Wipro CSR Projects 1702149035

Impact Assessment
Report
Rural Literacy and Health

Wipro Cares Program
Table of Contents
1 Executive Summary 3
2 Introduction 6
3 Objectives and Scope of Study 8
3.1 Objectives of the Study 8
3.2 Limitations of the Study 8
4 Assessment Framework 9
5 Methodology Adopted 15
6 Analysis & Findings 17
1. Program Design 17
2. Program Delivery 18
3. Impact & Sustainability 21
7 Financial Verification 22
8 SWOT Analysis 23
9 Conclusion and Recommendations 24
10 Annexure - I 26
11 Annexure - II 28
12 Annexure - III 35
1 Executive Summary
In India, maternal, child, and adolescent health remain critical public health concerns, especially in rural areas. Despite
significant improvements in healthcare infrastructure and access to medical facilities, the country continues to struggle
with high rates of maternal and child mortality, malnutrition, and communicable diseases. The lack of access to quality
healthcare services and limited awareness of health issues amongst the rural population exacerbate the problem.
Therefore, interventions around mother, child, and adolescent health are crucial to improve health outcomes and
reduce morbidity and mortality in rural India. To tackle these issues, Wipro Cares partnered with Rural Literacy and
Health Program (RLHP) to deploy a long-standing program on routine maternal neonatal child and adolescent health
(RMNCH+A) program in the villages of Mysore, Karnataka. This program is in alignment with Wipro’s key thematic area
of healthcare as it is centered around holistic mother, child and adolescent health improvement. A total grant of INR
1.28 Cr was disbursed over three years (2019-2021) of the project agreement. The intervention addresses SDG 3 of the
UN SDGs, Agenda 2030. Nationally, it targets activity (i) of Schedule VII of the Companies Act, 2013.
Key features of RMNCH+A strategy by the National Health Mission include1:
● Health systems strengthening (HSS) focusing on infrastructure, human resources, supply chain management,
and referral transport measures.
● Prioritization of high-impact interventions for various lifecycle stages.
● Increasing effectiveness of investments by prioritizing geographical areas based on evidence.
● Integrated monitoring and accountability through good governance, use of available data sets, community
involvement, and steps to address grievance.
● Broad-based collaboration and partnerships with ministries, departments, development partners, civil society,
and other stakeholders.
The government of Karnataka (GoK) as part of their maternal health schemes have introduced ‘Madilu Kit’ to2 1)
promote institutional deliveries in the state, 2) reduce out of pocket expenditure during delivery and post-natal period.
The RMNCH+A intervention of Wipro in Mysuru, KA has been a decade long program that has the following objectives:
# Program Objectives Progress
1 Registration of pregnant women for ANC and 100% identified pregnant women registered for ANC
institutional delivery and institutional delivery
2 Awareness creating about importance of 100% lactating women fed colostrum milk to their
feeding colostrum milk immediately after baby right after birth and were educated about
delivery and good nutrition during lactation importance of good nutrition
phase
3 Immunization of children 100% identified children have been immunized via
home visits and at anganwadi centers/ NGO health
camps
4 Reduction in malnutrition amongst children All mothers reported seeing an improvement in their
aged 0-10 child’s health after incorporating nutrition
supplements (provided by the NGO) in their diet
5 Educating adolescents about sexual and Reproductive health education sessions have been
reproductive health conducted in most of the village schools
1
https://nhm.gov.in/index1.php?lang=1&level=1&sublinkid=794&lid=168
2
https://karunadu.karnataka.gov.in/hfw/nhm/pages/mh_schemes_madilu.aspx
Wipro Cares | Impact Assessment Report | 2019-21 3

6 Improvement in infrastructure and awareness Most village households have a personal toilet and
about personal hygiene and community have attended waste management sessions
sanitation
7 Prevention of child marriage and child labour Child marriage has stopped in most villages and 99%
children complete schooling (as reported by
community volunteer)
The secondary data suggest that Mysuru taluk has the highest utilisation of MCH services in the state of Karnataka, our
assessment suggest otherwise. The nearest primary health centre (PHC) is atleast 6-8 km away from the villages. The
objective of state sponsored ‘Madilu Kit’ thereby proves futile considering out of pocket expenditures incurred in
visiting to the nearest PHC. This establishes the need for RMNCH+A services by Wipro Foundation in the villages it is
currently having an intervention rolled out.
The impact assessment sets a logical framework analysis against the expected theory of change, to understand the
parameters, indicators, output, outcome, and overall impact. A mixed method approach was deployed to collect and
analyze qualitative and quantitative data. The total sample size for the impact study was 340 out of which a total of
270 respondents were the primary beneficiaries of the project i.e., pregnant and lactating women, mothers of children,
adolescents and general community members. The Give team conducted in-depth KIIs with the other stakeholders,
vital in determining the impact of the project’s interventions.
The assessment indicates behavioural change amongst the village communities with regards to timely health checkups,
immunization and importance of good nutrition and sanitation have happened. A positive change was observed in
ante-natal checkup (ANC) seeking trend amongst pregnant women. All women have now started opting for ANC
checkups. In addition, all respondents were found to have sought ANC partially compared to no ANC prior to the
intervention. Institutional delivery was found to be highly prevalent. However, challenges like lack of awareness about
the importance of adopting family planning methods persist. The respondents were hesitant to discuss the specific
challenges faced by them when it comes to family planning. Give feels that superstitions, negative personal beliefs and
resistance from men might be probable causes for low adoption of family planning methods. The NGO should work on
identifying the causes and then then conduct education sessions centered around the dispelling them.
In regard to nutrition, the villagers were found to have incorporated protein rich items such as milk, eggs and locally
available seasonal vegetables in their diet like. The mothers received nutrition supplements provided by the NGO every
month. This helped their children to overcome malnourishment. All the children present during the interaction
appeared to be healthy. Considering their socioeconomic condition, the sustainability of these practices is debatable.
It will be worthwhile to have livelihood centric interventions like empowering women to generate income through
small businesses. This will ensure each household has multiple income streams thus increasing financial stability
required to afford good nutrition in the long term.
With respect to sanitation, most village households and schools were found to have toilets and access to clean drinking
water. Minor challenges related to space restriction persist for which some households haven’t been able to construct
toilets. Toilet usage rate was also found to very high in all villages except one which further corroborates that physical
infrastructure of the toilet is being used. A few public toilets can be built in villages to solve the issue of lack of
household toilets due to space restriction.
Most of the activities had taken place telephonically during peak COVID-19 periods in FY 2020-21. The NGO had also
conducted sessions on COVID-19 safety precautions. An underutilization of ~28% was observed due to programmatic
changes that happened during the COVID-19 pandemic.
Overall, the Give team found that the NGO has done a commendable job in ensuring sustainability of the interventions
by adopting a behavioural change centric model and empowering the communities to seek reforms through the local

village authorities. However, that the implementing partner can further strengthen the sustenance of the program by
improving the public health ecosystem in villages through activities like capacity building of community health workers,
collaborating with local government bodies to ensure presence of ASHA and ANM workers in all villages and ensuring
that the anganwadi centres are functional in every village.

2 Introduction
Mother, child, and adolescent health are critical

components of the overall well-being of any society. In
India, significant progress has been made in recent years in
improving the health outcomes for these groups, but
challenges persist. Maternal and infant mortality rates in
India remain high, with an estimated 42,000 maternal
deaths occurring in India in 2020, and an infant mortality
rate of 28 deaths per 1,000 live births. Adolescent health is
also an area of concern, with limited access to reproductive
and sexual health education leading to unintended
pregnancies, unsafe abortions, and an increased risk of
sexually transmitted infections.
The Government of India through one of several initiatives

has introduced National Health Mission which aims to
improve access to quality healthcare for all. The
government has also implemented targeted programs to
reduce maternal and infant mortality rates, such as the
Janani Suraksha Yojana, which provides financial assistance
to pregnant women for institutional deliveries. These
policies have helped to improve health outcomes for
mothers and children, but challenges remain in accessing
these policies, particularly in rural areas.
Rural communities in India face several challenges in

accessing healthcare services, including inadequate
infrastructure, limited availability of skilled healthcare
workers, and financial barriers. These challenges have a
disproportionate impact on the health outcomes of
vulnerable groups such as women and children, who often
have limited access to healthcare services.
Sanitation, including access to toilets, is also crucial for the

overall health and wellbeing of mothers and children. Lack
of access to toilets can lead to poor sanitation and hygiene,
which can cause infections and diseases. Additionally,
there is a lack of awareness about the importance of timely
immunization of children and growth tracking in rural
areas, leading to malnutrition and other health issues.
The spatio-temporal analysis of the maternal and child

Figure SEQ Figure \* ARABIC 1: Project Timeline
health (MCH) services reveals that Mysore taluk has level
of MCH services utilisation compared to other taluks in
the state from 2015-16 to 2017-18. The assessment suggests that the nearest PHC is at 6-8 km whereas DH is at 10-12

km from the village. Wipro Foundation as a result rolled out the intervention to bridge this gap.
The RMNCH+A program by RLHP seeks to improve the health status of women, children and adolescents through
improved awareness about good health and nutrition practices and routine medical screening of pregnant and lactating
women, children aged 0-10 and adolescents. Community engagement remained a crucial aspect of implementation
whereby community volunteers were identified and trained on various health topics for conducting health awareness
sessions for the larger community. The program involved activities under the following four main verticals:
● Improvement of Women’s Reproductive Health: Involved screening of pregnant women for high-risk
pregnancies at health camps and health melas, ANC registration in government clinics, health awareness
sessions on importance of breastfeeding, family planning and timely immunization. The NGO also helped the
women in registering for relevant maternal and child health related government schemes.
● Malnourishment Improvement Initiative: Involved routine malnutrition screening, distribution of protein
mixture powder, eggs and spirulina chikki and conduction of nutritional recipes demonstration camps.
● Training of Adolescents: Involved education sessions on sexual and reproductive health and identification and
training of green team leaders in schools. The green team trainings consisted of awareness generation regarding
waste management, environmental protection and home and community sanitation.
● Community Health and Sanitation Initiative: Involved setting up of health camps in villages, health awareness
sessions on menstrual hygiene, sanitation etc., teleconsultation service during the pandemic, empowerment of
community members to lobby for and seek necessary reforms from the village panchayat, promotion of personal
and community sanitation through environment friendly practices.
As part of the assessment, the Give team conducted a physical visit to 10+ villages of Mysore and interacted with the
following stakeholder groups: Children’s parents, Pregnant and lactating women, Community volunteers, Adolescents,
Village community members, Community health workers, Village panchayat leaders and the NGO program team. The
Wipro Cares CSR team was interviewed virtually.
This impact assessment report will examine the current status of mother, child, and adolescent health in the intervention
region, including the progress made, the challenges that remain, and the impact created. The report will also explore the
barriers to accessing healthcare services faced by rural communities and provide recommendations for improving access
to quality healthcare for mothers, children, and adolescents.

