Two independent studies^[1] on the impact of the I2C program in Ilam district in 2018 showed the following results:

• 62% reduction in birth defects in Inspire2Care communities
• 61% increase of birth deliveries in a clinic
• 70% of children with a disability indicated a good or significant improvement of their lives
• Access to government services via ID cards increased from 24% to 89%
• Visibility, recognition and acceptance and care for people with disability increased
• 80% of all villages continue the Inspire2Care program after the exit of Karuna at their own costs

NB These developments can’t be solely attributed to the Inspire2Care program as the Government also improved their care programs in the past years. the past decade

UBS Optimus Foundation, who supported part of the scaling in Ilam, funded an evaluation study by an independent research institute. The cost per DALY (Disability Adjusted Life Year) appeared to be €262, which shows according to WHO standards an effective and efficient CBR program.

Other organisations were inspired by the approach after visiting the pilot area in Ilam and replicated elements in their own care models. Examples are: Assist India, PachaMama in Peru, The Dutch Lepra foundation in Nepal, and ADED in Congo. Also, recognition for the good work was shown in prices from the Zero Project and the Ashoka foundation for one of the most innovative and scalable models for inclusive development. Due to this proven impact and the enthusiastic mayors, the government of Province 1 decided to adopt the program in their mainstream healthcare policy and programs