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The Nawiri Project: Stories and Best Practices
The Siaya Maternal and Child Nutrition Nawiri Project is a 36-month intervention on maternal and child nutrition. The project targets to reach 94,435 children under 5 years; 127,065 women of reproductive age; 42,000 adolescent girls and 20,000 men in the Siaya County. The project is executed in partnership among three consortium members; CARE (the coordinator), Family Health Options Kenya (FHOK) and the Kisumu Medical and Education Trust (KMET) in Siaya County with funding support from the European Union, the Austrian Development Cooperation (ADC) and CARE.
The overall objective of the project is to contribute to improving maternal, infant and young child nutrition (MIYCN), including nutrition of women of reproductive age in Siaya County. In order to increase the nutritional status of children under the age of five and of women of reproductive age, the project aims to alleviate the most severe obstacles of poor MIYCN in Siaya County. Read More...
The overall objective of the project is to contribute to improving maternal, infant and young child nutrition (MIYCN), including nutrition of women of reproductive age in Siaya County. In order to increase the nutritional status of children under the age of five and of women of reproductive age, the project aims to alleviate the most severe obstacles of poor MIYCN in Siaya County. Read More...
Our Best Shot: Frontline Health Workers and COVID-19 Vaccines
Fully realizing the social and economic benefits of halting COVID-19 requires investing in a fast and fair global rollout of COVID-19 vaccines. CARE estimates that for every $1 a country or donor government invests in vaccine doses, they need to invest $5.00 in delivering the vaccine.
Investments in frontline health workers are a critical component in this comprehensive vaccination cost. Of the $5.00 in delivery costs, $2.50 has to go to funding, training, equipping, and supporting health workers—especially women—who administer vaccines, run education campaigns, connect communities to health services, and build the trust required for patients to get vaccines. For these investments to work, they must pay, protect and respect women frontline health workers and their rights—a cost that is largely absent from recent WHO estimates on vaccine rollout costs. No current global conversations or guidance on vaccine costs includes the full cost of community health workers or long-term personnel costs.
Investing in a fast and fair global vaccine distribution will save twice as many lives as maximizing vaccine doses for the wealthiest countries in the world. Even better, investing in vaccine equality will speed up economic recoveries in every country in the world. For every $1 invested in vaccines in less wealthy countries, wealthy countries will see $4.80 of economic benefit because economies can fully re-open sooner. Failing to make this investment could cost wealthy economies $4.5 trillion in economic losses.
Current global debates are focused so narrowly on equitable access to for vaccine doses that they largely overlook the importance of delivering vaccines—and the key role women frontline health workers play in vaccine delivery. Of 58 global policy statements on vaccines, only 10 refer to the costs of delivery at all—and these are primarily technical advisories from the World Health Organization. No government donors are discussing the importance of vaccine delivery systems that are necessary to ending COVID-19. Only one statement—from Norway—refers to the importance of women health workers as part of the solution to ending COVID-19.
As new and dangerous strains of COVID-19 emerge in countries that are struggling to access the vaccine and control the pandemic, every day we wait for fair global vaccination allows for more contagious strains that spread around the world. The more chances the virus has to mutate in non-vaccinated populations, the higher the risk for everyone. Comprehensive global vaccine delivery plans that make sure the vaccine gets to people who need it—and that those people are ready to get the vaccine when it arrives—are the only way to end this threat. No one is safe until everyone is safe.
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Investments in frontline health workers are a critical component in this comprehensive vaccination cost. Of the $5.00 in delivery costs, $2.50 has to go to funding, training, equipping, and supporting health workers—especially women—who administer vaccines, run education campaigns, connect communities to health services, and build the trust required for patients to get vaccines. For these investments to work, they must pay, protect and respect women frontline health workers and their rights—a cost that is largely absent from recent WHO estimates on vaccine rollout costs. No current global conversations or guidance on vaccine costs includes the full cost of community health workers or long-term personnel costs.
