Bihar is the third-largest state in India, with a population of over 110 million. Despite recent gains, Bihar has some of the country’s highest rates of maternal, neonatal, and infant mortality, as well as a high prevalence of malnutrition, stunted growth, and high fertility rates. Extreme poverty, gender and social inequality, low literacy rates, and early marriage further compound Bihar’s poor health outcomes.
CARE is supporting the Government of Bihar to strengthen and improve population health and nutrition outcomes. The Bihar Technical Support Program covers all 534 blocks in 38 districts of Bihar and involves at least 400 public sector hospitals and 200,000 frontline workers. Through this partnership, CARE has contributed to significant improvements in the health system.
Today, CARE and the government continue to invest in sustaining improvements made through scale-up as well as addressing systematic issues by transforming institutions, organizational structure, regulations, and governance.
Since 2011, CARE and the Government of Bihar have made great strides in testing and implementing innovations to improve health outcomes and strengthen the health system.
The Bihar Technical Support Program has also contributed to state-level impact in the areas of maternal and infant mortality: