA have recently finished a rigorous evaluation of a maternal health Community Score Card project. We are encouraged by the average percent increases in the Score Card indicator scores, see examples below.

CARE’s Community Score Card

July 2015 : srMH Progress report 5

Sexual & Reproductive Health in Emergencies (SRHE)The SRHE collaborative group is working to strengthen CARE’s organizational leadership and capacity to INCREASE RESIlIENCE and support family planning, post-abortion care and reproductive health services in emergency and crisis-affected settings. Through our SRMH Sector Specialist’s participation in the CARE-Emergencies Group (CEG), as well as virtual and on-site support to countries, we are focusing on helping country offices incorporate sexual and reproductive health in their Emergency Preparedness Plans (EPPs).

Highlights:• CARE USA hosted a global learning workshop on SRHE to increase knowledge and skills among field-based staff to

support and implement SRMH services throughout the emergency preparedness and response cycle. 14 participants from 12 CARE countries attended.

• With support from partner agencies and local government, CARE dRC and CARE USA launched a Regional Training Center for Reproductive Health in Eastern DRC to build the capacity of health care providers.

• CARE is a full member of the Inter-Agency Working Group on Reproductive Health in Crisis (IAWG) steering committee; a coalition of organizations working to expand access to quality SRH services for people affected by conflict and natural disaster.

• CARE Chad and USA contributed to dramatic changes in Chad’s National Family Planning Policy, expanding the authority of nurses and midwives at primary level clinics to provide reproductive health services.

• CARE continues to advance SRH work in emergencies through an updated Memorandum of Understanding with UNFPA. • CARE responded to the 2015 flooding in Malawi by providing health centers with reproductive health kits and

households with health and hygiene kits. • CARE works with partners to support use of the Minimum Initial Service Package (MISP) in emergency response efforts

to improve coverage, quality and utilization of SRH services in emergencies.• CARE presented at the Institute of Medicine Forum on Public- Private Partnerships (PPPs) for Global Health and Safety,

focusing on the PPPs CARE relies on during emergency preparedness and response programs, including UPS, Emirates Airlines, InterContinental Hotel Group, and Pfizer.

CARE estimates that 126,000 pregnant women have been affected by the devastating earthquake. More than 15% of them will experience

some form of life-threatening complication during delivery.

CARE has been delivering clean delivery and reproductive health kits since the earthquake hit.

ATlANTA: OCTOBER 2014Sexual & Reproductive Health in Emergencies Workshop in Atlanta: 15 participants from 12 CARE countries (Indonesia, Nepal, South Sudan, Pakistan, Ethopia, Rwanda, Burundi, Turkey, Myanmar, DRC, Tanzania, India).

NEPAl: MAy 2015Due to the EPP training just 10 days before, CARE was prepared to respond to the SRMH needs of the Nepal earthquake.

nePAl

NEPAl: APRIl 2015Technical advisors from Rwanda and the US led a workshop to include SRMH activities into CARE Nepal’s EPP strategy.

INCREASING RESIlIENCE

ATlANTA

RWANdA

SRMH Preparedness & Emergency Response in Nepal

July 2015 : SRMH Progress Report6

Health Systems Support and Innovation (HSS&I)CARE India is taking initiative to focus attention on health systems support and innovation, and several CARE offices are doing innovative work with health workers and health systems. This work is critical to building a RESILIENT health workforce and system that can withstand the shocks of disaster, conflict and epidemics like Ebola, while also meeting the changing landscape of health.

Highlights:• CARE Bangladesh presented at the 2015 Global Health and Innovation Conference on an innovative 6-country

partnership with GlaxoSmithKline (GSK) for improving maternal health in marginalized communities. • CIUK hosted a partners meeting in Cambodia to discuss the next phase of the CARE-GSK initiative in Bangladesh,

Nepal, Cambodia, Laos, Myanmar and Afghanistan to increase effectiveness of community health workers. • With funding from the Bill & Melinda Gates Foundation, CARE India established a Technical Support Unit to the

Government of Bihar, to transform institutional capabilities, systems and processes and scale up effective, innovative solutions across the state that emerged from CARE India’s Integrated Family Health Initiative.

