Here in CARE International’s Evaluation e-Library we make all of CARE’s external evaluation reports available for public access in accordance with our Accountability Policy.

With these accumulated project evaluations CARE International hopes to share our collective knowledge not only internally but with a wider audience.

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GENDER, PROTECTION AND SAFETY RISK ASSESSMENT REPORT NOVEMBER 2024 BORNO STATE JERE, MMC AND NGALA LGA

In September 2024, a flash flood that resulted from the failure of the Alau dam in Konduga Local Government
Area (LGA), rendered at least 400,000 individuals homeless in Borno state.[1] Maiduguri and Jere were among the
most affected LGAs with about 240,000 individuals affected across the two LGAs within the first 48 hours of the
flood.[2] Following this, Ngala LGA experienced an overflow of the river Yadzaram which coupled with the collapse
of the Alau dam in Konduga led to flooding in Ngala and Diwka.[3] The floods have had far reaching multi-sectoral
implications that threatened to roll back the gains achieved by humanitarian and development efforts in Borno
state, over the last decade, more so, it compounded already existing inequalities, obstructed supply chain
thereby limiting access to lifesaving assistance, worsened health, hygiene and sanitation gaps, and increased
vulnerabilities and negative coping strategies.[3]
In response to this emergency, CARE Nigeria received funding from the Dutch Relief Alliance (DRA), the Gates
Foundation and CARE’s Humanitarian Surge Fund (HSF) to implement emergency protection, food security and
nutrition intervention, WASH support and prevention and response to gender based violence, in Maiduguri, Jere
and Ngala LGAs. Funding from DRA was planned to support vulnerable communities in Maiduguri and Ngala while
the HSF and Gates Foundation funding was planned to reach flood affected communities in Jere LGA. These
responses were designed and are being guided by CARE Nigeria Emergency Preparedness Plan (EPP) reviewed in
2024.
As is the case with all our interventions, gender and protection remain central. We understand that in crisis
situations gender gaps widen and gender-based violence become pervasive. On this response, CARE has carefully
designed a gender and protection mainstreaming approach that utilizes evidence to ensure the adequate
integration of appropriate gender and protection activities that will reduce vulnerability, sustain our impact and
lead to more transformed communities who are better equipped to be resilient and self-sustaining. To do this,
CARE commissioned a gender, protection and safety risk assessment to inform on vulnerabilities, risks and gaps,
and with that, proffer tailored messages and activities that seek to address the issues identified Read More...

Baseline Study Report Adaptation in Ecologically Critical Areas in Bangladesh (AECAB)

The Ecologically Critical Areas (ECAs) of Bangladesh, especially the Sundarbans and Hakaluki Haor natural resources and biodiversity are crucial for the ECA dependent communities. However, these ecosystems are experiencing many challenges due to human activities, economic pressure, poor governance and adverse effects of climate change. These factors disproportionately affect marginalised groups, including women, persons with disabilities, and ethnic communities in the two ECAs. In response to these challenges, the NABAPALLAB project, supported by the UK Government, aims to improve ecosystem-based protection and restoration and increase climate resilience of ECA dependent communities in the Sundarbans and Hakaluki Haor ECAs. During the inception period, the project has conducted three studies simultaneously: i) An Ecological Assessment and Detailed Scoping Study, ii) Political Economy Analysis, and iii) Baseline Study.
The baseline study serves to establish pre-project conditions, providing essential data for monitoring, evaluation, and learning. It aims to capture baseline data for outcome indicators, disaggregated by sex, disability, and geography, and validate assumptions mentioned in the project's Theory of Change (ToC).
The study scope encompasses:

Socio-economic conditions

Climate change perceptions

Awareness of ecosystem-based adaptation (EbA)

Locally led adaptation (LLA)

Nature-based solutions (NbS)

