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Rapport d’evaluation Finale du Projet de Soins de Sante Primaire et Protection/VBG

Le projet soins de santé primaires et protection VBG est un projet qui vise à fournir des soins de santé primaires d'urgence et une réponse à la violence sexiste aux communautés déplacées et hôtes avec un meilleur accès aux soins de santé primaires, dans les zones de santé de BUTEMBO et LUBERO, il comprend un volet accès à la réponse à la violence basée sur le genre, ainsi qu'à des messages sur la prévention des IST et des grossesses non désirées, la prévention de la violence sexiste, l'information et la prévention en matière de Santé Sexuelle et Reproductive, maladies d'origine hydrique, y compris la prévention du choléra.

Tous les indicateurs tel que défini dans le projet ont fait l’objet d’une analyse triangulée qui a permis de mettre en exergue l’état actuel (final) de chaque indicateur dans la zone de mise en oeuvre du projet comparativement à l’état initial des indicateurs lors de l’évaluation de base.

Ainsi dans le premier out come, soutient au système de santé, il a été constaté que toutes les structures ciblées par le projet ont été appuyées lors de la mise en oeuvre du projet, il s’est remarque une augmentation des consultations curatives à hauteur de 121667 grâce à l’appui accordé par le projet OFDA dans les différentes structures sous appuie, une réhabilitation de 6 structures et deux BCZS dans les deux zones de santé a été possible grâce à l’appui du projet, mais aussi une augmentation significative dans le rapportage des données épidémiologiques qui est passé de 83% lors de la Baseline à 93.1% après la mise en oeuvre du projet. Cette performance a été possible grâce à l’appui apporté par le projet à travers le renforcement des prestataires des soins de santé et des volontaires communautaires sur la surveillance et le rapportage des maladies communautaires.

Dans le deuxième out come, Santé de la reproduction, il a été constaté que toutes les structures ont connu une baisse de fréquentation de CPN, CPON et CPS suite à la situation de la MVE qui se vie dans les deux zones de santé, certaines structures ont été contraints à une fermeture temporaire suite au vandalismes des infrastructures sanitaires par la population de ces aires de santé ( environnement sanitaire dégradé, biens des FOSA saccagé , certaines structures brulés) résultats de la méfiance qu’à la population pour la riposte à la MVE, cela a fait que certaines femmes ne fréquentes plus le CPN et CPON et se fassent à coucher à la maison de la manière traditionnel au risque de mettre leur vie en péril.

Dans le troisième out come, maladies communicables, les structures ont rapporté une augmentation des cas des diarrhées, paludismes, IRA, cette augmentation est due au fait qu’à travers les sensibilisations faites à travers les activités du projet, et le renforcement des capacités des volontaires communautaires sur la surveillance communautaire (identification et rapportage des maladies communautaires courantes) plusieurs cas ont été rapporté et prise en charge dans les 22 structures appuyées dans les 2 zones de santé.

Dans le quatrième out come, (santé communautaire ; les résultats issus de cette enquête montrent que là plus part des RECOs identifiées ont été formé et sensibilisé sur la surveillance communautaire à travers plusieurs formations sur la prise en charge des maladies communautaires courantes, et à travers plusieurs dialogues communautaires Read More...

Stop TB and AIDS through RTTR (STAR): Program Report

The program goal is to end AIDS in Thailand by 2030 (reducing annual new infections to below 1,000 cases (from the current 8,134 estimated new infections annually)) and to reduce the prevalence of TB from 159 per 100,000 to 120 per 100,000 between 2015 and 2019. From 1 October 2016 to 30 September 2017, the program performed outstandingly over the target in three indicators of MSW, FSW and MW reached with HIV prevention program. The percentage of result over target reported at 115.58%, 120.40%, and 119.83% consecutively. Overachieving results of these indicators described as following:

i) For MSW, the program could exceed the reach target because SRs conducting BCC workshop in
bar. At the workshop, SR introduced knowledge and information of HIV prevention including HIV,
VCCT, STIs, TB, PrEP, and PEP. Condom and lubricant were made available for MSWs. SR MPLUS
targeted non-venue based MSW who work around the public park in Chiang Mai. The online
application was also used as a channel to reach non venue-based MSWs. The SRs conducted
face-to-face individual talk for the online-reached MSWs. HIV Testing Center (HTC) operated by
SRs could offer additional service of syphilis testing to MSWs.

ii) For FSW, the outstanding performance of resulting from the high season for tourism in Thailand.
SR SWING engaged with employers and organized outreach session in bar before FSWs started
working. The SR reached out to new FSW area in Surawong.

iii) For MW, SRs reached performance were access the target resulting from combination HIV-TB
service provided to migrants in community and at workplace. SR STM started engaging
employers of FSWs at the border of Songkhla. [20 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...

