Hysterectomy, removal of the uterus, is a commonly performed surgery for gynaecological morbidities. Emerging evidence indicates that hysterectomy performed before age 45 (early hysterectomy), is associated with considerable risks to women's health. While most evidence on hysterectomy is from high-income settings, national surveys from India report high prevalence of early hysterectomy in specific regions, as well as higher prevalence amongst women in rural areas and with less education. The median age at hysterectomy in India is close to ten years before the onset of natural menopause. India has recently introduced national guidelines to address early hysterectomy, but large evidence gaps on the causes and consequences remain - which in turn limits the potential effectiveness of interventions at the clinical, health system and community level. Methods: SAHELI is a Team Science study that will examine: (i) individual, social and health system determinants of early hysterectomy; (ii) women's treatment pathways to hysterectomy and for gynaecological morbidity in general; and (iii) the consequences of undergoing hysterectomy on women's physical, mental, economic and social well-being across the life course. This mixed-methods study includes population surveys amongst women in ages 25-49 in three high-prevalence states; qualitative health systems research to trace treatment journeys with women, health care providers and other stakeholders; evidence syntheses; and knowledge translation activities to ensure findings inform co-produced strategies and interventions. The study is grounded in a feminist epidemiology approach, aiming to examine individual and structural causes of vulnerability and prioritising the views of women, particularly in knowledge translation. Conclusions: SAHELI, implemented by an all-women, multi-disciplinary team, is the first study in India to examine the causes and consequences of hysterectomy in a life course approach. We aim to influence interventions, policy and future research on women's health, particularly access to quality gynaecological care and comprehensive health services through the life course.

This bibliometric study examines the scholarly landscape of migration and women's health, analyzing 1314 Scopus-indexed articles from 462 journals published between 2000 and 2023. Findings indicate a consistent increase in research output, reflecting growing global interest in this interdisciplinary field. Geographically, high-income countries (HICs), including the United States, Canada, the United Kingdom, and Australia, dominate contributions, while low- and middle-income countries (LMICs) remain underrepresented despite hosting significant migrant populations. International collaborations play a crucial role, with key institutions such as the University of California and the London School of Hygiene and Tropical Medicine shaping research efforts. The keyword co-occurrence analysis highlights migration, gender dynamics, mental health, and reproductive health as dominant themes. Persistent gaps in mental and reproductive healthcare access for migrant women emphasize the need for trauma-informed care (TIC), mobile bilingual healthcare services, and inclusive health policies. Disparities in research funding further exacerbate global health inequities, underscoring the necessity of equitable redistribution of resources, including redirecting at least 10 % of HIC research grants to LMIC-led studies. The COVID-19 pandemic magnified pre-existing vulnerabilities, stressing the importance of multilateral collaborations and sustainable policy interventions to enhance migrant healthcare access. This study provides valuable insights into research trends, collaboration networks, and thematic focus areas, offering a foundation for future interdisciplinary research and evidence-based policymaking aimed at promoting health equity for migrant women globally.

Overview Comprehensive community-based approaches to treat wasting do not yet exist at scale in India. Under POSHAN Abhiyaan, the Indian government has demonstrated its commitment to the large-scale implementation of treatment services for severely wasted children. With SAM prevalence ranging from 2.2% to 11.9%, which are unusually high rates when compared with other countries, implementing the CMAM model is essential to meet the need and is feasible given India’s highly developed health and nutrition infrastructures at the community-level into which services can be integrated. CMAM guidelines have been in development since 2017, although they are not yet published. Meanwhile, states are moving ahead with the CMAM agenda. The complex policy environment and the limited evidence base for CMAM in India has led to the development of multiple treatment protocols which vary as to their adherence to the global protocols. Therefore, a better understanding of these revised models, which have a limited evidence base for effectiveness, is essential. UNICEF seeks to hire an agency to undertake a comprehensive external evaluation of CMAM services provided through government systems in India. The specific objective will be to evaluate the relevance and appropriateness, effectiveness, coverage, efficiency and sustainability in two states (Gujarat and Madhya Pradesh), considering programme outcomes over the last one-year period. In addition, the evaluation will focus on assessing cross-cutting issues, such as coordination and management, equity (specifically gender and caste), and information and data management on programme performance. Gujarat and Madhya Pradesh have been chosen as they have adopted different treatment protocols, one which uses a therapeutic food that meets WHO standards and the second which uses a therapeutic food that does not meet WHO standards. Report Details Year Published 2024 Type Project/Programme Joint No Partner/s N/A Consultant name Paul Binns, Hugh Lort-Phillips, Federico Ercolano, Patrizia Pajak, Alexandra Rutishauser-Perera Agency Focal Point Atishay Mathur Focal Point Email amathur@unicef.org Managed by Independent Evaluation Office No Geographic Scope Country Country/ies India

