Kenya

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...

Manual for Male Involvement in Maternal and Infant Nutrition

Men’s involvement in the health of women and children is considered an important avenue for addressing gender influences on maternal and newborn health. Over the past 20 years infant and under-five mortality rates have been on the rise in Kenya, with current poor infant feeding practices contributing to more than 10,000 deaths each year.

In order to improve these practices, it is essential that mothers, caregivers, and family members have accurate information, as well as support to overcome barriers. For instance, engaging male partners in breastfeeding promotion and education, as well as providing fathers with knowledge and skills for optimal nutrition practices, including breastfeeding, has been shown to positively impact exclusive breastfeeding rates.

This training manual is highly participatory and relies on modelling activities, integration of critical assessment of activities throughout the training, called “Stepping Out,” and ultimately application and practice (Teach Backs). Read More...

Kisumu Integrated Family Health Project: Endterm Review Final Report

The Kisumu Integrated Family Health Project (KIFHP) is a three year project (November 2014 – October 2017) funded by the European Union (EU) with co-funding from the Austrian Development Cooperation (ADA) and CARE Austria. The project is implemented by CARE International in Kenya (CIK) in partnership with the Kenya Red Cross Society (KRCS) and Family Health Options Kenya (FHOK). The project is implemented in Kisumu urban slums of Manyatta and Nyalenda and works closely with Kisumu County Government under Kisumu East Sub-County. The project aims to primarily contribute to achieving sustainable development goal 3 (SDG)and former MDGs 4 and 5 a +b-“Reduce by two thirds the under-five mortality rate”, “Reduce by three quarters the maternal mortality ratio” and “Achieve universal access to reproductive health”. The overall objective of the evaluation was to establish the results that have been achieved in the three years (November 2014‐October 2017) of implementation and the resultant impact this has had on the target beneficiaries. Read More...

Kisumu Integrated Family Health Project: Midterm Review Report

CARE International in Kenya (CIK) in partnership with the Kenya Red Cross Society (KRCS) and Family Health Options Kenya (FHOK) have been implementing a 3 year project in Kisumu urban slums of Manyatta and Nyalenda and works closely with Kisumu County Government under Kisumu East Sub-County. The overall objective of the KIFHP is to Improve Maternal and Child Health, Sexual Reproductive Health, Family Planning and nutritional status of communities living within Kisumu slums.

The specific objectives of the Midterm evaluation were: to assess the effectiveness of project interventions, assess the efficiency of approaches used in implementation of project activities, assess the project implementation progress at mid-term level and its relevance within the prevailing context of devolved health system of governance and assess project sustainability mechanism. Read More...

Siaya Maternal and Child Nutrition Nawiri Project: Midterm Evaluation

The Siaya Maternal and Child Nutrition Nawiri Project is a 36-months intervention on maternal and child nutrition. The project is executed in partnership between 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 Commission (EC), the Austrian Development Agency (ADA) 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.

The specific objectives of the mid-term evaluation of the Nawiri Project were to (1) assess the process and progress in project implementation and achievement of expected results, (2) provide an opportunity for an in-depth analysis and understanding on any unintended or intended outcomes, (3) as well as provide an opportunity for learning by project teams, partners and other stakeholders. Read More...

Siaya Maternal and Child Nutrition Nawiri Project: End of Project Evaluation

The Siaya Maternal and Child Nutrition Nawiri Project was a 36-months intervention on maternal and child nutrition. The project was executed in partnership with 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 Commission (EC), the Austrian Development Agency (ADA) and CARE. The overall objective of the project was to contribute to improving maternal, infant and young child nutrition (MIYCN), including nutrition of women of reproductive age, in Siaya County. Read More...

Mid-Term Evaluation of the Adolescents Empowerment Program (AEP) in Mukuru and Kajiado, 2019

BACKGROUND
The Adolescents Empowerment Program (AEP) is a five-year (2015-2020) education project that is seeking to empower marginalized in-and out-of-school adolescent girls and boys aged 10-19 years in urban informal Nairobi (Mukuru) and rural Kajiado areas of Kenya. The AEP is focusing on three main areas: (i) adolescent sexual and reproductive health, (ii) economic empowerment and (iii) use of ICT to support and enhance learning.

