Abbott has been active in India for more than 100 years, helping people live the best lives they can through good health. Today, we offer more than 500 healthcare products in the country, with a distribution network that includes more than 5,000 stockists and 500,000 pharmacies. Our medical devices, nutrition products, diagnostic solutions and pharmaceuticals meet the healthcare needs of people in both rural and urban areas through direct distribution to consumers and patients, as well as through hospitals, blood banks and laboratories.

Mumbai

1. Education and awareness (for e.g. Classroom education, women empowerment, early child development, child protection, mid-day meals, awareness campaigns for malaria, AIDS, tuberculosis etc.);i. Poverty alleviation (for e.g. Employment programmes, Livelihood missions)

Maharashtra

Ahmednagar

"Social Need:
India is the world's largest producer of milk, and more than 70 million families in rural India depend on dairy farming as a source of income. Despite dairy farming being a well-established industry, many dairy farmers continue to be marginalized. They are often held back by middlemen taking a significant portion of any earnings, by a lack of the technology and methods to produce higher quality milk for a better price, and by a limited knowledge of the organized dairy sector in which companies like Abbott participate. A further problem is that women are often excluded from decision making, despite playing a significant role in dairying work.

Measurement and evaluation:
Our goal was to create a sustainable innovative approach for working with small family farms to modernize the dairy industry in rural communities. Working with Prabhat, a local dairy supplier, and TechnoServe, a non-profit organization, we developed a demonstration model that strengthens local dairy supply chain and empowers smallholder farmers to produce increased volumes of higher-quality milk. Immediate outcomes measured were dairy quality related to contamination (aflatoxin, antibiotics) and adulteration (visible change), and dairy quantity i.e. volume procured from each farmer. As a sustained result in long term, this should help in women's empowerment by allowing them actively to participate in decision making for dairying and in households."

CSR

NA

"Working with Prabhat Dairy and TechnoServe, we developed a quality-focused demonstration model that strengthens Abbott�A local dairy supply chain and empowers smallholder farmers to produce increased volumes of higher-quality milk. To advance this ongoing initiative, each partner applies its unique and complementary expertise and resources. Abbott contributes by sharing its modern dairy, engineering, nutrition and business expertise, and investment.
More than 1,500 small dairy farmers have received training, support and infrastructure to help them increase milk production and incomes.
Implemented customized training programs on financial and business skills as well as farming techniques.
Supported targeted training for women to advance their role in their communities.
Sharing our expertise and resources to create new infrastructure and systems for dairy in Maharashtra, including 10 milk chilling centres.
We established transparent pricing mechanisms for the farmers��� milk that clearly demonstrate the link between quality and price.

Results achieved:
More than 1500 farmers participated in the program
10 bulk milk chillers installed and operational
In the first year, farmers were able to double the amount of milk production compared to nonparticipating farmers, and the quality of milk was higher."

1500+ small-holder dairy farmers; 50% of these were women farmers.

Yes

Private

Prabhat Dairy, TechnoServe

Yes

Base line study looked at parameters related to dairy quality like contamination (aflatoxin, antibiotics) and adulteration (visible change), and dairy quantity i.e. volume procured from each farmer.

"Below are a few highlights from our midline evaluation:
More than 1500 farmers actively engaged through our program
10 bulk milk chillers installed and operational
In the first year, farmers were able to double the amount of milk production compared to nonparticipating farmers, and the quality of milk was higher."

Yes

Basis the phenomenal success of our demonstration model, we have been enabling the expansion efforts along with our program partners.

"More than 1,500 small dairy farmers have received training, support and infrastructure to help them increase milk production and incomes.
Implemented customized training programs on financial and business skills as well as farming techniques.
We established transparent pricing mechanisms for the farmers��� milk that clearly demonstrate the link between quality and price.
10 bulk milk chillers installed and operational
In the first year, farmers were able to double the amount of milk production compared to nonparticipating farmers, and the quality of milk was higher."

Based on this success, Prabhat is committed to expanding this model to other villages in the region. This will give more smallholder farmers access to a trusted and transparent market and the skills and infrastructure that they need to supply it. Abbott is working closely with Prabhat to pursue this strategy to ensure a common approach while generating a positive impact in our communities.

NA

In 2014, Abbott opened a new state-of-the-art manufacturing facility for nutrition products in Jhagadia, Gujarat. However, we were having difficulty sourcing the high-quality milk we needed to meet our strict quality standards. Working with Prabhat, a local dairy supplier with longstanding milk collection experience, and TechnoServe, a nonprofit organization working to help farmers in the developing world build sustainable businesses, we developed a quality-focused demonstration model. This model strengthens Abbott���s local dairy supply chain and empowers smallholder farmers to produce increased volumes of higher-quality milk, which can help them build their small dairy-farming businesses and communities.