The current status of project intervention areas.
Methodology
The study has applied a mixed approach, integrating quantitative and qualitative approaches by incorporating household surveys (2622 household), Focused Group Discussions (FGDs) (2506 participants) and Key Informant Interviews (KIIs) (137 respondents). A multi-stage cluster sampling approach was applied to select the sampled households, while diverse community members and stakeholders were engaged through FGD and KII that provided comprehensive insights into local contexts, baseline situation and the needs of the communities in the six intervention areas of the project.
Key findings
1. There are high levels of poverty, landlessness, and climate vulnerability among target communities in both ECAs.
• Food is by far the highest expenditure for households - demonstrating a high proportion of expenditure is simply meeting basic needs.
•It is also the case that a relatively high proportion of expenditure is used on the servicing of debt, again demonstrating the impacts for poor households on having to use debt as a coping mechanism.
• Borrowing money and cutting expenditure are by far the most used coping strategies, with reliance on savings and migration also prevalent.
28% of households in the ECA are landless, while 72% possess land, averaging 5.58 decimals.1 In the Sundarbans ECA, the average landholding is 6.85 decimals, and in Hakaluki ECA, it is 4.18 decimals. This land is used for various purposes, including housing, agriculture, homestead gardening, cattle raising, and fish culture.
2.
Climate-induced disasters severely impact livelihoods and natural resources, with limited awareness of EbA, LLA, and NbS approaches.
• Household surveys reveal that around 91% of respondents were affected by climate hazards and disasters like floods, drought and cyclones in the last 5 years. FGDs participants also highlighted that the vulnerability of the communities is high due to the location of their settlement in a fragile area, with poor infrastructure, climate sensitive livelihoods and lack of access to government Social Safety Net (SSN) services and support.
• Among the households, 32% have incurred loss of income and 23% loss of livelihoods. Over 17% of the respondents mentioned that climate change has increased health risks and medical expenditures in recent years.
• In contrast to relatively high levels of negative coping mechanisms (e.g. borrowing money, or cutting expenditure), few households engaged in planned adaptation i.e. changing livelihood options, diversification of crops, changing types of crops.
• The survey results revealed that 94% of the ECAs respondents do not know about LLA and NbS, suggesting considerable scope to work with communities to increase their understanding of these key issues.
3. Access to climate information has been inadequate and there has been a low degree of anticipatory action.
• The survey revealed a low level of information on climate change and a lack of access to important climate information. The survey reveals that overall, 66% of the respondents do not know about the Early Warning System (EWS), around 23% have not received any early warning on floods, and only 11% got some early warning during the floods in the last five years
• When asked if they take measures to strengthen their household infrastructure before local climatic hazards, approximately 57% of respondents in the ECAs reported that they do not take such measures.
4. Access to clean and renewable energy, safe drinking water, and sanitation is inadequate, particularly among vulnerable groups including poor women and ethnic minority communities.
• 97% of surveyed households have access to grid electricity in the ECAs, with 5.3% using solar energy and 0.2% relying on biogas. However, the grid electricity supply is unreliable, with about 63% of these households experiencing load shedding for more than 4 hours daily.
• There is also a significant reliance on traditional fuels (i.e. wood, twigs, cow dung, kerosine etc.) which is likely to have an impact on the broader sustainability of ECAs.
• 41% of respondents collect drinking water from tube wells, followed by Rainwater Harvesting System (RWHS) (22%), pond and dug wells (17%).
• Around 67% of the respondents use pit latrines with ring slabs (a type of improved sanitary latrine), whereas 20% use pit latrines without slabs.
5. Despite some positive trends in joint economic decision-making, women were not systematically included in decision-making around agricultural production.
In key measures women appeared to have moderate levels of inclusion in household decisions. Participation in decision-making on household purchases the surveys demonstrated that on average, across both regions, 68.1% reported having moderate or high levels of participation in these decisions.

Nearly three-quarters of the female respondents lacked the right to participate in decision-making in agricultural decision-making. Most female respondents in both regions (around 70.6% - 79.1%) did not share decision-making with their husbands about agricultural land use.
6.
There is little engagement of LGIs in conservation of natural resources, promoting resilient livelihoods. Participation of the community in formal and informal institutions is low.
• Around 93% of ECAs respondents reported that they have no membership and affiliation with the local conservation committees and groups such as Community Patrol Groups (CPG) or Village Conservation Forums (VCF). About 96% of the ECAs respondents have no participation in the decision-making of the Local Government Institutions (LGIs). Participation of vulnerable groups in decision-making is higher (10%) in the Sundarbans ECA than that of Hakaluki Haor (0.2% only).
• The participation of the study population in formal (government-led) and informal (civil society-led, private sector-led) climate-relevant decision-making spaces is also very low in the ECAs. About 6% of the households’ members participated in the decision-making spaces where 98% were male. The project must put more emphasis on the empowerment of people living in poverty and women for their effective participation in local decision processes that may benefit people living in poverty and women for adaptation and resilience building.
• Whilst community members felt that local authorities and committees had an important role to play in supporting farmers and forest-dependent communities, this support is currently inadequate due to constraints like insufficient human resources and capacity. Read More...