3 Objectives and Scope of Study
The study aims to understand the implementation pathway of the project and its impact on maternal, child and
adolescent health in the villages of Mysore. The impact assessment study tries to map the program implementation
against the proposed plan and draws focus on how the intervention has helped the pregnant and lactating women,
children and adolescents inculcate good health, nutrition and sanitation practices and overcome high-risk pregnancies,
child malnutrition and improve personal and community sanitation.
3.1 Objectives of the Study
The major objectives of the study are as follows:
• Assess the relevance and efficiency of the intervention: To ensure that beneficiaries challenges are addressed
by the project and to review the implementation pathways - assessing process and activities
• Understand the effectiveness of the intervention: How each activity has led to creating the desired outcomes
• Understand the major success factors and challenges in the intervention
• Find the areas of improvement across all the factors from program design to implementation
• Provide an assessment framework to be able to capture impacts in a manner that is effective
recommendation
3.2 Limitations of the Study
• The beneficiary interactions were conducted in groups. There is a possibility that lack of anonymity (in a group
setting) might have influenced individual answers.
• The NGO team members were present during the group interactions. Although they did not partake in the
interactions, their presence might have influenced the feedback given by the beneficiaries about the NGO’s
initiatives.
• The Give team observed that stigma about menstruation and sex education is still prevalent in the villages. The
adolescent and the pregnant/lactating women beneficiaries were hesitant of openly discussing about the sessions on
reproductive health and hygiene and family planning methods delivered by the NGO team.

4 Assessment Framework
To create an overall framework for the impact assessment, following activities were undertaken. We began by
establishing the scope of the assessment in terms of type of stakeholders to be engaged and topics to be discussed
with them. Based on this and the understanding of the project activities, we developed stakeholder-wise detailed
questionnaires to ascertain factors including rationale for supporting the program, the implementation process,
roadblocks in operations and beneficiary (community members) feedback about the efficacy of the program. The
findings and recommendations arising out of this process are mentioned in the subsequent sections of the report.
4.1 Theory of Change
The THEORY OF CHANGE FRAMEWORK (ToC) for the given program is illustrated below:
Activities Output Outcome Impact
Assessing relevance & Assessing efficiency & Assessing effectiveness Assess the impact
reach of the program target achieved against & immediate outcomes created by the
activities planned of intervention project against the
initial goal
Theory of Change (ToC)
Need Input Output Outcome Impact
Improvemen Improvement of • No. of high-risk • % reduction in • Overall

t of women’s reproductive pregnancy maternal and improvement in
RMNCH+A health identified and infant mortality maternal, child
status in the treated and adolescent
villages of • High risk pregnancy • Birth of healthy
screening through health
Mysuru • No. of women babies because of
health camps registering and high-quality ANC • Stronger foundation
taluk, KA
receiving ANC for good health of
through • Nutritional status • Reduction in the children
activities assessment of • No. of women malnutrition
targeted at because of routine
pregnant and incorporating high amongst children
behavioral immunization.
lactating mothers protein diet during of ages 0-10
change of
• Government health pregnancy/lactatio • Healthy growth and
community
facility referral for n development of
members
towards ANC registration • No. of women children
health, • Awareness sessions feeding colostrum • Preemption of STIs
nutrition on importance of milk to infant and reproductive
and breast feeding issues in
sanitation • No. of women
• Promoting adoption practicing exclusive adolescents
of family planning breastfeeding for 6
methods months

Malnutrition
Improvement Initiative • No. of children
• Malnutrition treated for
screening of malnutrition
children up to the • No. of community
age of 10 members adopting
• Protein powder healthy nutrition
supplement for and routine
malnourished immunization
children practices for their
children
• Sensitization of
parents about the
importance of good
nutrition and
sessions on growth
tracking of their
children
• Nutritional recipes
training for primary
caretakers
• Timely
immunization
through
immunization
camps and follow-
up with parents
Training of Adolescents • No of adolescents
sensitized
adolescents on • No. of green team
various aspects of leaders sensitized
sexual and • No. of adolescents
reproductive health. having access to
clean toilets at
• Identification of home and school
green team leaders
• No. of adolescents
• Training sessions on having access to
waste management, sanitary napkins
environmental
protection and
personal and
community
sanitation for green
team leaders
Community Health and • No of patients

Sanitation Initiative screened at health
camps and melas
• Conducting health
camps and health • No. of patients
melas for health referred to PHCs/
checkups government
hospitals
• Conducting health, • No. of community
nutrition and
sanitation members having
awareness sessions toilet at home
• No. of community
members using
toilet regularly

4.2 Logical Framework Model
A LOGICAL FRAMEWORK MODEL is created against the identified ToC to reflect the identifiable indicators, means of
verification, and assumptions, as given below:
Log Frame Analysis (LFA)
Project Summary Indicators Means Assumptions

of Verification
Impact • Prevalence of routine • Beneficiary survey N/A

• Overall
improvement in immunization and • KIIs with NGO
maternal, child and timely ANC post program team and
adolescent health program community
implementation volunteers
• Stronger foundation
• FGDs with
for good health of the
• Prevalence of good community health
children because of
health and nutrition workers and VHSNC
routine immunization.
practices post program members
completion • Program reports
• Community
engagement strategies
adopted to ensure
sustainability of the
initiatives
Outcomes • Beneficiary surveys • Community
• % reduction in • % Change in
maternal and maternal and • Baseline Study members continue
infant mortality infant mortality in report to practice good
the intervention • KIIs with NGO health and nutrition
• Birth of healthy area program team and practices post NGO
babies as a result community exit
of high-quality ANC • % Increase in the volunteers
number of • FGDs with
• Reduction in institutional
malnutrition community health
deliveries
amongst children workers
of ages 0-10 • % Change in
number of
• Healthy growth and children having a
development of
normal BMI
children
• Change in dietary
• Preemption of STIs habits of the
and reproductive
community
issues in
members
adolescents
• Change in attitude
of people towards
seeking medical
help

Output • Beneficiary surveys • Community
• No. of high-risk
• KIIs with NGO members have
pregnancy identified • Same as project
and treated summary program team and sufficient resources
community to follow the
• No. of women volunteers advices given
registering and • FGDs with during sensitization
receiving ANC community health and health
• No. of women workers awareness sessions
incorporating high • Project progress •
protein diet during reports
pregnancy/lactation
• No. of women
feeding colostrum
milk to infant
• No. of women
practicing exclusive
breastfeeding for 6
months
• No. of children
treated for
malnutrition
members adopting
healthy nutrition and
routine immunization
practices for their
children
• No of adolescents
sensitized
• No. of green team
leaders sensitized
having access to clean
toilets at home and
school
having access to
sanitary napkins
• No of patients
screened at health
camps and melas
• No. of patients
referred to PHCs/
government hospitals
members having toilet
at home
members using
toilet regularly
Input • No. of women, • Beneficiary surveys • Community people
• High risk pregnancy
screening through children and • KIIs with NGO can grasp the topics
health camps adolescents screened program team and covered during
• No. of women enrolled community sensitization and
• Nutritional status for ANC volunteers health awareness
assessment of • sessions
• No. of
sensitizations

pregnant and sessions
lactating mothers conducted
• Government health • Topics covered
facility referral for during
ANC registration sensitization
• Awareness sessions sessions and
on importance of nutritional
breast feeding recipes
training
• Promoting adoption Patient footfall in health
of family planning
camps
methods
• Malnutrition
screening of children
up to the age of 10
• Protein powder
supplement for
malnourished
children
parents about the
importance of good
nutrition and
sessions on growth
tracking of their
children
• Nutritional recipes
training for primary
caretakers
• Timely immunization
through
immunization camps
and follow-up with
parents
adolescents on
various aspects of
sexual and
reproductive health.
• Identification of
green team leaders
• Training sessions on
waste management,
environmental
protection and
personal and
community
sanitation for green
team leaders
• Conducting health
camps and health
melas for health
checkups
• Conducting health,
nutrition and
sanitation awareness
sessions

4.3 Three Point Assessment Framework
Based on the TOC and the LFA created, we examined the relevance of services, the preparedness for program activities,
qualitative and quantitative assessments, efficiency, and effectiveness of delivery of services as well as any innovations
that may have been implemented on the ground.
The impact assessment findings are further anchored around Give’s Three-point Assessment Framework as illustrated
here.
Program Design Program Delivery Impact & Sustainability

• Relevance of the intervention • Efficiency of program • Depth of impact
• Preparedness for the intervention implementation • Sustainability of impact
• Qualitative & Quantitative • Effectiveness of program
assessments implementation
Program Design Impact

Program Delivery
We studied program design through The program’s impact potential was
Give assesses the Program Delivery
program strategies, inputs and assessed to ascertain whether a
to understand the success of the
resources, assumptions, outreach change or the desired outcome can be
program delivery mechanism in
mechanisms, and much more. We attributed to the program
attaining the overall objectives such
also consider if the program design intervention. Give uses criteria such as
as cost effectiveness, resource
attends to specific needs of the scale of Impact and impact
efficiency, equity in service delivery,
stakeholders, program locations, sustainability to understand the
best practices and challenges,
social categories, site, and situation, impact potential of the projects.
perception about the services among
among other development needs.
the relevant stakeholders, among
Give’s Impact Assessment approach
other actors.
for program design is based on
Assessment criteria like Relevance
and Preparedness using
methodologies such as assessment of
baseline survey.