Investing in a fast and fair global vaccine distribution will save twice as many lives as maximizing vaccine doses for the wealthiest countries in the world. Even better, investing in vaccine equality will speed up economic recoveries in every country in the world. For every $1 invested in vaccines in less wealthy countries, wealthy countries will see $4.80 of economic benefit because economies can fully re-open sooner. Failing to make this investment could cost wealthy economies $4.5 trillion in economic losses.
Current global debates are focused so narrowly on equitable access to for vaccine doses that they largely overlook the importance of delivering vaccines—and the key role women frontline health workers play in vaccine delivery. Of 58 global policy statements on vaccines, only 10 refer to the costs of delivery at all—and these are primarily technical advisories from the World Health Organization. No government donors are discussing the importance of vaccine delivery systems that are necessary to ending COVID-19. Only one statement—from Norway—refers to the importance of women health workers as part of the solution to ending COVID-19.
As new and dangerous strains of COVID-19 emerge in countries that are struggling to access the vaccine and control the pandemic, every day we wait for fair global vaccination allows for more contagious strains that spread around the world. The more chances the virus has to mutate in non-vaccinated populations, the higher the risk for everyone. Comprehensive global vaccine delivery plans that make sure the vaccine gets to people who need it—and that those people are ready to get the vaccine when it arrives—are the only way to end this threat. No one is safe until everyone is safe.
Read More...
Evaluation of Zambia’s First 1,000 Days Nutrition Programme
National Food and Nutrition Council (NFNC) and several donors—including the United Kingdom’s Department for International Development (DFID), Irish Aid, and the Swedish International Development Cooperation Agency (SIDA) —designed a bundled, multisector programme called the First 1,000 Most Critical Days Programme (MCDP). The MCDP will run for three years (from late 2014 through 2016) in 14 districts across Zambia, and it includes targeted interventions such as micronutrient supplementation; promotion of best practices in breastfeeding and complementary feeding; promotion of diverse diets for pregnant and lactating women; zinc treatment for diarrhoea; promotion of safe water, hygiene, and sanitation; growth monitoring; deworming; and management of acute malnutrition. The impact evaluation of the MCDP consists of four components, the first of which is the rapid qualitative assessment (RQA). The RQA is intended to facilitate formative research and is designed to provide tailored, programme-relevant information to MCDP implementers in order to guide refinements to the programme. It was developed around one central research question: “What is the nature and experience of poverty and undernutrition, including access to food, dietary and feeding practices, and behaviour for households with young children in rural Zambia?” To answer this question, the RQA employed three primary methods of data collection: focused ethnographic studies (FESs); focus group discussions (FGDs); and social mapping (SM). (84 pages) Read More...
Impact Evaluation of Climate Change Adaptation for Resilient Small Scale Tea Production Project
The objective of the proposed study is to assess the impact of the climate change adaptation for resilient small scale tea production project with respect to set indicators for improved tea production and make recommendations.
The study had covered 30 percent of the impact population covered under the project for data collection. 150 tribal tea farming households out of 500 tea farmers and 33 hamlets out of 76 hamlets were covered. The desk review of project reports, documents, IEC materials and in depth interview with project staff involved in project development and implementation, physical verification of farms for adoption of best practices using a check list and taking photographs, in-Depth interview with key stakeholders like UPASI, Tea board members and other government line departments involved in the project, structured Interview with the tribal farmer, household members who are members of VLG, received trainings, participated in the programs like demonstration plots, adopted best practices, focused group discussion with VLG male and female members separately to identify challenges faced in adopting the best practices were done as part of the study. [49 pages]
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The study had covered 30 percent of the impact population covered under the project for data collection. 150 tribal tea farming households out of 500 tea farmers and 33 hamlets out of 76 hamlets were covered. The desk review of project reports, documents, IEC materials and in depth interview with project staff involved in project development and implementation, physical verification of farms for adoption of best practices using a check list and taking photographs, in-Depth interview with key stakeholders like UPASI, Tea board members and other government line departments involved in the project, structured Interview with the tribal farmer, household members who are members of VLG, received trainings, participated in the programs like demonstration plots, adopted best practices, focused group discussion with VLG male and female members separately to identify challenges faced in adopting the best practices were done as part of the study. [49 pages]
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A Study Report on the Link Between Land Use Planning and Rural Economic Growth through Mobile Applications in the Sagcot Area: A Case Study of Iringa Rural and Kilolo Districts
his study investigated ways in which mobile applications can best be used to link village land use planning and village economic growth so that CARE and its partners will more effectively engage key stakeholders in supporting smallholder farmers to find better ways of using their land to improve their economic wellbeing. This is because, after more than a decade of advocating for the land rights of smallholder farmers, CARE Tanzania is currently looking at how best village land use planning can, in addition to demarcation of village land and issuance of certificates of customary rights of occupancy (CCROs), help to transform the lives of those depending on land as a means of livelihood or identity.