• CARE USA is collaborating with CARE India to improve the quality of family planning services in Bihar through comprehensive training, quality assurance and clinical monitoring & coaching.

• CARE USA is collaborating with CARE India and CARE Bangladesh to develop papers and presentations highlighting their innovative work with health systems for publications and presentations at upcoming international conferences.

• CARE India is exploring hosting a HSS&I meeting in India later this year. This meeting would bring key leaders in HSS, including experts in how to build a culture of innovation, together with CARE staff in the region to discuss what innovations are needed to meet future health challenges and to position CARE as a leader in this area.

Dr. Jahangir Hossain of CARE Bangladesh presenting the CARE-GSK Community Health Worker Initiative in Washington, DC.

Reaching remote communities in Bangladesh with quality care through development of private community-based MNCH providers: After 14 months, skilled birth attendance increased by 34%.

Using team-based goals and incentives to improve performance of frontline healthcare workers in Bihar, India. In the study area, 26% of women with children 6 to 11 months old used modern contraceptive methods, compared to 15% of women in control areas.

Innovations to Improve Quality of Care

July 2015 : srMH Progress report 7

AdvocacyIn order to more fully operationalize the CI Global Sexual, Reproductive and Maternal Advocacy Strategy 2013-2015, we developed a 2015 global advocacy action plan, and committed resources to its full implementation. This work plan positions CARE in meaningful roles for shaping key global norms, standards and policies for sexual, reproductive and maternal health and rights, and leverages CARE’s unique expertise in participatory monitoring and accountability and practical, rights-based service delivery approaches. The Advocacy collaborative group- comprised of members from across CI- is developing CARE’s SRMH Global Advocacy Strategy and Action Plan 2016-2020.

Highlights: • CARE presented on Securing Reproductive Health and Rights in the Post-2015 Agenda, at the 3rd Partners Forum of

the Partnership for Maternal, Neonatal and Child Health.• CARE briefed the US Congressional Caucus for Effective Foreign Assistance on our Malawi Maternal Health Alliance

Project, and gave an update on our Nepal earthquake response to the Nepal Caucus. • CARE is represented on the FP2020 Rights and Empowerment Working Group, a global advisory group that is shaping the

guiding principles and norms for rights-based family planning, and helped draft the FP2020 Rights and Empowerment Principles for Family Planning.

• CARE serves on the Accountability Workstream of the UN Global Strategy for Women’s, Children’s and Adolescents’ Health, which will shape accountability systems for the Global Strategy at global, national and sub-national levels.

• As an active member of the Respectful Maternity Care Alliance, CARE is advocating for inclusion of rights-based approaches to sexual, reproductive and maternal health in the Global Strategy for Women’s, Children’s and Adolescents’ Health 2016-2030.

• CARE contributed to a series of Guttmacher Institute consultations to develop a set of relevant and measurable sexual, reproductive health and rights indicators for the Post-2015 Framework.

• The Advocacy collaborative group will hold a meeting in late 2015 to share advocacy strategies and lessons learned, finalize the CI/SRMH Global Advocacy Strategy 2016-2020, and articulate different CI members’ contribution to our global advocacy goals.

2013-2015, we developed a 2015 global advocacy action plan, and committed resources to its full

CARE USA and CARE Australia co-hosted a learning Tour to Cambodia for key lawmakers and opinion leaders to see the impact of their governments’ investments in sexual, reproductive and maternal health.

Connecting decision-Makers with Communities: Experiencing the Impact First-Hand

July 2015 : srMH Progress report8

MUlTIPly IMPACTNew Ways of Working

lOCAl TO GlOBAl

Working with their Ministry of Health colleagues, CARE Chad and DRC convened multi-stakeholder workshops to catalyze commitment to preventing unsafe abortion. The workshops generated joint action plans that the stakeholder groups will implement over the next few years. The Advocacy collaborative group is partnering with CARE Chad and CARE DRC to document and share lessons learned and innovations from their advocacy to prevent unsafe abortion. This investment provides important learning for other CI members who want to initiate advocacy to prevent unsafe abortion, as well as advocacy on other politically and socially controversial SRMH issues, and thus is critical for multiplying impact.

NEW PARTNERSHIPS

CARE developed a unique partnership with the University of North Carolina School of Journalism and Mass Communication and the University of Malawi to document and share the experience of community members, health providers and local government in using the Community Score Card in Malawi.

www.raisingthescore.org

CARE Malawi & UNC Partnership

13 Short Films and

23 UNC Students and

4 UNC Professors and

10 Univ. of Malawi Students and

8 Featured Community Members and

4 Health Workers and

3 district Management Officials and one chicken

AdVOCACy GOAl

GlOBAlREGIONAlNATIONAl

CONVENE ANd BROkER

EVIdENCE POlICy ANAlySIS ANd FORMUlATION

TARGET GROUPS ANd COMMUNITIES CARE WORkS WITH

INFlUENCE dECISIONS-MAkERS

MOBIlIzING ANd EMPOWERING CITIzENS

July 2015 : srMH Progress report 9

NEW lEARNING

CARE works to capture, share and learn from our programming and projects across the organization. Below are a few examples of the evidence we have generated over the past year.

• CARE’s SRMH work is published or referenced in 11 publications.

• CARE developed 3 tools to support measurement of women’s empowerment and governance outcomes, and guidance materials for 2 core approaches to advance program quality.

• CARE also currently has 4 articles under peer review in academic journals.

NEW OPPORTUNITIES TO INFlUENCE

Influencing Global Standards and Norms

CARE is participating in multiple global processes to influence standards and norms around SRMH and rights as part of the new Sustainable Development Goals.

CARE helped draft the Rights and Empowerment Principles for Family Planning.

CARE contributed to the development of Rights & Empowerment Indicators for FP2020’s 69 countries.

FP2020

WHO has included Misoprostol in the Essential Medicines list for treating post-partum hemorrhage.

Family Planning has been included in the Minimum Initial Services Package (MISP) for emergency situations.

Inter-Agency Working Group on Reproductive Health in Crises

Accountability Work StreamBy the end of 2015, the Global Strategy will include respectful/women-centered quality as the standard of care, and a mandate and implementation guidance for participatory monitoring and accountability mechanisms at subnational, national and global levels.

UN Global Strategy for Women’s, Children’s and

Adolescents’ Health

July 2015 : srMH Progress report10

Moving Forward: What’s On The Horizon?

Working with the Girl’s EdUCATION Team to integrate SRMH in projects in 6 CARE countries through the Patsy Collins Trust Fund Initiative. Uk AidMatch funding awarded to support SRMH programming for AdOlESCENTS in the democratic Republic of Congo.

Adolescents, Girl’s Education, Nutrition, Climate Change

SRMH Evaluation Fellows

SRMH engaging in more MUlTISECTORAl PROGRAMMING

The Mary Jane leader Evaluation, learning and Research Fellowship is a five year award to support a graduate or doctoral fellow to assist the SRMH team in capturing evidence and generating learning from our successful SRMH interventions.

CARE’S work will be highlighted at key international conferences

INTERNATIONAl CONFERENCE ON FAMIly PlANNINGNovember 9-12, 2015Nusa dua, Indonesia

GlOBAl MATERNAl NEWBORN HEAlTH CONFERENCEOctober 18-21, 2015Mexico City, Mexico

July 2015 : SRMH Progress Report 11

2015 Progress Report AnnexCHANGING THE WAY WE WORK

6 CARE GLOBAL MEETINGS TO SET DIRECTION AND FOCUS1. Global SRMH and Rights: London, March 20142. GBV Strategy Development: Kampala, May 20143. Multiplying Impact: London, January 20154. CI Gender Network: Sarajevo, February 20155. Gender Equality and Women’s Voice: Amman, June 20156. Governance Africa Learning Event: Nairobi, April 2015

4 GLOBAL NORM SETTING PROCESSES1. FAMILY PLANNING 2020 (FP2020) (CARE participates on the Rights and Empowerment Working Group)2. UN GLOBAL STRATEGY FOR WOMEN’S, CHILDREN’S AND ADOLESCENTS’ HEALTH (CARE Participates on