Global Mapping Study on Gender Based Violence

Global Mapping Study on GBV. Led by CARE and ActionAid as co-leads of the task team the purpose of this study was to examine existing evidence around the issue of localization within the context of GBV prevention, response and coordination initiatives in humanitarian contexts. The study also sought to gather field perspectives on the state of GBV localization, and to examine the degree to which the global commitment to localization within the context of the humanitarian GBV sector has been operationalized.

Data was collected from a range of stakeholders participating in GBV coordination, including GBV Sub-Cluster Coordinators, representatives from local and/or women-led organizations, staff from national and international non-governmental organizations (NGOs) along with global leaders engaged in the localization debate. In line with the GBV AoR’s mandate, the primary focus of this study was on settings involving internally-displaced persons.

The final report is comprised of the following three documents:
- Summary Report (English, Arabic, French, Spanish, Bahasa, and Bengali)
- Full Report: The full report contains a detailed description of the study’s background, methodology, findings, and recommendations, and provides a comprehensive presentation of the data gathered through this research along with implications for future action. (Link here: http://www.careevaluations.org/evaluation/gbv-localization-mapping-study/)
- Appendix of Tools and Guidance: The appendix of tools and guidance serves as a companion document to both the summary and full versions of the report, and provides an overview of existing resource materials that have been developed pertaining to GBV localization. Read More...

Global Mapping Study on Gender Based Violence

Global Mapping Study on GBV. Led by CARE and ActionAid as co-leads of the task team the purpose of this study was to examine existing evidence around the issue of localization within the context of GBV prevention, response and coordination initiatives in humanitarian contexts. The study also sought to gather field perspectives on the state of GBV localization, and to examine the degree to which the global commitment to localization within the context of the humanitarian GBV sector has been operationalized.

Data was collected from a range of stakeholders participating in GBV coordination, including GBV Sub-Cluster Coordinators, representatives from local and/or women-led organizations, staff from national and international non-governmental organizations (NGOs) along with global leaders engaged in the localization debate. In line with the GBV AoR’s mandate, the primary focus of this study was on settings involving internally-displaced persons.

The final report is comprised of the following three documents:
- Summary Report (English, Arabic, French, Spanish, Bahasa, and Bengali)
- Full Report: The full report contains a detailed description of the study’s background, methodology, findings, and recommendations, and provides a comprehensive presentation of the data gathered through this research along with implications for future action. (Link here: http://www.careevaluations.org/evaluation/gbv-localization-mapping-study/)
- Appendix of Tools and Guidance: The appendix of tools and guidance serves as a companion document to both the summary and full versions of the report, and provides an overview of existing resource materials that have been developed pertaining to GBV localization. Read More...

Global Mapping on Gender Based Violence

Global Mapping Study on GBV. Led by CARE and ActionAid as co-leads of the task team the purpose of this study was to examine existing evidence around the issue of localization within the context of GBV prevention, response and coordination initiatives in humanitarian contexts. The study also sought to gather field perspectives on the state of GBV localization, and to examine the degree to which the global commitment to localization within the context of the humanitarian GBV sector has been operationalized.

Data was collected from a range of stakeholders participating in GBV coordination, including GBV Sub-Cluster Coordinators, representatives from local and/or women-led organizations, staff from national and international non-governmental organizations (NGOs) along with global leaders engaged in the localization debate. In line with the GBV AoR’s mandate, the primary focus of this study was on settings involving internally-displaced persons.

The final report is comprised of the following three documents:
- Summary Report (English, Arabic, French, Spanish, Bahasa, and Bengali)
- Full Report: The full report contains a detailed description of the study’s background, methodology, findings, and recommendations, and provides a comprehensive presentation of the data gathered through this research along with implications for future action. (Link here: http://www.careevaluations.org/evaluation/gbv-localization-mapping-study/)
- Appendix of Tools and Guidance: The appendix of tools and guidance serves as a companion document to both the summary and full versions of the report, and provides an overview of existing resource materials that have been developed pertaining to GBV localization. Read More...

Global Mapping Study on Gender Based Violence

Global Mapping Study on GBV. Led by CARE and ActionAid as co-leads of the task team the purpose of this study was to examine existing evidence around the issue of localization within the context of GBV prevention, response and coordination initiatives in humanitarian contexts. The study also sought to gather field perspectives on the state of GBV localization, and to examine the degree to which the global commitment to localization within the context of the humanitarian GBV sector has been operationalized.

Data was collected from a range of stakeholders participating in GBV coordination, including GBV Sub-Cluster Coordinators, representatives from local and/or women-led organizations, staff from national and international non-governmental organizations (NGOs) along with global leaders engaged in the localization debate. In line with the GBV AoR’s mandate, the primary focus of this study was on settings involving internally-displaced persons.
The final report is comprised of the following three documents:
- Summary Report (English, Arabic, French, Spanish, Bahasa, and Bengali)
- Full Report: The full report contains a detailed description of the study’s background, methodology, findings, and recommendations, and provides a comprehensive presentation of the data gathered through this research along with implications for future action. (Link here: http://www.careevaluations.org/evaluation/gbv-localization-mapping-study/)
- Appendix of Tools and Guidance: The appendix of tools and guidance serves as a companion document to both the summary and full versions of the report, and provides an overview of existing resource materials that have been developed pertaining to GBV localization. Read More...

