Bangladesh

Combining GBV and Reproductive Health Services in Cox’s Bazar

Since 2018, CARE has implemented static health services at four health posts in CxB, GBV case management at 12 women and girls’ safe spaces, household and sub-block level sensitization for awareness on service availability through 14 outreach teams, and provision of basic health services at mobile outreach spots at the sub-block level. These comprehensive service and demand-side components addressing individual, household, and community barriers to accessing services have enabled a gender-responsive, integrated approach to reach women and girls. See the learning brief here: https://www.care.org/sites/default/files/cxb_srh_gbv_integration_learning_brief_final.pdf Read More...

Bangladesh COVID-19 Rapid Gender Analysis–Cox’s Bazar

As of 4 May 2020, 10,143 cases of COVID-19 have been confirmed in Bangladesh. To date, only 21 cases have been identified in Cox’s Bazar district, which is home to over 850,000 Rohingya refugees and extremely vulnerable host communities. Although no positive COVID-19 cases have been reported in the camps, this is likely to change soon. The conditions in the camps, including overcrowding, limited sanitation facilities and overburdened health system, have made the COVID-19 situation uniquely complex.

A COVID-19 outbreak in the refugee camps and neighboring communities will disproportionately affect women and girls and other vulnerable populations. Gender norms in both refugee and host communities limit women’s and girls’ ability to protect themselves from the virus and have a significant impact on prevention and response efforts. Refugees are reporting “rapidly deteriorating security dynamics within the camps between Rohingya and host communities” stemming from fears around COVID-19.

Women are already being blamed for COVID-19, resulting in a rollback of women’s rights, including mobility, access to services and information. Men, women, and community leaders in are blaming women’s “dishonorable” behavior as the cause of COVID, causing a backlash against women’s rights. Women are experiencing more behavior policing, mobility restrictions, and Gender Based Violence. Read More...

CARE RGA of Myanmar refugee crisis (2017)

Between 25 August and 10 October 2017, an estimated 521,000 refugees from Myanmar have crossed the border from Myanmar to Cox’s Bazar, Bangladesh following communal conflict in the Rakhine state of Myanmar. The numbers are likely to increase as people continue to cross the border and additional groups of new arrivals are identified. As a humanitarian organization, CARE has a mandate to respond to emergencies and is well positioned to do so due to its history of emergency response in the country; a decade-long presence in the southeast region (including Cox’s Bazar) through food security, disaster risk reduction (DRR), emergency response and women’s empowerment programs; and established relationships with government stakeholders and NGOs.

The objectives of the rapid gender analysis (RGA) were to understand the unique needs, capacities and coping strategies of women, men, girls and boys among the newly arrived Myanmar refugees and, consequently, to formulate recommendations for action for the different sectors. Read More...

Rapid Analysis: How are female garment factory workers during COVID-19

Based on a rapid needs assessment with female garment workers in Bangladesh on the potential impacts of COVID 19, some key areas of concern are:

56% are concerned about mobility restrictions during lockdown which limits them to buy daily needs
39% faced food shortage/crisis
“35% feel uncertain about salary
9% reported sickness 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...

Terminal Evaluation of “Safe Motherhood Promotion Project Phase II”

This report details the findings from a quasi-experimental terminal evaluation of the Safe Motherhood Promotion Project (SMPP) conducted in the Narsingdi district of Bangladesh. SMPP is a Japanese aid-funded technical cooperation project aimed at developing local capacities to tackle maternal and newborn health problems in rural areas. The project aims to have a favorable impact on women’s access to and knowledge of maternal health care during pregnancy and childbirth. The project comprises a package of interlinked interventions to facilitate safe motherhood practices at primary and secondary care levels. This evaluation means to assess the achievements and implementation process based on five Development Assistance Committee (DAC) criteria consist of Relevance, Effectiveness, Efficiency, Impact, and Sustainability. Read More...

The NGO Health Service Delivery Project 2012 – 2018

Bangladesh is the tenth most densely populated country in the world.3 Despite its growing economy—it is expect- ed to become a middle-income country by 2020—the Government of Bangladesh (GOB) has not been able to invest sufficient resources in its health system. To close the gap, the Ministry of Health and Family Welfare (MOHFW) has formally integrated the non-governmen- tal organization (NGO) sector into the national health system. A significant proportion of this plan has included the Surjer Hashi (SH), or Smiling Sun, network, a group of NGOs supported by the United States Agency for In- ternational Development (USAID) and its implementing partners since 1997.
From 2012 to 2017, USAID supported the SH network through the NGO Health Service Delivery Project (NHSDP). The UK Department for International Devel- opment (DfID) provided additional funding beginning in the second project year. Led by Pathfinder International, NHSDP provided material and technical support to 25 NGOs, who served a catchment area of 26.3 million peo- ple through a network of 399 static and 10,872 satellite clinics and 11,842 community service providers.

This is the final report for this project and outlines the results from the project. Read More...

The NGO Health Service Delivery Project 2012 – 2018 – Final Report

From 2012 to 2017, USAID supported the Surjer Hashi (SH), or Smiling Sun, network through the NGO Health Service Delivery Project (NHSDP). The UK Department for International Development (DfID) provided additional funding beginning in the second project year. A consortium led by Pathfinder International, NHSDP provided material and technical support to 25 NGOs, who served a catchment area of 26.3 million people through a network of 399 static and 10,872 satellite clinics and 11,842 community service providers (CSPs). In its five years of implementation, the SH network made 251,490,942 services contacts, 8,237,567 of which were for antenatal care (ANC) and 42,577,833 were adolescents or youth. More than three million visits to SH clinics for children under five years of age integrated activities to monitor children’s growth and promote healthy nutrition. By providing 7,839,430 Couple Years' Protection, the SH network averted 2,000 maternal and 10,000 child deaths and 1.9 million unwanted pregnancies. Read More...

Mid-Term Evaluation (MTE) of the SHOUHARDO III Program

ARE commissioned a Mid-Term Evaluation (MTE) of the SHOUHARDO III Program to formulate recommendations for the remaining life of the program to increase effectiveness in achieving sustainable impact and increase efficiency in use of resources. The MTE was planned and implemented over the period from late October 2017, through mid-June, 2018, with information gathering and preliminary analysis undertaken in Bangladesh from February 12 through March 12. Read More...

SHOUHARDO III Longitudinal Study (RMS) Report

The overarching program goal is to improve gender equitable food and nutrition security and resilience of the vulnerable people living in the Char and Haor regions in Bangladesh by 2020. To achieve its goal, SHOUHARDO III focuses on three principal purposes and two cross- cutting purposes: 1) Increased equitable access to income for both women and men, and nutritious food for men, women, boys, and girls; 2); Improved nutritional status of children under five years-of-age, pregnant and lactating women, and adolescent girls; 3) Strengthened gender equitable ability of people, households, communities and systems to mitigate, adapt to and recover from man-made and natural shocks; 4) Increased women’s empowerment and gender equity at both the family and community levels; and 5) Increased provision and utilization of public services (e.g., local elected bodies and nation building departments) for communities, especially for poor and extremely poor women. Within its program areas of agriculture and livelihoods; health, hygiene, and nutrition; and disaster and climate risk management, the project delivers an integrated set of services – a holistic framework with an emphasis on women’s empowerment, gender issues, and good governance.

This report is a longitudinal study of Shouhardo III and identifies key impact areas. It reports on survey rounds of project participants, collected every six months throughout the project. Read More...

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