"More than 1,500 small dairy farmers received training, support and infrastructure to help them increase milk production and incomes. We implemented customized training programs on financial and business skills as well as farming techniques. We established transparent pricing mechanisms for the farmers��� milk that clearly demonstrate the link between quality and price. 10 bulk milk chillers have been installed and are operational. In the first year, farmers were able to double the amount of milk production compared to nonparticipating farmers, and the quality of milk was higher
Based on this success, Prabhat is committed to expanding this model to 200 additional villages in the region over three years. This will give more smallholder farmers access to a trusted and transparent market and the skills and infrastructure that they need to supply it. Abbott is working closely with Prabhat to pursue this strategy to ensure a common approach while generating a positive impact in our communities."

"This program has been a strong reinforcement of our belief in innovating new products to meet changing healthcare needs, investing in new business models that create shared value for our communities and developing new systems that can deliver healthcare to those who need it most."
- Amal Kelshikar, Managing Director & General Manager, Abbott Nutrition"

Abbott has been active in India for more than 100 years, helping people live the best lives they can through good health. Today, we offer more than 500 healthcare products in the country, with a distribution network that includes more than 5,000 stockists and 500,000 pharmacies. Our medical devices, nutrition products, diagnostic solutions and pharmaceuticals meet the healthcare needs of people in both rural and urban areas through direct distribution to consumers and patients, as well as through hospitals, blood banks and laboratories.

Mumbai

Water, sanitation and hygiene (for e.g. Provide access to high quality, safe drinking water, access to proper hygiene and sanitation, WASH, health and family planning services)

Gujarat

Talodara and Dadheda in Bharuch District of Gujarat

According to the 2011 census, nearly half of India���s people have no toilet at home. This situation has a significant negative impact on human health, and awareness of the need for improved sanitation has risen with initiatives such as Prime Minister Narendra Modi Clean India campaign. Abbott was determined to help by developing a holistic solution. We examined the challenges surrounding this issue and took a multidimensional approach: investing in sanitation infrastructure, ecosystem building and changing mindset and habits. The aim was to achieve open-defecation free status for the targeted villages through construction of household toilets and cultural changes. Abbott made a Rs 3.4 crore (USD $500,000) investment in sanitation in the Bharuch district of Gujarat, focusing on two villages ��� Dadheda and Talodra where nearly 70 percent of the households were without toilets. Measuring the impact of the project was a critical component to ensuring its success. Key performance indicators (KPIs) included the number of individuals using toilets, incidence of sanitation-related illnesses and school attendance.

CSR

NA

Abbott approach focused on infrastructure development, education and building awareness to drive long-term change. The key steps that we worked through over the 18-month long active engagement involved: needs assessment, demand generation, toilet construction, behavioural change programs, community feedback/ownership, monitoring through a sophisticated IT platform, and a formal impact assessment towards the end of our program.
We made a ��p3.4 crore (USD $500,000) investment in sanitation in the Bharuch district. This investment was guided by a detailed research and analysis process. We consulted with local government authorities to identify the villages to target with the scheme, and then conducted a preliminary situational analysis of both villages.
We then completed a detailed needs assessment study to identify the requirements of the community and individual households regarding sanitation and waste management.
We helped to build and maintain toilets in homes, schools and villages
We supported community education efforts to raise awareness of the connections between sanitation and health, and teach appropriate use and maintenance of the new facilities
To increase the effectiveness of our investment, we worked with the Federation of Indian Chambers of Commerce and Industry���s Social and Economic Development Federation (SEDF) todevelop targeted awareness and behavioural change programs. We targeted our awareness program at important and influential groups such as students and women.
At the same time, we trained village residents to take over the running of the awareness program and support the use of the facilities once they were in place."

All residents of Dadheda and Talodra villages

Yes

NGO/Development organisations

Sulabh International SEWA Mahila Housing Trust

Yes

We consulted with local government authorities to identify the villages to target with the scheme, and then conducted a preliminary situational analysis of both villages. We then completed a detailed needs assessment study to identify the requirements of the community and individual households regarding sanitation and waste management. The gaps found through this exercise were in the areas of access to toilets, water supply, cultural sensitivities, inconvenience for elderly, unsafe environment for women/children, among others.

