Global Achievements of the Census-Based, Impact-Oriented Approach & Care Groups (CBIO+)

Evidence of transformative health outcomes across Bolivia, Guatemala, Liberia, and Kenya.

Health center staff gathered beside the Centro de Salud "Villa Cochabamba" sign listing its services, Bolivia

Achievements in Bolivia

Child mortality in peri-urban Montero was reduced to levels lower than in the United States, with further gains documented on the Altiplano.

A health worker counsels a mother using a flipchart while families gather outside a home in rural Guatemala

Breakthroughs in Rural Guatemala

The CBIO model achieved results where previous agency efforts had failed:

22% reduction in under-5 mortality
59% reduction in maternal mortality
Significant improvements in childhood nutrition across the rural highlands

Community health work in rural Liberia

Impact in Rural Liberia

Rapid scale-up of evidence-based interventions led to an estimated 63% reduction in under-5 mortality.

A community health worker records a household visit on a tablet while a mother looks on, rural Kenya

Impact in Rural Kenya

Achieved some of the highest reductions documented globally:

80% reduction in under-five mortality
66% reduction of maternal mortality
78% reduction in neonatal mortality

Current CBIO Implementing Partners

Globe infographic showing documented reductions in under-5 mortality at CBIO program sites: Haiti 70%, Guatemala 22%, Altiplano Bolivia 52%, Montero Bolivia 94%, Liberia 63%, Kenya 80%, Mozambique 42%

For details on these figures, please see this document.