Final report on the parivartan ('transformation') child survival project, India, Jarkhand State, Sahibganj District

Parivartan was primarily funded by USAID as a standard category child survival project from September 2007 to March 2013. The goal of Parivartan was to reduce mortality among mothers, newborns and children under the age of five through building and sustaining community capacity via achievement of four strategic objectives: (1) SO-1, strengthen public-private partnerships for maternal and child health services; (2) SO-2, improve access to quality maternal and newborn care; (3) SO-3, improve nutrition among children; and (4) SO-4, prevent and properly treat infectious diseases among women and children. The key technical interventions for the project were maternal and newborn care (40%), nutrition (20%), immunization (10%), malaria (10%), diarrhea (10%), and ARI (10%). The primary cross-cutting interventions were community mobilization of village health committees (VHC), behavior change communications through community health workers (Sahiya and Anganwadi Worker), and quality improvement for care delivery at the health facilities (Health Sub-Centers). Overall, the evaluation found the project experienced significant improvement (p = 0.05) from baseline to endline and/or achievement of targets for 23 of 27 KPC indicators in the monitoring and evaluation plan and appreciable gains in capacity indicators for the partner NGOs, community-based organizations and local public health services. (Excerpt, modified)