Evaluation of the Single Window Initiative in Andhra Pradesh and Karnataka // Centre for Advocacy and Research
Amaltas was approached to carry out an end-line evaluation of the Centre for Advocacy and Research (CFAR)-supported Single Window Initiative in Andhra Pradesh and Karnataka. The focus of CFAR’s work is on empowering marginalised communities to collectivize and demand their rights and entitlements. Since 2012, CFAR has been running a program to mainstream Most-at-Risk-Populations in 7 districts of 4 states. The Bill and Melinda Gates Foundation- funded Initiative has been designed to foster greater community-government partnership through a community-led effort for better beneficiary identification, delivery and utilisation of social entitlements among sex workers and transgender persons. The evaluation will help CFAR to garner support for the Single Window model demonstrated through this programme. The report will also aid government response to determine the possibility of scaling up and expanding service delivery to other geographies and other marginalised groups.

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Excluded from Life – the Patang Survey :: Joint work with the Amrit Foundation of India
Amaltas was requested by the Amrit Foundation of India (Amrit), an NGO working to build an inclusive society, to assist it to conduct the Patang study on children with intellectual and developmental challenges (CwCs). The purpose of this assignment is to build a body of knowledge about social and service barriers that prevent CwCs and their caregivers in Delhi from getting the specialized services required to level the playing field.

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Documentation of Facility Based Management of Severe Acute Malnutrition in Nutritional Rehabilitation Centres in Odisha// UNICEF, Odisha
UNICEF Odisha has been providing technical support to the state government on Severe Acute Malnutrition (SAM). SAM requires urgent management, which is provided at facilities called Nutritional Rehabilitation Centres (NRC). In order to support the Department of Health and Family Welfare, Odisha, UNICEF had supported a review of the existing facility based management of SAM in the NRCs of the state. Amaltas had been asked to do the documentation of Facility Based Management of SAM in NRCs in Odisha.

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Mid Term Evaluation of programme on reducing avoidable blindness due to Diabetic Retinopathy and Retinopathy of Prematurity in India //Public Health Foundation of India
Amaltas has been asked by PHFI to carry out the mid-term evaluation of their program interventions on diabetic retinopathy and retinopathy of prematurity. The programme, funded by the Queen Elizabeth Diamond Jubilee Trust, aims to establish models of sustainable and scalable services to eliminate avoidable blindness across 13 states of India.

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Documentation of the Integrated Maternal, Infant and Young Child Nutrition and Family Planning ‘one full meal’ program of Andhra Pradesh and Telangana // Unicef
Unicef had commissioned Amaltas to document the effects of the ‘One Full Meal’ program which provides a hot cooked meal for pregnant and lactating women in some of the most stressed districts of Andhra Pradesh and Telangana. This was the first effort to document the effects and operational challenges in delivering such a program which covers ~3.5 lakh women. This documentation served as both program assessment and generated evidence for the replication of OFM elsewhere.

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Rapid Appraisal of Immunization Technical Support Unit to assess its sustainability and explore transition pathways//BMGF
Amaltas was invited by Bill and Melinda Gates Foundation to undertake a rapid evaluation of the Immunization Technical Support Unit (ITSU) to understand the context, processes, performance and impact of ITSU in carrying out its purpose and suggest possible pathway for its transition. The Bill and Melinda Gates Foundation is supporting this technical support unit to rapidly improve capacity of India’s National Immunization program.

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Contribution of the World Health Organization to Maternal Health in the South East Asia Region // World Health Organization
Amaltas was invited to evaluate the contribution of the World Health Organization (WHO) to policy, program and practices in Maternal Health in the South-East Asia Region from 2010-2015. WHO supports countries to deliver integrated, evidence based and cost effective care for mothers that begins before conception and goes through pregnancy, childbirth and the postpartum period. In light of the mixed results for MDG 5, this evaluation played a key role in supporting the accelerated action required for the sustained reduction in maternal mortality in the SEA Region.

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Evaluation of Weekly Iron and Folic Acid Supplementation (WIFS) program innovations in India // Unicef
Amaltas was commissioned by Unicef India to carry out an evaluation of their intervention in the Government of India’s Weekly Iron and Folic Acid Supplementation (WIFS) program. The program is aimed at combating anaemia among adolescent boys and girls in school and adolescent girls who are not in school. Through this exercise, Unicef wanted to understand how far their innovations have helped improve the quality of the WIFS program and its compliance.

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Evaluation of the Wellcome Trust Extension Grant for Capacity Building // PHFI
Amaltas conducted an evaluation of the 2 year extension phase of the Wellcome Trust grant to Public Health Foundation of India and a consortium of UK universities. The study examined the capacity building program put in place under the grant to enable PHFI based researchers who have completed their PhD to establish themselves as independent researchers. Relevant qualitative and quantitative data collection was carried out in 2 stages. The findings generated were used to feed iteratively into the project.

