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Rapid WASH Assessment: Key Findings IDP sites in North West Syria

Between March 17th and 21st, CARE conducted a Rapid WASH assessment across 78 IDP sites in Idlib and Aleppo Governorate, together with partners IYD, Shafak and Syria Relief.
The displacement of close to one million people since December 2019 has resulted in a very high number of IDP-sites being setup by families on the move. These sites are not planned and many of them do not have the most basic services or infrastructure available. Other sites have grown significantly as new arrivals have settled next to existing camp-like facilities. Increasingly, reports from the areas have highlighted massive gaps in WASH services across these sites and particularly the lack of safe WASH facilities has been reported as a protection concern for girls and women. Simultaneously, the global COVID-19 outbreak has increased the urgency for gaps in WASH services to be addressed. The lack of access to clean water, handwashing facilities and soap undermines any initiative to prevent large scale outbreaks in North West Syria.
CARE, with its partners, therefore conducted a Rapid WASH Assessment across IDP-sites focusing mainly on two basic aspects: availability/usage/status of latrines and availability/usage of clean water, handwashing facilities and soap.
The assessment highlights that:
 Adequate access to sanitation facilities is available in only 10% of the assessed locations. 45% of sites do not have any latrines. For the 55% of sites with latrines, average is 240 individuals per latrine.
 The assessed IDP sites are critically lacking access to clean water, handwashing facilities and soap. Only 37% of the sites have sufficient and regular access to water supplies. As many as 83% of the sites have no access to handwashing facilities. A catastrophic 91% does not have access to soap.
 Very limited, if any, WASH support has reached the assessed locations. Only 44% of the sites report having received any WASH NFI’s in the past two months. Read More...

Rapport Etude Prospective Des Sites de Bassins Versants a Douentza et Bandiagra

En vue de préparer la mise en œuvre par USAID-Harande Programme de l’approche watershed management pour FY2018, des actions préparations sont en train d’être mise en œuvre. C’est dans ce cadre que, une équipe technique du programme a mené une mission d’identification des bassins versants dans les cercles de Bandiagara et Douentza. La mission a porté sur les communes Pignari, Lowol Gueou dans le cercle de Bandiagara et Dangol Boré et Koubewel Koundia dans le cercle de Douentza pour un durée 5 jours à compter du 04 au 8 juillet 2018. La mission a permis de faire un état de lieu des bassins identifiés et proposé les actions d’aménagement intégré des terroirs concernés. Read More...

At the last mile: Lessons from Vaccine Distributions in DR Congo

The Democratic Republic of the Congo (DRC) has one of the lowest COVID-19 vaccination rates in the world, with just 0.87% of people in DRC having received even one dose. While the country has received 8.2 million doses of COVID-19 vaccine, it has managed to administer 528,000 of them—just under 11% of vaccines available. In April of 2021, DRC became one of the first countries to return 1.3 million COVID-19 doses to COVAX because they could not deliver them to people before the vaccines expired.

The challenges that risked more than a million doses expiring are still in play for most of the country. In both January and February 2022, 114,705 vaccines expired in country because there was not enough investment in systems and health workers to deliver vaccines. To reach 70% of the population—62.7 million people—DRC will need to drastically scale up and accelerate COVID-19 vaccination.

CARE is working with 4 vaccination sites—2 in Butembo and 2 in Goma—to support with community mobilization in partnership with local leaders, health center operations, and training. With joint action and communication plans developed with chiefs, religious leaders, and local authorities, and additional equipment to protect health workers, those sites had vaccinated 1,132 people. In those 4 sites, we have also conducted several rounds of research and problem-solving using community dialogues between health workers and clients using the Community Scorecard, as well as the Social Analysis and Action tools, which provides the insights for this case study. The team has also supported local vaccination teams with IT infrastructure, personnel costs, and creating locally adapted COVID-19 communications plans.

