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Health, Nutrition And Water, Sanitation & Hygiene (WASH)

Health, Nutrition and WASH (HNWASH) are major determinants impacting quality of life. In many developing countries, access to quality and affordable health care, balanced diet, safe water and basic sanitation is a challenge for the poor and disadvantaged, especially for women and children. IPE Global works with a wide range of stakeholders such as national and state governments, development partners, civil society organisations and the private sector to design, manage, facilitate sustainable change in lives of millions of people.

HNWASH was a key focus for Millennium Development Goals (MDGs) and remains so within Sustainable Development Goals (SDGs). We realise that investments in this sector, focusing on the underserved, have large impact on the well-being of the communities and transform their lives. To maximise impact of health investments, we have integrated, multi-sectoral, innovative approaches to strengthen health systems, policy design, planning, service delivery, demand generation, social behaviour change communication (SBCC), human resources strengthening, health financing, nutrition, water, sanitation and hygiene services.

We have extensive experience of working within diverse health system configurations to support universal health coverage, improved allocative efficiency and service delivery for better health outcomes. We support governments with evidence-based approaches to policy formulation while remaining sensitive to cultural and social settings.

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Himanshu Sikka

Dr. Jose Michael

Dr. Harish


  • USAID || Partnerships for Affordable Health Care Access and Longevity (PAHAL), India (2015 - 2023)

    Partnerships for Affordable Healthcare Access and Longevity (PAHAL) is USAID/India and IPE Global’s flagship innovations in financing platform with focus on improving access to primary, secondary and tertiary healthcare for the poor. The project focuses on innovative financial models that enable Government’s and Donors in supplementing traditional grant-based financing with new forms of conditional and catalytic support; and Private investments and other non-donor sources of financing for generating social impact. The Project Goal is to reduce preventable morbidity and mortality among women and children in urban and rural areas through improved access to affordable, quality Reproductive, Maternal, Newborn, Child, and Adolescent Health (RMNCH+A) services and provide COVID-19 and other infectious diseases response, and improve better health behavior.

    IPE Global is providing health service providers and innovative business models with strategic, financial and technical assistance to address challenges in building scalable and sustainable business models. The project objectives are: To increase access to affordable comprehensive health care insured to poor, potentially reaching out through Ayushman Bharat PMJAY to 40% of the bottom of the population in India; and to reduce out of pocket (OOP) expenditure for all poor for comprehensive health care (primary, secondary and tertiary) by 30% in program areas. It further works to strengthen government and private sector response to infectious diseases (like Tuberculosis) and pandemics like COVID-19 and is currently developing a $100 ml Blended Finance Facility with National Health Authority, Government of India.

    SAMRIDH Healthcare Blended Finance Facility becomes the first Indian initiative to win P3 Impact Award. Know More

  • USAID || VRIDDHI - Scaling Up Interventions in Reproductive, Maternal, Neonatal, Child and Adolescent Health (RMNCH+A) Project, India (2014-2021)

    USAID supported Vriddhi is a technical partner to the Ministry of Health and Family Welfare, Government of India to scale up India’s RMNCH+A strategy designed to contribute to USAID’s goal of reducing morbidity and mortality among women and children in 15 states of India. The Project contributes to strengthening health systems in several ways - it trains and mentors service providers, advocates for and supports the reorganization of institutional processes leading to better service delivery, improved access, and increased utilization of RMNCH+A services nationally and in the USAID focus states of India.

    IPE Global through Vriddhi is providing techno-managerial support to bridge the gap between policy and implementation through training and capacity building of health service providers, evidence sharing for informed decision making and effective dissemination strategies. Besides giving inputs to the state counterparts to prepare state specific implementation guidelines, Vriddhi is supporting Ministry of Health and Family Welfare (MoHFW) through dedicated programme management units for national programs Labour Room Quality Improvement (LaQshya) and Aspirational Districts. These units embedded within the Ministry provide implementation guidance, monitoring and support for the respective programmes. Other systemic support includes strengthening First Referral Units (FRU), roll out of Family Planning Logistics Management Information Systems (FPLMIS), and Public Financial Management (PFM).

  • Norway India Partnership Initiative (NIPI) || NIPI – Phase 3, Bihar , Rajasthan, Madhya Pradesh, Jammu and Kashmir & Odisha (2018-2021)

    Based on the successes of the two earlier phase of NIPI, the Governments of India and Norway decided to extend the cooperation within health sector through the NIPI for a period of three more years starting from 2018. This cooperation between India and Norway is aligned with the development goals of Government of India as outlined in its National Health Policy 2018 for achievement of Sustainable Development Goals (SDGs).

    Testing innovative solutions in maternal and new-born care to bring about a drastic reduction in preventable deaths. This project supports the collaboration between the Government of Norway and India, to reduce child mortality in India. The programme supports interventions both at national and state levels (Bihar, Jammu & Kashmir, Odisha, Madhya Pradesh and Rajasthan). 

  • CAIRN Foundation || NAVKIRAN (2017-2021)

    In first of its kind initiative with Government of Rajasthan and CAIRN Foundation to support government in activating and strengthening the First Referral Units (FRUs) in the district of Barmer, to increase access to quality emergency and specialist services.  IPE Global will provide technical advisory support and program management of CSR interventions, including providing financial assistance to Department of Health in filling the manpower gap filling of specialists at FRUs (First referral Units) and Trauma center. A feasibility assessment of a demand side financing product and possibility of leveraging external financing for an OPD based insurance product are in the pipeline along with community mobilization initiatives to improve uptake of Govt. sponsored health Insurance scheme. Advisory support in strengthening MCH service delivery at Nandghar (state of art Aanganwaadi centers) would be undertaken under the project.

  • CIFF || RajPusht - Healthy Rajasthan (2017-2022)

    RajPusht is a highly ambitious programme in Rajasthan to reform the Integrated Child Development Scheme (ICDS) to make it functional and effective in addressing maternal and child malnutrition. IPE Global is working with the Government of Rajasthan to effectively deliver cash to Pregnant and Lactating Women with focus on two districts – Udaipur and Baran. This will be complemented with the development and implementation of a large scale behaviour change strategy on maternal and infant nutrition. As part of the programme, we will create a multi-stakeholder consensus at the national level to demonstrate effective approaches for improving child nutrition including the effectiveness of cash transfers in place of Take Home Ration (THR). 

  • CIFF || UDAAN - A 360 approach to prevent teenage pregnancy in Rajasthan, UK (2017 - 2020)

    Project Udaan seeks to prevent adolescent pregnancies in Rajasthan. It adopts a multi-sectoral approach, layering interventions that go beyond sexual reproductive health education to fundamentally change the way adolescent programming is delivered. The key strategies are:  keeping girls in secondary school; strengthening adolescent and health worker knowledge and decision-making around sexual and reproductive health (SRH); expanding the contraception method mix and choices of young women; and involving men and boys.  Approaches include human centered design and behaviour change communications, appropriate to the local context.  Project Udaan is being implemented with the Government of Rajasthan, and most importantly with the Departments of Medical, Health and Family Welfare, and Education. The programme is aiming for a wider pan-state reform that sees scale up from the rigorous evaluation of results in Udaipur and Dholpur to other relevant districts.

    IPE Global is providing technical assistance to the Government of Rajasthan for preventing adolescent pregnancy in Rajasthan by combining system level interventions with on-ground actions to change social practices around early marriage and pregnancy. UDAAN reaches out to the adolescent girls indirectly across Rajasthan with information and services on pre-matric scholarships. It is also expected to reach out to over 3 million married women of reproductive age with information on various methods of contraception and family planning services.

  • NITI Aayog || Development Support Services for States (DSSS) for Transforming Health Sector Projects (2017-2020)

    A flagship programme of NITI Aayog launched as SATH-Sustainable Action for Transforming Human Capital aims to transform healthcare delivery of services in select “model” states with potential to influence national goals for public health. IPE Global is the implementation partner of the consortium led by McKinsey & Company to provide consulting and implementation support to select states in identifying priority gaps in implementation, resource management or policy to achieve results in key health indicators within 2 -3 years. 

  • NITI Aayog / Government of India || Review and Analysis of Key Performance Indicators (KPIs) in Healthcare, Education and Water Sector, India (2017-2018)

    IPE Global is supporting NITI Aayog in carrying out independent review and analysis of the states’ performance against Key Performance Indicators (KPIs) identified by the Government of India in Healthcare, Education and Water sectors. As part of review, the performance of each state will be analysed against the KPIs and the states will be ranked based on a predefined methodology. The analysis will provide insights into each State/UT’s strengths, and weaknesses. The results will be used to propel action in the states to improve respective outcomes besides improving data collection and performance monitoring mechanisms. In the health sector, all the states and UTs’ are being reviewed based on a composite index derived from a set of indicators grouped into relevant domains and sub-domains. These indicators are categorised under health outcomes, governance & information and key inputs/processes for which data are available with the states/ union territories (UTs).

  • WHO || Manpower to support the India Hypertension Management Initiative (IHMI) India (2018-2020)

    The India Hypertension Management Initiative (IHMI) is a collaborative project of Indian Council of Medical Research (ICMR), Ministry of Health and Family Welfare (MoHFW), State Governments, World Health Organization (WHO), and Resolve to Save Lives initiative of Vital Strategies. The primary goal of this project is to reduce morbidity and mortality due to cardiovascular disease (CVDs), the leading cause of death in India, by improving the control of high blood pressure, which is a leading risk factor for CVDs among adults in India.

    Under this project IPE Global will provide day to day administrative and logistics support to IHMI. The proposed engagement is to support WHO to carry out recruitment, pay-rolling, management and administration of (i) 25 Cardiovascular Health Officers (CVHOs) and Cardiovascular Senior Treatment Supervisor (CVH-STS) in the first year of the engagement (ii) Eventually scaling up the team to 25 CVHOs and 110 CVH STS by year two of the engagement.

  • BMGF/FHI 360 || Alive & Thrive - Implementation Research on Integrating Maternal Nutrition Interventions in Existing MNCH Services in two Districts of Uttar Pradesh, India (2018-2020)

    A global initiative, the project aims to save lives, prevent illness, and ensure healthy growth by promoting optimal maternal, infant, and young child nutrition. IPE Global is working with government systems to implement multi-pronged strategies to strengthen service delivery, focusing on capacity building of frontline workers and their supervisors, generating demand for maternal nutrition services through community engagement and interpersonal counselling (IPC) leading to behaviour change not only for the pregnant women but also for their immediate family members.

  • Vital Strategies || Project Management Support to Vital Strategies in Support for a Hypertension Prevention and Control Project in Collaboration with the Ethiopian Federal Ministry of Health, Ethiopia (2019-2020)

    The Ethiopia Federal Ministry of Health (FMOH) in collaboration with World Health Organization and Resolve to Save Lives, an initiative of Vital Strategies is conducting a Hypertension Prevention and Control Project in five regions and two city administrations. The project includes hypertension prevention through screening, treatment, care and health education at point of care, on service uptake and treatment adherence, as well as salt reduction campaigns at community and schools.

    IPE Global is providing project management support to Vital Strategies in Ethiopia, and is responsible for positioning one national coordinator and six regional coordinators to work closely with FMOH on the initiative. This includes payroll management for staff of the Vital strategies project in compliance with Ethiopian law; issuing employee contracts to project staff using attached contract template; ensuring timely payment of project staff and timely payment of Ethiopian taxes and other required contributions to Ethiopian authorities; Providing adequate travel safety and security for the project staff, including pre-trip briefings and emergency medical and security assistance, while they are on business travel for the project.   


  • Pathfinder || Facility Assessment of Family Planning Focusing Adolescent and Youth-Friendly Services (AYFS), PPFP, PACFP, Post MR-FP and Gender Responsiveness, Bangladesh (2019)

    The objective of the project was to serve individuals and communities most in need of quality family planning services and information across the 32 districts in the 4 divisions of Dhaka, Mymensingh, Syhlet and Chittagong where use of family planning methods is relatively lower.

    IPE Global was commissioned by Pathfinder International to conduct the assessment which revealed that there was a lack of training on gender and adolescent and youth friendly health services (AYFHS) in the two years preceding the survey. The assessment covered three main components:  adolescent reproductive health services; integration of family planning into post-partum, post-abortion care, and post-MR services; and gender responsiveness. In addition, some general conditions of the facilities were also assessed by the team.

  • The World Bank|| Capacity Building of State, District and Block Convergence Committees Formed under POSHAN Abhiyaan on Multi-sectoral Planning and Monitoring of Nutrition Actions, Bihar, India (2018-2019)

    The objective of the project was to develop a costed Block Convergent Action Plan for all blocks and District Convergent Action Plans for districts of Gaya and Sitamarhi in Bihar. It supported the convergence committees as mandated by National Nutrition Mission (NNM) at various levels, including block, district and state levels, in defining multi-sector nutrition convergence actions. 

    IPE Global assisted the convergence committees for implementation and monitoring the action plans. These committees facilitated emphasis on multi-sectoral unity with common efforts, goals and timeframes.