Impact assessment findings (through an independent agency):
1. Open Defecation Free tatus for Talodara and Dadheda- The villages are in the process of getting their ODF certifications (the first stage has been approved, they arein the last stage of getting the certification)
2. Infrastructure Building, Usage, and Maintenance:
Toilets Constructed: 512 household toilets, 7 school and community toilets
100% households in the villages have access to toilets (up from 30%, during baseline)
100% respondents use the newly constructed toilets (up from 25%, during baseline)
72% respondents cleaned and maintained their toilets regularly
3. Awareness and Capacity Building
100% households participated in community awareness sessions
Helped do away with cultural stigmas associated with toilets at homes
4. Improved Health and Convenience
65% respondents reported improved health condition. Households having at least one diseased member fell from 40% to 7%
45% respondents reported improved privacy level
5. Benefits for Women
99% women reported increase in safety and privacy
6. Increased Productivity, Time-saving and, Attendance
7% respondents reported increase in income due to time-saving
0% students took leave because of health issues in the week preceding the survey

Yes

Basis the phenomenal success of our demonstration model, we have been enabling the expansion efforts along with our program partners.

Impact assessment findings (through an independent agency):
1. Open Defecation Free��� status for Talodara and Dadheda- The villages are in the process of getting their ODF certifications (the first stage has been approved, they are in the last stage of getting the certification)
2. Infrastructure Building, Usage, and Maintenance:
Toilets Constructed: 512 household toilets, 7 school and community toilets
100% households in the villages have access to toilets (up from 30%, during baseline)
100% respondents use the newly constructed toilets (up from 25%, during baseline)
72% respondents cleaned and maintained their toilets regularly
3. Awareness and Capacity Building
100% households participated in community awareness sessions
Helped do away with cultural stigmas associated with toilets at homes
4. Improved Health and Convenience
65% respondents reported improved health condition. Households having at least one diseased member fell from 40% to 7%
45% respondents reported improved privacy level
5. Benefits for Women
99% women reported increase in safety and privacy
6. Increased Productivity, Time-saving and, Attendance
7% respondents reported increase in income due to time-saving
0% students took leave because of health issues in the week preceding the survey

We are working at building a broader acceptance for community driven model that focuses on capacity building for total sanitation.

Increased Safety & Convenience for women
Everyone knows where you are going and I used to find it extremely shameful. I could not drink water the entire day for fear of having to go out in the fields to urinate. Improved productivity
We had to go to a spot 2-3 kms away every day just for this. We are old now. Now that we have a toilet, we are saving at least 3 hours daily.
Influencing progressive thinking
Because of Abbott, I got a toilet and I was motivated to fulfill my other need (for a pucca bathroom). I used my savings and bought some building material to construct the bathroom

As a commitment to enabling India���s resolve in the areas of sanitation, hygiene and education, Abbott India worked towards the goal not just by building toilets, but by changing mindsets and habits. Changing habits has been the most challenging part of the project as it involved complete change in mindset and enabling people to understand the importance of toilets. However, with consistent efforts of implementation team, we were successfully changed the picture of the village and made it ���open defecation free village.

The findings demonstrate the positive impact of the program: One hundred percent of households participated in community awareness sessions, and 100 percent of respondents said they use the newly constructed toilets. In addition, 99 percent of women reported an increase in safety and privacy. The increased number of toilets also resulted in improvements in other aspects of healthy living. Overall, 65 percent of people reported an improved health condition. Households having at least one diseased member fell from 40 percent to 7 percent. Productivity and time saved also increased: 7 percent of respondents reported increased income due to saving time, and in the week prior to taking the assessment survey, zero students took a leave of absence from school due to health issues. Talodara and Dadheda announced as ���open defecation free

QUOTES Amal Kelshikar, Managing Director & General Manager, Abbott Nutrition Abbott commitment to this project was built around capacity building through community-based-organizations, demand generation, addressing cultural sensitivities surrounding the idea of using toilets, and several benefits linked to overall health, safety, privacy and convenience. These areas were vital in bringing about a meaningful change that could not only be replicated across other geographies but could also develop a self-sustaining model in the process. Through an 18-month long intervention around several sensitivities associated with behaviors and habits, we have succeeded in making both Talodara and Dadheda 100% Open Defecation Free. The most encouraging aspect of the impact we have seen is the way communities have embraced the change and are experiencing the benefits that it has brought along especially in the areas of safety, privacy, convenience and overall health. These are factors that women, young girls and elderly value immensely and that brings Abbott the greatest satisfaction.