Background & objectives: Knowledge and practices of Maternal and child health (MCH) services is vital for improved health and nutrition among children and mothers. This study has used implementation research on the “Care Group Model” a behaviour change communication approach to assess the knowledge and child health care practices of mothers. Methods: The study was conducted in the districts of Odisha which is in the eastern state of India. This study has used a cluster sampling technique to collect the data of the Care Group intervention of the first 1000 days during pregnancy and thereafter among mothers/caregivers of children up to 2 years. This study has followed a mixed-method approach using both quantitative and qualitative data from study population. Results: Implementation of care group model in the four blocks had a great impact on the knowledge, attitude, and practices of mothers or caretakers of young children on the various aspects of maternal and child health. Mothers in the intervention area were found to be better at managing diarrhoea, i.e., they had better knowledge of giving more fluids, solid food and ORS during diarrhoeal episode. Interpretation & conclusion: This study concludes that the care group is more effective in the intervention areas by improving children’s health and massive behavioural changes that happened in the mother’s pregnancy care. Expanding the intervention of care group models in other areas of RMNCHA could be a policy suggestion. Key words: Care Group Model; Implementation Research; Maternal and Child health; Nutrition; Odisha.
This paper attempts to look at graduation model as a successful intervention to move communities out of poverty. In Assam Udalguri district the graduation model was implemented during August 2014 to September 2016 by world vision India-child focused humanitarian organization working in over 6200 communities in India. Graduation Model refers to move the vulnerable household from extreme poverty to next level to have food security, livelihood assets, and linkages with development programs within a period of 24 months. This study focused on vulnerable poor in the communities mainly Single mothers, Widows, Landless labor, poor household having chronically ill, poor household with person with disability, and household with malnourished household.300 participants selected through screening in this program, baseline survey data has been collected and at the end of the tenure we had end line survey with the same set of questionnaire to see the shift between two time points. 297 participants moved from extreme poverty to sustainable development consider once they attain 75% on 16 indicators mentioned below. This Ethnography study resulted in 99% success of program by comparing the baseline and end line data. The paper, therefore suggests that graduation model is a successful approach to assist vulnerable households to move out from extreme poverty.
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