Accountability Workstream)3. INTERAGENCY WORKING GROUP ON REPRODUCTIVE HEALTH IN CRISES (IAWG) (CARE Participates as a steering

committee member)4. SUSTAINABLE DEVELOPMENT GOALS (SDG) (CARE is collaborating with partners on the development of measureable

indicators for health outcomes & realization of rights)

GENERATING EVIDENCE AND SHARING LEARNING

11 PUBLICATIONS AND REPORTSPublished1) Altman, L. et al. (2015). “Understanding the black box: A systematic review of the measurement of the community

mobilization process in evaluations of interventions targeting sexual, reproductive, and maternal health.” Evaluation and Program Planning 49: 86-97.

2) Curry, D., et al. (2015). “Delivering high-quality family planning services in crisis-affected settings II: results.” Global Health: Science and Practice 3(1): 25-33.

3) Curry, D., et al. (2015). “Delivering high-quality family planning services in crisis-affected settings I: program implementation.” Global Health: Science and Practice 3(1): 14-24.

4) Newton-Levinson, K., et al. (2014). “’People insult her as a sexy woman’: sexuality, stigma and vulnerability among widowed and divorced women in Oromiya, Ethiopia.” Culture, Health & Sexuality: An International Journal for Research, Intervention and Care.

Featured in external publications/reports5) Smith, M., et al. (2015). Health Actions for Women- Practical Strategies to Mobilize Change. Hesperian Health Guides.

6) Wild, L., Wales, J. (February 2015) CARE’s experience with the Community Score Card: What works and why?

7) Hoffman, K.D. (June 2014). The Role of Social Accountability in Improving Health Outcomes: Overview and Analysis of Selected International NGO Experiences to Advance the Field. Washington D.C: CORE Group.

8) Warner et al., (2014). “More Power to Her: How Empowering Girls Can Help End Child Marriage.” International Center for Research on Women (ICRW).

July 2015 : SRMH Progress Report12

9) Boydell, V., Keesbury, H. (2014). Social Accountability: What are the lessons for Improving Family Planning and Reproductive Health Programs? A Review of the Literature The Population Council.

10) Kumar, J. et al. (2013). Voluntary Family Planning Programs that Respect, Protect, and Fulfill Human Rights: A Systematic Review of Tools. Washington, DC: Futures Group and EngenderHealth.

11) Griñó, L., et al., eds. (2014). “Embracing Evaluative Thinking for Better Outcomes: Four NGO Case Studies.” InterAction

9 EXTERNAL PRESENTATIONS1) 142nd APHA Annual Meeting & Expo in New Orleans, November 2014 – Serena Huang, Program Officer with the

Sexual, Reproductive & Maternal Health Team, presented the poster “Determinants of long-acting reversible contraceptive (LARC) use among women in Chad: Results from Supporting Access to Family Planning and Post-Abortion Care (SAFPAC) Initiative.”

2) 3rd Partners Forum of the Partnership for Maternal, Neonatal and Child Health (PMNCH) – On June 30 July 1 in Johannesburg, South Africa, SRMH staff member, Christina Wegs, presented on a high level panel entitled “Securing Sexual and Reproductive Health and Rights and Family Planning in the Post 2015 Agenda”

3) Social Accountability Experts Meeting: CARE’s SRMH team (Sara Gullo and Christine Galavotti) was invited to attend and present at the Evidence Project’s “Experts Meeting on Strengthening the Evidence Base on Social Accountability for Improving Family Planning and Reproductive Health programs” July 16 17, 2014 in London.

4) Woodrow Wilson Center Dialogue on South Asia Consultation on Maternal Health: On March 31st, 2015 Dr. Jahangir Hossain of CARE Bangladesh participated as a panelist at a Woodrow Wilson Dialogue event, “South Asia Consultation on Maternal Health: Regional Dialogue and Way Forward,” in Washington, DC and presented CARE’s work in Bangladesh partnering with GlaxoSmithKline for improving maternal health in marginalized communities.