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Monitoring and Evaluation framework for a Child Sensitive Social Protection Program // Save the Children, Finland
Amaltas was approached by Save the Children, Finland to strengthen their Child Sensitive Social Protection (CSSP) project by developing a strong evidence focused program. These projects aim to reduce childhood poverty and vulnerability by increasing retention in school, reducing child labor, and improving nutrition and health seeking behavior for children. The purpose of this assignment was to improve the knowledge management system of the CSSP project in Dungarpur, Rajasthan.

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Determinants of Persisting Poor Child Health in India // World Vision
Amaltas undertook formative researchto understand the social and governance determinants of persisting poor child health in 7 states of India namely, Bihar, Chhattisgarh, Jharkhand, Madhya Pradesh, Odisha, Rajasthan and Uttar Pradesh. The multi-state formative researchwas carried out in a manner that places World Vision’s work on child health at the center. Participatory research methods using customized innovative research tools such as picture cards and problem trees were utilized for the study.

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Program Evaluation of Partners for Law in Development // PLD
Amaltas was approached by Partners for Law in Development(PLD) to carry out an external participatory evaluation of its work from 2004 to 2012 to gather learning to strengthen its work in the realm of women’s rights and social justice. PLD has been working since 2004 to advance women’s rights in the context of violence, conflict, sexuality, culture, under-development and socio-economic marginalization. Amaltas carried out a strengths-based evaluation studyto test strengths and achievements identified by PLD.

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Monograph on HIV and AIDS work with Truckers of the Transport Corporation of India // TCIF
Amaltas developed a custom designed monograph on its HIV/AIDS prevention program for truck drivers in the trucking industry for the Transport Corporation of India Foundation (TCIF). The monograph was designed to showcase TCIF’s achievements to a global audience. Amaltas developed a monograph which provided a succinct account of the journey of TCIF, mapping its seminal role in establishing truckers’ interventions on HIV/AIDS, and its involvement as a solution provider for major challenges facing the trucker community.

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Evaluative Assessment of the Wellcome Trust Capacity Building Grant // PHFI
Amaltas was assigned to undertake a long term, periodic evaluative assessment of the Wellcome Trust Capacity Building Grant to the PHFI-UK Consortium of 16 schools of Public Health in the UK for a Future Faculty Program. The grant aimed to assist India to strengthen its public health capacity; foster a quality research environment; assist in making India a regional public health training resource; fund seed projects; and develop relevant learning resources. The 3-phase evaluative assessment provided assurance of the Trust’s investments over its 5 year course.

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Evaluative Assessment of Project Kavach – the Gates funded HIV prevention program for Truckers // TCIF
Amaltas was commissioned by Transport Corporation of India Foundation (TCIF) to carry out a review of its institutional strategy for its Bill and Melinda Gates Foundation funded project Kavach.The review was to take into account, the revised structure it had adopted in 2006 and its new role asthe Technical Support Group to National AIDS Control Organization to design, manage and monitor the truckers’ projects under National AIDS Control Program 3. The review studied the program to draw lessons with respect to institutional and systems learnings, which can be brought to bear upon the wider program.

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The State of the Girl Child” report 2009 //Plan India
Amaltas was commissioned by Plan India to develop the launch issue of the ‘State of the Girl Child in India’ report 2009. The report was aimed to capture the situation of the girl child in India, highlighting achievements and challenges of the country in addressing their issues. The report was based largely on secondary sources of information and provided a descriptive analysis of the situation of girls; it documented information relevant to rights-based actions by Plan India and other civil society organizations in the country and policies and programs of the Union and State governments of India.

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Strategy Development for Institutional Resource Mobilization // Plan India
Amaltas was asked by Plan India to develop a 5year strategy for institutional fundraising. Plan India works to help children access their rights to proper healthcare, basic education, healthy environment, protection from abuse and exploitation, and participation in decisions that affect their lives. The strategy identified significant budgetary allocations made by central and state government ministries and, departments and programs that worked on issues similar to Plan’s mandate, goals and objectives.

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Web Portal content of the National Housing Bank// IL&FS
Amaltas was invited by Infrastructure Leasing & Financial Services Limited (IL&FS) to develope content for the web portal of the National Housing Bankon ‘Invest in Commercial Property’. The research was used to develop content for its web portal. Amaltas conducted research on investment in commercial property in India.

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Transaction Advisory for Private Sector Participation in Management of Diagnostic Services in Uttar Pradesh // Grant Thornton
Amaltas was invited by Grant Thornton to be a part of a successful consortium which won the contract to provide transaction advisory for development of Strategy/ Models for private sector participation in management of diagnostic services in Public Private Partnership (PPP) mode in Uttar Pradesh. It aimed to provide specialized services operating at all levels including district hospitals, community health centers and primary health centers. Amaltas collaborated closely with Grant Thornton (financial advisors) and Amarchand Mangaldas (legal advisors) to develop a sustainable model for the private devolution of diagnostic facilities in Uttar Pradesh.