More specifically, this study (a) assessed the extent to which village land use planning in Tanzania improves rural economy in general and the economic wellbeing of smallholder farmers in Tanzania; (b) identified and analyzed the best ways in which mobile applications can be used to link land use planning with rural economy and economic wellbeing of smallholder farmers; and (c) identified and analyzed economic, social, environmental and political factors which help or hinder smallholder farmers with formalized land rights, from improving their economic wellbeing. Read More...
More specifically, this study (a) assessed the extent to which village land use planning in Tanzania improves rural economy in general and the economic wellbeing of smallholder farmers in Tanzania; (b) identified and analyzed the best ways in which mobile applications can be used to link land use planning with rural economy and economic wellbeing of smallholder farmers; and (c) identified and analyzed economic, social, environmental and political factors which help or hinder smallholder farmers with formalized land rights, from improving their economic wellbeing. Read More...
Addressing Root Causes Project in South Sudan
The Addressing Root Causes (ARC) project that started in September 2016, aims at tackling the root causes of armed conflict, instability and irregular migration in South Sudan by increasing community resilience to conflict-related and economically-induced shocks in 19 payams in Jonglei state in the counties of Pibor, Twic East, Duk and Bor. The project has distinguished three outcomes areas: Economic Resilience, Peaceful Conflict Resolution and Social Cohesion which are expected to be mutually reinforcing and when all are combined and stregthened together, the beneficial effects will contribute to more resilience and a culture of peace.
This mid-term review was conducted to assess the progress of project implementation since September 2016, and document best practices and lessons learned to inform key stakeholders on future activity design, programming, and implementation. Primary data was collected using household survey, key Informant Interviews and Focus Group Discussions with the targeted communities. Combined with the FGD, a Social Norm Analysis Plot (SNAP) framework was applied as it was considered best suited to measure changes in social (gender) norms.
Key findings from review indicate access to loans and training of VSLA groups is empowering women and youth in the targeted communities to engage in IGAs and micro-enterprises, thereby broadening their livelihood and resilience options and creating market linkages with traders across different ethnic communities. Further, more women and youth reported being confident to participate in economic opportunities and possess relevant tools and skills; and the role of women and youth is being appreciated in contributing to meeting household needs, thereby reflecting the conflict and gender transformation in the targeted communities. It should however be noted that more VSLAs have been formed and are engaged in IGAs and micro-enterprises in Duk and Twic East compared to Bor and Pibor.
Also, peace committees are appreciated and recognized by the targeted communities for facilitating and using peaceful mechanisms to mitigate and resolve intra and – inter community conflict and reconcile past grievances. Most project beneficiaries also reported increased collaboration with each other, and feel have more positive relationships and trust within and beyond their community. Read More...
This mid-term review was conducted to assess the progress of project implementation since September 2016, and document best practices and lessons learned to inform key stakeholders on future activity design, programming, and implementation. Primary data was collected using household survey, key Informant Interviews and Focus Group Discussions with the targeted communities. Combined with the FGD, a Social Norm Analysis Plot (SNAP) framework was applied as it was considered best suited to measure changes in social (gender) norms.