  • Lien Aid Singapore || Contextual Analysis of the WASH sector in Ayeyarwady Region of Myanmar, Yangon (2018)

    IPE Global has been contracted by Lien Aid to conduct a study to uncover how the matrix of institutions and the physical environment in Myanmar influences and shapes the behaviours of different local actors, as well as the consequences of those behaviours in respect to key factors contributing to or impeding progress towards universal, sustainable, and safe WASH access across last-mile communities in the Ayeyarwady Region. The study is intended to provide operationally relevant findings that will inform the design and development of pilot projects and programmes in the Ayeyarwady Region, that are aligned to Lien Aid’s new organisational strategy.

  • DFID|| Implementation of Active Case Detection (ACD) Strategy for Visceral Leishmaniasis (VL) and Post Kala-Azar Dermal Leishmaniasis (PKDL) under the KalaCore Tackling Visceral Leishmaniasis Programme, India (2016-2019)

    DFID supported Government of India to make progress towards eliminating Visceral Leishmaniasis (VL) and Post Kala-Azar Dermal Leishmaniasis (PKDL) as a public health problem. This project supported Government of India’s National Vector Borne Disease Control Programme (NVBDCP) initiatives.

    IPE Global supported enhanced disease surveillance and building capacity for early detection of disease outbreaks and minimising their spread and impact. Major activities of the project were identification and geo-tagging of high incidence villages; training of ASHA workers, community mobilisers and volunteers on identification of VL and PKDL cases. This was followed by mobilization of suspected cases to the diagnostic camps and refer for Ambisome treatment to nearest public health facility, if found positive. The team also supported the health departments in Bihar and Jharkhand to roll-out for effective Kala-Azar treatment in district hospitals and PHCs across endemic districts.

  • DFID || Ethiopia Safe Space Programme (ESSP) (2016-2017)

    Ethiopia Safe Space Programme (ESSP) contributed to improved personal, social, health, safety, education and financial outcomes for 2,000 adolescent girls in Amhara and Oromia regions of Ethiopia – building girls’ confidence, skills and knowledge as they progress through adolescence. ESSP was a pilot programme designed to test an approach for national scale-up. ESSP contributes to achievement of SDG-5 ‘Achieve gender equality and empower all women and girls.’ 

    IPE Global completed design of the programme, with Federal Government of Ethiopia (GoE), (MoH, MoE, MoWCA) and other stakeholders, and developed an implementation plan for a nationwide Safe Spaces programme. In addition, the team implemented Phase 1 of the programme in Amhara and Oromia regions and help build capacity of stakeholders to implement and manage Phase 2 of the programme.

  • DFID || Design and Implementation of Sector Wide Approach to Strengthen Health (SWASTH), Technical Assistance Support Team (TAST) (Bihar, India), (Phase I: 2009-2010); (Phase II: 2010-2014); (Phase III: 2014-2016)

    The objective of SWASTH was to design and implement cutting-edge reforms for the health and nutrition sector in Bihar to bring about lasting changes in the health and nutritional status of people, particularly the poorest and socio-economically marginalised.

    IPE Global designed and implemented Integrated Performance Management System for effective service delivery, management and monitoring of Integrated Child Development Services (ICDS) including the performance of various frontline workers, lady supervisors and Child Development Project Officers (CDPOs). The team adopted a leaf out of the previous projects, developed and expanded on the concept of participatory learning and action approach to create a platform called Gram Varta which is essentially about building human capacity. It was a participatory learning and action approach to mobilise women through Self Help Groups to improve family health, nutrition, water sanitation and hygiene (HNWASH).  


  • UNICEF|| Conduct Child Protection System Mapping and Assessment, Bangladesh (2018-2019)

    The primary objective of this assignment was to undertake a thorough mapping of existing child protection policies, laws, services and procedures and capacities in place and to identify obstacles and opportunities in enforcing these laws and policies, especially in reaching vulnerable and excluded groups in Bangladesh.

    IPE Global assisted UNICEF in providing update on the key components of the protection systems in Bangladesh. The team helped identify  and analyse major strengths, weaknesses, gaps and opportunities in the current system; Develop an analysis of information on quality of services, coordination, measures and monitoring systems; Assess the government agency’s perception, capacity and ownership to enforce the children’s act which if properly resourced would contribute to strengthening of the child protection system; Provide recommendations for further UNICEF programmatic support government for system strengthening.

  • UNICEF || Skill based Assessment of Service Providers who received Nutrition Specific Competency based Training in 26 Districts of Bangladesh (2016-2018)

    Government of Bangladesh-UNICEF Joint Work Plan for Maternal and Child Nutrition, UNICEF committed to strengthening human resource capacity in nutrition at district level and below with a specific focus on the competencies required to deliver quality nutrition services. In line with the same, approx. 30,000 frontline service providers were trained on delivering nutrition interventions in 26 districts of Bangladesh to address critical skill gaps among health service providers.