5 Methodology Adopted
We initiated the impact assessment study by identifying the key stakeholders for the project. These stakeholders were
ratified in consensus with the implementing partner. The study takes a ‘mixed method’ approach which includes both
qualitative as well as quantitative data capture and analysis.
The quantitative tools provide values to key indicators related to awareness, adoption, quality. It also maps the outputs
against the targets and outcomes perceived by the beneficiaries. On the other hand, the qualitative method and
approaches provide a better understanding and help to build a storyline for the achievements and gaps in the program
from the lens of immediate stakeholders involved in the program implementation, other than the beneficiaries. A
qualitative study gives substantiated evidence for a better understanding of the processes involved in the program
implementation. Thus, the ‘mixed method’ approach also helps in developing a framework for gap identification and
course correction.
5.1 Data Collection
Data Collection
Primary Data Secondary Data
Qualitative Data Quantitative Data
Key Informant Interviews Beneficiary Surveys Program Proposal

Community healthcare Women Annual Report
workers Primary Caretakers of Annual Action Plan
VHSNC members children aged 1-10
Community volunteers Adolescents
NGO program team Community members
Wipro Cares CSR team
Primary Data: Primary data is the key to collecting first-hand information as evidence from the beneficiaries and
stakeholders on the interventions. It allows us to understand the benefits delivered, its effectiveness and key
challenges to assess the impact created by the program and arrive at recommendations that enhance it.
Secondary Data: For secondary data collection, the program proposal, MoU, and annual and quarterly program report
were referred. These documents gave high level insights about the projects including the inception and
implementation phase along with the processes followed.
5.2 Sampling Strategy
The program has impacted the village committees on a holistic level. Considering a confidence interval of 95%, and 5%
allowable margin error, the study planned for data collection of 382 stakeholders.

The following formula details out the sample size calculation process with the assumptions considered.
• N = Total stakeholder population
• z = Z Score (Z-score is the number of standard
deviations a given proportion is away from the
mean and 1.96 here corresponding to a 95%
confidence interval)
• e = Margin of Error (Percentage in decimal
form; here taken as 0.05 (+/- 5% error)
• p = sample proportion (0.5)
The sample size of ~382 was distributed amongst the beneficiaries, community volunteers, VHSNC members,
community health workers and the NGO Program team. For the quantitative data collection, we created representative
and stratified samples to ensure accurate results.
Sampling Plan for Beneficiary Surveys (Quantitative Data Collection): We stratified the sample by the main stakeholder
groups: Pregnant/lactating women, mothers of children, adolescents, and general community members.
Following table elaborates the sample size and distribution as per the strategy.
Stakeholders Sample size planned Sample size achieved Remarks Mode of interview
Pregnant/ Lactating Physical

Women 80 46
Mothers of children Physical
aged 1-10 80 47
Age groups 14-16 years: Physical
36
Age Group 16-20 years:
Adolescents 41
(Including green Males: 20; Females: 57
team leaders) 80 77 Green team leaders: 19
Community Male: 17 Physical
members 100 100 Female: 83
Total 340 270
The study could record survey interviews of 270 beneficiaries over a period of 5 days, from 20th February to 24th February
2023.
Key informant interviews: Questionnaires were designed for each stakeholders’ interaction. All relevant questions were
asked to the respondents and were captured. This was done through purposive sampling.
No. of Mode of
No. of Interviews
Stakeholder Group Interviews interview
(Achieved)
(Planned)
Community volunteers 10 11 Physical
VHSNC (panchayat members, SDMC,
20 4 Physical
health department)
Community health workers (ASHA) 10 9 Physical
NGO Program team 5 5 Physical

Wipro Cares CSR team 1 1 Virtual
Total 46 30

6 Analysis & Findings
Descriptive statistic (basic features of the data including frequencies, counts, percentages), comparative analysis
(before and after comparisons), and content analysis (for qualitative data to interpret and analyze unstructured textual
content into manageable data) were done to analyze and interpret the data collected. The findings for the program
are organized as per the three-point assessment framework described earlier.
Basic Profile of the Beneficiaries
For the scope of the impact assessment, the study was conducted in over 10 villages of Mysore district in the state of
Karnataka. Since the project was centered around RMNCH+A initiatives, most of the beneficiaries interviewed were
females in the age group ranging from 14-52 years. All the adolescents surveyed were found to be students and all
the other community women reported to be home-makers. The women beneficiaries, including the pregnant and
lactating mothers, were found to have 2-3 children each, on an average. Most of the families had a single source of
income. The primary profession was found to be daily wage or construction labourers.
In addition to beneficiary surveys, in-depth KIIs and FGDs were conducted with the Village Health Sanitation and
Nutrition Committee (VHSNC) members that included village panchayat leaders, school development committee
members and ASHA workers, the community volunteers, the NGO program team and the Wipro Cares CSR team.
1. Program Design
Relevance of the project is analyzed based on how relevant the project activities are with respect to the needs of the
community and the issues prevalent prior to the intervention. The rationale behind implementation in the select
locations is also scrutinized to check if the most underserved are being benefitted through the program. The
preparedness of the NGO team is assessed on the basis of the implementation methods adopted and the strategies in
place for handling envisaged challenges during execution.
Relevance
The intervention villages were chosen in consultation with the gram panchayat leaders and sanghas. The panchayat and
sangha members discussed the issues related to health, nutrition and sanitation prevalent in their villages and a call for
shortlisting of villages took place based on the severity of the issues. The socio-economic background and ST category
of the villagers were one of the selection crieria during finalization of villages.
The community volunteers reported that there were no toilets and drinking water taps in most of the households prior
to the intervention. Parents were also unaware about the importance of education. They sent their kids to work after
finishing high school. The girls, in particular, were married off within a few years of completing high school. After the
NGO’s intervention, the incidence of child labour and child marriage have dramatically reduced.
The women beneficiaries reported that they did not avail of ANC prior to the intervention because of low accessibility
to government hospitals/ PHCs. The closest government hospital/PHC was reported to be at a distance of 5-6 Km (for 1
village, it was 12-18 km) from their villages. In some villages, the community members resorted to private hospitals in
Mysore city for seeking treatment (in case of serious health issues).
Preparedness
The NGO team leveraged government collaborations (with Anganwadi centers and gram panchayat) and community
engagement to maximize community outreach. They set community volunteers (animators) in each village to mobilize

the beneficiaries. The community volunteers reported that they did not have any knowledge related to mother, child
and adolescent health prior to the intervention. They underwent multiple training sessions with the NGO to gain
knowledge about common issues faced by these groups. In addition to mobilizing community members for health
education sessions, they also conducted these sessions in schools.
The anganwadi centers present in the villages were used to conduct the health awareness and education sessions for
the village women. The NGO team collaborated with the gram panchayat and the anganwadi teachers to collectively
spread awareness about various government schemes that can be availed by the villagers.
All the mothers surveyed reported that their children were screened for malnutrition by the NGO team whereby all the
children were found to be malnourished. However, they were not aware about the level of malnourishment
(severe/moderate) of their children. Although all villages had anganwadi centers, the families did not avail of their
services like growth tracking and immunization support.
A section of school students, the green team leaders, were found to be specifically trained on environmental and
sanitation aspects to further these causes amongst the larger village community. They also motivated the village families
to establish a kitchen garden.
The assessment sheds light on the fact that RLHP lacks proper MIS software for beneficiary database management. They
relied on excel for recording and tracking beneficiary data. The community volunteers reported maintaining beneficiary
data on a notebook. The Give team as well as the Wipro Cares CSR team feels that there is a scope to improve data
management practices at the NGO level by subscribing to a data management software. This will enable the NGO team
to draw greater insights from the data and aid them in risk assessment and mitigation planning.
Stakeholder Parameter Ratings (out of 5)
CSR Program Team Response to needs of communities 4
Mothers of children aged 1- Adherence to COVID-19 precautions during physical meetings 4

10
Pregnant and lactating Adherence to COVID-19 precautions during physical meetings 4
women
Adolescents Relevance of the educational content for your personal growth and 4.5
development
Community health workers Relevance of the healthcare initiative to the ground situation 4
NGO Program Team Relevance of the activities to the needs of the villages 4
Adherence to COVID-19 protocols during physical sessions 4
2. Program Delivery
Efficiency of the intervention is analyzed based on how well resources were used in terms of the activities conducted
for the community members. Effectiveness is analyzed based on the extent to which the intervention has achieved its
objectives as outlined in the project proposal. The lens adopted for the scope of the impact assessment is to analyze
both efficiency and effectiveness through each of the project objectives.
Efficiency

The NGO team was found to be highly efficient in resource mobilization. To enhance scale of the intervention with
limited NGO resources, they highly relied on community volunteers and green team leaders to carry out the planned
interventions in their respective villages.
The NGO team reported that ~95% of the community members have enrolled for government schemes. Some of the
schemes that the beneficiaries reported being enrolled for are:
▪ Pradhan Mantri Matrutva Vandana Yojana – provides cash incentive of INR 5000 directly to
pregnant/lactating women
▪ Bhagyalaxmi Yojana – aimed at promoting birth of girl children to BPL families
▪ Mathru Poorna - aimed at providing at least one nutritious meal to pregnant/lactating women
The community volunteers stated challenges in mobilizing beneficiary during the initial phases of the project due to
resistance from male family members. Differences in caste was cited to be the primary cause fueling the resistance.
However, they leveraged the positive experience of beneficiaries who got impacted through this project to mobilize the
others. There were also challenges in ensuring timely immunization during the pandemic as the community members
did not want to interact with any outsider. The community volunteers reported taking help of the panchayat leaders and
the NGO to conduct home visits and vaccinate the children.
Effectiveness
The program was found to have been effective in improving the RMNCH+A status in the intervention geography and
meeting its pre-determined objectives.
# Program Objectives Achievement status

1 Registration of pregnant women for ANC and 100% identified pregnant women registered for ANC and
institutional delivery institutional delivery
2 Awareness creating about importance of feeding 100% lactating women fed colostrum milk to their baby right
colostrum milk immediately after delivery and good after birth and were educated about importance of good
nutrition during lactation phase nutrition
3 Immunization of children 100% identified children have been immunized via home
visits and at anganwadi centers
4 Reduction in malnutrition amongst children aged 0-10 All mothers reported seeing an improvement in their child’s
health after incorporating nutrition supplements (provided
by the NGO) in their diet
5 Improvement in infrastructure and awareness about Most village households have a personal toilet and have
personal hygiene and community sanitation attended waste management sessions
6 Prevention of child marriage and child labour Child marriage has stopped in most villages and 99% children
complete schooling (as reported by community volunteer)
The NGO team was found to be highly effective at getting pregnant women enrolled for ANC. All the women beneficiaries
surveyed reported registering for ANC and availing partial ANC (< 4 checkups) because of the intervention. All the women
beneficiaries reported getting institutional delivery done after being made aware of the complications that can arise from
home delivery of their baby. This is envisaged to reduce the maternal and infant mortality rate. They also reported
following the routine immunization support for their infant. The adoption of family planning methods was found to still
remain a challenge with all respondents mentioning that they do not feel a need to use family planning methods.
The health camps conducted by the NGO every month was highly appreciated by the village community members (women

and men alike). The community members mentioned that the NGO team conducted home visits to screen them for blood
pressure and diabetes. The villagers were found to mostly depend on the NGO team home visits and these health camps
for their health checkup needs. However, since the health camps only happened monthly, many of them still had to visit
private hospitals in case of serious health issues that required immediate attention.
All the mother reported seeing an improvement in the health of their children after adopting dietary changes suggested
by the NGO. The NGO team and community volunteers reported conducting growth charting and monitoring of their kids.
The Give team found that the anganwadi centers were not involved in growth monitoring of the children. All the mothers
reported receiving nutrition supplements from the NGO on a monthly basis and making modifications in their children’s
diet post the information sessions like including ragi malt, milk, eggs and locally available vegetables. However, the
respondents could not mention any specific recipes.
The adolescents reported that the sexual and reproductive health education sessions were successful in answering their
questions and clarifying all their doubts related to the topic. The sessions were reported to be conducted by community
volunteers in their respective schools. None of the adolescent girls reported facing any challenges related to following
menstrual hygiene practices. With regards to village reforms, the adolescents reported that the village panchayat has
started acting on some of their requests. The adolescents did not mention the specifics of their ask.
The Give team observed that over 90% of the village households had personal toilets. The community volunteers reported
that toilet adoption was 100% in most villages. Only one village (Duddgiri) showed resistance in toilet use by the male
members. School drop-out rates due to non-existing/non-functional toilets have been reported to reduce by 99% over the
entire project duration. The sharp decrease in school drop-out rate occurred as a result of infrastructure upgradation like
availability of clean functional toilets and safe drinking water in schools. The community volunteers reported that other
causes like child labour and child marriage that led to drop-outs after high school were mostly eliminated from all
intervention villages.
CSR Program Team Delivery of expected outcomes 4
Community members Quality of treatment offered at the 5

health camps
Mothers of children aged 1-10 Services provided by the NGO to 5
improve your child’s health
Pregnant and Lactating Women Ease of understanding of health 5
education sessions
Support provided for ANC registration 4
and immunization
Adolescents Ease of understanding of the 4.5
information shared during the
education sessions
Support provided by NGO for 3.5
approaching gram panchayat for school
and village development activities
Community healthcare workers Effectiveness of the initiative to reduce 5
rate of high-risk pregnancies,
malnutrition and adolescent health
risks

NGO Program Team Effectiveness of the activities in 5
improving the health of children,
pregnant mothers and adolescents
3. Impact & Sustainability

The assessment indicates that the program has been successful in initiating a mindset change with regards to adopting
good health and nutrition practices amongst pregnant and lactating women, children, and adolescents of the intervention
villages. The program has also succeeded in improving household and community sanitation of the villages. Most village
households have toilets and report high toilet usage. The village public areas were found to be very clean during the
assessment. Some households mentioned challenges with their drainage system- overflowing of drainage tank and
difficulty in constructing toilets due to lack of space. However, village panchayats were reported to be working on
resolution of these issues.
The NGO has ensured sustainability of the program by adopting a behavioural change centric model to health, nutrition
and sanitation. However, the Give team feels that true sustainability can ensue only with strengthening of the
government healthcare system and financial stability of the village communities. Some of the villages lack presence of
community health workers, the government health clinics are not accessible from most villages and communities
currently depend on nutrition supplements provided by the NGO for fulfilling their children’s nutritional needs. The
project can focus on rectifying these aspects in upcoming phases to improve sustainability of the project.
CSR Program Team Scope to ensure sustainability 5
Contribution to brand value 3.5
Community members Impact of the health services 5

(teleconsultation, ration distribution,
access to masks etc.) on your well-
being during the pandemic
Community health workers Ability of the initiative to bring forth 4
sustainable change in the attitude of
the community members towards a
healthy lifestyle
NGO Program team Impact of the intervention in reducing 4
malnutrition amongst children and
high-risk pregnancies in the region

7 Financial Verification
This section analyses the financial utilization achieved for the program in comparison with the approved budget as
provisioned under various expense categories. The deviations in the financial utilization are also mapped as part of
this process.
The process involves verification of the amount disbursed by Wipro Cares with the audited UC. The Wipro CSR team
reported that the difference in budgeted amount as per MoU and amount disbursed each year has been taken
care of by the Wipro team in subsequent years. The Give team has verified the same.
Project Financials and Utilization

Particulars Year 2019 Year 2020 Year 2021 Total
Budget approved as per MOU 4,403,960 4,580,760 41,45,080 1,31,29,800
Amount disbursed by Wipro Cares 4,417,754* 4,336,047 2,703,046 1,14,56,847
Utilisation as per UC 4,173,041 3,138,726 4,070,393 1,13,82,160
Difference between amount
disbursed and utilization 2,44,713 1,197,321 (1,367,347) 74,687
*Closing balance of 2018 as per the UC is also included .
Approved Budget
● The total budget approved for the agreement period was INR 1,28,58,029 as per the MoU. Unutilized balance of
INR 271,771 was reported from FY 2018. Therefore, the total budget available for utilization during 2019-2021
was INR 1,31,29,800.
● The table below presents a category wise analysis of the budgeted amount vs utilized amount as category wise
bifurcation of disbursed amount was not known. The detailed analysis can be found in Annexure II.
● As per the analysis, it is observed that the NGO utilized 86.69% of the total budget (as per MoU). However, as per
the amount disbursed the NGO’s utilization was 99.35% (very slight deviation).
Financial Utilization Analysis from 2019-2021

Sr. No. Particulars Budgeted amount as per MoU Utilised amount as per UC Utilization %
1 Salaries 49,60,320 47,30,364 95.36%
2 Programmes 76,44,480 61,70,073 80.71%
3 Overhead cost 5,25,000 4,81,723 91.75%
Total 1,31,29,800 1,13,82,160 86.69%
Deviations Observed from Budget Estimation for FY 21
● It was observed that the NGO was able to carry out all planned activities in a lesser budget than the one that was
approved by Wipro Cares.

8 SWOT Analysis
A SWOT analysis is carried out to understand the program’s strengths, weaknesses, opportunities, and threats. It
was conducted from the responses received from the program team and other implementation-level stakeholders,
at the same time considering the beneficiary feedback.
Strengths Weakness
● The program ensures maximum reach and impact ● The current program model does not focus on
through community engagement (via community livelihood activities. Since the beneficiaries are
volunteers and green team leaders) during project for an extremely underprivileged background,
implementation. income enhancement is required to enable
them to afford good nutrition in the long term.
● The program takes a holistic approach towards ● Inertia of eligible couples to adopt family
improving the health status of the community planning methods due to negative peer
members by supporting the beneficiaries on all pressure and social stigma for family planning
aspects of health, nutrition and sanitation. that might be prevalent in the villages.
● The program ensures sustainability by following a

behavioural change centric model for all the
interventions.
● The NGO was able to successfully implement all

planned activities in a lesser budget.
Opportunities Threats
● Introducing comprehensive de-addiction programs ● Discontinuity of good nutrition practices
in villages to tackle the issue of alcoholism amongst due to poor financial conditions
men.
● Introduction of vocational skills training for women

and promotion of women entrepreneurship to raise
the social status of women in the community and
increase household income.
● Strengthening of public health ecosystem in the

villages by capacity building of community health
workers and anganwadi teachers. The NGO should
also collaborate with local authorities to ensure
presence of community health workers in villages
where there are none.

9 Conclusion and Recommendations
Based on the data gathered during interactions, we find that program is relevant and effective in improving the
sanitation and health outcomes of the communities it served. The program has been able to reach out to a significant
number of beneficiaries, including adolescents, pregnant and lactating women, and members of the community.
The program's focus on building toilets in homes and schools was successful, with all respondents who did not have a
toilet at home getting one constructed during the intervention. Additionally, all school-going beneficiaries who did not
have toilets at school reported that their schools got toilets constructed because of the intervention, which were
currently clean and functional. This is envisaged to lower drop-out rates, especially amongst female students, as they
reported facing no other hindrance in continuing education.
The program's efforts to improve maternal and child health outcomes were also successful, with all pregnant women
opting for institutional delivery and availing partial ANC (as compared to no ANC prior to the intervention). However,
the low awareness of the importance of adopting family planning methods remains a concern that needs to be
addressed.
The program's delivery was efficient and effective, with the community volunteers mobilizing the beneficiaries for
various sessions. The NGO team was able to properly address the doubts and queries of the adolescent beneficiaries
about reproductive health, and all females reported having access to sanitary napkins without any challenges in
procurement. The NGO's proactive role in providing disaster relief efforts during the COVID-19 pandemic was also
appreciated by the community members.
Overall, the program's success in achieving its objectives highlights the importance of community-driven approaches
in addressing health and sanitation challenges in rural areas. The program's focus on building local capacity through
community empowerment and awareness-raising initiatives was key to its success.
Recommendations
The following recommendations have stemmed from on-ground observations and interactions with the
beneficiaries/stakeholders.
Challenges/ Observations Recommendations

Very low adoption of family planning methods amongst Negative personal beliefs and resistance by male partners
eligible couples. The respondents stated that they did not can be probable causes. The NGO needs to deep dive to pin
feel the need of using family planning methods. down the root cause and design and implement
behavioural change centric education sessions on the
same.
Lack of PHC/ government hospital in/near the villages. The NGO can consider the following to rectify the situation:
The communities currently rely on health camps o Collaborate with village or block level officials to
conducted by the NGO for getting health checkups. ensure presence of ASHA/ANM workers in villages
where they are currently not operating (No ASHA
workers were reported to be present in
Ghunthahalli village)
o Conduct capacity building of ASHA, ANM and
AWW workers of other villages to ensure effective
health screening of pregnant/lactating women
during home and anganwadi visits.
o Collaborating with the nearest PHC/hospital to
launch a teleconsultation service for the distant

villages.
o Revive VHSND days in the villages in collaboration
with VHSNC so that village women can opt for ANC
there instead of the PHCs
Some households are unable to get toilets constructed o Public toilets can be constructed to tend to
due to lack of space. families who cannot afford a toilet a home due to
space constraints.

10 Annexure - I
Figure SEQ Figure \* ARABIC 2: Interaction with pregnant/lactating women and mothers
Figure SEQ Figure \* ARABIC 3: Interaction with VHSNC

Figure SEQ Figure \* ARABIC 4: Interaction with adolescents
Figure SEQ Figure \* ARABIC 5: Interaction with community members

11 Annexure - II
Year-wise Financial Analysis
Year 2019:
1st January 2019 - 31st December 2019

Budgeted Utilised
Sr. amount as per amount as per
No. Particulars MoU UC Difference
1 Salaries
Programme director 1,59,720.00 1,57,410.00 2,310.00
Programme coordinator 2,32,320.00 2,00,050.00 32,270.00
community mobilizer 6,38,880.00 6,02,515.00 36,365.00
Accountant 1,16,160.00 1,15,280.00 880
Documentation Officer 1,30,680.00 1,24,353.00 6,327.00
Office Assistant 1,12,200.00 1,10,550.00 1,650.00
Social Security 1,20,000.00 1,20,000.00 -
Total Salaries 15,09,960.00 14,30,158.00 79,802.00
-
2 Programmes
Health and sanitation curative care-health clinics in 14 villages -
(i) 14 camps in a month -
(a) Honorarium for doctors 5 Nos 2,01,600.00 1,97,766.00 3,834.00
(b) 6 new village 2 camps in a month 12 camp) 1,72,800.00 1,61,400.00 11,400.00
(c) medicines for 20 villages- 312 camps 2,49,600.00 2,32,230.00 17,370.00
(d) Driver Honorarium Rs 13200 1,58,400.00 1,37,200.00 21,200.00
(e) Vehicle fuel charges 2,18,400.00 1,66,655.00 51,745.00
(f) Accessories 35,000.00 22,289.00 12,711.00
(g) First aid kit 6,000.00 6,000.00 -
Sub Total 10,41,800.00 9,23,540.00 1,18,260.00
-
(ii) Health Training Programme
(a) Awareness on health for children, adolescent woman &
community) 1,28,000.00 1,44,375.00 -16,375.00
b) Training on reproductive health for
woman/ANC/PNC/Immunization/Nutrition food 1,60,000.00 1,59,982.00 18

c) Nutritious food demonstration training programme for mother
for the 6 new villages, 10 existing villages - 6 months (100 children) 1,80,000.00 1,76,956.00 3,044.00
d) Training for adolescent girls and youth on reproductive health
and hygiene 80,000.00 79,608.00 392
e) Health mela 6 programmes in 20 villages 60,000.00 58,950.00 1,050.00
f) Green team formation & training programme for a children
Green team member for each school 60,000.00 59,549.00 451
g) Distributing Plants (Papaya, Drumstick and other herbal
medicines) to 6 villages (3 plants 500 families × Rs 150 10,000.00 10,000.00 -
h) Events (World health day, HIV AIDS day, World Environment
Day, World Farmer's Day, International Woman Day & world
breast feeding day) information education communications (IEC)
materials on material handbills etc 60,000.00 51,747.00 8,253.00
i) Capacity building training for Village Health sanitation committee
(VHSC) on the Govt schemes, Rights and entitlements 1,40,000.00 1,39,286.00 714
j) Mass contact programmes (3 programme each year) 60,000.00 60,050.00 -50
k) Heath and Sanitation Training for school development
monitoring committee (SDMC) and Balavikasa members for 20
villages on covid and health schemes 40,000.00 22,445.00 17,555.00
l) Community Development and Reproductive and Child Health
(RCH) training for ASHA workers for 20 villages 10,000.00 12,080.00 -2,080.00
m) Capacity training for projects staff on health and development 30,000.00 30,927.00 -927
n) Capacity building training for Gram panchayat members on
Health and Sanitation and Mother and Child Health (MCH)- 4
programs 30,000.00 26,208.00 3,792.00
o) Honorarium for Health Volunteers -20 Nos 5,28,000.00 5,12,600.00 15,400.00
Sub-Total 15,76,000.00 15,44,731.00 31,269.00
-
(iii) Trainings
a) Honorarium for resource persons- 4 days 8,000.00 10,000.00 -2,000.00
b) Food expenses for 24 persons 9,600.00 6,830.00 2,770.00
c) Travel for volunteers 9,600.00 7,650.00 1,950.00
d) Training Material posters, wall painting, first aid kit and other
health related awareness material 25,000.00 22,810.00 2,190.00
e) Monthly review material for 20 members 24,000.00 24,280.00 -280
f) Exposure visit -
IV) Emergency fund- Curative Care 25,000.00 27,697.00 -2,697.00
Total Training Cost 1,01,200.00 99,267.00 1,933.00
Total Program Cost 2,719,000 2,567,538.00 1,51,462
3 Overhead cost
a) Travel 90,000.00 90,908.00 -908
b) Administration cost 70,000.00 69,437.00 563
c) Auditing 15,000.00 15,000.00 -
Total Overhead Cost 1,75,000.00 1,75,345.00 -345

Grand Total 44,03,960.00 41,73,041.00 2,30,919.00
Year 2020:

Budgeted Utilised
Sr. amount as amount as
No. Particulars per MoU per UC Difference
1 Salaries
Program Director 1,76,800
Programme Coordinator 1,66,685
Community Mobilizer 6,92,569
Accountant 1,27,920
Documentation Officer 1,10,182
Office Assistant 1,04,610
Social Security 1,20,000
Total Salaries 16,48,920 14,98,766 1,50,154
2 Programmes
Health and sanitation curative care-health clinics in 14 villages
(i) 14 camps in a month
(a) Honorarium for Doctors 5 Nos 24,979.00
(b) 6 New village 2 camps in a month 12 camp)
(c) Medicines for 20 villages- 312 camps 37,453.00
(d) Driver Honorarium Rs 13200 1,46,200
(e) Vehicle fuel charges 85,039.00
(f) Accessories
(g) First aid kit 4,177.00
Sub Total 2,97,848

