Afghanistan

The Final Evaluation of the Opportunities for Mother and Infants Development Project

The Opportunities for Mother and Infant Development (OMID) is a three year project (from 2018 to 2021), funded by The Glaxo Smith Kline (GSK). The current phase of the project has been implemented in the two districts (16th and 17th) in Kabul city. The main purpose of the project is to improve the health and reduce the mortality among mothers, newborns and children in the most vulnerable communities through community-based interventions facilitated and delivered by Community Health Workers (CHWs) and Community Midwives (CMWs).

Overall, the project has been effective in achieving the intended outcomes. Access and utilization of Maternal and Neonatal Child Health (MNCH) services have improved as demonstrated by achievement of the project’s key performance indicators across the continuum of care.

This included increases in the %:
- of women reporting ANC utilization
- of women who undertook the first ANC visit before by the 3rd trimester of their pregnancy
- of those who knew the date that the baby was expected to arrive
- of those women who had a plan where she would deliver the baby
- of those women who believed health facility is safer to deliver there

And decreases in the %:
- of those who didn’t go for ANC and believed it is not important
- of those who didn’t go for ANC and indicated the high cost of care as reason

The community systems strengthening undertaken by the project through establishment of community based health facilities and CHWs was effective in increasing health awareness and adoption of positive MNCH behaviors and practices. Read More...

MAGNIFYING INEQUALITIES AND COMPOUNDING RISKS The Impact of COVID-19 on the Health and Protection of Women and Girls on the Move

More than one year into the coronavirus disease (COVID-19) pandemic—with some countries seemingly on their way out of the crisis while others enter new waves—evidence of its impact is growing. COVID-19 is increasing short-term humanitarian needs and negatively affecting longer-term outcomes for marginalized populations and people in vulnerable situations, significantly setting back hard-won development gains, magnifying inequalities, and compounding risks. Among those worst affected are the more than 80 million people worldwide—approximately half of whom are women and girls—who have been forcibly displaced by drivers such as persecution, conflict, generalized violence or human rights violations.1
The majority of forcibly displaced people live in resource-poor countries with weak public health and social protection systems, and economies that have been hard-hit by the pandemic.2 Yet, to date, there has only been limited research around the unique ways in which women and girls on the move are affected.3 This despite predictions of significant impacts on access to, and use of, basic health services—including for sexual and reproductive health (SRH)—and the overall protection environment, including increases in prevalence and risk of gender-based violence (GBV).
Placing gender at the center of its humanitarian and development responses, CARE undertook new research in Afghanistan, Ecuador, and Turkey between April and May 2021 to better understand how COVID-19 is impacting the health and protection of women and girls on the move. The three countries represent different types of forced displacement across multiple regions: internally displaced persons (IDPs) and refugee returnees in Afghanistan; more recent migrants and refugees due to the Venezuelan crisis in Ecuador; and longer-term Syrian refugees living under temporary international protection in Turkey. The primary data collected for this research included more than 1,000 surveys with women on the move and from host communities, to allow comparison; 31 focus group discussions (FGDs) with women and adolescent girls; and 45 key informant interviews (KIIs) with government actors, health and protection service providers, humanitarian organizations, and CARE staff. Read More...

Final Project End-line assessment of Shelter, NFI, Hygiene, SRHR and Livelihood Support for Disaster-Affected Populations in Afghanistan 2018-2020

The Emergency Shelter, NFI, Hygiene, SRHR and Livelihood Support for Disaster-Affected Populations in Afghanistan 2018-2020 Project aims to provide emergency assistance to the identified beneficiaries settled in Kabul, Parwan, Kapisa, Balkh, Ghazni, Khost and Paktya provinces of Afghanistan. The interventions covered under this project included Shelter, NFI, WASH, Livelihoods and SRHR needs of the women, men, boys and girls affected by disasters. The sample of 352 households for this end line evaluation was structured as according to the proportion beneficiaries per the different project outputs The two main output blocks of hygiene/SRHR on the one hand and different forms of cash and NFI support on the other are well captured in the end line survey. In addition to the quantitative approach, 8 FGDs, 7 KIIs and 3 IDIs conducted were conducted with the project beneficiaries, stakeholders and the GAC project team.
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Emergency Response for Drought Affected Households in Northern Afghanistan Project: Baseline Survey Report

CARE’s Emergency Response for Drought Affected Households in Northern Afghanistan (OFDA) Project has planned to assist 4,100 households in two Provinces (Balkh and Samangan) in Northern Afghanistan. This baseline study was conducted to establish baseline values for indicators of intended outcomes and collect information about the target group prior to intervention. Read More...

