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.

Looking for something specific? You can filter the evaluations using the dropdown menus on the right side of the screen.

If you have an evaluation or study to share, please e-mail the document to for posting.

CONEX Balkan Project Rapid Gender Analysis Report Western Balkan Region – Albania, Bosnia & Herzegovina, Kosovo, Montenegro, North Macedonia, and Serbia

CONEX is a regional project implemented in six Balkan countries designed to support the marginalized groups of people in the targeted communities that have suffered the most during the Covid-19 crisis, namely the elderly, unemployed women, minorities, refugees, internally displaced persons (IDPs) and persons with disabilities to transition from relief to recovery and onwards to development.
The Rapid Gender Analysis (RGA) has been conducted to provide essential information about gender issues and concerns that should be addressed and will not only be used to define concrete action points and possible adaptations of project design but also as a learning tool and advocacy platform with national NGO networks and local/national authorities. The RGA objectives are to:
 Assess the ways and the extent to which women and other vulnerable groups are affected by social and economic deprivation due to consequences of the COVID-19 crisis;
 Explore how the prevailing gender norms and roles relate to the project activities and objectives, in particular with regard to the access to information, ability to access services, employment and effects of gender based violence (GBV) and
 Increase the gender analysis and integration related capacities of project staff (gender-sensitization, RGA data collection training).
The RGA was conducted in the period May-October 2021 and consisted of three main segments facilitated by the CARE team: 1. Capacity building of partners on gender and how to conduct the RGA; 2. Coordination of data collection, analysis, and validation 3. RGA report writing.
In total, 28 implementing partners’ staff members from nine organizations in 21 locations in six target countries organized and facilitated 53 events (focus group discussions - FGDs and key informant interviews -KIIs) during which they directly talked to 195 persons (66% female), 21% ethnic minority (Roma and Ashkali), over 29% persons from rural areas and 11% persons with disabilities – PWD. Read More...

Don’t Leave Them Behind: Global Food Policies Continue to Fail Women (December 2021)

811 million people in the world are going hungry, half a million of whom are on the brink of starvation. Clearly, current approaches are simply not enough to meet the scale of the crisis we are facing. If we continue to do what we have always done, we will continue to see the same problem: people going to bed hungry. We must find better solutions to prevent and end hunger—especially if we are going to meet the Sustainable Development Goal of Zero Hunger by 2030.

One of the first things we can do is consider who is going hungry. Using the term “people” hides part of the problem: gender inequality. Globally, women are 10% more likely to go hungry than men, and that gap is growing. In Somalia, for example, men are eating smaller meals; women are skipping meals altogether. We see this inequality play out at the international level, too—global solutions consistently ignore women, their rights, and the critical role women play in food systems.

Of 84 global policies and plans designed to address hunger released between September 2020 and December 2021, only 4% refer to women as leaders who should be part of the solution or provide funding to support them. 39% overlook women entirely. This is unacceptable. Ending hunger will take everyone’s talents, opinions, and work. It requires promoting equality, respecting rights, and truly listening to the people who are on the frontlines of the problem. Local food producers and leaders—especially women—must be a core part of the solution.

RESET II Project Promoting Resilient Livelihoods in Borana Final Report

Purpose: The purpose of this end line evaluation is to assess the achievements, constraints and lessons learnt and to produce sufficient evidence to show how the project performed against its overall objective. Overview of the project: Funded by the European Union (EU) through its European Union Trust Fund (EUTF) with a total budget of Є6,586,291, the Promoting Resilient Livelihoods in Borana RESET II Project was implemented by a consortium of CARE Ethiopia, Oromo Self Help Organization (OSHO) and Action against Hunger (AAH). The project focused in the geographic area of Arero, Miyo, Dire, Moyale, Dillo and Dhas districts in the Borena Zone within the Oromia region. The overall aim of enhancing the resilience of 100,000 PSNP beneficiaries, reducing irregular migration through improved access and coverage to provision of WASH, health and nutrition services, diversifying and increasing livelihood opportunities and incomes, improving Disaster Risk Reduction (DRR) capacity, enhancing research and knowledge management systems as well as reducing barriers to women empowerment, the project begun implementation October 2016 and end in December 2020. CARE’s Pastoralist Resilience Casual Model (PRCM) using proven CARE’S Village Saving and Loan Associations (VSLA), Climate Vulnerability and Capacity Assessment (CVCA), Social Analysis and Action (SAA), Participatory Scenario Planning (PSP) and AAH’s as well as Assisting Behavior change (ABC) methods and approaches were utilized throughout the project. Read More...