5) Woodrow Wilson Center Dialogue on Social Accountability: The SRMH team was invited by UNFPA to organize a Woodrow Wilson Center Dialogue, Social Accountability: The Answer to Ensuring Reproductive and Maternal Health Rights in the Post-MDG Era? in Washington, DC. The May 2014 dialogue showcased the Government of Malawi’s and CARE Malawi’s perspective on SRMH Community Score Card efforts currently underway in Malawi. The Dialogue was attended by over 150 people including participants from USAID, the US Department of State, and many academic and NGO partners.

6) Institute of Medicine (IOM) – In November 2014, Carolyn Baer of the SRMH team, attended a workshop of the Institute of Medicine’s Forum on Public-Private Partnerships for Global Health and Safety to explore opportunities for identifying and applying lessons learned and best practices for PPPs from experiences of successes and failures. Carolyn’s presentation focused on PPP that CARE relies on during our emergency preparedness and response programs that are multi-faceted, long-term alliances that yield high impact. Carolyn shared examples of successful PPPs with UPS, Emirates, InterContinental Hotel Group, and Pfizer and the roles they play throughout the humanitarian continuum.

7) Overseas Development Institute (ODI): CARE-ODI roundtable on social accountability on February 2015 at ODI’s offices in London drew on recent research from CARE International and ODI, the World Bank and the Institute of Development Studies on CARE’s experience with the Community Score Card. Gaia Gozzo from CIUK attended the roundtable.

July 2015 : SRMH Progress Report 13

8) CORE Group: SRMH Staff member, Dora Curry shared SAFPAC’s experience utilizing data in primary health facilities on the panel, “Small Data Add Up: Data for Decision Making on the Ground and in Real Time” at the CORE Spring meeting in April 2015.

9) Global Health Innovation Conference, Yale University: Dr. Jahangir Hossain of CARE Bangladesh attended and presented on a panel presentation in March 2014. He shared CARE’s GlaxoSmithKline-CARE Community Health Worker Initiative, a public private partnership model which uses private, skilled maternal and child health providers to reach remote and marginalized communities in Bangladesh.

ADVANCING PROGRAM QUALITY

5 TOOLS AND GUIDANCE DOCUMENTS1) Women’s Empowerment – Multidimensional Evaluation of Agency, Social Capital & Relations (WEMEASR)2) Women’s VOICES3) Health Workers’ VOICES4) Social Analysis and Action (SAA) toolkit5) Community Score Card (CSC) toolkit

NEW LEARNING

4 ARTICLES UNDER PEER REVIEW IN ACADEMIC JOURNALS1) Wegs, C., Creanga, A., Galavotti, C., Wamalaw, E. Community dialogue to shift social norms and enable family

planning: an evaluation of the family planning results initiative in Kenya. Submitted to PLOS One, 2/9/15

2) Gullo, S., Galavotti, C., Altman, L. Changing the conversation: Evidence for the effectiveness of CARE’s Community Score Card©. Submitted to Health Policy & Planning, 2/9/15

3) Kuhlmann, ASK., Gullo, S., Galavotti C, Grant C, Cavatore M, Posnock S. Women’s and health workers’ voices in open, inclusive communities and effective space (VOICES): Measuring governance outcomes in reproductive and maternal health programs. Submitted to Development Policy Review, 4/20/15

4) Altman L, Gullo S, Cavatore M, Msiska T, Galavotti C, Gozzo G. “You are not performing well, you can go!” Evidence for the long-term sustainability of CARE’s Community Score Card© and its effects in Malawi. Under review American Journal of Community Psychology

July 2015 : srMH Progress report14

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June 2015 : srMH Progress report16

HeadquartersCARE USA151 Ellis Street, NEAtlanta, GA 30303-2440USA T) 404-681-2552 F) 404-589-2650

PHOTO CREdITS © June 2015/CARE.

© JULY 2015 Cooperative for Assistance and Relief Everywhere, Inc. (CARE)

Founded in 1945 with the creation of the CARE Package, CARE is a leading humanitarian organization fighting global poverty. CARE places special focus on working alongside poor girls and women because, equipped with the proper resources, they have the power to lift whole families and entire communities out of poverty. last year CARE worked in 87 countries and reached 82 million people around the world. To learn more, visit www.care.org.

www.care.org