Key findings from review indicate access to loans and training of VSLA groups is empowering women and youth in the targeted communities to engage in IGAs and micro-enterprises, thereby broadening their livelihood and resilience options and creating market linkages with traders across different ethnic communities. Further, more women and youth reported being confident to participate in economic opportunities and possess relevant tools and skills; and the role of women and youth is being appreciated in contributing to meeting household needs, thereby reflecting the conflict and gender transformation in the targeted communities. It should however be noted that more VSLAs have been formed and are engaged in IGAs and micro-enterprises in Duk and Twic East compared to Bor and Pibor.
Also, peace committees are appreciated and recognized by the targeted communities for facilitating and using peaceful mechanisms to mitigate and resolve intra and – inter community conflict and reconcile past grievances. Most project beneficiaries also reported increased collaboration with each other, and feel have more positive relationships and trust within and beyond their community. Read More...
Building sustainable and scalable peer-based programming: promising approaches from TESFA in Ethiopia
This research was written by Pari Chowdhary, Feven Tassaw Mekuria, Dagmawit Tewahido, Hanna Gulema, Ryan Derni, and Jefrey Edmeades.
In Ethiopia's Amara region, girls encounter child marriage at a high rate. They are also less able to negotiate sex or use family planning. With the purpose of improving their lives, CARE's TESFA program delivered reproductive health and financial savings curriculum to married girls through peer-based solidarity groups to 5,000 adolescent girls. This was divided into 3 interventions: sexual and reproductive health, economic empowerment, and a combination of both. Participants reported improvement in both areas. Four years after TESFA, 88% of groups communicated meeting without continued CARE's assistance, and some of the girl participants created new groups following the TESFA model. Also, some girls that did not participate in TESFA, replicated the model to create their own groups. Despite this, there is still in question who contributed to this sustainment and scale-up of groups.
Original article: https://reproductive-health-journal.biomedcentral.com/articles/10.1186/s12978-021-01304-7
Originally published by Biomedcentral and is republished under the creative commons 4.0 license (https://creativecommons.org/licenses/by/4.0/ - https://creativecommons.org/publicdomain/zero/1.0/). Read More...
In Ethiopia's Amara region, girls encounter child marriage at a high rate. They are also less able to negotiate sex or use family planning. With the purpose of improving their lives, CARE's TESFA program delivered reproductive health and financial savings curriculum to married girls through peer-based solidarity groups to 5,000 adolescent girls. This was divided into 3 interventions: sexual and reproductive health, economic empowerment, and a combination of both. Participants reported improvement in both areas. Four years after TESFA, 88% of groups communicated meeting without continued CARE's assistance, and some of the girl participants created new groups following the TESFA model. Also, some girls that did not participate in TESFA, replicated the model to create their own groups. Despite this, there is still in question who contributed to this sustainment and scale-up of groups.
Original article: https://reproductive-health-journal.biomedcentral.com/articles/10.1186/s12978-021-01304-7
Originally published by Biomedcentral and is republished under the creative commons 4.0 license (https://creativecommons.org/licenses/by/4.0/ - https://creativecommons.org/publicdomain/zero/1.0/). Read More...
Projecto Oreriha – Avaliação final
O projeto Oreriha foi desenhado em 2015 seguindo uma solicitação de propostas da FSDMoç. A CARE em parceria com Ophavela respondeu esta solicitação e submeteu uma proposta dum projeto de dois anos em maio de 2015. Nesta proposta escolheu-se de propor quatro mudanças chaves na abordagem de implementação de grupos de poupança:
1. Adaptação da metodologia ACPE para permitir mais flexibilidade nas poupanças. Isto responde às necessidades dos grupos heterogéneos em Nampula com rendimentos sazonais.
2. Reduzir o número de sessões de formação e visitas de animadores para as mensagens mais essenciais e momentos críticos na formação do grupo, que serão apoiados por mensagens de vídeo e em um novo manual simplificado.
3. Melhorar o processo de formação do grupo, transmitindo mensagens claras, consistentes e atraentes aos potenciais membros do SG, usando um vídeo promocional, reduzindo o tempo e os custos da mobilização da comunidade;
4. Substituir registos no papel por e-Registo para melhorar a precisão do registro, a qualidade do grupo e a independência dos grupos, particularmente no acto de distribuição.