Fill the Nutrition Gap (FNGAP) Impact Assessment Report Kyaka II, Kyegegwa District

This document is an impact assessment report for the Fill the Nutrition Gap (FNGAP 1) project, which was implemented in the Kyaka II refugee settlement in Uganda. The project, carried out by CARE and JESE from January 2023 to June 2024, aimed to improve nutrition, resilience, and income generation among vulnerable households, particularly focusing on women and children. The report evaluates the project’s effectiveness through mixed-methods data collection, including household surveys, focus group discussions, and key informant interviews. The findings highlight significant improvements in food security, child feeding practices, and household income, with notable shifts in gender dynamics. However, the report also identifies ongoing challenges, such as crop diseases and water scarcity, and offers recommendations for strengthening the project’s impact, including enhanced agricultural support, financial empowerment, and community engagement. The document provides valuable lessons for future nutrition and food security interventions in similar contexts. Read More...

Scaling Up Farmer Field and Business Schools in Coffee Communities: Uganda Baseline Report Summary

This report presents the key findings of a benchmarking assessment of the Scaling Up Farmer Field and Business Schools in Coffee Communities (SUFFBS-C) project, which aims to promote gender-equitable economic empowerment for 4,000 women farmers and their households in the coffee-growing communities of the Rwenzori subregion. The project is structured around four expected outcomes: (1) increased access and control of women and girls over productive resources; (2) enhanced positive gender and social norms; (3) alternative livelihood options and inclusive markets; and (4) strengthened leadership capacities of women farmers and women’s organizations to advocate for gender-equitable agricultural productivity. The baseline study surveyed 389 respondents (79% female, average age 45), with a strong participation rate (95%). Key findings include improved access to resources, with 78% of women having access to financial services and 74% securing land use rights, although significant challenges remain, particularly in credit access and digital financial services. The study also highlighted barriers to the adoption of new agricultural practices and limitations in leadership training, underscoring ongoing gender-based disparities that hinder women's economic empowerment. These challenges are compounded by deeply rooted social norms, particularly concerning land ownership and decision-making, with married women facing additional restrictions. This evaluation reveals crucial insights into the barriers that need to be addressed for enhancing women's economic potential in these communities. Read More...

Evaluation of the CASCADE Programme in Uganda

This paper introduces and evaluates the CASCADE programme, a joint initiative by GAIN and CARE, supported by the Netherlands Ministry of Foreign Affairs, aimed at improving food security and reducing malnutrition for women of reproductive age (WRA) and children in six Sub-Saharan African countries. Running from June 2022 to December 2026, the programme seeks to enhance access to and consumption of healthy diets while increasing resilience to nutritional shocks, particularly for vulnerable populations in Uganda. The baseline report outlines the programme’s objectives, theory of change, research methodology, and initial findings, focusing on community and household-level interventions in domains 3 (community structures) and 4 (women's empowerment in nutrition and climate-resilient practices). It highlights the critical challenges of malnutrition, food insecurity, and the socio-economic and environmental factors influencing dietary outcomes, providing a foundation to guide implementation and measure impact.

Page Count: 110 Read More...

End Of Project Evaluation Report For Emergency Food Assistance in Nakivale Project, Isingiro District

The Emergency Food Assistance in Nakivale (EFAN) project aimed to address the food security needs of vulnerable refugees in Nakivale settlement, Uganda, through a food voucher system. This project, running from November 2023 to October 2024, focused on groups such as pregnant and lactating women, children under two years, and child-headed households. The evaluation assessed the project’s relevance, effectiveness, efficiency, impact, and sustainability. Results showed significant improvements in food security, nutrition, and economic well-being, with 97.1% of beneficiaries reporting better meal frequency. However, challenges such as inadequate support for larger households and exclusion of older refugees were identified. The evaluation concluded with recommendations for expanding targeting criteria, extending project timelines, and integrating additional support to enhance long-term sustainability and resilience for refugees and host communities. Read More...

Baseline Report Evaluation of the CASCADE Programme in Uganda

The Global Alliance for Advanced Nutrition (GAIN) and CARE, with support from the Netherlands Ministry of Foreign Affairs, developed the CAtalyzing Strengthened policy aCtion for heAlthy Diets and resilience (CASCADE) programme application. The overarching goal of CASCADE is to improve food security and reduce malnutrition for at least 5 million women of reproductive age (WRA) and children in Benin, Nigeria, Uganda, Kenya, Ethiopia,
and Mozambique between June 2022 and December 2026. AIR® partnered with GAIN and CARE to design and conduct rigorous mixed methods impact evaluations of the CASCADE programme in the six target countries. The evaluations will answer questions about CASCADE’s causal impact, strengths, and challenges. The impact evaluation focuses on those aspects of the programme that are implemented at the beneficiary level. The evaluation team will also conduct, in 2027, a process evaluation to assess policy and systems-level change as well as implementation fidelity with support from local country teams.
The primary purpose of this baseline report is to document and describe the study sample in Uganda prior to the start of the programme, and to test for equivalence at baseline between the treatment and comparison groups. This report first explains the context, details, and motivation behind the CASCADE programme. Subsequently, it explains the theory of change (ToC), research questions, study design, baseline data collection, sample description, baseline measures of key indicators and domains, and baseline equivalence between the treatment and comparison groups. Lastly, the report provides insights about the nutritional status at baseline of the target population and identifies key areas to guide activities by the programme implementation team. Read More...

