National Assignments | Amaltas | Research & Development Consulting

A Review of Evidence for Implementation of Disability Programmes in South Asia // Department for International Development
IHD and Amaltas were selected by Department of International Development (DFID) to carry out a desk review of the evidence to help support the operationalization of a response to intellectual and development challenges. The specific areas of enquiry have been identified based on the Global Disability Summit, 2018 and World Disability Report which will guide the literature review. Additionally, Amaltas will collect grey literature from each country with the help of local experts to better understand the contexts and recognize best practices.

End Term Evaluation of programme on reducing avoidable blindness due to Diabetic Retinopathy and Retinopathy of Prematurity in India //PHFI-IIPHH
Amaltas has been asked by PHFI to carry out the end-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 in India.

Social Contracting mechanism for HIV Programs to fast track achievement of the 90-90-90 goals through community-led Services // UNAIDS India
Amaltas was commissioned by UNAIDS to document India’s experience in Social Contracting mechanisms for HIV programs in order to fast track achievement of the 90-90-90 goals through community-led services. The UNAIDS and the National AIDS Control Organization (NACO) work closely to combat the HIV/AIDS epidemic in India. In commissioning this study, UNAIDS was responding to a request by NACO in light of widespread interest in other countries to learn about India’s work on Social Contracting. The study offers learning that could be useful in the preparation of phase V of the program. The documentation provides practical information for governments and civil society organizations and promotes South-South learning towards Social Contracting by countries interested in setting up or improving their public funding mechanism for civil society organizations-based service delivery.

Rapid Review of Assistive Technologies for people with Disabilities in India // Department for International Development
Amaltas were selected by Department for International Development to carry out a desk review supplemented by Key Informant Interviews to assess the significant evidence gaps on Assistive Technology for persons with disabilities. The 5 th and 6 th disability charter identified through the Global Disability Summit, 2018 referred to the growing need for ensuring access to Assistive Technologies for persons with disabilities. Additionally, Amaltas will collect grey literature from experts to better understand the contexts and identify best practices.

Learning Review of UP-TSU's Family Planning Program // Bill and Melinda Gates Foundation
Amaltas was commissioned by the Bill and Melinda Gates Foundation to conduct a high level learning review of the Uttar Pradesh Technical Support Unit’s progress on key aspects of its Family Planning strategy. The Bill and Melinda Gates Foundation has been investing in Family Planning in Uttar Pradesh through the Technical Support Unit platform. The learning review has informed thinking of the UP-TSU as it moves forward with its work on FP.

Development of technical proposal for WHO India to provide technical assistance in the area of Sexual and Reproductive Health and Rights with special focus on safe abortion services and post-abortion care // WHO Country Office
Amaltas was approached by WHO Country Office (India) for the development of a proposal focusing on strengthening WHO leadership on Sexual and Reproductive Health and Rights (SRHR) and its capacity to support government initiatives to achieve universal access to SRH services. The WHO in India is working towards improving health and equity in India by helping to develop inter-sectoral actions on broad determinants of health. WHO’s efforts on ensuring universal access to sexual and reproductive health care services and reproductive rights have a consequent bearing on improving maternal health outcomes in the country. The central and overarching focus of the interventions under the proposed 10 year SRHR initiative is to drive country impact by strengthening and supporting capacity to deliver accessible, affordable and quality SRH services within the NHM framework.

Development of Logical Framework to implement the ‘Making It Happen’ Project in Andhra Pradesh // Tata Trusts
Amaltas was approached by the Tata Trusts to assist its program in Andhra Pradesh by constructing a Logical Framework for its ‘Making It Happen’ Project. The India Nutrition Initiative is a program of the Tata Trusts working to reduce malnutrition in the country through sustainable nutrition strategies. In 2015, the Trusts made commitments to the Government of Andhra Pradesh to provide assistance to improve the overall quality of life of households through an integrated multi-thematic approach. The focus of Tata Trusts’ work is to achieve demonstrated improvements in systems effectiveness with changes in nutritional practices of communities in 3 project districts of Andhra Pradesh. Amaltas developed a Logical Framework in consultation with the Trusts; this framework will be a management tool to achieve strategic objectives of the project in a timely manner.

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.

The Patang Project // Amrit Foundation of India and Amaltas Consulting Private Limited
Amaltas and Amrit Foundation jointly undertook a mixed methods study aimed at understanding the interplay of social factors that affect access to and utilization of specialized services for children with intellectual and developmental challenges (CwC) in Delhi. The rigorous study consisted of structured interviews with caregivers of CwC and carried out in depth interviews with caregivers and service providers. Amrit Foundation of India is a Delhi-based NGO that works on issues surrounding CwC and their caregivers working on Information Access, Knowledge Creation and Inclusion Advocacy. Amaltas has been set up as an effort to develop intellectual capital and innovative approaches to provide high quality research and consulting services directed to accelerate improvements in the lives of people in the Global South. The Patang Project was undertaken to ascertain the extent to which specialized services are available to, accessible for, and utilized by CwC and their caregivers.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

A Review of Evidence for Implementation of Disability Programmes in South Asia // Department for International Development

IHD and Amaltas were selected by Department of International Development (DFID) to carry out a desk review of the evidence to help support the operationalization of a response to intellectual and development challenges. The specific areas of enquiry have been identified based on the Global Disability Summit, 2018 and World Disability Report which will guide the literature review. Additionally, Amaltas will collect grey literature from each country with the help of local experts to better understand the contexts and recognize best practices.