[44 pages] Read More...
1. Adaptação da metodologia ACPE para permitir mais flexibilidade nas poupanças. Isto responde às necessidades dos grupos heterogéneos em Nampula com rendimentos sazonais.
2. Reduzir o número de sessões de formação e visitas de animadores para as mensagens mais essenciais e momentos críticos na formação do grupo, que serão apoiados por mensagens de vídeo e em um novo manual simplificado.
3. Melhorar o processo de formação do grupo, transmitindo mensagens claras, consistentes e atraentes aos potenciais membros do SG, usando um vídeo promocional, reduzindo o tempo e os custos da mobilização da comunidade;
4. Substituir registos no papel por e-Registo para melhorar a precisão do registro, a qualidade do grupo e a independência dos grupos, particularmente no acto de distribuição.
[44 pages] Read More...
YOUTH EMPLOYMENT PROJECT: Documentation Report
The Youth Employment Project (YEP) is a project funded by the Swiss Agency for Development and Cooperation (SDC). The project started in September 2014 with a 3-year plan aiming at providing job creation and income increase opportunities to the youth in Aswan, in the agricultural sector. Aswan, in particular, has suffered economically since 2011, with a continuation of slowdown in tourism. While the majority of employment percentage in Aswan comes from agriculture, the economy as a whole is largely tourism based. The agricultural sector is an economic opportunity in Aswan, with potential of employment and increased income to the rural communities, and the economy at large. The project is designed to serve the agricultural sector in Aswan, which is heavily based on smallholder agriculture. Young people from the rural areas of Aswan have no option other than to work in the agricultural sector or to commute or migrate to the capital or to other urban centers across Upper Egypt in search of employment and better prospects. With this opportunity in the plan, the project was designed based on two outcomes (1) Increased production or revenue and profits for farmers, fishermen, traders and processors in the horticulture, livestock, aquaculture and fisheries value chains; and (2) Enabling environment improved for the development of new and existing horticulture, livestock, aquaculture and fisheries businesses in Aswan. Seven value chains were identified to be the focus of the project: Dairy, Poultry, Sheep/Goat, Fisheries/Aquaculture, Date Palm, Tomato, and Aromatic/Medicinal Plants. Interventions in each value chain were addressed through the micro financing, zero interest loans, capacity building and technical assistance. The project worked closely with local CDAs and Coops to build their capacities and encourage these associations to work with business models that are sustainable and income generating, aiming at providing job opportunities to the youth in the agricultural sector. The project faced several challenges in kicking off the activities, while establishing the Agriculture Services & Development Foundation (ASDF), in parallel, as a main project outcome. The findings of the evaluation resulted in seizing the project and its activities, as the project had not achieve the expected targets. Nevertheless, there were lessons learnt and best practices, along the way, in the value chains, processes, and community engagement that need to be documented, as references, for future projects. This is a documentation report, developed by Outreach Egypt Consultancy for Development, to record thoroughly the project design, targets, logical framework, activities, and achievements. The report also documents each value chain and the interventions related to each, while documenting lessons learnt, challenges and best practices. [140 pages] Read More...
Projecto Nampula Adaptação às Mudanças Climáticas (NACC) Meio Termo
O Projecto Nampula Adaptação às Mudanças Climáticas (NACC) é um projecto financiado pelo Governo Alemão com uma duração de 36 meses. O NACC está inserido no Programa Primeiras e Segundas (P & S) da Aliança CARE / WWF e opera nos distritos de Angoche, Larde e Moma, província de Nampula. Seu foco principal é aumentar a segurança alimentar e nutricional das famílias. NACC terá como objetivo atingir 17.760 participantes diretos e 98.000 participantes indiretos de famílias pobres e inseguras alimentares, dos quais 60% serão mulheres do grupo de impacto da CARE, "socialmente, economicamente e politicamente excluídas mulheres com insegurança alimentar e nutricional altamente dependentes de Recursos naturais." Read More...