Nepal
Modelling Catalytic Impact at CARE
CARE has set an aspirational catalytic impact target of 200 million people. Catalytic impact is a new impact category that comes from Vision 2030’s focus on impact at scale. CARE defines catalytic impact as the “sustainable impact through the independent adoption or funding of solutions by governments, donors, the private sector, or open replication that originated with CARE and/or its partners”. CARE’s contribution to catalytic impact is indirect. That means it is the impact of our work after our direct programming efforts end or impact, as an indirect effect of our work. Read More...
Tipping Point Global Impact Evaluation Summary
This summary presents the major findings from a mixed methods impact evaluation study conducted in Bangladesh (Rangpur district) and Nepal (Rupandehi and Kapilvastu Districts) in 2021. This impact evaluation was coordinated by CARE and led by its research partners, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b) in Bangladesh and Emory University & Interdisciplinary Analysts (IDA) in Nepal. Read More...
Impact Evaluation Summary of Tipping Point Nepal
This brief summarizes the methods, key findings, and results and the implications of the Tipping Point impact evaluation in Kapilvastu and Rupandehi, Nepal. Read More...
Evaluating systems-level change and impact in CARE’s programming in Ecuador, Ethiopia, Nepal and Uganda: A global report
This report provides a detailed analysis and review of the evaluations of four CARE systems-level change projects - from Ecuador, Ethiopia, Nepal and Uganda exploring the extent to which their actions influenced systems change and led to impacts in people’s lives. It represents what is understood as the first time CARE has undertaken a deep dive evaluation into its systems-level approaches. The report begins with an overview of these projects and the Outcome Harvest evaluation methodology used across these countries to measure systems change, including the adaptations made to apply Outcome Harvesting to a systems-level project rather than standard CARE programming. Read More...
Evaluating Systems-level change and impact Findings from the evaluation of the SAMARTHYA project in Nepal
CARE’s ten-year strategy, Vision 2030, seeks to deepen the organizational focus on systems-level change and impact to support CARE’s mission to save lives, defeat poverty and achieve social justice. To support this, CARE launched a systems-level impact initiative to measure the effect of our programs that have influenced or changed systems, and the impact that this systems-change had on people’s lives. The initiative also increased capacity across the CARE confederation to design and implement high-quality systems change programs, and to strengthen the focus on systems-level change within our Country Office organizational frameworks and strategies. Four CARE Country Offices were selected to evaluate one systems-level program, and to synthesize the results and learning of this evaluation for national and global knowledge translation Read More...
Expanding Access to Education and Life Opportunities (Excel)
Expanding Access to Education and Life Opportunities (EXCEL) is an education initiative implemented in Pratappur, Sarawal and Palhinandan Rural Municipalities of Nawalparasi (west) district of Lumbini province. The project aimed to provide access to basic education for marginalized adolescent girls for better life opportunities through a year-long accelerated learning program known as “UDAAN”. Read More...
COVID-19 Vaccine Acceptance among People in Kailali, Nepal
COVID-19 has caused massive disruption and destruction worldwide, with millions of deaths since 2019. Vaccination plays a vital role in ending COVID-19. The objective of the study was to assess
the acceptance of the COVID-19 vaccine and its determinants among the general population aged 18 years and above. A total of 506 participants were interviewed in the study. A quantitative questionnaire covered socio-demographic characteristics of the respondent's knowledge related to the vaccine, misconceptions related to the vaccine, perceived reliable sources, and acceptability of the vaccine. The COVID-19 vaccine acceptance rate was 76% in the study area. The vaccine acceptance rate was slightly lower among female participants (74%) in comparison to their male counterparts (78%). The Bivariate analysis showed a significant association of acceptance of the COVID-19 vaccine with the municipality, caste/ethnicity, and family type. Similarly, in the multivariate analysis, religion, caste/ethnicity, and disability statuses were found to be significantly associated with vaccine acceptance. Concluding that the COVID-19 pandemic cannot be curbed if people do not accept the vaccine. The findings of the study showed that a considerable proportion of the respondents did not accept the vaccine due to fear of the side effects and doubt about vaccine efficacy. Therefore there is a need to increase advocacy and awareness of the COVID-19 vaccine to increase people's trust in it. Read More...