End-Line Assessments Report: Emergency Response for Drought Affected Households in Northern Afghanistan Project

CARE implemented Emergency Response for Drought Affected Households in Northern Afghanistan project since between August 2018 and August 2019. Initially the project was designed for a 12 months’ period, but the project received approval from donor for a no cost extension following CARE request for a month NCE in order to offset the setback experienced in identifying/selecting local partner’s for the project. The project, was therefore completed in 13-month timeframe.

The project was aimed at improving health, economic condition, hygiene behaviors and practices, and protection for the most vulnerable people affected by drought in Northern Afghanistan. Through this project CARE responded to humanitarian needs of 4,100 HH (24,600 individual) vulnerable IDPs and host communities affected by seasonal drought, including the most affected children in two selected provinces of Balkh and Samangan provinces. In addition, most vulnerable women headed household/their adult children received support through multi-purpose cash as well health, and hygiene awareness interventions.

This report summarize key findings and results of end line assessment conducted in the intervention areas targeted under the project in order to evaluate the project’s effectiveness and outcome achieved in comparison to the baseline situation. Read More...

Final evaluation of Maternal New Born and Child Health in district two of Kabul City, Afghanistan.

CARE International in Afghanistan has been implementing community based MNCH project in district 1. Recently, CARE started to expand its program to district 2 of Kabul city. The final evaluation intends to generate information that will be used to compare the contribution of Opportunity for Mothers and Infants Development (OMID) project against baseline. A Cross-sectional descriptive study design has been used to provide information on the change in key knowledge, attitude and practice variables related to maternal, newborn and child health. The objectives of the final evaluation: 1) To assess progress towards meeting the three project outcomes. 2) To compare the contribution of OMID project against baseline findings and recommendations 3) To ascertain the degree of achievement and progress toward project output, outcome and overall objective as set in project proposal and logical framework living children. 4) To assess if the project has potential to be scaled-up, replicated and/or adjusted to improve program quality under any potential extension phases based on experience to date. Read More...

Assessment of Private Health Facilities’ Engagement in Provision of Maternal and Child Health Care Services

Care International has implemented Opportunity for Mother and Infant Development (OMID) project in Afghanistan. OMID is a community based maternal and child health project. OMID is holistic health care delivery approach targeting districts 01 and 02. Care International plans to scale up this approach to district 06 as well.
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Men’s knowledge and awareness of maternal, neonatal and child health care in urban Afghanistan- Descriptive cross sectional study

The status of men’s knowledge and awareness on maternal, neonatal and child health care are largely unknown in Afghanistan and the effect of community focused interventions in improving men’s knowledge is largely unexplored. This study identifies the extent of men’s knowledge and awareness on maternal, neonatal and child health. [9 pages] Read More...

Final Evaluation of Opportunities for Mothers and Infants Development Project

The evaluation was conducted to ascertain the degree of achievement and progress toward project output, outcome and overall objectives and determine the extent of project contribution in health needs of community examine. A multi-stage, stratified sampling design was used to select mothers from eligible women— women who were married, living in both districts and aged 14 to 49 years.
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Baseline Assessment on Maternal New Born and Child Health in District Two of Kabul City

The KAP survey aimed to identify knowledge gaps, attitude patterns, and practices that may facilitate understanding and action or create barriers to Maternal, New-born and Child Health (MNCH). A Cross-sectional descriptive study design was utilized to provide information on key knowledge, attitude and practice variables related to maternal, newborn and child health with 375 household in 2nd district.

Among others, the following are the key findings of the survey:

1. High total fertility rate,
2. Low uptake of family planning/ birth spacing methods, especially long term methods,
3. High drop outs in routine vaccinations
4. High level of pregnancy complications
5. High level of miscarriage, abortion and children death after birth.
6. High delivery related risks and
7. Low level of delivery preparedness
8. Low ANC services uptake.
9. Considerable knowledge gaps and misconceptions regarding some aspects of MNCH Read More...

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