(a) Awareness on health for children, adolescent woman &
community) 94,419.00
woman/ANC/PNC/Immunization/Nutrition food 1,17,083
c) Nutritious food demonstration training programme for
mother for the 6 new villages, 10 existing villages - 6 months
(100 children) 1,58,053

d) Training for adolescent girls and youth on reproductive
health and hygiene 70,580.00
e) Health mela 6 programmes in 20 villages
f) Green team formation & training programme for a children
Green team member for each school 56,433.00
g) Distributing Plants (Papaya, Drumstick and other herbal
medicines) to 6 villages (3 plants 500 families × Rs 150
h) Events (World health day, HIV AIDS day, World Environment
Day, World Farmer's Day, International Woman Day & world
breast feeding day) information education communications
(IEC) materials on material handbills etc 4,734.00
i) Capacity building training for Village Health sanitation
committee (VHSC) on the Govt schemes, Rights and
entitlements 81,506.00
j) Mass contact programmes (3 programme each year) 34,200.00
k) Heath and Sanitation Training for school development
monitoring committee (SDMC) and Balavikasa members for 20
villages on covid and health schemes 35,300.00
l) Community Development and Reproductive and Child Health
(RCH) training for ASHA workers for 20 villages
m) Capacity training for projects staff on health and
development 21,098.00
n) Capacity building training for Gram panchayat members on
Health and Sanitation and Mother and Child Health (MCH)- 4
programs
o) Honorarium for Health Volunteers -20 Nos 4,80,523
Sub-Total 11,53,929
(iii) Trainings
a) Honorarium for resource persons- 4 days 6,000.00
b) Food expenses for 24 persons 1,174.00
c) Travel for volunteers 3,260.00
d) Training Material posters, wall painting, first aid kit and
other health related awareness material 16,620.00
e) Monthly review material for 20 members 19,751.00
f) Exposure visit
IV) Emergency fund- Curative Care 10,000.00

Sub-Total 56,805.00
Total Program Cost 27,56,840 15,08,582 12,48,258
3 Overhead cost
a) Travel 46,500.00

b) Administration cost 69,878.00
c) Auditing 15,000.00
Total Overhead Cost 1,75,000 1,31,378 43,622
Grand Total 45,80,760 31,38,726 14,42,034
Year 2021:

Budgeted Utilised
Sr. amount as amount as
No. Particulars per MoU per UC Difference
1 Salaries
Program director 25% share 1,93,200.00
Programme coordinator 2,81,040.00
Community mobilizer (4 no) 7,72,800.00
Accountant (part time) 1,40,400.00
Documentation officer 1,58,160.00
Office assistant 1,35,850.00
Social security 1,20,000.00
Total Salaries 18,01,440.00 18,01,440.00 -
2 Programmes
Health and sanitation curative care-health clinics in 14
villages
(i) 14 camps in a month
(a) Honorarium for doctors 5 Nos 1,00,800.00
(b) cost of camps (12 camps) 1,04,775.00
(c) medicines for 20 villages- 312 camps 1,58,752.00
(d) Driver Honorarium 1,84,020.00
(e) Vehicle fuel charges 1,25,626.00
(f) Accessories (weighing machines, B P Operator,
Stethoscope) 35,000.00
(g) First aid kit 6,059.00
Sub Total 7,15,032.00

(a) Awareness on health (covid- hand hygiene, personal
hygiene,sanitation,community hygiene, communicable &
water borne diseases, water conservation, protection of 61,312.00

soil, education of plastic, kitchen garden, open defecation,
mental health) for children, adolescent woman &
community) - 80 programmes (each village 4 programs a
year
woman/ANC/PNC/Immunization/Nutrition food- 20 villages 61,263.00
c) Nutritious food demonstration training programme for
mother for the 16 villages - 6 months (100 children) 2,19,083.00
d) Training for adolescent girls and youth (early marriage,
sex education, personality development, life skills, HIV Aids,
Health, Personal Hygiene, Menstrual Hygiene Management 30,397.00
e) Health mela 3 programmes in 6 villages 30,993.00
f) Green team training programme for a children (on covid
hand wash precautions on viral attack, water conservation,
kitchen gardening, hygiene practices, herbal plants, plastic
eradications, soil and water pollutions - each school 40
programmes) 30,630.00
g) Events (World health day, HIV AIDS day, World
Environment Day, World Farmer's Day, International
Woman Day & world breast feeding day) information
education communications (IEC) materials on material
handbills etc 36,206.00
h) Capacity building training on health, schemes, covid-19,
hand wash methods, Right to food, Right to health,
Leadership, Monitoring & advocacy training for Village
Health sanitation committee (VHSC) on the Govt schemes
Rights and entitlements- 20 programs 49,861.00
i) Mass contact programmes 19,967.00
j) Heath and Sanitation Training for school development
monitoring committee (SDMC) and Balavikasa members for
20 villages on covid and health schemes 20,081.00
k) Community Development and Reproductive and Child
Health (RCH) training for ASHA workers for 20 villages 4,990.00
l) Capacity training for projects staff on health and
development, psychosocial support on natural calamities
and covid-19 17,790.00
m) Capacity building training for Gram panchayat members
on covid 19 Health and Sanitation and Mother and Child
Health (MCH)- 4 programs 29,093.00
n) Honorarium for Health Volunteers -20 Nos 5,16,534.00
Sub-Total 11,43,213.00
(iii) Trainings
a) Honorarium for resource persons- 4 days 11,250.00
b) Food expenses for 24 persons 9,670.00
c) Travel for volunteers 5,605.00
d) Training Material on covid-19 1,25,602

e) Monthly review material for 20 members 23,334.00
f) Exposure visit 39,879.00
IV) Emergency fund- Curative Care 20,368.00
Sub-Total 2,35,708.00
Total Program Cost 21,68,640.00 20,93,953.00 74,687.00
3 Overhead cost
a) Travel 90,000.00
b) Administration cost, (Telephone bills, Electricity charges
and stationary expenses etc) 70,000.00
c) Audit Fees 15,000.00
Total Overhead Cost 1,75,000.00 1,75,000.00 -
Grand Total 41,45,080.00 40,70,393.00 74,687.00

12 Annexure - III
Stakeholder Questionnaires
Stakeholder Group: Mothers of Children aged 1-10
Basic Profile
1. Name
2. Number of children:
3. Gender of child/children
4. Age of child/children
5. Total number of family members
6. Primary Occupation
7. Average family income per month:
1. <10,000
1. 10,000-20,000
1. 20,000-30,000
1. >30,000
Program Design: Relevance and Preparedness
0. Were ASHA workers present in your community prior to the intervention? (Y/N)
0. If yes, did they conduct home visits to instruct you on childcare and benefits available at Anganwadi centres?
(Y/N)
0. Did you go to Anganwadi centres to get your child’s growth and development monitored before the
intervention? (Y/N)
0. What was the reason for not visiting Anganwadi centres?
1. AWC not present in the village
2. AWC not functional
3. Unawareness about AWC
4. Location of AWC too far
5. AWC is not clean and do not have toilets
0. Do you go to Anganwadi centres now for growth monitoring of your child? (Y/N)
0. How far is the nearest Anganwadi centre from your home? (in Km) [Validate the same during visit]
0. What did your child’s diet primarily include before the intervention?
0. Have you adapted their diet post the intervention? (Y/N)
0. If yes, what kind of diet do you follow now?
0. Did you have a toilet at home prior to the intervention? (Y/N)
0. Do you have a toilet now? (Y/N) [To be verified by enumerator]
0. Do you and your family members use the toilet regularly?
1. Everyone uses it
2. Only women and children use it
3. Others, ______
0. If not, what is the reason for the same?
1. Lack of water supply
2. Superstitions
3. Lack of awareness about importance of toilet usage

Program Delivery- Effectiveness and Efficiency
0. Was your child screened for malnutrition by the NGO team? (Y/N)
0. If yes, what was the malnutrition status of your child?
1. Was found to be malnourished
2. Was found to be healthy
0. If malnourished, did you receive protein powder, eggs and chikki from the NGO for your child? (Y/N)
0. For how many days were these supplements provided by the NGO?
0. Did your child consume all the supplements provided? (Y/N)
0. If not, why?
1. Quality of products were below the mark
2. Was used for feeding other family members as well
3. Others, ______
0. Did you attend the health awareness sessions on importance of good nutrition and locally available
nutritious food? (Y/N)
1. If not, why? ______
0. If yes, What recipes were taught to you by the RLHP team? (name the recipes)
0. On a scale of 1-5, how would you rate the ease of understanding of the health awareness sessions. (1- very
difficult, 2- Difficult, 3- Moderate, 4- easy, 5-very easy)
0. Do you face any challenges in procuring nutritious food for your child at present?
1. Cannot afford nutritious food/supplement
2. Nutritious food items not available easily
3. Nutritious recipes taught are difficult and time consuming to cook
4. Others, _______
0. Do you follow routine immunization of your children? (Y/N)
0. If not, what challenges do you face for the same?
1. Lack of information about vaccination
2. Anganwadi centre/ Clinic is located too far
3. Others, ________
0. Do you have a kitchen garden/ grow your own vegetables at home?
0. How do you manage household waste?
Impact and Sustainability
0. What type of improvement did you find in the malnutrition status of your child?
1. Child is healthy now
2. There is a positive change
3. No change observed
0. Do you require any further support to improve your child’s health?
0. On a scale of 1-5, how would you rate the following: (1- Very Poor, 2-Poor, 3- Satisfactory, 4-Good, 5-
Excellent)
1. Adherence to COVID-19 precautions during physical meetings
2. Services provided by the NGO to improve your child’s health
0. Do you know which organisation has funded this program?
0. Testimonial
Stakeholder Group: Pregnant and Lactating Women
Basic Profile