Report Details Year Published 2024 Type Project/Programme Joint No Partner/s N/A SDG/s SDG12 - Responsible Consumption and ProductionSDG15 - Life on Land Geographic Scope Country Country/ies India

Report Details Year Published 2024 Type Project/Programme Joint No Partner/s N/A SDG/s SDG12 - Responsible Consumption and ProductionSDG15 - Life on Land Geographic Scope Country Country/ies India

The aim was to establish a specific and definite connection between non-syndromic orofacial cleft patients and associated congenital heart disease (CHD). Following PRISMA guidelines, selective databases were searched for data collection. Studies showing a definite association of CHD with orofacial cleft were included, and studies non-specific of the association of orofacial cleft with CHD were excluded. Data extraction criteria were study design, frequency of CHD in overall non-syndromic orofacial cleft and in specific cleft type, and most prevalent congenital cardiac anomaly. DerSimonian Laird random effects model was used to estimate the pooled proportion of CHD, along with corresponding 95% confidence intervals (CIs) for each measure. Publication bias was assessed using Fail-Safe N analysis and the Rosenthel approach. Of a total of 182 articles searched, only 30 studies were assessed. The overall pooled estimate of the proportion of CHD in total cleft lips/palates was 16% (95% CI: 13-19). The odds of developing CHD in cleft palates was 4.08 times more as compared to cleft lips with 95% CIs of 3.86-4.33, and 1.65 more as compared to cleft lips and palates both with 95% CI of 1.52-1.68. We affirm the upsurging prevalence of CHD in non-syndromic cleft children and vehemently propose that it is of utmost importance to inculcate it in practice and policy-making to screen all non-syndromic orofacial cleft children for congenital cardiac anomaly. This study was registered on PROSPERO (ID no. CRD42023391597) on February 24, 2023.

Report Details Year Published 2023 Type Project/Programme Joint No Partner/s N/A SDG/s SDG12 - Responsible Consumption and ProductionSDG15 - Life on Land Geographic Scope Country Country/ies India

Overview The implementation of Swabhimaan programme started in the year 2017 and is expected to be completed by the end of 2021. The programme has a built-in impact evaluation component, which measures its impact on the well-being of women and girls. This will be achieved through the ongoing endline survey that is being implemented. The endline survey alone, however, will not be able to establish the reasons for the impact findings, specifically the achievement or non-achievement of outcomes or any unintended/unexpected changes in outcome. It will not be able to assess whether the programme was implemented as planned, if all intended beneficiaries were reached, how activities translated to outputs and outcomes and what challenges were encountered. This is important not just to understand the results of the programme, but also to inform decisions around scale-up of the programme. For these reasons, a more comprehensive ‘programme’ evaluation needs to be undertaken, that encompasses the endline survey as one component. These Terms of Reference (ToR) are for hiring an experienced individual consultant evaluator to undertake the programme evaluation of the Swabhimaan programme in the states of Bihar, Chhattisgarh and Odisha. The programme evaluation will use two approaches: a) use existing evidence collected through programme monitoring reports, the biannual tele-monitoring monitoring and impact evaluation components of the programme (baseline, midline and endline), as well as the findings from the value for money analysis and the fidelity assessment; b) collect additional qualitative data, to plug any evidence/information gaps. The consultant will be responsible for conducting his/her own analysis of the qualitative data and programme reports, and where appropriate, analysing and/or spot checking the accuracy of the quantitative analyses conducted by IIPS. It is essential that the evaluation augments or adds to the existing data and Report Details Year Published 2023 Type Project/Programme Joint No Partner/s N/A Agency Focal Point Atishay Mathur Focal Point Email amathur@unicef.org Managed by Independent Evaluation Office No Geographic Scope Country Country/ies India