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Assistance to the United States Government in formulating plans to support India’s HIV program // FHI-USAID
Dr. Suneeta Singh, CEO Amaltas was invited by USAID to join a United States Government (USG) mission consisting of representatives from PEPFAR, USAID and Centers for Disease Control (CDC). The mission visited several states to review the USAID and CDC support to India and formulate a strategy for ensuing 5 years of PEPFAR financing. The task involved strategic planning and initiated an internal organizational review.

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Evaluation of support by Department for International Development to the HIV and AIDS response// DFID
Amaltas was asked by the Department for International Development (DFID) to document the trajectory of its support to India on prevention of HIV/AIDS over the decade and review its main results. It was a part of an initiative by DFID to inform the UK public of the scope and outcomes of its assistance on HIV/AIDS between 1995 and 2007. In its report, Amaltas described the evolution of DFID’s support to the HIV program in India; program strategies adopted and effectiveness of projects and interventions; capacity development support to the national program; role in formulation of national policy and translation of global commitments by the UK; extent of coverage of high risk groups in the supported states; and assessed the impact of the various models of technical assistance, mass media program and role of DFID in supporting civil society organizations.

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Documentation of the Integrated Maternal, Infant and Young Child Nutrition and Family Planning ‘one full meal’ program of Andhra Pradesh and Telangana // Unicef

Unicef had commissioned Amaltas to document the effects of the ‘One Full Meal’ program which provides a hot cooked meal for pregnant and lactating women in some of the most stressed districts of Andhra Pradesh and Telangana. This was the first effort to document the effects and operational challenges in delivering such a program which covers ~3.5 lakh women. This documentation served as both program assessment and generated evidence for the replication of OFM elsewhere.

Amaltas had partnered with the National Institute of Nutrition and Centre for Economic and Social Studies in Hyderabad to document improvements in governance, coordination and accountability for nutrition outcomes of the mother, birth weight of the infant and weight gain of the newborn in the first six months. Amaltas took a mixed methods approach which included quantitative MIS data analysis, a semi-structured study on P&L women and a qualitative study on service providers and stakeholders. The semi-structured study captured dietary data through sophisticated nutritional techniques such as MDD-W, FIES and 24 hour dietary recall. It also validated the monitoring of the program through LQAS.

Evaluation of Weekly Iron and Folic Acid Supplementation (WIFS) program innovations in India // Unicef

Amaltas was commissioned by Unicef India to carry out an evaluation of their intervention in the Government of India’s Weekly Iron and Folic Acid Supplementation (WIFS) program. The program is aimed at combating anaemia among adolescent boys and girls in school and adolescent girls who are not in school. Through this exercise, Unicef wanted to understand how far their innovations have helped improve the quality of the WIFS program and its compliance.

The evaluation captured the achievements of Unicef innovations across 4 states of the country – Chhattisgarh, Jharkhand, Uttar Pradesh and West Bengal – as well as the national level. It is likely to inform the plans for scale up of these innovations by the government. In addition a paper describing the Positive Deviance approach supported by Unicef in Jharkhand was also developed.

Amaltas undertook an extensive document review of government and Unicef reports, communications, monitoring data and related documents. Primary qualitative data was gathered from key informant interviews with a variety of respondents covering different aspects of the program. Further, focus group discussions were held with in school and out of school beneficiaries. Coding and analysis was carried out in Atlas.it. Quantitative data on student knowledge levels and perception of the program was collected through structured questionnaire with in school beneficiaries. All quantitative data was analyzed using Microsoft Excel.

Contribution of the World Health Organization to Maternal Health in the South East Asia Region // World Health Organization

Amaltas was invited to evaluate the contribution of the World Health Organization (WHO) to policy, program and practices in Maternal Health in the South-East Asia Region from 2010-2015. WHO supports countries to deliver integrated, evidence based and cost effective care for mothers that begins before conception and goes through pregnancy, childbirth and the postpartum period. In light of the mixed results for MDG 5, this evaluation played a key role in supporting the accelerated action required for the sustained reduction in maternal mortality in the SEA Region.

Amaltas utilized a strengths based approach to evaluate WHO’s contributions to Maternal Health policy, programs and practices through its offices based in country, at the regional level and at headquarters. In particular, the study reviewed the progress in 5 countries in South East Asia namely, Bangladesh, Indonesia, Myanmar, Nepal and Sri Lanka with a view to understanding the scope and diversity of Maternal Health responses.

