The documentation enlightens on the experiences, lessons learnt and findings of the USAID funded, Reproductive and Child Health, Nutrition and HIV/AIDS Program RACHNA of CARE-India in a collection of technical papers. Decline in malnutrition among children is the fruitful outcome of the five-year experience that would form a future platform of motivation to continue to work to reach global and national development goals for child health and nutrition in India.
USAID funded RACHNA CARE-India is among the largest NGO public health programs around the world which directly influenced women and child health of a population exceeding 100 million in one of the most challenging contexts in India.
The second phase of Integrated Nutrition and Health Project (INHP-II) was aimed to help reduce child malnutrition and mortality. The rural component of the Chayan project primarily addressed the unmet need for spacing methods, while its urban component attempted to reduce HIV transmission among at-risk groups.
The project covered 78 districts and 22 cities, spread over 10 states and worked closely with key national programs and a spectrum of different partners.
The program attempted catalyzing existing public health programs and mobilizing communities to focus on a set of preventive interventions of proven value to achieve committed, measurable outcomes of this massive scale: reduce malnutrition and mortality in children, increase the use of reliable, modern contraception and reduce the risk of HIV transmission in high-risk groups.
The series of 12 working papers, describe the program in brief, give a retrospective summary of the methodology of many assessments used during the program, the different technical focus areas such as new-born care, infant and young child feeding to quote for some areas, rural and urban Chayan components, and finally the discussion of cross-cutting themes – working with the existing public health systems, working with community volunteers and a cost analysis of the program.
The documentation presents an impressive detail of RACHNA learning and experience. The principal aim of the presentation of the papers is to focus the main results and lessons to any audience interested in public health programming in India and provide a sense of dynamism and strenuous efforts that took to implement the projects.
The Document reveals that the RACHNA program has been demonstrated to be an effective low-cost program.
CARE-India acknowledges and compliments various organizations that had the long term tasks completed. It scrupulously describes in detail the diligent efforts of their primary partners, the ICDS and the RCH programs of the Government of India, which were central to RACHNA, Anganwadi Workers, Auxiliary Nurse Midwives, district, state and national leadership from the Ministry of Women and Child Development, the USAID Mission in India, which attributed to the unflinching guidance throughout and above all the efforts put into use by the mothers, children, especially girls themselves, belonging to the vulnerable groups.
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website - CARE India
Document - Executive Summary: What we have learnt so far; CARE India, RACHNA Program