Global Mapping Study on Gender Based Violence

Led by CARE and ActionAid as co-leads of the task team the purpose of this study was to examine existing evidence around the issue of localization within the context of GBV prevention, response and coordination initiatives in humanitarian contexts. The study also sought to gather field perspectives on the state of GBV localization, and to examine the degree to which the global commitment to localization within the context of the humanitarian GBV sector has been operationalized.

Data was collected from a range of stakeholders participating in GBV coordination, including GBV Sub-Cluster Coordinators, representatives from local and/or women-led organizations, staff from national and international non-governmental organizations (NGOs) along with global leaders engaged in the localization debate. In line with the GBV AoR’s mandate, the primary focus of this study was on settings involving internally-displaced persons.

The final report is comprised of the following three documents:
- Summary Report (English, Arabic, French, Spanish, Bahasa, and Bengali)
- Full Report: The full report contains a detailed description of the study’s background, methodology, findings, and recommendations, and provides a comprehensive presentation of the data gathered through this research along with implications for future action. (Link here: http://www.careevaluations.org/evaluation/gbv-localization-mapping-study/)
- Appendix of Tools and Guidance: The appendix of tools and guidance serves as a companion document to both the summary and full versions of the report, and provides an overview of existing resource materials that have been developed pertaining to GBV localization. Read More...

She Told Us So (Again)

COVID-19’s impacts around the world are worse than they were in September 2020. Far from a return to “normal,” women and girls CARE works with around the world are saying that their situation continues to get worse as COVID-19 drags on amid other crises. Fati Musa in Nigeria says, “Women have suffered a lot during the pandemic, and we are not yet recovering from this hardship.” 55% of women were reporting gaps in their livelihoods as a priority in 2020. Now that number is 71%. For food insecurity, the number has jumped from 41% to 66%.
Since March of 2020, CARE—and more importantly, the women CARE works with—have been warning that COVID-19 would create special challenges for women and girls, above and beyond what men and boys would face. Tragically, these women were exactly right. What they predicted even before the WHO declared a pandemic has come true. In September 2020, CARE published She Told Us So, which showed women's and men's experiences in the pandemic so far. In March 2022, updated data shows that the cost of ignoring women continues to grow. For more than 22,000 people CARE has spoken to, COVID-19 is far from over. In fact, the COVID-19 situation has gotten worse, not just for women, but for men, too.
Ignoring the voices of women, girls, and other historically marginalized groups has worsened the situation for everyone—not just for women. Men are more than twice as likely to report challenges around livelihoods, food insecurity, and access to health care as they were in 2020, and are three times more likely to report mental health challenges—although they are still only two-thirds as likely as women to report mental health as a priority. As women burn through their coping strategies and reserves, men are also facing bigger impacts over time.

Women have stepped up to the challenge—especially when they get support from each other and opportunities to lead. They are sharing information, preventing COVID-19, and using their resources to support other members of their communities. 89% of women in savings groups in Yemen are putting some of their savings to help others. Women are stepping into leadership roles, "We are women leaders in emergency . . . we have the capacity to say: I have a voice and a vote, I am not going to stay stagnant . . . (participant, Colombia). In Niger, women are saying, “Now we women are not afraid to defend ourselves when a decision does not suit us. We will say it out loud because our rights are known and we know the ways and means to claim our rights.”

Those accomplishments are impressive, but they come at a cost. The constant struggle for their rights, and for even the most basic necessities, is taking its toll. Women are almost twice as likely to report mental health challenges as they were in 2020. As one woman in Iraq describes, “If any opportunity appeared, the man would be the favorite . . . This psychologically affected many women, as they turned to household work which included preparing food and cleaning only.”

To understand these challenges and create more equitable solutions, CARE invests in listening to women, men, and people from marginalized groups to understand the challenges they face, what they need, and the ways in which they lead through crisis. This report represents the voices of more than 22,000 people in 23 countries since September of 2020.
Read More...

Tropical Cyclone Gita Summary

2 page summary of the Cyclone Gita response Final Evaluation: http://www.careevaluations.org/evaluation/tropical-cyclone-gita-response-program-evaluation/

When Tropical Cyclone Gita, a Category 4 cyclone, struck Tonga on Monday 12 February 2018 it affected 80,000 men, women, boys and girls—roughly 70% of the entire population. CARE, Live and Learn, and MORDI formed a partnership to respond to the immediate needs of those affected on both ‘Eua and Tongatapu. In the response phase, the partnership delivered emergency shelter and hygiene kits. In the recovery phase, the partnership supported communities with shelter, repairs to water, sanitation and hygiene (WASH) infrastructure, and food security and livelihood recovery efforts. In total the response supported 10,570 individuals (4,946 men and 5,624 women) Read More...

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