Amaltas undertook a brief literature and document review on work carried out by the WHO in Maternal Health in the Region as a whole and 5 countries in particular. The study relied on both quantitative and qualitative data. Quantitative data from secondary sources were reanalysed to understand the trajectory of Maternal Health in the Region. Primary qualitative data was collected through in-depth interviews with stakeholders from WHO HQ, SEARO and Country Offices; Government counterparts; other UN and donor agencies; and key country institutions. The evaluation culminated in a report which discusses the learning from this evaluation and translates these into recommendations that are practical and aligned to the WHO’s overall Maternal Health goals in the Region.

Evaluation of the Wellcome Trust Extension Grant for Capacity Building // PHFI

Amaltas conducted an evaluation of the 2 year extension phase of the Wellcome Trust grant to Public Health Foundation of India and a consortium of UK universities. The study examined the capacity building program put in place under the grant to enable PHFI based researchers who have completed their PhD to establish themselves as independent researchers. Relevant qualitative and quantitative data collection was carried out in 2 stages. The findings generated were used to feed iteratively into the project.

Amaltas undertook a document review of resource materials and designed a mixed methods evaluation study which met the needs of the client as it evolves in content and direction. A web survey of program participants was developed and conducted. Amaltas interviewed key stakeholders such as program managers, supervisors, mentors and committee members and conducted focus group discussions with participants. Coding and analysis of data was carried out using ATLAS.ti software. Amaltas undertook analysis of quantitative data deriving from the surveys as well as program monitoring data.

Monitoring and Evaluation framework for a Child Sensitive Social Protection Program // Save the Children, Finland

Amaltas was approached by Save the Children, Finland to strengthen their Child Sensitive Social Protection (CSSP) project by developing a strong evidence focused program. These projects aim to reduce childhood poverty and vulnerability by increasing retention in school, reducing child labor, and improving nutrition and health seeking behavior for children.

The purpose of this assignment was to improve the knowledge management system of the CSSP project in Dungarpur, Rajasthan. Amaltas helped Save the Children Finland finalize its Logframe by working with them to review the feasibility of using M&E indicators and defining the indicators to capture difficult to assess aspects of the CSSP. A detailed dossier on use, capture method, and responsibility and frequency of collection was developed for each of the identified indicators. Based on this consultative experience, Save, Finland proposes to replicate similar approaches to develop M&E frameworks for other CSSP projects that it supports in the South Asia region, and elsewhere in the world.

Amaltas reviewed the existing Logframe, M&E plans and relevant documentation of the project. It undertook a literature review of articles on CSSP. A project site visit was organized and meetings were set up with the project staff and beneficiaries. A brainstorming session was facilitated with the staff to discuss the proposed Logframe and identify appropriate indicators. Suitable indicators were further refined to capture the outputs and outcomes of the program, and data collection methods within the field situation were documented extensively in a dossier. The dossier detailed each indicator on its use, capture method, and responsibility and frequency of collection.

Determinants of Persisting Poor Child Health in India // World Vision

Amaltas undertook formative researchto understand the social and governance determinants of persisting poor child health in 7 states of India namely, Bihar, Chhattisgarh, Jharkhand, Madhya Pradesh, Odisha, Rajasthan and Uttar Pradesh. The multi-state formative researchwas carried out in a manner that places World Vision’s work on child health at the center.

Participatory research methods using customized innovative research tools such as picture cards and problem trees were utilized for the study. The findingshave generated evidence and knowledge for World Vision to develop appropriate advocacy initiatives in India and elsewhere. Amaltas has provided World Vision with a detailed report along with recommendations. The report is currently under publication and its findings are beginning to be widely disseminated.

Amaltas undertook a literature review of status of health of children in Indiaand review of program materials was carried out. Area Development Programs from urban, rural and tribal geographies across the 7 states were sampled in order to conduct the research. A web surveywas instituted to collect quantitative data, and focus group discussions with respondents at the community level were undertaken using customized innovative tools. Amaltas conducted focus group discussions with children using ‘picture cards’ depicting everyday events in their lives. With women, a ‘problem tree approach’ was adopted to explore the causes and symptoms of persisting poor child health. In- depth interviews with key resource persons from the community, public health officials, members of civil society and staff of the Area Development Programs were conducted by Amaltas. Coding and analysis of data was carried out using ATLAS.ti software.

Program Evaluation of Partners for Law in Development // PLD

Amaltas was approached by Partners for Law in Development(PLD) to carry out an external participatory evaluation of its work from 2004 to 2012 to gather learning to strengthen its work in the realm of women’s rights and social justice. PLD has been working since 2004 to advance women’s rights in the context of violence, conflict, sexuality, culture, under-development and socio-economic marginalization.

Amaltas carried out a strengths-based evaluation studyto test strengths and achievements identified by PLD. It also explored the policy environment to understand how PLD could play an incrementally influential role in policy setting at the national level. A comprehensive report enumerating the findings and recommendations was submitted after collating and analyzing the data. The document demonstrated their particular expertise in the field, providing insight to potential donors.

Amaltas undertook document review of program materials and literature review of academic writings on women’s issues. It conducted a strength based participatory evaluation using an appreciative enquiry approach. In-depth interviews with key resource persons in the South Asia and Asia Pacific regions and focus group discussions with representatives of grassroots organizations and other stakeholders were carried out. Coding and analysis of data was done using ATLAS.ti software. Amaltas developed a report along with recommendations that captured the main achievements and challenges of the period.

Monograph on HIV and AIDS work with Truckers of the Transport Corporation of India // TCIF

Amaltas developed a custom designed monograph on its HIV/AIDS prevention program for truck drivers in the trucking industry for the Transport Corporation of India Foundation (TCIF). The monograph was designed to showcase TCIF’s achievements to a global audience.

Amaltas developed a monograph which provided a succinct account of the journey of TCIF, mapping its seminal role in establishing truckers’ interventions on HIV/AIDS, and its involvement as a solution provider for major challenges facing the trucker community. The document, which served as an advocacy tool was shared with corporate houses, governments and donors interested in learning how TCIF was able to reach the mobile population of truckers with effective interventions. It was also envisaged that the model would be replicated in other parts of the world.

Amaltas undertook document review of program materials and conducted a workshop to help the client identify its specific requirement and key messaging. It carried out field visits to hold discussions with truckers and project staff. Focus group discussions and interviews with stakeholders were organized and a monograph that served as an advocacy tool was developed.

Evaluative Assessment of the Wellcome Trust Capacity Building Grant // PHFI

Amaltas was assigned to undertake a long term, periodic evaluative assessment of the Wellcome Trust Capacity Building Grant to the PHFI-UK Consortium of 16 schools of Public Health in the UK for a Future Faculty Program. The grant aimed to assist India to strengthen its public health capacity; foster a quality research environment; assist in making India a regional public health training resource; fund seed projects; and develop relevant learning resources.

The 3-phase evaluative assessment provided assurance of the Trust’s investments over its 5 year course. Learnings from the first and second rounds of evaluation fed into the program, resulting in better balance of gender among the students among other outcomes. It is hoped that the findings of the final evaluation will inform the strategic decisions of the Trust in similar future endeavors. The Wellcome Trust has been very appreciative of the reports provided to date, as have been the PHFI and the UK Consortium. On the basis of the work carried out, Amaltas has been invited on a sole source basis to take up the evaluation of the extension period of the grant.

Amaltas undertook document review of resource materials. A research protocol was designed which met the needs of the evaluation as it evolved in content and direction. Web surveys of relevant stakeholders including students, grantees, and supervisors to understand the nature of the capacity building efforts were developed and conducted. It carried out in-depth interviews with key resource persons and focus group discussions with students. Amaltas undertook analysis of quantitative data deriving from the surveys as well as program monitoring. Analysis of the qualitative data was done using ATLAS.ti software. Phase wise reports providing suggestions for midcourse corrections and learnings were developed.

Evaluative Assessment of Project Kavach – the Gates funded HIV prevention program for Truckers // TCIF

Amaltas was commissionedby Transport Corporation of India Foundation (TCIF)to carry out a review of its institutional strategy for its Bill and Melinda Gates Foundation funded project Kavach.The review was to take into account, the revised structure it had adopted in 2006 and its new role asthe Technical Support Group to National AIDS Control Organization to design, manage and monitor the truckers’ projects under National AIDS Control Program 3.

The review studied the program to draw lessons with respect to institutional and systems learnings, which can be brought to bear upon the wider program. It addressed the following tasks: helped Kavach to analyze approaches, strategies and methodologies in achieving stated outcomes; highlighted good practices, and reviewed monitoring methodologies; developed a dashboard of process indicators that would help track progress of Kavach in the future; and evaluated the program-owned clinics with a sustainability perspective and recommended an operational plan for long-term sustainability.

Amaltas undertook a document review of materials on truckers, their sexual behavior and present structure of the trucking industry. It undertook field visits to review institutional arrangements and identify best practices of the project and worked closely with the TCIF’s offices in Gurgaon and other regions. Analysis of current imperatives that drive the structuring of the program was carried out. Amaltas created a dashboard of indicators to help Kavach keep track of project progress and develop a report assessing the sustainability of the project and suggest a plan for improvement.

"The State of the Girl Child” report 2009 //Plan India

Amaltas was commissioned by Plan India todevelop the launch issue of the ‘State of the Girl Child in India’ report 2009. The report was aimed to capture the situation of the girl child in India, highlighting achievements and challenges of the country in addressing their issues.

The report was based largely on secondary sources of information and provided a descriptive analysis of the situation of girls; it documented information relevant to rights-based actions by Plan India and other civil society organizations in the country and policies and programs of the Union and State governments of India. In addition, it provided recommendations on development interventions to achieve girls’ rights as enshrined in the Constitution of India and international human rights instruments. The report was launched at the Bombay Stock Exchange and was the face of the Plan India ‘Because I am a Girl’ campaign.

Amaltas carried out extensive document review of materials on the situation of the girl child in India and literature review of articles, data and academic writings on the subject. It structured the material generated to pull together a detailed report for the launch of the Plan India campaign for children.

Strategy Development for Institutional Resource Mobilization // Plan India

Amaltas was asked by Plan India to develop a 5year strategy for institutional fundraising.Plan India works to help children access their rights to proper healthcare, basic education, healthy environment, protection from abuse and exploitation, and participation in decisions that affect their lives.

The strategy identified significant budgetary allocations made by central and state government ministries and, departments and programs that worked on issues similar to Plan’s mandate, goals and objectives. The study documented resource mobilization efforts based on a sound understanding of the donor market, credibility of potential donors, their mandates, current priorities, geographical presence, funding periodicity and requirements, and nature of programs supported.

Amaltas conducted initial meetings with Plan India staff to develop a thorough understanding of Plan’s mandate and priorities. It undertook document review to scope the landscape of international and national donors, relevant government ministries, departments and programs and the thematic positioning and nature of their aid budget. Dossiers were developed for each potential donor including relevant government Ministries.

Transaction Advisory for Private Sector Participation in Management of Diagnostic Services in Uttar Pradesh // Grant Thornton

Amaltas was invited by Grant Thornton to be a part of a successful consortium which won the contract to provide transaction advisory for development of Strategy/ Models for private sector participation in management of diagnostic services in Public Private Partnership (PPP)mode in Uttar Pradesh. It aimed to provide specialized services operating at all levels including district hospitals, community health centers and primary health centers.

Amaltas collaborated closely with Grant Thornton (financial advisors) and Amarchand Mangaldas (legal advisors) to develop a sustainable model for the private devolution of diagnostic facilities in Uttar Pradesh.Amaltas undertook identification of the intervention districts in consultation with GoUP. It undertook a facility survey reviewing existing facilities and constraints in functioning and service provision at diagnostic facilities across 20 districts, providing all technical inputs related to public health. It developed a detailed technical design, aimed to meet the commitments of government with respect to standards and scope of services.

A framework for private sector participation based on existing performance and norms was developed. It undertook review of successful relevant models of PPP that have been piloted nationally or internationally, especially for diagnostic facilities. Consultations with the stakeholders, including the private sector, to feed into the project design were conducted. A detailed framework for private sector participation including standards and scope of services to be provided, linkages and analysis for financial viability of each center was developed.

Assistance to the United States Government in formulating plans to support India’s HIV program // FHI-USAID

Dr. Suneeta Singh, CEO Amaltas was invited by USAID to join a United States Government (USG) mission consisting of representatives from PEPFAR, USAID and Centers for Disease Control (CDC). The mission visited several states to review the USAID and CDC support to India and formulate a strategy for ensuing 5 years of PEPFAR financing.

The task involved strategic planning and initiated an internal organizational review. Dr. Singh was responsible for the report which provided recommendations to the USG/PEPFAR team. The guidance was provided in the context of a sustainable legacy the USG could leave, its comparative advantage in relation to other donors, and its ability to strengthen high-quality HIV/AIDS services and service delivery in the public-private sectors. The mission made recommendations on both the nature and scope of funding support and suggested organizational adjustments within the USG India program to deliver this support more effectively.

Dr. Singh undertook visits to states to review ongoing USAID and CDC support to India and carried out document review of performance of various initiatives. Consultations were held with relevant partners in government, private sector and donor community. The formulation of a strategy for the ensuing 5 years of PEPFAR financing to India was undertaken and a final report providing recommendations was developed.

Evaluation of support by Department for International Development to the HIV and AIDS response// DFID

Amaltas was askedby the Department for International Development (DFID) to document the trajectory of its support to India on prevention of HIV/AIDS over the decade and review its main results. It was a part of an initiative by DFID to inform the UK public of the scope and outcomes of its assistance on HIV/AIDS between 1995 and 2007.

In its report, Amaltas described the evolution of DFID’s support to the HIV program in India; program strategies adopted and effectiveness of projects and interventions; capacity development support to the national program; role in formulation of national policy and translation of global commitments by the UK; extent of coverage of high risk groups in the supported states; and assessed the impact of the various models of technical assistance, mass media program and role of DFID in supporting civil society organizations. The review report was useful as it informed Government of India, other donor programs and DFID programs globally of successful policies and strategies of HIV/AIDS programming in India.