Report Details Year Published 2023 Type Project/Programme Joint No Partner/s N/A SDG/s SDG13 - Climate Action Geographic Scope Country Country/ies India

Report Details Year Published 2023 Type Project/Programme Joint No Partner/s N/A SDG/s SDG13 - Climate Action Geographic Scope Country Country/ies India

Overview With the GAVI programme gradually drawing to a close, this UNICEF SBCC evaluation is intended to provide critical programmatic insights into what has worked, what has not worked and key learnings from the sample states included in the evaluation. Similarly, the findings of the evaluation are expected to support strengthening of SBCC cell functioning, and ongoing program initiatives aimed directly at maximizing utilization of public services. Based on the findings of the evaluation, UNICEF aims to advise the MoHFW and other public administrative bodies on the effectiveness and sustainability of institutionalizing SBCC Cells. Report Details Year Published 2023 Type Project/Programme Joint No Partner/s N/A Agency Focal Point Atishay Mathur Focal Point Email amathur@unicef.org Managed by Independent Evaluation Office No Geographic Scope Country Country/ies India

Overview Career guidance portals, launched under UNICEF’s career guidance programme in partnership with state governments and technical partner (Aasman Foundation) in 2019, is a comprehensive initiative aimed at bridging the knowledge gap among adolescents (students in classes 9-12) in India and enable them to make informed decisions about their future. The programme was initially launched in three states in 2019 and is currently being implemented in 17 states1 across the country. The career guidance portal intends to notify the students about the available career pathways, institutions catering to their interests, entrance exams and scholarships, providing students with educational opportunities and career possibilities. The overarching purpose of the evaluation was to generate learnings on implementation modalities – what worked and how; as well as what gaps emerged, if any – in the interventions rolled out since 2019 with support of UNICEF. The evaluation findings and recommendations will help inform UNICEF’s education programme and help develop an effective career guidance programme and strategies for the new country programme (2023-2027). Report Details Year Published 2023 Type Project/Programme Joint No Partner/s N/A Agency Focal Point Pramila Manoharan Focal Point Email pmanoharan@unicef.org Managed by Independent Evaluation Office No Geographic Scope Country Country/ies India

Report Details Year Published 2023 Type Strategic/ Thematic Joint No Partner/s N/A SDG/s SDG1 - No PovertySDG11 - Sustainable Cities and CommunitiesSDG17 - Partnerships for the Goals Geographic Scope Country Country/ies India

Report Details Year Published 2023 Type Project/Programme Joint No Partner/s N/A SDG/s SDG1 - No Poverty Geographic Scope Country Country/ies India

Report Details Year Published 2023 Type Project/Programme Joint No Partner/s N/A SDG/s SDG11 - Sustainable Cities and Communities Geographic Scope Country Country/ies India

Overview The India version of GenU has been named YuWaah! It signifies catalytic partnerships to unleash the potential of adolescents and young people. YuWaah! has been designed to allow co-creation of solutions that are relevant and scalable to ensure that young people in India have opportunity and choices for learning; have avenues and spaces for functional and vocational training and can choose between employment and entrepreneurship which are accessible locally. There is a need to begin undertaking evaluation-related activities to ensure that the YuWaah! initiative is well-designed and the right mechanisms are set up to allow for a robust evaluation of outcomes and results in the future. Since activities are still in a nascent stage, now is an opportune moment to undertake a baseline assessment with partners and young people to understand the starting point of key activities and outcomes against which later progress will be measured. This will enable the answering of key evaluation questions in the future and help YuWaah! learn if it is on the best track possible to achieve its long-term goals. However, before establishing a baseline, there is also a need to examine the clarity of YuWaah!’s design and how it has been operationally translated into practice, to provide assurance to stakeholders that the initiative is robust, that objectives are adequately defined and that systems are in place to measure and verify results. Indeed, given the scale of YuWaah!, its complexity and also the amount of investment it requires, this is paramount to do while the initiative is still being set up. Therefore, there is a need for an evaluability assessment, which will assess ‘design’ elements of the initiative, both in terms of its approach, structure and activities, as well as the monitoring and evaluation mechanisms/plans in place. To this end, UNICEF seeks to contract an evaluation agency to undertake an (1) evaluability assessment and (2) baseline evaluation of YuWaah. Report Details Year Published 2022 Type Project/Programme Joint No Partner/s N/A Consultant name Shantanu Das, IPE Global Agency Focal Point Dhuwarakha Sriram Focal Point Email dsriram@unicef.org Managed by Independent Evaluation Office No Geographic Scope Country Country/ies India