Version Francaise
La République démocratique du Congo (RDC) possède un des taux de vaccination les plus bas dans le monde avec la lutte contre COVID-19. Seulement 0,87% des personnes en RDC ont reçu même une seule dose du vaccin. Alors que le pays a reçu 8,2 millions de doses de vaccin contre la COVID-19, il n’a réussi qu’à en administrer 881,204, soit un peu moins de 11% des vaccins disponibles administrés. En avril 2021, la RDC est devenue l’un des premiers pays à restituer 1,3 million de doses de COVID-19 à COVAX parce qu’elle ne pouvait pas les administrer aux personnes avant l’expiration des vaccins.

Les défis qui risquaient d’expirer plus d’un million de doses sont toujours en jeu pour la majeure partie du pays. En janvier et février, 114,705 doses ont expiré dans le pays parce qu’il n’y avait pas assez d’investissements dans les systèmes et les agents de santé pour livrer des vaccins. Pour atteindre 70 % de la population, soit 62,7 millions de personnes, la RDC devra considérablement intensifier et accélérer la vaccination contre la COVID-19.

CARE travaille avec 4 sites de vaccination – 2 à Butembo et 2 à Goma – pour soutenir la mobilisation communautaire en partenariat avec les leaders et structures locaux, les opérations des centres de santé et la formation. Ces sites avaient vacciné 1 132 personnes. Dans ces 4 sites, nous avons également mené plusieurs séries de recherches et de résolution de problèmes à travers des dialogues communautaires entre les prestataires des services et les clients avec la Carte Communautaire et l’analyse et l’action sociale, à l’aide de la carte de pointage communautaire, qui fournit les informations nécessaires à cette étude de cas. On a aussi appuyé les missions de supervisions avec l’infrastructure pour la connexion internet, la motivation des prestataires, et l’élaboration des plans de communication adaptes aux contextes.
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EVALUATION OF LIFESAVING SHELTER, PROTECTION AND HEALTH SUPPORT FOR SOUTH SUDANESE REFUGEES IN UGANDA Rhino extension – Omugo, Arua District

CARE international in Uganda has been implementing a project on “Lifesaving Shelter, Protection and Health Support for South Sudanese Refugees in Uganda” between July 2017 and March 2018. The grant was awarded by the department of Foreign Affairs, Trade and Development (DFATD), International Humanitarian Assistance Division, through Global Affairs Canada (GAC). The GAC project was implemented in Rhino camp extension, Omugo, with a total project cost of 750,000 Canadian Dollars. The ultimate aim of the intervention was to save lives, reduce suffering, and maintain human dignity of refugees and the host communities in the Rhino settlement expansion site, with focus on the three thematic areas;
1) Increased access to appropriate, safe and dignified emergency temporary shelters for South Sudanese refugees, especially women, children and persons with special needs (PSNs) in Rhino Settlement Expansion Site;
2) Increased protection from GBV and sexual exploitation and abuse for refugees & host communities, particularly women and girls in Rhino Settlement Expansion Site; and
3) Increased access to critical SRMCH services for newly arrived refugee Pregnant and Lactating Women (PLW) to Rhino Settlement Expansion Site.
The project was designed to reach a total of 26,400 beneficiaries, 15,840 (60%) of whom are women and girls. Persons with Special Needs (PSNs) were a core target under this intervention, as well as women and girls, including Pregnant and Lactating Women (PLW). The majority of direct beneficiaries were South Sudanese refugees, with activities such as training and awareness raising also benefiting members of the host population. Read More...

Analyse Rapide Genre au sein des réfugiés de la RCA et les communautés hôtes à Timangolo, Lolo, Mbilé. Département de la Kadey- Est Cameroun

Depuis décembre 2013, environ 128550 réfugiés sont arrivés au Cameroun repartis entre la région de l’Est (95075), l’Adamaoua (23060), le Nord (3540) et Yaounde (3540). Dans le Département de la Kadey, à l’Est, la majorité de réfugiés vivent dans des villages d’accueil et les autres dans plusieurs sites dont ceux de Lolo, Mbilé et Timangolo qui accueillent 26124 réfugiés répartis dans 7403 ménages.