Impact Evaluation of the G-SAM Project in Ghana: Midline Report

USAID/Ghana’s Strengthening Accountability Mechanisms program (G-SAM) focuses on the district level of governance in Ghana, the Metropolitan, Municipal, or District Assemblies (MMDAs) democratically elected by residents. The following two activities are currently ongoing:
• Performance audits: The central government collects revenue and shares it with MMDA governments based on a revenue sharing formula. Prior to G-SAM, the Ghana Audit Service (GAS) conducted only a financial audit to ensure that this money was properly spent. Over the course of 2015 and with G-SAM funding, the GAS engaged in performance audits of 50 districts. In these audits the auditors went well beyond checking for receipts for purchases to assess the nature of project planning and contracting, the quality of service delivery outcomes and development
project outputs. This information has been used to develop citizen scorecards that were presented at district assemblies in April and May 2016; the scorecards are now being presented and discussed in public forums across the 50 districts.
• Civil society-led information campaign: Citizens struggle to hold their MMDA officials accountable, partially because they have very limited information about MMDA-level government budgets and activities. As such, a civil society-led effort under contract to CARE International and a coalition of Ghanaian CSOs has been conducting social audits on district capital projects and education and health service quality. This information will be used to develop citizen scorecards that will be presented and discussed in public forums over the course of the summer of 2016.
The G-SAM research design involves random assignment of 150 districts into one of three groups: a treatment group that has now received central government performance audits; a second treatment group that is now receiving civil-society led social audit; or a control group that will not receive either intervention. Given delays in the civil society organization (CSO)-led programming, this midline report only covers the 50 GAS performance audit districts and the 50 control districts. Moreover, while the baseline report provided data on citizen attitudes toward district governance and capital projects, the midline was carried out before any of the major citizen outreach efforts that will occur in both treatment arms in Summer 2016. The data collection only occurred among district administrators and politicians with the goal of determining if the GAS audits unto themselves, and without any significant citizen outreach, have had any effect on the planning, contracting and implementation of district capital projects.

CARE Malawi COVID Vaccine Delivery Situation January 2022

“The vaccines are here but support for delivery is most needed, especially at the last mile.” – District Health Management Team member, Ntcheu
As of January 10, 2022, Malawi had delivered 1.84 million doses of vaccine out of the 3.12 million doses it has received so far.1 Many doses in country have rapidly approaching expiration dates, and if they do not get to people fast, they risk expiring on the shelves. To make sure the 1.26 million doses left go to the people who need them most, we must invest more in communication, engagement, and delivery. The $37M granted by the World Bank over the past year is sufficient for covering only 8% of Malawi’s total population. What is more, as the highly contagious Omicron variant spreads worldwide, it is even more critical that more people are vaccinated now. We cannot assume that the Government of Malawi and its current health system can do it alone.

The government and other health actors in Malawi are working tirelessly to vaccinate people, while facing multiple health crises. The health system is building on a base of committed (if overstretched) health workers, an openness to community feedback, and a long expertise of delivering The government is coordinating closely with many actors to reduce gender gaps, get vaccines to the last mile, and keep existing health services open. Nonetheless, the Ministry of Health is under-resourced, and operating in a global system where the vaccine supply that arrives may be close to expiring. For example, doses of the Astra-Zeneca vaccine had to be destroyed in the spring, after arriving in Malawi with only two and a half weeks left before their expiration date.

More investment is needed. To take just one example, the national government has been able to provide one van per district to support mobile vaccination sites, to get vaccines to the last mile. Mobile vaccinations are the most effective way to serve people who live far away from health centers and do not have access to easy forms of transportation. That means that in Ntcheu, one van is expected to serve a target population of 214,929 people living over 3,424 square kilometers. One van cannot serve those people fast enough to make sure vaccines get where they need to in time, especially when an inconsistent and unpredictable vaccine supply could have doses expiring at any time. Read More...