    IPE Global conducted third party evaluation of these trainings, to identify gaps and challenges in the adoption of skills amongst the cadre of health and family planning service providers. The evaluation of these trainings to identify gaps and challenges in the adoption of skills amongst the care of health and family planning service providers helped the government and UNICEF to introduce performance based incentive programmes for training institutions and get insights into gaps and improvement areas.


  • UNICEF || Baseline Assessment of EU-SHARE Project in Amhara, Oromia and SNNPR, Ethiopia (2016-2017)

    The EU SHARE programme aims at addressing malnutrition in the Horn of Africa, and Ethiopia being one of the beneficiary country, is implementing it in 17 woredas (districts) across three regional states of Amhara, Oromia and SNNPR in Ethiopia. IPE Global has designed and is carrying out baseline assessment of the current situation of malnutrition in under-five children, adolescents and pregnant and lactating women, who would be reached out as beneficiaries of the SHARE programme, based on results provided by the assessment. A study which shall use a mixed methods approach and also utilise anthropometric assessments, which is a first for IPE Global in Ethiopia. 

  • UNICEF || Engagement of Expert Social and Behavior Change Communication (SBCC) group for the Reduction of Open Defecation to Support SBCC Interventions in 5 Districts across 5 States under the District Wide Approach, India (2016-2017)

    To accelerate the progress of Swachh Bharat Mission – Gramin (SBM-G), Government of India engaged with UNICEF to plan, implement and monitor SBCC interventions. IPE Global provided technical assistance to district administration in five districts across five states of India (Assam, Andhra Pradesh, Bihar, Gujarat and Rajasthan) to mainstream development of SBCC Plan under Open Defecation Elimination Plan (ODEP) for sustained toilet use and improved sanitation practices in all households. Services included hands-on support to block and district level managers to understand the needs and gaps in the area, mapping of key stakeholders and partners to become change agents and identification of a complete package of communication activities. In addition, conducted exhaustive analysis of media consumption patterns in the community, and existing behaviours to aid in development of customised SBCC plan for each selected district.

  • UNICEF || Support to National and County Level Nutrition Resource Allocations, Budget Analysis and Expenditure Tracking, Kenya (2016)

    IPE Global provided institutional support nutrition resource allocations, budget analysis and expenditure tracking at national and county level in Kenya. The key tasks included documentation of national level financial tracking, analysis and validation of financial resource allocations and expenditure for nutrition from the FY 2002-03 to 2015-16. The county level financial tracking and analysis for nutrition from 2002-03 to 2015-16 was also done along with the documentation of process comparing allocations to the actual expenditure for the same period. As part of the project, developed a financial tracking tool to track weighted nutrition allocation and expenditure along with a user manual for application at the national and county level. Also, conducted Training of Trainers (TOTs) at national and county level on the tracking tool. 

  • UNICEF || Develop a Situation Analysis Report on Children with Disabilities in Myanmar (2014-2015)

    IPE Global conducted a Situation Analysis (SitAn) to analyse and gather evidence on the extent to which the rights of children with disabilities in Myanmar are being fulfilled, in accordance with the CRC (Convention on Rights of Children) and the Convention on the Rights of Persons with Disabilities (CRPD). Recommendations from SitAN directly contributed to framing and refining of national policies designed to enhance the realisation of rights for children with disabilities. As part of the SitAn, IPE Global also produced the estimates for prevalence of disabilities in child in select locations in the country for the first time.

  • KfW || Accreditation and Quality Assurance Services for the Output Based Approach (OBA) in Kenya (2014-2016)

    A flagship Vision 2030 project of the Kenyan Government, the programme aimed to reduce maternal and infant mortality through improved delivery of reproductive health services. IPE Global designed a web enabled system for real time digital data collection, analysis & management and trained health workers in Kiambu, Kitui, Kisumu, Kilifi and informal settlements of Korogocho and Viwandani in Nairobi County. The services included: Assessing, identifying and issuing scores for improvements of health facilities based on minimum ISO/WHO standards of operations; Conducting 6 monthly assessments for a total of 442 health facilities across 2 years; Implementing capacity building and certification of health workers providing services to patients for Clinical Family Planning, Laboratory, Pharmacy, Maternal Wards, Psychosocial Support and during Community Sensitisation Sessions aimed at enhancing knowledge on acceptance of Family Planning (FP).

To view complete project list, click here.