Ces nouveaux réfugiés M’bororos, viennent ajouter à des anciens refugiés centrafricains de la même ethnie accueillis et installés dans la zone depuis 2005.

En mai 2014 CARE a conduit des évaluations des besoins qui ont permis de développer une stratégie de réponseaxée dans le domaine de l’eau, l’hygiène et l’assainissement (EHA), la santé mentale et l’appui psychosocial (SMPS), la sécurité alimentaire avec comme cible principale les réfugiés et leurs populations hôtes le long de l’axe Bertoua-Kentzou and Batouri-Toktoyo.
Actuellement CARE met en œuvre des interventions sur l’EHA sur le site de Timangolo et la SMPS dans les sites de Lolo et Mbile.
Afin de mieux répondre aux besoins spécifiques des réfugiés, hommes, femmes, garçons et filles, CARE organise une analyse genre dont l’objectif est d’appréhender les besoins, les vulnérabilités et les capacités spécifiques aux hommes, aux femmes, aux garçons et aux filles ainsi que les relations, les normes et pratiques genre au sein des réfugiés dans les sites de Timangolo, Lolo, Mbile et leurs communautés hôtes. Read More...

Camp Coordination and Camp Management (CCCM) phase III & Improving Living Condition and Mitigating Monsoon Risk for the Refugees: Endline Study Report

CARE Bangladesh has partnered with IOM since November 2017 as Site Management Support Agency in Camp 16 (Potibunia) and since 01 January 2019 in Camp 13 of Ukhia upazila of Cox’s Bazar District.

A joint End-line assessment was conducted in both camps being site managed and coordinated by CARE Bangladesh (Camps 13 and 16) with the support from IOM and IRW. In addition, Shelter and WASH component were also supported by these two donors for selected HH. The purpose of this end-line study was to provide measurable data against project targets, indicators, outcomes and objectives, as well as to help prioritize activities and focus of work across the two locations.

Overall, the situation seemed improved more in camp 16 than in camp 13 followed by CARE intervention which was at the same level in the baseline. . Participation in decision making process block wise in both camps increased almost by 39%. 95% of respondents said that site development activity was done in last month that indicates the value of work actually ongoing. On the shelter response almost 66% responded they are having good quality shelter. Access to enough water for household need and water treatment stratus before drinking increased simultaneously in a good way. Open defecation is still having a concerning issues in both camp. A variety of factors might explain these differences that explained with deeper analysis in this report. Read More...

Rapid Gender Analysis Ukrainian Refugees in Poland

Poland has received the majority of Ukrainian refugees fleeing the conflict. At the time of writing, UNHCR reports that 1,830,711 people have crossed the Ukrainian/Polish border. There has been an outpouring of solidarity in Poland for the Ukrainian refugees. Polish authorities and citizens mobilised swiftly. For example, a law was passed to allow Ukrainians to stay in Poland for 18 months and receive an identification card that facilitates their access to cash assistance and services. Third country nationals (TCNs) have 15 days to find a way out of Poland. The sheer scale and pace of the refugee influx is already creating cracks in the response. Many of these cracks have important gender and protection consequences. This Rapid Gender Analysis (RGA) researched by CARE highlights the most significant gender and protection issues for Ukrainians in Poland and flags urgent actions required to address them. This RGA of Ukrainian Refugees in Poland builds on the RGA Brief for Ukraine published in February 2022. The RGA is based on observations from site visits to Medyka border crossing, Przemsyl train station, Korczowa Reception Centre, Krościenko border crossing as well as Warsaw train station and accommodation centres; conversations with organisers at these sites – both official and volunteers – and with refugees and Polish Non-Governmental Organisations (NGOs) and Civil Society Organisations (CSOs). The RGA also benefits from consolidating and triangulating information coming out from multiple reports and online coordination meetings. Read More...