Somalia Resilience Program (SomRep) Endline Assessment

The Somalia Resilience Program (SomReP) is intended to enhance the resilience of vulnerable households and communities in Southern Somalia against cyclical shocks and stressors. SomReP is a consortium of seven international non-governmental organisations (INGOs). The program’s activities focus on improving livelihoods and increasing adaptive capacities of communities and households in Somalia.
On behalf of SomReP, Forcier Consulting is conducting Third Party Monitoring (TPM) of the program in two districts in South Central Somalia: Baidoa, Bay Region and Afgooye, Lower Shabelle Region. This document represents the initial main findings of the end line of the TPM. The end line report will report trends in program results after the program’s completion. Further, the status of the indicators will be compared to the baseline and midline values.
The data collection for this midline study was collected in August 2019. All data was collected, cleaned, and analysed by Forcier Consulting. Analyses compare midline and baseline data to end line results to identify trends among the results. This report follows the structure of the midline and baseline assessments, which was conducted by Forcier Consulting in 2017 and 2018.
A total of 1,590 program beneficiaries were surveyed, including 58% female and 42% male respondents. Respondents were sampled in urban/peri-urban, pastoral, agro-pastoral, and IDP livelihood zones. The vast majority of respondents were household heads, with an average age of 37 years. A large majority of participants had attended madrasa only (70%), and the average household size was 4.3 members.
Overall, the findings are positive for many program areas, however conditions varied over the period of the study; there was some recovery from the very severe 2016/2017 drought in 2018, but deterioration into 2019. These poor conditions created challenges for program beneficiaries. As a result, the analyses in the end line study show some mixed results. One limitation of the study is that the negative effects of the drought cannot be differentiated from the positive effects of the program. Read More...

Dignified and Violence-Free World of Work: A Study on Women Working in Informal Sectors in Nepal

A significant percentage (66.5%)1 of women in Nepal work in informal sectors and are vulnerable to all forms of violence and exploitation. The violence experienced by women in informal sectors ranges from physical, sexual, and verbal harassment to labor and economic exploitation by employers, co-workers and family members. Existing legal provisions such as Sexual Harassment (Elimination) at Workplace Act, 2015 do not have specific provisions for informal sectors whereas other mechanisms to address violence against women, in general, remain ineffective in implementation. In addition, socio-cultural norms and structures limit women’s access to justice-seeking mechanisms. Despite pervasive instances of violence and harassment experienced by women in informal sectors, there is a dearth of comprehensive documentation and evidence building on this issue. In this light, the paper examines the existing status, nature and experiences of violence faced by women working in diverse areas of the informal economy. It also critically analyses key gaps in existing legal provisions/policies and barriers to implementation from the perspective of informal sector workers.
The paper is based on the findings from 36 case studies of women working in 15 different informal sectors, Gendered Political Economy Analysis (GPEA) with community and policy stakeholders and desk review of relevant policies/legal provisions. The paper shows that women’s gendered social roles, lack of collectivisation and representation in decision-making bodies puts them in a weaker bargaining position to voice against instances of violence or to make it a priority agenda of advocacy for policymakers. Similarly, the findings of the paper indicate that lack of adequate and effective polices/provisions on safe working conditions and their implementation leads to invisiblisation of violence at the workplace, enabling powerholders to continue cycles of violence and exploitation without accountability. The paper contributes towards mainstreaming discourses around dignified work for women in the informal economy. It also serves as an evidence-based advocacy document to influence governments to ratify ILO Violence and Harassment Convention No. 190, which is a binding international treaty that protects all workers in formal and informal economy. Read More...

SANI (Southern Africa Nutrition Initiative)

The Southern Africa Nutrition Initiative (SANI) is a $29,487,135 CAD project to address undernutrition in women of reproductive age (15-49) and children under 5 years in Malawi, Mozambique and Zambia. A partnership between CARE, Cuso International, Interagency Coalition on AIDS and Development (ICAD) and McGill University and the Governments and communities of implementing countries, SANI aimed to improve the nutritional status of women of reproductive age (15-49 years) and children under-5 years old. SANI was designed to align with national health and nutrition strategic priorities of Malawi, Mozambique and Zambia, and has been implemented in close collaboration with the Ministries responsible for Health, Agriculture, and Gender in each country, as well as national and district-level nutrition coordination committees (NCC and DNCC). Between June 2016 and March 2021, SANI contributed directly to the improved health of 234,000 women, children and men directly and over 498,000 individuals indirectly.
This final report covers the implementation period of the original SANI contribution agreement and project implementation plan finalized in February 2017.
Key project achievements:
Outcome 1100 aimed to improve nutrition practices and services for women of reproductive age, boys, and girls under 5 by strengthening the delivery of community-based nutrition services at the intersection between community health and the health system. Growth Monitoring and Promotion (GMP) and Community Management of Acute Malnutrition (CMAM) programs built this link, working on the continuum of prevention of malnutrition and early detection and treatment of moderate and severe acute malnutrition. Training and support on Maternal, Infant, and Young Child Nutrition (MIYCN), CMAM, and GMP was provided to health service workers and community health workers, and Care groups were established to support families to learn about and apply gender-sensitive MIYCN practices. Interactive teaching was also done at scale through participatory education theatre and cooking demonstrations using local nutritious foods. Social Analysis and Action (SAA) dialogues encouraged families involved in the program to identify, discuss, and challenge traditional social norms and practices that affect women’s health, nutrition, and empowerment.
Endline data revealed the following increases in nutrition-specific indicators from baseline:
- All three countries had considerable increases in rates of exclusive breastfeeding of children up to 5 months, increasing by 15-percentage points in Zambia (from 70% to 85%), 25- percentage points in Malawi (from 61% to 86%) and 17-percentage points in Mozambique (from 65% to 82%)
- Minimum Acceptable Diet (MAD) for children 6 to 23 months increased by 24-percentage points for boys and girls in Malawi (from 7% to 31%) and in Zambia by 7-percentage points for boys (from 24% to 31%) and by 13-percentage points for girls (from 17% to 30%)
- Knowledge of men and women on MIYCN practices improved by 6-percentage points for men (from 79% to 85%) and 4 percentage points for women in Malawi (from 90% to 94%), by 12- percentage points among women (from 59% to 71%) in Mozambique, and by 11-percentage points for women (from 81% to 92%) and 14-percentage points for men (from 72% to 86%) in Zambia. Read More...