1. Name
2. Age
3. Number of family members
4. Number of kids
5. Primary profession
6. Average monthly family income
1. <10,000
1. 10,000-20,000
1. 20,000-30,000
1. >30,000
7. Were you a pregnant or lactating mother at the time of the intervention?
1. Yes, pregnant
1. Yes, lactating
1. None
0. Had you gone for routine ANC for your previous pregnancies, prior to the intervention? (Y/N)
0. If not, what was the reason?
1. Unawareness about the importance of ANC
2. Did not know where to go to
3. PHC/government clinic was too far away
4. Others, _________
0. Did you avail of routine ANC during the intervention? (Y/N)
0. If yes, how many ANC visits did you make?
1. Full ANC (4 visits)
2. Partial ANC (< 4 visits)
0. Where did you get your delivery done?
1. Home
2. Institutional Delivery
0. Had you fed the first milk to your baby right after delivery? (Y/N)
0. Do you feel it is important to feed the first milk to your baby right after delivery? (Y/N)
0. For how many months did you do exclusive breastfeeding for your baby? If answer is less than 6 months:
Why did you stop exclusive breastfeeding before 6 months?
0. What kind of food did you feed your baby after stopping exclusive breastfeeding?
0. Did you use any family planning methods prior to the intervention? (Y/N)
0. Have you adopted any family planning methods now? (Y/N)
0. If not, what is the reason?
1. Unawareness about various available methods
2. Don’t feel the need to
3. Low accessibility to contraceptives
4. Others, _______
0. Have ASHA workers visited you after the delivery to educate you about proper child care practices? (Y/N)
0. Do you have a healthy and supportive environment for the baby at home? (Y/N)
0. Did you have a toilet at home prior to the intervention? (Y/N)
0. Do you have a toilet now? (Y/N) [To be verified by enumerator]
1. Everyone uses it
3. Others, ______

2. Superstitions
0. Did you attend the awareness sessions conducted by the NGO? (Y/N)
0. If not, why?
0. Where did you register yourself for ANC?
1. PHC
2. Government hospital
3. NGO health camp
4. Others, ________
0. Did you register yourself for any government health schemes related to mother and child health during the
intervention? (Y/N)
0. If yes, what benefits have you received from those schemes after registration?
1. Not aware of these schemes
2. Don’t know how to register
3. Registration process is very complicated and time-consuming
4. Others, ______
0. Have you been able to follow routine immunisation of your child since his/her birth? (Y/N)
0. If not, why not?
0. Do you face any challenges in ensuring timely immunisation of your child? (Y/N)
0. If yes, please explain the challenges.
0. Are you aware of healthy feeding practices for your baby to complement breastfeeding after 6 months?
(Y/N)
0. If yes, have you been able to follow the said practices? (Y/N)
0. If not, what challenges do you face?
0. Do you have a kitchen garden/ grow your own vegetables at home?
0. What kind of diet did you follow during your lactation phase?
0. Do you face any challenges in accessing ANC at present? (Y/N) If yes, what challenges?
0. Do you follow good nutrition and sanitation practices at home? (Y/N) If not, what challenges do you face?
0. Did you have lesser number of pregnancy complications during the intervention as compared to your
previous pregnancies? (Y/N)
0. Do you have any recommendations on what could have been done better?
0. On a scale of 1-5, rate the following: (1- Very Poor, 2-Poor, 3- Satisfactory, 4-Good, 5-Excellent)
1. Adherence to COVID-19 precautions during physical meetings
2. Ease of understanding of health education sessions
3. Support provided for ANC registration and immunisation
0. Testimonial
Stakeholder group: Adolescents
Basic Profile
1. Name

2. Gender
3. Age
4. Profession
1. School student
1. College student
0. Had your family members or school teachers taught you about the importance of menstrual hygiene and
educated you on child marriage, sex education, STDs etc? (Y/N)
0. Are you aware about the intervention that RLHP rolled out in your village? (Y/N)
1. If not, why?
0. Did you have a toilet at home before the intervention? (Y/N)
0. Do you have a toilet at home now? (Y/N)
1. Everyone uses it
3. Others, ______
2. Superstitions
0. Did your school have a functional and clean toilet prior to the intervention? (Y/N)
0. Is there a functional and clean toilet in your school now?
0. Do you feel availability of a clean toilet at school is sufficient for you to keep attending school and complete
school education? (ask about family pressure for marriage, child labour etc)
0. Are you a green team leader at your school?
0. Were sessions on waste management and kitchen garden conducted by the NGO team/ green team leaders?
(Y/N)
0. What kind of topics were covered by the NGO team at the health education sessions?
0. How did you get to know about these sessions?
1. Through community volunteers
2. School Teachers
3. NGO personnel
4. Others, _______
0. Do you feel the education sessions were effective in clearing any doubts you might have had related to
reproductive health? (Y/N)
0. Do you have access to sanitary napkins at present? (Y/N)
0. If not, what is the reason?
1. Cannot afford
2. Social stigma
3. Others, _______
0. Have you approached the gram panchayat for any school/village development activity after the education
sessions? (Y/N)
0. Has the gram panchayat acted on your requests? (Y/N/ Acted on some requests)
0. Do you face any challenges with attending school? (unsupportive family, distance of school from village,
work at home etc)

0. Do you feel the sanitation of your school, home, and community area has improved after the intervention?
(Y/N)
0. If yes, in what ways?
1. Toilets constructed at home
2. Clean toilets available at school
3. Periodic cleaning of parks and other community areas (ponds/water bodies) are conducted
4. Others, ________
0. Do you have any suggestions on what other topics can be covered at the education sessions?
0. Do you feel your family members are supportive of your school education? (Y/N)
0. If yes, in what ways?
1. You and your siblings are equally motivated to attend school
2. You are not required to support your parents in their jobs
3. You have a good study environment at home
4. Others, ____
0. Do you have any recommendations about how things could have been done in a better manner or any other
support that you require from the NGO?
Excellent)
1. Relevance of the educational content for your personal growth and development
2. Ease of understanding of the information shared during the education sessions
3. Support provided by NGO for approaching gram panchayat for school and village development
activities
0. Do you know which organisation has funded these activities?
0. Testimonial.
Stakeholder group: Community members
Basic Profile
1. Name
2. Gender
3. Age
4. Number of children
5. Number of family members
6. Primary occupation
7. Average monthly family income
1. <10,000
1. 10,000-20,000
1. 20,000-30,000
1. >30,000
0. Where did you go for medical check-ups prior to the intervention?

1. PHC
2. Government hospital
3. Private clinics
4. Others, _______
0. Did you face any challenges in getting quality medical care from these facilities?
1. High cost of consultation

2. High cost of medicines
3. Location too far from village
4. Long waiting times
5. Others, ________
0. Did the health camps set up by the NGO solve these challenges? (Y/N)
0. If not, what challenges remained?
0. Were these health facilities accessible during the pandemic? (Y/N)
0. If not, did you avail of the teleconsultation facility provided by the NGO?
1. Yes
2. No
3. Was not required
4. Was not aware of it
0. Did you get all the required help (in terms of ration, access to masks, sanitizer etc) from the NGO and
community volunteers during the pandemic? (Y/N)
0. Were you aware of government work and health schemes prior to the intervention? (Y/N)
0. Are you registered for such schemes now? (Y/N) [MNREGA, health schemes etc]
0. Do you feel your gram panchayat was proactive with village development and sanitation activities prior to
the intervention? (Y/N)
0. If not, did the NGO initiatives help in connecting with the local government and resolving village-level
developmental issues?
Program Delivery: Effectiveness and Efficiency
0. Where were the health and COVID-19 awareness sessions conducted?

0. Were COVID-19 protocols like social distancing followed during these meetings? (Y/N)
0. Do you feel the health camps have increased your accessibility to low-cost medical check-ups? (Y/N)
0. Do you have to pay anything for the check-up at the health camps? (Y/N)
0. If yes, how much do you have to pay?
0. Do you prefer the NGO health camps over government clinics? Why or why not?
0. Have you attended NGO education sessions on health, nutrition, importance of school education etc? (Y/N)
0. Do you feel your children, especially daughters, should continue with high school education? Why or why
not?
0. By what age do you want to get your children married? (Both male and female)

0. Whom do you approach at present if you require support with your health needs?
1. Community volunteers
2. PHCs/ Anganwadis
3. NGO staff
4. Ohers, _________
0. How frequently do you seek medical intervention in case of need? hat development activities (toilet
construction, drinking water facility, cleaning of community roads/grounds etc) have taken place in the village as a
result of the intervention?
0. Is there a support you believe can help to further improve the health of the village community people? (Y/N)
0. On a scale of 1-5, how would you rate the following:
1. Quality of treatment offered at the health camps
2. Impact of the health services (teleconsultation, ration distribution, access to masks etc) on your
well-being during the pandemic
Stakeholder group: Key Community Members (VHSNC, Community volunteers)
Basic Profile

1. Name
2. Gender
3. Age
4. Profession/ Designation
5. Since when have you been associated with RLHP?
6. Roles and responsibilities with respect to this project
0. According to you, what characteristics of this area make health, nutrition, and sanitation most preferred
thematic interventions? (availability of functional PHCs, Anganwadi, awareness and accessibility to these facilities
etc)
0. What were the primary challenges faced by the villagers in the area of maternal and child health prior to the
intervention? (unawareness about importance of ANC, institutional delivery, immunization, good breastfeeding
practices, lack of finances for affording healthy food etc)
0. What do you feel were the key developmental challenges in the village prior to the intervention? (lack of
toilets in homes, schools, lack of access to clean drinking water etc)
0. How common were child marriages and child labour in the village prior to the intervention?
0. What was the average drop-out rate of boys and girls from school? Which standard had the highest drop-out
rate? What do you think were the reasons for drop-out?
0. What kind of renovation/ development requirements did the schools and anganwadi centre of the village
have?
0. How did the pandemic impact the lifestyle of the villagers?
0. Do you have any prior experience/ knowledge about mother, child and adolescent reproductive health
issues? (For community volunteers)
0. Do you feel the activities were relevant as per the need on ground? (Y/N)
0. If not, why not?
0. What kind of preparatory activities were conducted by RLHP to orient you to the program? (For community
volunteers)
0. Whom did you get in touch with if you needed any support during program implementation? (For
community volunteers)
0. What kind of capacity building activities were conducted by the RLHP team? (For VHSNC)
0. Why did you opt to volunteer for the program? (For community volunteers)
0. How were you chosen to be a volunteer? (For community volunteers)
0. How many volunteers were present in your village? How many number of beneficiaries were you
responsible for monitoring and follow up? (Y/N) If yes, how many households/beneficiaries did you monitor? (For
0. How do you keep track of follow-up calls/visits to be made? (personal register etc) (For community
volunteers)
0. What percentage of families have access to toilets in the village at present? To what extent are those toilets
used by the villagers? (both make and female)
0. What are the key reasons for less toilet usage?
0. Have you noticed a reduction in open defecation because of the intervention? (Y/N)
0. According to you, has the intervention been effective at reducing drop-out rate amongst the boys and girls?
(Y/N) By what percentage has it reduced?
0. Has school/ anganwadi centre renovation/ upgradation happened because of the intervention?
0. Do you feel the exposure visits were effective at making you aware about the various government health
and child development facilities? (Y/N) (For community volunteers)

0. What were the key challenges faced by you in conducting your duties? How did you overcome them? (For
0. Are you still involved in conducting health awareness sessions and health screenings and referrals for the
community members? (Y/N) If not, why? (For community volunteers)
0. Do you feel the mindset of families have changed with respect to child marriage and child labour?
0. Do you feel the intervention has resulted in an increase in ANC registration of pregnant women and timely
immunisation of children?
0. What are the key changes that you have observed because of this intervention?
0. Do you feel the intervention has resulted in a reduction in malnutrition amongst children?
0. Do you have any recommendations on what can be done to make the intervention more impactful in the
future?
Excellent)
1. Relevance of the information given during training workshops to the need of the community
2. Adherence to COVID-19 protocols during physical sessions
3. Need and relevance of the activities with respect to the RMNCH+A situation on ground
4. Effectiveness of the activities in improving the health of children, pregnant mothers and adolescents
5. Impact of the intervention in reducing malnutrition amongst children and high-risk pregnancies in
the region
Stakeholder group: Healthcare Workers (community healthcare workers, PHC staff Anganwadi worker etc)
Basic Profile
1. Name
2. Designation
3. Location
4. Institute/Organization
5. Roles and responsibilities with respect to this project (involved in training/ health screening/ online
consultation etc)
Project Design: Relevance and Preparedness
0. What were the key shortcomings of the existing RMNCH+A services in the community at the time of RLHP
intervention?
0. What was the infant and maternal mortality rate in the village(s) prior to the intervention?
0. To what would you attribute the malnutrition and maternal mortality rate? What effect did the pandemic
have in worsening/improving the condition?
0. What were the key reasons for the high malnutrition rate amongst children?
0. Would you say the nutrition supplements provided (Protein powder) by RLHP along with nutritional recipes
awareness was sufficient to sustain good nutrition practices and combat malnutrition and anaemia? (Y/N)
1. If yes, how long did they have to consume?
2. How did you monitor the child’s growth?
0. What do you feel were the primary reasons for pregnant women not registering for routine ANC check-ups?
0. To what extent do you feel those concerns have been addressed by this initiative?
0. Do you feel the RLHP team was prepared to implement the program in the backdrop of the pandemic and
keeping in mind the increased risk that the pandemic posed to children and pregnant women?(Y/N)

1. If not, how did you determine?
0. Do you feel the health and education sessions conducted by RLHP were effective at making the community
members aware about the importance of timely immunisation and healthy diet? (Y/N)
0. Have you observed a reduction in malnutrition, high risk pregnancy cases and anaemia amongst children,
pregnant women and adolescents respectively post the intervention? (Y/N)
0. If not, what do you think is the reason for the same?
0. What do you feel are the key factors that might be hindering the community members from adopting
healthy nutrition practices?
0. , approximately what percentage of the community members seek medical attention after being referred by
the volunteers?
0. What do you feel are the reasons for not seeking medical advice even after being referred? (lack of time,
financial burden, fear of being diagnosed with a severe disease etc)
0. What were the key problems being faced by adolescents as a result of lack of sexual and reproductive health
awareness?
0. Do you feel the initiative has been effective at reducing these problems?
0. What changes has the initiative brought about a behaviour change amongst the community members with
regards to timely medical intervention and nutritional diet practices?
0. If not, what do you feel are the key reasons for the same? What recommendations would you give to bring
about a sustainable change in the attitude of people?
0. On a scale of 1-5, how would you rate the following:
1. Relevance of the healthcare initiative to the ground situation
2. Effectiveness of the initiative to reduce rate of high-risk pregnancies, malnutrition and anaemia
3. Ability of the initiative to bring forth sustainable change in the attitude of the community members
towards a healthy lifestyle
Stakeholder group: NGO Program Team
Basic Profile
1. Name
2. Designation
3. Roles and Responsibilities
0. On what basis did you choose this geography for the intervention?
0. Was any baseline study or gap analysis conducted to identify the needs of the community?
. Yes, What were the important insights? __________
. No
0. What kind of partnerships did you have with the gram panchayat, anganwadi centre etc? What role did they
play in this program?
0. Were community health workers like ASHAs and ANMs active in the community prior to the intervention?
(Y/N) If yes, what kind of value addition did RLHP created in the maternal and child health ecosystem?
0. What percentage of vulnerable population were covered in these villages?

0. How many beneficiaries were linked with government health schemes? What % of them actually availed
benefits from those schemes?
0. Could you describe the process of identifying community volunteers?
0. Can you give an estimate of the frequency with which the different activities were conducted during the
intervention period?
0. What kind of approach were taken for the various activities in 20-2021, keeping the pandemic situation in
mind?
0. Were there any modifications in the original project plan due to the pandemic? (Y/N) If yes, what were the
key changes?
0. Considering the shortcomings of the village how were the camps and outreach sessions conducted?
0. Where were they conducted?
0. Where did you source the food supplements (protein powder) from?
0. Was there any quality check procedure in place for the protein powder and other food supplements
distributed? (Y/N)
0. What according to you were the major challenges of this project? How did you overcome them?
0. How many beneficiaries were planned to be impacted through the project? (Direct)
0. How many beneficiaries have actually been impacted through the project? (Direct)
0. How did you document the beneficiary data throughout the program?
0. Do the health screenings and referrals still take place? (Y/N)

0. If not, has there been any follow up done to check the vulnerable population enabled to seek help and
follow healthy nutrition and immunisation practices by themselves?
0. Which RMNCHA areas (malnutrition/ ANC-PNC/ Breastfeeding etc) in the villages require further
intervention and support?
Excellent)
1. Relevance of the activities to the needs of the villages
2. Adherence to COVID-19 protocols during physical sessions
3. Effectiveness of the activities in improving the health of children, pregnant mothers and adolescents
4. Impact of the intervention in reducing malnutrition amongst children and high-risk pregnancies in
the region

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Impact Assessment

Rural Literacy and Health

3 Objectives and Scope of Study 8

3.1 Objectives of the Study 8

3.2 Limitations of the Study 8

6 Analysis & Findings 17

3. Impact & Sustainability 21

9 Conclusion and Recommendations 24

Wipro Cares | Impact Assessment Report | 2019-21 3

Wipro Cares | Impact Assessment Report | 2019-21 4

Wipro Cares | Impact Assessment Report | 2019-21 5

Mother, child, and adolescent health are critical

The Government of India through one of several initiatives

Rural communities in India face several challenges in

Sanitation, including access to toilets, is also crucial for the

The spatio-temporal analysis of the maternal and child

Wipro Cares | Impact Assessment Report | 2019-21 6

Wipro Cares | Impact Assessment Report | 2019-21 7

The major objectives of the study are as follows:

3.2 Limitations of the Study

Wipro Cares | Impact Assessment Report | 2019-21 8

4.1 Theory of Change

Activities Output Outcome Impact

Theory of Change (ToC)

Need Input Output Outcome Impact

Improvemen Improvement of • No. of high-risk • % reduction in • Overall

Wipro Cares | Impact Assessment Report | 2019-21 9

Community Health and • No of patients

Wipro Cares | Impact Assessment Report | 2019-21 10

Log Frame Analysis (LFA)

Project Summary Indicators Means Assumptions

Impact • Prevalence of routine • Beneficiary survey N/A

Wipro Cares | Impact Assessment Report | 2019-21 11

Wipro Cares | Impact Assessment Report | 2019-21 12

Wipro Cares | Impact Assessment Report | 2019-21 13

Program Design Program Delivery Impact & Sustainability

Program Design Impact

Wipro Cares | Impact Assessment Report | 2019-21 14

5.1 Data Collection

Primary Data Secondary Data

Qualitative Data Quantitative Data

Key Informant Interviews Beneficiary Surveys Program Proposal

5.2 Sampling Strategy

Wipro Cares | Impact Assessment Report | 2019-21 15

Pregnant/ Lactating Physical

NGO Program team 5 5 Physical

Wipro Cares | Impact Assessment Report | 2019-21 16

Wipro Cares | Impact Assessment Report | 2019-21 17

Basic Profile of the Beneficiaries

Wipro Cares | Impact Assessment Report | 2019-21 18

Stakeholder Parameter Ratings (out of 5)

CSR Program Team Response to needs of communities 4

Mothers of children aged 1- Adherence to COVID-19 precautions during physical meetings 4

Adherence to COVID-19 protocols during physical sessions 4

Wipro Cares | Impact Assessment Report | 2019-21 19

# Program Objectives Achievement status

Wipro Cares | Impact Assessment Report | 2019-21 20

Stakeholder Parameter Ratings (out of 5)

CSR Program Team Delivery of expected outcomes 4

Community members Quality of treatment offered at the 5