The review carried out by Amaltas will aim to provide a better understanding of the situation and discourse on intellectual and development disorders in the South Asian region. These countries share a common cultural milieu, common history and similar systems of administration. A review of the evidence on gaps in access to services could form the foundation for programmatic action in the South Asian countries of Afghanistan, Bangladesh, India, Myanmar, Nepal and Pakistan. The review will focus on four main disabilities- Autism, Cerebral Palsy, Down syndrome and Intellectual Disability. The specific areas of enquiry will be- health outcomes; (poorer) educational attainments; (lower) economic participation; poverty; stigma and discrimination; intersectionality with gender and other reasons for marginalisation; and dependency and restricted participation including access to assistive devices and enabling infrastructure.

End Term Evaluation of programme on reducing avoidable blindness due to Diabetic Retinopathy and Retinopathy of Prematurity in India //PHFI-IIPHH

Amaltas has been asked by PHFI to carry out the end-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 in India.

Amaltas is undertaking the evaluation through stakeholder interviews and field visits to implementation sites to assess the status of achievements in relation to the originally stated goals and objectives, and to assess the sustainability and scalability of the programme outcomes. Furthermore, the evaluation will gauge buy-in from government and other major stakeholders. Findings from the evaluation will be used to provide recommendations for other states of India and low & middle income countries which are yet to begin such programs.

Evaluation and strategy recommendations for BMGF’s TB Advocacy Portfolio, India // BMGF

Amaltas and Itad were invited by BMGF to carry out an evaluation of its advocacy efforts in support of Government of India’s TB program. BMGF is the world’s largest donor, and works across the public health and other sectors. It is one of the key organisations supporting the private sector in delivering care to patients of TB in India. The purpose of the study was two-fold. In its retrospective aspect, the study provides an assessment of the TB advocacy work of BMGF’s grantees. In its prospective part, the study mapped the work of key partners in the TB Advocacy workspace, as well as their grantees, and offered a mapping of the TB advocacy ecosystem in India. This part of the study records the appetite for a coalition of partners in the TB Advocacy space and can become the basis for future planning by BMGF for collaborative advocacy efforts in India for TB.

Amaltas and Itad worked collaboratively on both the retrospective and prospective aspects of the study with the purpose of undertaking an evaluation of TB advocacy work of BMGF’s partners and their grantees, and providing strategy recommendations for BMGF’s TB Advocacy portfolio. Dossiers were created to document the work done by all partners and their grantees. The report and dossiers are intended to form the basis of discussions of BMGF with partners working in TB in India as they consider setting up a coalition to progress TB outcomes in the country.

Social Contracting mechanism for HIV Programs to fast track achievement of the 90-90-90 goals through community-led Services // UNAIDS India

Amaltas was commissioned by UNAIDS to document India’s experience in Social Contracting mechanisms for HIV programs in order to fast track achievement of the 90-90-90 goals through community-led services. The UNAIDS and the National AIDS Control Organization (NACO) work closely to combat the HIV/AIDS epidemic in India. In commissioning this study, UNAIDS was responding to a request by NACO in light of widespread interest in other countries to learn about India’s work on Social Contracting. The study offers learning that could be useful in the preparation of phase V of the program. The documentation provides practical information for governments and civil society organizations and promotes South-South learning towards Social Contracting by countries interested in setting up or improving their public funding mechanism for civil society organizations-based service delivery.

A primarily qualitative approach was taken to the study. Amaltas carried out an intensive review of documents relating to Social Contracting used in the HIV/AIDS programme in India. Another key method was a series of Key Informant Interviews and Dialogues with experts in the field. Grey literature was sought from experts. In order to capture state level views and insights, field visits to 2 states were undertaken. The study adapted the Lean Mission Model Canvas to explore the nature of the Social Contracting response. The short report provides a primer on Social Contracting’s strengths and challenges, and offers a tool to deliver public sector services to hard to reach, vulnerable groups in India.

Rapid Review of Assistive Technologies for people with Disabilities in India // Department for International Development

Amaltas were selected by Department for International Development to carry out a desk review supplemented by Key Informant Interviews to assess the significant evidence gaps on Assistive Technology for persons with disabilities. The 5 th and 6 th disability charter identified through the Global Disability Summit, 2018 referred to the growing need for ensuring access to Assistive Technologies for persons with disabilities. Additionally, Amaltas will collect grey literature from experts to better understand the contexts and identify best practices.

The review carried out by Amaltas will aim to provide a better understanding of the situation and discourse on Assistive Technology among persons with disabilities in India. It will also include an analysis on the policies and practices that enable availability and accessibility of assistive technology. A review of the research gaps will help is identifying the growing needs around assistive technology in India and how they can be met by a potential Centre of Excellence. It would integrate information and perspectives from various disciplines and will form an inter and multi-disciplinary evidence base for potential debates on assistive technology. India.