Sugu Yiriwa etude de base (Baseline for Mali’s Sugu Yiriwa project)

L’étude de base pour l’établissement de la situation de référence des indicateurs de performance est une investigation initiée par Feed the Future Mali Sugu Yiriwa dans les cercles des régions de Mopti (Tenenkou, Youwarou, Douentza, Koro, Bankass, Bandiagara, Djenné et Mopti) et Tombouctou (Tombouctou, Goundam, Niafounké et Diré) dans le but de disposer d’une base de référence de certains indicateurs de performance afin de mieux suivre leur évolution ou changement.
Spécifiquement, il s’agit de connaître le niveau de référence de :
● L’indice de la capacité à se remettre des chocs et stress de la zone d’intervention ;
● La valeur des ventes annuelles des exploitations et des entreprises recevant l’assistance du Gouvernement Américain ;
● Pourcentage de changement dans l’offre des produits agricoles sur les marchés ciblés ;
● Pourcentage de changement des prix des produits agricoles sur les marchés ciblés ;
● Le nombre d’hectares sous pratiques de gestion ou de technologies améliorées qui font la promotion des pratiques améliorées de réduction des risques climatiques et/ou de gestion des ressources naturelles avec l’aide du gouvernement américain ;
● Le nombre d’individus dans le système agricole qui ont appliqué des pratiques améliorées de gestion ou des technologies avec l'aide du gouvernement américain ;
● La propriété des actifs ;
● L’accès au crédit et décisions à la matière ;
● Le pourcentage de participants qui déclarent une augmentation des aliments riches en micronutriments sur le marché local au cours des 12 derniers mois
● Augmentation en pourcentage d'aliments riches en micronutriments dans les marchés ciblés ;
● Le pourcentage des participants aux activités agricoles sensibles à la nutrition de l’USG consommant un régime alimentaire d’une diversité minimale.
Au total, 1,301 ménages et 132 structures (organisations des producteurs, associations villageoises d’épargne et de crédit et entreprises incluant les agro-dealers et vendeurs individuels) ont été enquêtées dans les deux régions concernées par l’étude. Read More...

Nepal COVID-19 Vaccine Costing Study

By December 6, 2021, 19.2 million doses of COVID-19 vaccines have been administered in Nepal, enough for 36% of the population to have gotten at least one dose of vaccine. After a rough road with unpredictable vaccine supply, the government has been able to procure several million vaccine doses. Now delivery at the last mile is the biggest hurdle they face. Nepal’s Minister of Health says, “We are not going have shortages of vaccines anymore, but our main concern and focus now is on getting these vaccines to all corners of the country, including the remote mountain areas.”

Based on national data, and in-depth studies in 2 health districts, CARE estimates that delivery costs from “tarmac to arm” for vaccines in Nepal are $8.35 (1,019 NPR) per dose of vaccine administered, or $18.38 (2,241 NPR) per person fully vaccinated.

This is nearly 5 times more expensive than current global estimate for delivery costs. These costs range from $11 per fully vaccinated person in easier to reach areas, to $33 per dose in remote, difficult to reach areas. Gaps in vaccine coverage are particularly acute for mountainous areas, people with low mobility, and communities far from health centers. Even the lowest-cost estimates for the easiest to reach areas are nearly 3 times higher than global average estimates.

70% of these costs are personnel needs to ensure vaccines reach people at the last mile. This points to a major need to improve investments in vaccine delivery, especially the health care workers who administer vaccines and ensure everyone gets vaccinated.

To search for projects containing a specific term, type the term in the search box above and click enter.

Filter Evaluations

To sort evaluations by Country, Language, Evaluation Type, Approval Status, Keywords and Sectors, set the dropdown lists above and click the "Apply Filter" button.