Our Impact

We are committed to tracking our progress and monitoring each project to ensure we deliver best-practice service. This allows us to identify issues and trends in projects, inform national or global knowledge, advocate for programmes or approaches, contribute to research and demonstrate our impact to our community of supporters.

We collect and measure output, outcome and impact data so that everyone – from hospital administrators to programme managers – can make informed decisions that improve health and education outcomes.

We care about aligning our impact with achieving the Sustainable Development Goals. 

Results at a glance

As of december 31, 2020
Adara impact - children at school

70,000+

people reached each year, plus countless others through knowledge sharing.

Adara impact - woman in hospital

99.9%

survival for women admitted to the Kiwoko Hospital maternity ward.

Adara impact - children in remote Nepal

43%

increase in students enrolled in our target villages in Humla since 2011.

What we care about

Maternal, Newborn & Child Health
Ending preventable newborn deaths

Reduce the neonatal mortality rate.

89% of all infants requiring care in Kiwoko Hospital’s neonatal unit survived in 2019, up from 77% in 2005.

Ending preventable stillbirths

Reduce the stillbirth rate.

There was a 31% decrease in the total number of stillbirths at Kiwoko Hospital between 2019 and 2020.

Ensuring small and sick newborns thrive

Increase the proportion of newborns with access to timely and quality follow-up and early intervention services.

94% of babies discharged from the Kiwoko Hospital neonatal unit received at least one at home follow-up visit in 2020.

Ending preventable maternal deaths

Reduce the maternal mortality rate.

Maternal survival in the Kiwoko Hospital maternity unit was 99.9% in 2020.

Improving quality of antenatal care

Increase the proportion of women receiving eight minimum high-quality antenatal visits.

Since 2010, antenatal appointments have increased by an average annual rate of 13% at Kiwoko Hospital.

Ensuring skilled assistance at birth

Increase the proportion of women receiving quality, timely and respectful intrapartum care from a skilled provider.

The number of women delivering in the Kiwoko Hospital maternity unit increased by 52% between 2010-2020.

Supporting women to breastfeed

Increase rates of early breastfeeding in the first hour after birth, and exclusive breastfeeding at six months.

83% of women who delivered at Kiwoko Hospital initiated breastfeeding in the first hour after birth in 2020, compared with 78% in 2018.

Reducing the burden of vaccine-preventable diseases

Increase childhood vaccination rates.

Since 2010, the number of children immunised has increased by an average annual rate of 2% at Kiwoko Hospital.

Protecting adolescents from parenthood

Increase the proportion of adolescents accessing sexual and reproductive health education and services, and reduce the adolescent birth rate.

The adolescent birth rate at Kiwoko Hospital decreased from 18% in 2017, to 12% in 2020.

Amplifying what works

Increase Adara’s knowledge-sharing capacity to allow others to take our tested and effective solutions to scale.

Adara is sharing our best ideas, like Hospital to Home and Adara Newborn, with others.

remote community development
No child out of school

Increase the proportion of children enrolled, attending and retained in education, and eliminate gender disparities in education.

Student enrolments in Ghyangfedi have increased by 3,570% between 2016 and 2020.

Improving educational outcomes

Improve quality of education to increase the proportion of children and young adults who achieve literacy and numeracy.

100% of students in Adara-supported schools in Nepal passed their Secondary Education Examination in 2020.

Investing in youth

Increase the number of youth and adults who have relevant skills, including technical and vocational skills, for employment, decent jobs and entrepreneurship.

315 youth have been supported to access higher education, including technical and vocational training, since 2005

Protecting child rights

End child trafficking, child marriage and child labour through improving quality of education and other services in remote communities.

There were zero recorded incidents of trafficking from Adara-supported villages in Humla in 2020.

Improving equitable access to food

Reduce the prevalence of food insecurity for remote communities through agriculture interventions.

There has been an 861% increase in the number of households in Adara-supported villages in Humla with a greenhouse between 2010 to 2020.

Improving equitable access to health services

Improve access to quality health services in remote communities.

There has been a 173% increase in admissions to Adara-supported health posts in Humla between 2013 and 2020.

Helping every child to thrive

Reduce the prevalence of stunting, underweight and wasting in remote communities.

There were zero neonatal deaths in Adara-supported health posts in Humla in 2020.

Improving access to water and sanitation

Ensure every household has access to water and sanitation in remote communities.

There has been a 369% increase in water and sanitation coverage in Adara’s target villages in Humla between 2010 and 2020.

Amplifying what works

Increase Adara’s knowledge sharing capacity to allow others to take our tested and effective solutions to scale.

Adara is sharing our best ideas with others, including working to reduce child trafficking on a national scale through training and awareness raising.

Our Monitoring & Evaluation Approach

By integrating monitoring and evaluation into programme design, we can maintain continual ‘feedback loops’. This provides us with regular insights on progress, while alerting us to any emerging issues to keep our programmes on track.

We are committed to sharing our successes and our mistakes with others as part of our knowledge sharing stream of work.

Adara impact, monitoring and evaluation feedback loop

Join us

…to bring quality health and education services to people living in some of the world’s remotest places.

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Child in Nepal