Amaltas undertook document review of extensive resource materials. It conducted one-on-one interviews with resource persons associated with DFID’s program in India. Collation and analysis of quantitative evidence on HIV epidemiology to assess the impact of DFID’s interventions in India was undertaken. An evaluation report on DFID’s support to India’s response to the HIV/AIDS epidemic in the last decade was developed.

Mid Term Evaluation of programme on reducing avoidable blindness due to Diabetic Retinopathy and Retinopathy of Prematurity in India //Public Health Foundation of India

Amaltas has been asked by the Public Health Foundation of India to carry out the mid-term evaluation of their program interventions on Diabetic Retinopathy and Retinopathy of Prematurity. The programme, funded by the Queen Elizabeth Diamond Jubilee Trust, aims to establish models of sustainable and scalable services to eliminate avoidable blindness due to Diabetic Retinopathy and Retinopathy of Prematurity across 13 states of India.

Amaltas undertook qualitative data collection to assess the current status of achievements in relation to the originally stated goals and objectives, and to identify strengths of the current process of implementation, gaps and risks. Furthermore, the evaluation assessed the level of government buy-in and buy-in of all other major stakeholders through in-depth interviews. Findings from the evaluation have been used to provide recommendations through a draft report which will be used to feed iteratively into the remaining duration of the program, and to provide suggestions to influence policy and practice in India and internationally.

Evaluation of the Single Window Initiative in Andhra Pradesh and Karnataka // Centre for Advocacy and Research

Amaltas was approached to carry out an end-line evaluation of the Centre for Advocacy and Research (CFAR)-supported Single Window Initiative in Andhra Pradesh and Karnataka. The focus of CFAR’s work is on empowering marginalised communities to collectivize and demand their rights and entitlements. Since 2012, CFAR has been running a program to mainstream Most-at-Risk-Populations in 7 districts of 4 states. The Bill and Melinda Gates Foundation- funded Initiative has been designed to foster greater community-government partnership through a community-led effort for better beneficiary identification, delivery and utilisation of social entitlements among sex workers and transgender persons. The evaluation will help CFAR to garner support for the Single Window model demonstrated through this programme. The report will also aid government response to determine the possibility of scaling up and expanding service delivery to other geographies and other marginalised groups.

Amaltas carried out the evaluation of the Single Window Initiative in 4 phases. In the first phase, Amaltas undertook a desk review of programmatic materials and program information system of the Single Window Initiative in Andhra Pradesh and Karnataka between 2014 and 2016. In the second phase, Amaltas undertook data collection in 2 districts each in Andhra Pradesh and Karnataka during which in-depth interviews were conducted with CFAR functionaries, CBO/NGO, Single Window staff comprising Community Coordinators and the District Coordinator and government officials, and focus group discussions with sex workers and transgender persons. Amaltas utilised the innovative Qualitative Impact Assessment Protocol to capture the role of the Single Window Initiative in bringing about change in the lives of sex workers and transgender persons. In the third phase, primary qualitative data and quantitative data was cleaned and analysed. This was followed by the development of an analytical report that captured the contribution of the program towards its intended objectives- enhancing access to entitlements and engendering transformative change.

Excluded from Life – the Patangsurvey :: Joint work with the Amrit Foundation of India

Amaltas was requested by the Amrit Foundation of India (Amrit), an NGO working to build an inclusive society, to assist it to conduct the Patang study on children with intellectual and developmental challenges (CwCs). The purpose of this assignment is to build a body of knowledge about social and service barriers that prevent CwCs and their caregivers in Delhi from getting the specialized services required to level the playing field. The study focused on the experiences of CwCs across four major intellectual and development challenges, namely Intellectual Disability (formerly known as Mental Retardation), Down Syndrome, Autism and Cerebral Palsy. Target respondents were caregivers of children aged 2-18 years with one of these four challenges in Delhi.

Amrit and Amaltas took a mixed methods approach for the study, using both qualitative and quantitative methods to holistically study barriers to accessing and utilizing services. The study is designed to provide rigorous and reliable data on barriers on service access by conducting a structured survey with over 1230 lower income group caregivers across the districts of Delhi and in depth interviews with a large number of service providers and caregivers. The study proposes to provide incontrovertible insights into the lived experience of CwCs and their families, thus providing government and other providers better evidence on the basis of which to target services to these marginalized CwCs.

Documentation of Facility Based Management of Severe Acute Malnutrition in Nutritional Rehabilitation Centres in Odisha// UNICEF, Odisha

UNICEF Odisha has been providing technical support to the state government on Severe Acute Malnutrition (SAM). SAM requires urgent management, which is provided at facilities called Nutritional Rehabilitation Centres (NRC). In order to support the Department of Health and Family Welfare, Odisha, UNICEF had supported a review of the existing facility based management of SAM in the NRCs of the state. Amaltas had been asked to do the documentation of Facility Based Management of SAM in NRCs in Odisha.

Amaltas carried out the study in three phases. In the first phase, Amaltas undertook desk review of programmatic materials, operational guidelines by Ministry of Health and Family Welfare, Government of India and Government of Odishaon facility based management of SAM. In the second phase, Amaltas carried outquantitative and qualitative analysis.The quantitative analysis of secondary data- Annual Progress Reports of all 46 NRCs and Monthly Progress Reports of 10 NRCs- for two years wasundertaken.Amaltas conductedin-depth interviewswith NRC staff, UNICEF functionaries, government officials and parents/caregivers. Focus group discussions were conducted with Anganwadi workers, Auxiliary Nurse Midwives and Accredited Social Health Activists. In addition,case studies of best practices, and analysis of qualitative data, Quality of Care checklist and 10Questions Assessment Toolwas carried out. In the third phase, Amaltas undertook report writing and disseminated the findings.

Rapid Appraisal of Immunization Technical Support Unit to assess its sustainability and explore transition pathways // Bill & Melinda Gates Foundation

Amaltas was invited by Bill and Melinda Gates Foundation to undertake a rapid evaluation of the Immunization Technical Support Unit (ITSU) to to understand the context, processes, performance and impact of ITSU in carrying out its purpose and suggest possible pathway for its transition. The Bill and Melinda Gates Foundation is supporting this technical support unit to rapidly improve capacity of India’s National Immunization program. Operated by the Public Health Foundation of India, the Immunization Technical Support Unit (ITSU) provides technical and managerial support to the Immunization Division, Ministry of Health and Family Welfare to strengthen, revitalize and support successful implementation of routine immunization nationally and in 4 states, Bihar, Madhya Pradesh, Rajasthan and Uttar Pradesh. To evaluate ITSU, Amaltas is undertaking a rapid mixed methods evaluation and scenario development exercise which will map key features including strengths, weaknesses, uniqueness, communication and data culture of ITSU’s work. Tools like Secondary Data Analysis, Self-Assessment (Likert Scale questionnaires), Qualitative Data Collection, Delphi Scenario Building and Costing Analysis will be used. This evaluation exercise will result in a report that will document the sustainability of ITSU and transition pathways for the future.


Rapid Appraisal of Immunization Technical Support Unit to assess its sustainability and explore transition pathways//BMGF

Amaltas was invited by Bill and Melinda Gates Foundation to undertake a rapid evaluation of the Immunization Technical Support Unit (ITSU) to understand the context, processes, performance and impact of ITSU in carrying out its purpose and suggest possible pathway for its transition. The Bill and Melinda Gates Foundation is supporting this technical support unit to rapidly improve capacity of India’s National Immunization program. Operated by the Public Health Foundation of India, the Immunization Technical Support Unit (ITSU) provides technical and managerial support to the Immunization Division, Ministry of Health and Family Welfare to strengthen, revitalize and support successful implementation of routine immunization nationally and in 4 states, Bihar, Madhya Pradesh, Rajasthan and Uttar Pradesh.

To evaluate ITSU, Amaltas undertook a rapid mixed methods evaluation and scenario development exercise which mapped key features including strengths, weaknesses, uniqueness, communication and data culture of ITSU’s work. Tools like Secondary Data Analysis, Self-Assessment (Likert Scale questionnaires), Qualitative Data Collection, Delphi Scenario Building and Costing Analysis were used. The resultant report reviews performance of the ITSU, documents the sustainability of ITSU and transition pathways for the future.

Documentation of Nutrition Missions in Maharashtra and Uttar Pradesh // Unicef

The Indian states of Maharashtra and Uttar Pradesh have established ‘Nutrition Missions’ that operationalise policy and strategy focusing intensively on the reduction of malnutrition through an integrated and multi-sectoral approach. Unicef provides high-level advocacy and support to these Nutrition Missions to ensure effective implementation of ongoing interventions. In partnership with Results for Development Institute, Amaltas was asked to review, consolidate, and document information on the Nutrition Missions in the two states.

Amaltas, with Results for Development, documented the evolution of these Missions, the extent to which their advocacy influenced the understanding of state, district and local officials of the importance of nutrition, and their stimulus on programmatic activity. The process involved extensive field visits to the two states for in-depth interviews with key stakeholders at the state, district and village level. In addition, an analysis of secondary data from the two states was conducted. Two reports provide an analytical commentary on the activities, successes and challenges of the mission, drawing lessons from the states to improve governance for nutrition. The study is being utilized by Unicef and the state governments to strengthen the Nutrition Missions. It will also be made available to other Indian states which could identify successful components and/or processes which may be useful in initiating their own Nutrition Missions.