Report Details Year Published 2022 Type Country Programme Joint No Partner/s N/A SDG/s SDG11 - Sustainable Cities and CommunitiesSDG12 - Responsible Consumption and ProductionSDG13 - Climate ActionSDG15 - Life on LandSDG16 - Peace, Justice and Strong InstitutionsSDG3 - Good Health and Well-BeingSDG4 - Quality EducationSDG5 - Gender EqualitySDG7 - Affordable and Clean EnergySDG9 - Industry, Innovation and Infrastructure Geographic Scope Country Country/ies India

Overview UNICEF India is commissioning a Real Time Evaluation (RTE) to assess and improve the relevance, coverage, effectiveness and efficiency of its COVID-19 crisis response, by providing immediate feedback and recommendations for improvement across the six pillars of response outlined above. The evaluation objectives are to: 1. Provide monthly feedback to the UNICEF India Crisis Management Team (CrMT) on the relevance, coverage, efficiency and effectiveness of its COVID-19 response. (Feedback will be provided on one pillar per month.) 2. Identify challenges and bottlenecks in service delivery and provide recommendations for improvement. 3. Involve partners, stakeholders and beneficiaries in shaping UNICEF’s crisis response to ensure it is more participatory and responsive to needs on the ground. 4. Act as a real time lessons learning exercise that adjusts and improves planning and performance, allowing for ongoing correction of the current crisis response, but also collects lessons for future health emergencies. 5. Identify and fill gaps in UNICEF India’s ongoing evidence gathering efforts. 6. Collect data for use in future evaluation/s of UNICEF’s response. The RTE needs to start early in UNICEF’s COVID-19 crisis response to ensure that real time evaluation findings are considered alongside monitoring and other data to contribute to evidence-informed decision-making throughout the response. Report Details Year Published 2022 Type Project/Programme Joint No Partner/s N/A Consultant name Shantanu Das Agency Focal Point Atishay Mathur Focal Point Email amathur@unicef.org Managed by Independent Evaluation Office No Geographic Scope Country Country/ies India

Overview General Assembly resolution A/RES/72/279 designated the United Nations Development Assistance Framework (UNDAF), now renamed the United Nations Sustainable Development Cooperation Framework (CF) as “the most important instrument for the planning and implementation of United Nations development activities in each country, in support of the implementation of the 2030 Agenda for Sustainable Development”. Evaluation of the UNSDCF is a mandatory independent system-wide country evaluation conducted in the penultimate year of each cycle to ensure accountability, enhance learning, and guide the development of the next CF cycle. Report Details Year Published 2022 Type System-wide (country/UNDAF/ CF) Theme/s Country programme Joint No Partner/s N/A SDG/s SDG1 - No PovertySDG2 - Zero HungerSDG3 - Good Health and Well-BeingSDG4 - Quality EducationSDG5 - Gender EqualitySDG6 - Clean Water and SanitationSDG7 - Affordable and Clean EnergySDG8 - Decent Work and Economic GrowthSDG9 - Industry, Innovation and InfrastructureSDG10 - Reduced InequalitiesSDG11 - Sustainable Cities and CommunitiesSDG12 - Responsible Consumption and ProductionSDG13 - Climate ActionSDG14 - Life Below WaterSDG15 - Life on LandSDG16 - Peace, Justice and Strong InstitutionsSDG17 - Partnerships for the Goals Consultant name Dr. A. K. Shiva Kumar, Dr. Malika Basu, Mr. Pankaj Shrivastav Agency Focal Point Simon Pierre Tegang Focal Point Email simonpierre.tegang@un.org Managed by Independent Evaluation Office No Geographic Scope Country Country/ies India

Overview TBC Report Details Year Published 2022 Type Project/Programme Joint No Partner/s N/A Consultant name Priyanka Roy Agency Focal Point Ranganai Matema Focal Point Email rmatema@unicef.org Managed by Independent Evaluation Office No Geographic Scope Country Country/ies India