Learning Review of UP-TSU's Family Planning Program // Bill and Melinda Gates Foundation

Amaltas was commissioned by the Bill and Melinda Gates Foundation to conduct a high level learning review of the Uttar Pradesh Technical Support Unit’s progress on key aspects of its Family Planning strategy. The Bill and Melinda Gates Foundation has been investing in Family Planning in Uttar Pradesh through the Technical Support Unit platform. The learning review has informed thinking of the UP-TSU as it moves forward with its work on FP.

Amaltas has used an innovative Outcomes Harvesting Approach to collect evidence of changes over time and worked backwards to determine how interventions made contributed to the changes. The learning review carried out by a high-powered team assembled for the purpose, employed Amaltas appreciative inquiry and triangulation approaches to provide robust findings to the Foundation. Findings were sense- checked with the Foundation and recommendations made in light of learning gathered. The learning review has enabled the Foundation to make course corrections in current investment work plans and select future Family Planning technical assistance investments in UP. Further, findings of this learning review were also used in development of the FP strategy more widely in the Foundation.

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.

Development of technical proposal for World Health Organization (WHO) India to provide technical assistance in the area of Sexual and Reproductive Health and Rights (SRHR) with special focus on safe abortion services and post- abortion care // WHO Country Office

Amaltas was approached by WHO Country Office (India) for the development of a proposal focusing on strengthening WHO leadership on SRHR and its capacity to support government initiatives to achieve universal access to SRH services. The WHO in India is working towards improving health and equity in India by helping to develop inter-sectoral actions on broad determinants of health. WHO’s efforts on ensuring universal access to sexual and reproductive health care services and reproductive rights have a consequent bearing on improving maternal health outcomes in the country. The central and overarching focus of the interventions under the proposed 10 year SRHR initiative is to drive country impact by strengthening and supporting capacity to deliver accessible, affordable and quality SRH services within the NHM framework.

The proposal developed by Amaltas included a narrative description, logical framework, budget and timeline of activities to be covered by the initiative. A major effort went into facilitating a participative and guided logical framework development exercise for the proposal. The logical framework aims to provide clarity and direction to the efforts of the WHO India to achieve their strategic objectives under the SRHR initiative.

Development of Logical Framework to implement the ‘Making It Happen’ Project in Andhra Pradesh

Amaltas was approached by the Tata Trusts to assist its program in Andhra Pradesh by constructing a Logical Framework for its ‘Making It Happen’ Project. The India Nutrition Initiative is a program of the Tata Trusts working to reduce malnutrition in the country through sustainable nutrition strategies. In 2015, the Trusts made commitments to the Government of Andhra Pradesh to provide assistance to improve the overall quality of life of households through an integrated multi-thematic approach. The focus of Tata Trusts’ work is to achieve demonstrated improvements in systems effectiveness with changes in nutritional practices of communities in 3 project districts of Andhra Pradesh. Amaltas developed a Logical Framework in consultation with the Trusts; this framework will be a management tool to achieve strategic objectives of the project in a timely manner.

Amaltas facilitated participative, guided Logical Framework development exercise that defined the goal, outcomes, outputs, activities, indicators and assumptions associated with the project. The Logical Framework was informed by field-based staff for greater groundedness. The purpose of the Logical Framework is to provide clarity and direction to the efforts of the team to achieve their strategic objectives. Amaltas also assisted the Project Team with activity planning to ensure coherence across the project. The framework once tested across the pilot districts will be offered to the state nutrition mission for adoption and scale up.

The Patang Project // Amrit Foundation of India and Amaltas Consulting Private Limited

Amaltas and Amrit Foundation jointly undertook a mixed methods study aimed at understanding the interplay of social factors that affect access to and utilization of specialized services for children with intellectual and developmental challenges (CwC) in Delhi. The rigorous study consisted of structured interviews with caregivers of CwC and carried out in depth interviews with caregivers and service providers. Amrit Foundation of India is a Delhi-based NGO that works on issues surrounding CwC and their caregivers working on Information Access, Knowledge Creation and Inclusion Advocacy. Amaltas has been set up as an effort to develop intellectual capital and innovative approaches to provide high quality research and consulting services directed to accelerate improvements in the lives of people in the Global South. The Patang Project was undertaken to ascertain the extent to which specialized services are available to, accessible for, and utilized by CwC and their caregivers.

The study consisted of structured and unstructured interviews, covering 1235 CwC, 1076 siblings of CwC and carried out in-depth interviews with 30 caregivers and service providers. Narratives of caregivers of CwC focused on learning about the resilience strategies adopted by them to deal with their situations. Findings of the Patang Project were published as a book in 2017. By uncovering the issues that CwC and their caregivers face and the resilience strategies that they adopt to deal with life challenges, the Patang Project aims to provide the evidence base that would help government, non-government and private bodies in the state of Delhi to join hands to make the world a more hospitable place for CwC.

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.

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