A Qualitative study comparing the effects and outcomes of HIV-related interventions for Nepalese migrants – at source, transit and destination

The qualitative study, commissioned by Care Nepal, sought to explore the effects and outcomes of the EMPHASIS project, launched four years ago to reduce HIV and AIDS vulnerability among cross border migrants; and to influence national and regional policies relating to safe mobility through evidence generated regionally. The project, working along a continuum of source, transit, and destination areas, provides HIV prevention and treatment services to migrants and their families. Additionally, the project partners with local stakeholders to ensure safe passage of migrants on transit besides providing other support services. The study was, thus, designed to assess the influence of the project in addressing HIV vulnerabilities, and at the same to enquire into whether inter-country passage has been made safer for migrants. The study aimed to answer the following research questions: a) How has the EMPHASIS intervention impacted HIV vulnerabilities among Nepali migrants, b) What are the qualitative differences between HIV related attitudes and behaviors between migrants reached at destination and their spouses reached at source and those not reached either at source or destination, c) What are the qualitative differences between HIV
related attitudes and behaviors between spouses who have been reached by the project and those who have not been reached by the project, d)) What are the benefits and barriers of support services provided to migrants for safe mobility and empowerment. The study was conducted among 60 migrants and family members, and 5 key informants in four locations- two at the destination site of Delhi and two at the source site of Nepal. In depth interviews by trained researchers were conducted with the help of semi structured interview guides. [39 Pages] Read More...

Impact Assessment of Savings Groups

Researchers from IPA, along with CARE staff and their implementing partners, conducted a randomized evaluation of Village Savings and Loans Association (VSLA) programs in Ghana, Malawi, and Uganda to examine two questions: Who joins savings groups? And, what is the impact on households from programs that promote savings groups? The evaluation used a randomized control trial (RCT) design, in which eligible communities were randomly divided into two sets: a set of villages with access to a VSLA program (the treatment group) and a set of villages where the program was not implemented during the study (the control group). The study started in Ghana in 2008 and in Malawi and Uganda in 2009, and the final data collection took place in 2011 in the three countries. Each site included a panel survey in which households were surveyed before the start of the program implementation and again two or three years later. Over 15,000 households in almost 950 communities were surveyed. The surveys covered a large variety of topics, including health, education, income-generating activities, asset holdings, food consumption, non-food expenditure, intra-household decision making and community involvement. At the time of the endline survey, after an average of two years of program implementation in the three sites, one third of respondents had joined a VSLA group. On average, members had been part of a group for 15 months and 61% of members had gone through a full savings cycle, normally lasting between 8 and 12 months. The evaluation should thus be thought of as assessing the relatively short-term impacts of the intervention. [62 pages] Read More...

Schools Promoting Learning Achievement through Sanitation and Hygiene (SPLASH)

SPLASH is a five-year USAID-funded project that is targeting to reach over 240,000 primary school pupils in four districts of Eastern Province, Zambia, (Mambwe, Chipata, Lundazi, and Chadiza). This 5-year project (2011-2015), funded through USAID’s Bureau for Global Health and led by FHI 360 in partnership with CARE and Winrock International, uses at-scale programming approaches to reduce diarrheal diseases and acute respiratory infections, the two top killers of children under age five globally. The project works with the Ministry of Education, Science, Vocational Training, and Early Education (MESVTEE) and other line ministries such as the Ministry of Local Government and Housing (MLGH) and the Ministry of Health (MOH). SPLASH’s overall objective is to sustainably improve access to safe water, adequate sanitation, hygiene information, and health practices to improve learning environments and educational performance in primary schools. You can also find the final technical report: https://www.fhi360.org/sites/default/files/media/documents/resource-splash-endofproject-report-2016.pdf Read More...

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