Projet De Renforcement Du Systeme De Sante Primaire Et Secondaire Dans Les Zones De Sante De Beni Et Butembo Au Nord Kivu En Rd Congo

The HUAMSI project, implemented in the North Kivu province of the Democratic Republic of Congo, sought to strengthen the primary and secondary healthcare systems to ensure equitable access for all, especially vulnerable populations, and to enhance resilience against epidemiological shocks. This document serves as the final evaluation report for the HUAMSI project, assessing its overall impact, effectiveness, efficiency, sustainability, and relevance. It highlights the project's achievements, such as improved maternal and child health services, increased access to sexual and reproductive health care, and enhanced community resilience through initiatives like capacity-building and infrastructure development. Additionally, it identifies challenges, including gaps in water, sanitation, and hygiene (WASH) infrastructure and medical supply chains, while offering recommendations for sustaining and scaling the project's outcomes.

Partners : CARE International, World Vision (Lead), PEPSI, PPSP, Provincial Health Division of North Kivu
Total page count: 52
Read More...

SATH (Self-Applied Technique for Quality Health Tool) Systems Level Impact Evaluation

Poor and marginalized women often encounter obstacles in accessing healthcare information and services in Nepal. In response to this equity gap, CARE Nepal introduced a social mapping tool named Self-Applied Technique for Quality Health (SATH) within Health Mothers’ Groups (HMGs) . The objective of this approach is to enhance women's access to health services and information, empowering them to take informed actions based on their learnings. Since 2008, CARE Nepal has implemented SATH in over 3,100 HMGs across 42 districts out of 77, through various projects. To assess the effectiveness of SATH, evaluation reports, case studies, relevant articles, and policy documents were reviewed and analyzed. It was found that SATH significantly contributes to strengthening the community health system by fostering women's involvement in health matters and operationalizing HMGs. Moreover, the tool aids in generating demand for, and utilization of, healthcare services by empowering women and supporting advocacy efforts.

As a result of these positive outcomes, the Government of Nepal adopted SATH as a successful approach under the Equity, Access, and Utilization Program in 2021. This initiative aims to improve access to, and utilization of, child health and nutrition services among marginalized communities, and it has since been expanded nationwide. This milestone marked a significant achievement in localizing the SATH tool within Nepal's health policy framework. CARE Nepal's rigorous policy advocacy played a pivotal role in this integration, highlighting its commitment to advancing maternal, newborn and child health initiatives. Read More...

Pakistan Multi-sector Integrated Emergency Response – Phase 2

Care Pakistan, Thardeep Rural Development Programme (TRDP) and Fast Rural Development Programme (FRDP) jointly implemented DEC funded project titled, “Multi-Sector Integrated Emergency Response project to support the recovery of flood-affected people in Districts Dadu and Badin, Sindh province. The primary goal of the project was to deliver a comprehensive range of services to recover the needs of individuals affected by the floods. This initiative aimed to enhance the affected population's resilience and aid in their recovery from the aftermath of the floods. The following five project outcomes were designed to deliver an integrated response to the needs generated by the damages caused by the floods in terms of 1) Water, Sanitation and Hygiene (WASH), 2) Education, 3) Protection, 4) Livelihood and 5) MPCA:

Increased access to clean drinking water for flood affected communities in target areas and provide better facilities for vulnerable groups.

Improved learning environment for children enrolled in schools in flood affected target area

Increased protection services to communities

Increased livelihood support to communities

Awareness raising and capacity building regarding the DRR.
CARE Pakistan intended to conduct endline evaluation of the project and contracted a consultancy firm, CDMSD to assess performance of the project on Organization for Economic Co-operation and Development (OECD) and Development Assistance Committee (DAC) OECD-DAC criteria (Relevance, Effectiveness, Efficiency, Impact and Sustainability) and document its achievements, challenges, best practices, and the learning aspects for all stakeholders, with the aim of informing future similar programming. Further to assess the project strategies and interventions on and their quality criteria with specific focus on DNH, participation, inclusion and accountability strategies of the project.
The consultant employed a mixed approach comprised of qualitative and quantitative data to collect primary data and desk review for secondary data collection. 404 households were interviewed through sample beneficiary survey beside 10 FGDs with men and women and 16 Key Informant Interview conducted with project staff and relevant stakeholders. Appropriate quality control measures were put in place to ensure completeness and accuracy of the collected data. Read More...

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