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"La Caixa" Banking Foundation;
The Work 4 Progress program of "la Caixa" Banking Foundation aims to promote employment for women and young people facing difficulties in accessing the labour market in the most vulnerable and excluded sectors. Development Alternatives is the lead partner for W4P in India. The program aims to expand economic opportunities for youth and women that have difficulties in accessing enterprise development solutions in economically backward regions.
"la Caixa" Banking Foundation of Spain is the third largest foundation worldwide in number of assets. The institution has focused its philanthropic activity on social programs, culture, science and education, for the last 100 years. Development Alternatives (DA) is a premier social enterprise working in the field of sustainable development. Established in 1983, and headquartered in New Delhi, it has built a global presence in the fields of green economic development, social equity and environmental management.
Launched in 2015, Smart Power for Rural Development (SPRD) is a $75 million Rockefeller Foundationinitiative aimed at accelerating development in India's least electrified states. Through the deploymentof decentralized, renewable energy mini-grids, SPRD has supported the Foundation's vision of speedingthe growth of rural economies, while at the same time improving the lives and livelihoods of poor andmarginalized families and communities.
A monitoring and evaluation (M&E) grantee, Sambodhi, was funded to work alongside implementingpartners to measure and document the changes that the initiative is having in people's lives. Sambodhialso collected data to inform decision making and support course correction throughout the initiative'simplementation.
This report summarizes M&E data collected in late 2016, covering the period March 2016–August 2016.The sample for this report is 39 sites across Uttar Pradesh and Bihar, consisting of 1,000 households and320 micro-enterprises. Together, these constitute nearly 10 percent of SPRD customers. Another 328non-customer households were consulted to provide a comparative perspective.
Background: In rural India, most births take place in the home, where high-risk care practices are common. We developed an intervention of behaviour change management, with a focus on prevention of hypothermia, aimed at modifying practices and reducing neonatal mortality.
Methods: We did a cluster-randomised controlled efficacy trial in Shivgarh, a rural area in Uttar Pradesh. 39 village administrative units (population 104?123) were allocated to one of three groups: a control group, which received the usual services of governmental and non-governmental organisations in the area; an intervention group, which received a preventive package of interventions for essential newborn care (birth preparedness, clean delivery and cord care, thermal care [including skin-to-skin care], breastfeeding promotion, and danger sign recognition); or another intervention group, which received the package of essential newborn care plus use of a liquid crystal hypothermia indicator (ThermoSpot). In the intervention clusters, community health workers delivered the packages via collective meetings and two antenatal and two postnatal household visitations. Outcome measures included changes in newborn-care practices and neonatal mortality rate compared with the control group. Analysis was by intention to treat. This study is registered as International Standard Randomised Control Trial, number NCT00198653.
Findings: Improvements in birth preparedness, hygienic delivery, thermal care (including skin-to-skin care), umbilical cord care, skin care, and breastfeeding were seen in intervention arms. There was little change in care-seeking. Compared with controls, neonatal mortality rate was reduced by 54% in the essential newborn-care intervention (rate ratio 0?46 [95% CI 0?35?0?60], p