icon icon icon icon icon icon icon

CARE-GlaxoSmithKline Frontline Health Worker Initiative

This initiative embraced the crucial role frontline healthcare workers (FLHWs) play in strengthening health systems by delivering sexual and reproductive health (SRH) and maternal and child health programs.


The CARE-GlaxoSmithKline (CARE-GSK) partnership took place from 2011 to 2021 in Afghanistan, Bangladesh, Cambodia, Cameroon, Chad, Laos, Myanmar, Nepal, and Togo. It reached 5.5 million people, more than 73% of whom were women and girls. The initiative used already-established networks and infrastructure to adjust and modify interventions to address the distinctive health needs of each population. This initiative focused the key role that frontline healthcare workers (FLHWs) play in delivering sexual and reproductive health (SRH), maternal and child health, and in strengthening health systems.

How did CARE-GSK impact health services?

This 10-year partnership considered different contexts to take the health services further and bridge the gaps of different health needs. Health programming took an innovative approach, for example, in some contexts like garment factories in Cambodia. This was accomplished through online videos and a mobile application. In others, Village Savings and Loan Association (VSLA) members completed different trainings such as first aid, immunizations, and midwifery. They also pooled investment funds (VERS) from all community members towards social and health purposes.

Program achievements

Over ten years, the CARE-GSK partnership achieved the following results:

  • More than 2 million people began using family planning methods. There was a 12.8% increase in the contraceptive prevalence rate.
  • The maternal mortality rate decreased by 109.4 per 100,000 live births, and the infant mortality rate decreased by 16.1 per 1,000 live births.
  • 12,102 health workers were equipped and trained for last-mile delivery.


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 and community health workers in 2011 called the Frontline Health Worker Initiative. Following 10 years of partnership and programming, this report explores the resulting impacts, influence, and innovation.

Read the evaluation on the CARE Evaluations website