the acceptance of the COVID-19 vaccine and its determinants among the general population aged 18 years and above. A total of 506 participants were interviewed in the study. A quantitative questionnaire covered socio-demographic characteristics of the respondent's knowledge related to the vaccine, misconceptions related to the vaccine, perceived reliable sources, and acceptability of the vaccine. The COVID-19 vaccine acceptance rate was 76% in the study area. The vaccine acceptance rate was slightly lower among female participants (74%) in comparison to their male counterparts (78%). The Bivariate analysis showed a significant association of acceptance of the COVID-19 vaccine with the municipality, caste/ethnicity, and family type. Similarly, in the multivariate analysis, religion, caste/ethnicity, and disability statuses were found to be significantly associated with vaccine acceptance. Concluding that the COVID-19 pandemic cannot be curbed if people do not accept the vaccine. The findings of the study showed that a considerable proportion of the respondents did not accept the vaccine due to fear of the side effects and doubt about vaccine efficacy. Therefore there is a need to increase advocacy and awareness of the COVID-19 vaccine to increase people's trust in it. Read More...
Strengthening Approaches for Maximizing Maternal and Newborn Health (SAMMAN)
The use of the family planning method enables people to achieve their desired number of children and helps to reduce unintended and high-risk pregnancies and unsafe abortions, which contributes to saving the lives of many women. The main objective of this study is to examine the post-intervention impact on the use of family planning methods among married women of reproductive age in Nepal. Read More...
Impact, Influence, and Innovation: Reflecting on 10 Years of the CARE-GSK Frontline Health Worker Initiative
In recognition of their critical role in health linkages and systems strengthening, CARE and GSK established a decade long strategic investment in frontline health workers (FHW) and community health workers (CHW) in 2011 called the Frontline Health Worker Initiative. Following 10 years of partnership and programming, this report explores the resulting impacts, influence, and innovation. It synthesizes reach and impact data from 13 programmes across the 9 countries included in the Frontline Health Worker Initiative between 2011 and 2021. The countries included in this initiative are Afghanistan, Bangladesh, Cambodia, Cameroon, Chad, Laos, Myanmar, Nepal, and Togo.
The data presented here is specific to the communities in which CARE delivered sexual and reproductive health, maternal and child health, nutrition, and sanitation programming with GSK’s support. The analysis is designed to identify the changes in overall health outcomes that occurred at a population level. While these findings do not necessarily imply causation, CARE’s efforts have likely reasonably contributed towards these changes within the specific communities.
The Frontline Health Worker initiative has achieved these results across multiple development and humanitarian contexts – including slow-onset and sudden shocks, conflict, and most recently the COVID-19 pandemic. Many of these results were only made possible through the long-term investment from GSK and scalable actions that were implemented across all nine countries. Critically, the Frontline Health Worker Initiative established platforms, networks and health service capacity-building that served as a catalyst for CARE to pivot towards the response to the COVID-19 pandemic quickly in the communities where these projects exist.
Learnings from this programme will serve to strengthen CARE’s private sector partnership models for future programmes to build resilience and achieve health impact in communities. Read More...
The data presented here is specific to the communities in which CARE delivered sexual and reproductive health, maternal and child health, nutrition, and sanitation programming with GSK’s support. The analysis is designed to identify the changes in overall health outcomes that occurred at a population level. While these findings do not necessarily imply causation, CARE’s efforts have likely reasonably contributed towards these changes within the specific communities.
The Frontline Health Worker initiative has achieved these results across multiple development and humanitarian contexts – including slow-onset and sudden shocks, conflict, and most recently the COVID-19 pandemic. Many of these results were only made possible through the long-term investment from GSK and scalable actions that were implemented across all nine countries. Critically, the Frontline Health Worker Initiative established platforms, networks and health service capacity-building that served as a catalyst for CARE to pivot towards the response to the COVID-19 pandemic quickly in the communities where these projects exist.
Learnings from this programme will serve to strengthen CARE’s private sector partnership models for future programmes to build resilience and achieve health impact in communities. Read More...