Health Systems Support and Innovation

Health Systems Support and Innovation

With Sustainable Development Goal 3, the United Nations set out to ensure that everyone, everywhere in the world (including the poorest of the poor living in the most remote areas) has access to quality health services. For our contribution to this end, CARE is innovating in health systems to increase health worker effectiveness and motivation, bring services to the hardest to reach, facilitate ongoing quality improvement, and increase responsiveness and resilience.

CARE implements various approaches and interventions to strengthen health systems and increase health workforce effectiveness. Some of these approaches include:

  • Competency-based training – CARE has applied competency-based clinical training in several countries (including among refugee populations and in active conflict zones) to ensure women and girls and their families receive high quality sexual and reproductive health services.
  • Regular, data driven supervision – Our programming is supported by a sound monitoring and data driven system. This allows us to provide ongoing support to health providers through regular coaching and by ensuring facilities are providing quality services.
  • Interfacing with the community – CARE has used the Social Analysis and Action and other approaches to facilitate dialogues with program participants where they can reflect on the social conditions that perpetuate their health challenges.
  • Mutual accountability – CARE uses citizen-driven social accountability approaches (including the Community Score Card©) to increase the responsiveness and effectiveness of the health system and hold governments accountable for delivering on their commitments to quality service delivery.


CARE's Health Systems Support and Innovation Projects Include: 

Bihar Technical Support Program (India)
This program aims to provide catalytic support to the Health and Social Welfare Departments of the Government of Bihar to transform capabilities and behaviors, build ownership towards health programs, and unlock the potential of both public and private sector providers to effectively improve the quality and coverage of maternal and child health, family planning and nutrition interventions.

Community Support Systems (Bangladesh)
This project aims to ensure the health and survival of pregnant women and children by building community capacity to demand, negotiate and use quality reproductive, maternal, and newborn health services and create mechanisms for accountability between clients and providers.

This project aims to reduce maternal and child mortality by integrating immunization and family planning service delivery and creating a supportive environment that encourages sustainable immunization practices while addressing barriers to family planning uptake.

PHE Preparedness Initiative (DR Congo, South Sudan)
This project aims to build capacity to prevent, detect and rapidly respond to public health emergencies, with an emphasis on enhancing disease prevention through community engagement and early detection through community-based surveillance.

Private Community Health Worker Initiative (Bangladesh)
This project aims to improve health outcomes of women and children under 5 years of age in underserved and remote communities by creating a creating a sustainable, private skilled community health worker model.

Community Score Card for PMTCT (Malawi)
This project aims to improve key prevention of mother-to-child transmission of HIV (PMTCT) outcomes including adherence and retention in treatment and early infant diagnosis of HIV while increasing dialogue between consumers of PMTCT services, providers delivering services, and government officials providing oversight of health services, maternal, and newborn health services and create mechanisms for accountability between clients and providers.


Other SRHR Programs:

SRHR: Family Planning

Adolescent SRHR

Young people have sexual and reproductive health needs, too.

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Special consideration has been given to the needs of women and girls whose specific needs add to their vulnerability in disasters. They are at greater risk of facing gender-based violence and psychosocial trauma.

SRHR: Emergency

SRHR in Emergencies

Sex and pregnancy don’t stop during crisis, when risks are higher.

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Rahmo is a mother of six children. Two of her children are being treated in CARE's nutrition centre. "It's so difficult seeing my babies cry for food and not be able to feed them," says Rahmo.

SRHR: Family Planning

Family Planning & Maternal Health

Most maternal deaths are preventable with care.

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 Nang Kam Taung, 22 years, Auxiliary Midwife and babies who were delivered by her at Nam Htan Ma village, Lashio, Myanmar