How We Work

How We Work

Working with our partners, CARE uses effective models and approaches to support communities to overcome poverty, social injustice, and humanitarian crises. We then use and apply the evidence derived from our programs to influence broader change and to scale up effective solutions.


CARE’s Sexual and Reproductive Health and Rights (SRHR) Mission

CARE supports access to high-quality, comprehensive, rights-based sexual and reproductive health care.


Our Approach

Gender equality and strengthening women’s voice
We partner with communities to challenge and transform the inequitable gender norms that restrict women’s and girls’ ability to realize their sexual and reproductive health and rights. 

Social accountability in SRHR
For over a decade, CARE has been working to expand spaces for meaningful participation of women and girls in shaping how reproductive health services are provided in their communities. We establish and support effective participatory governance mechanisms through which women, girls, and communities monitor and provide feedback. 

Increase resilience and reduce risk
We work to strengthen health systems to ensure that women and girls have access to quality, rights-based reproductive health services that are responsive and acceptable in both humanitarian and development settings, and to link community and health systems in a virtuous cycle of quality improvement and respectful care.

Form strategic partnerships
Globally, women and girls face many challenges and barriers to realizing their SRHR, and we realize that it would be impossible to solve these problems alone. In addition to partnering with the people and communities we aim to serve, CARE has joined other international NGOs and peer organizations in coalitions and working groups to share experience and learning to push the SRHR field forward.

Advocate for effective policies at all levels
CARE’s SRHR advocacy work delivers lasting solutions by promoting policy reforms that foster strong, healthy, resilient, families and communities. The evidence generated through our programs is used inform our local, national, and international policy priorities and recommendations, in hopes that current and future generations will benefit from changes made today.


Measuring Success

CARE works in dynamic and complex contexts, where lasting social change does not follow a linear timeline or a single pathway, where multiple stakeholders interact and influence each other, and where the only thing constant is change. We use monitoring, evaluation, and learning (MEL) in all our programs to generate comprehensive explanations and evidence to inform our work. MEL helps us to understand problems, social change processes, and what kind of impact our work has made on the communities we serve. We attempt to create MEL systems and practices that are conducive to accountability and adaptation, while adhering to the highest ethical standards and methodological rigor.

By 2020, as part of the CARE 2020 Program Strategy, we committed to support 100 million women and girls exercise their rights to sexual, reproductive, and maternal health and to ensure that 6 million of the 20 million women and girls affected by humanitarian crises will have their sexual and reproductive health needs met. We are tracking our progress toward this goal by considering the following global indicators in our programs (when feasible/possible to do so):

  • Demand satisfied for modern contraceptives among women aged 15-49
  • Proportion of births attended by skilled health personnel
  • Adolescent birth rate
  • Proportion of women aged 15-49 who make their own informed decisions regarding sexual relations, contraceptive use, and reproductive health care

SRHR covers the full spectrum of women’s needs and rights during their reproductive life span. We are committed to supporting women and girls so they have access to the information, services, and enabling environment necessary to decide if, when, and how often to become pregnant. 


SRHR 1: How We Work

What We Do

CARE reaches millions of people each year with our SRHR programs.

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Nepali women in front of the newly rebuilt health station. As a result of the earthquake on 25 April 2015, 90% of health facilities were either partially or fully damaged and are therefore non-functional.

SRHR 1: How We Work

Where We Work

CARE operates SRHR programs in more than 50 countries.

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A mother and child in Mannah, Sierra Leone.

SRHR 1: How We Work

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This collection of resources provides more information on CARE’s SRHR work.

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Bihar, India in 2018