OBJECTIVES
The specific objectives of the midline study were to assess knowledge, attitudes and practices of adolescents on ASRH, gender norms, saving and economic empowerment, financial literacy, youth leadership and decision making, education and schooling.

METHODS
Quantitative and qualitative methods were used.

KEY FINDINGS
- The AEP was associated with likelihood of adolescents seeking SRH services, increased confidence to access SRH services and higher intention to use contraceptives.
- Negative gender norms and harmful traditional practices are prevalent, especially in Kajiado.
- The AEP was associated with increasing adolescents’ likelihood to save.
- At midline, there were increases in adolescents with economic empowerment.
- The AEP was associated with increasing adolescents’ financial literacy.
- The AEP was associated with greater participation in youth groups and improved youth leadership norms.
- The AEP had marginal effects on schooling outcomes such as learning and attendance.
Read More...

Siaya Maternal and Child Nutrition Nawiri Project

The Siaya Maternal and Child Nutrition Nawiri Project was a 36-months intervention on maternal and child nutrition. The project was executed in partnership with 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 Commission (EC), the Austrian Development Agency (ADA) and CARE. The overall objective of the project was to contribute to improving maternal, infant and young child nutrition (MIYCN), including nutrition of women of reproductive age, in Siaya County.

The specific objectives of the end-term evaluation of the Nawiri Project were to: (1) assess against the project goal, objectives and expected results based on the indicators of the project log-frame; (2) assess the project objectives and proposed outcomes by measuring performance against each indicator under each result area and analyze key determinants that were positively or negatively critical for obtaining these results; (3) assess the efficiency of the process of achieving results. Under this objective, the evaluation would determine the contribution of the adopted gender equality Social Analysis and Action (SAA) Model and rights based approach project, community score card strategy for social accountability, advocacy strategies for political commitment, role of mother to mother support groups, male champion curriculum and training, role of MIYCN Trainer of Trainers (ToTs), impact of community outreaches, food demonstration sessions, public participation by CHVs during budget development process towards achieved results; (4) evaluate the efficiency of the organizational set‐up for the project (partnership arrangement) and systems used in the delivery of the project and to what extent these contributed to or inhibited the delivery of the project outcomes; (5) assess how gender aspects have been considered and included in the implementation (with specific focus on gender mainstreaming, setting of gender equality goals), inter alia, how women had participated or were represented meaningfully in decision-making and feedback; (6) assess the level of sustainability (financial, institutional and social) of the individual project components, and identify critical areas that may affect sustainability; and (7) provide recommendations on future project design including how to ensure effectiveness of log frames. Read More...

PROFIT Financial Graduation

The PROFIT Financial Graduation Sub-Component, funded by the International Fund for Agricultural Development (IFAD) and the Government of Kenya (GOK), aimed to enable vulnerable women and youth to build sustainable livelihoods and reduce risk aversion on supply and demand sides of financial sustainability through a sequenced set of interventions, including an asset transfer, technical and life skills training, mentorship, consumption and savings support. The program targeted 1,000 women and youth in Kitui and 1,600 women in Samburu. Ultimately, the goal of the program is to place vulnerable households on an upward trajectory out of ultra-poverty.
Since January 2017, with technical assistance from BRAC USA, the PROFIT Financial Graduation program was implemented by The BOMA Project and CARE International Kenya in Samburu and Kitui, respectively. Expanding Opportunities conducted a quasi-experimental impact evaluation of the PROFIT Financial Graduation pilots by assessing changes in income, savings, food security, health, and confidence that can be reliably attributed to program activities. This report comprises the results of the endline impact evaluation. Read More...

ADVANCING WOMEN’S ECONOMIC EMPOWERMENT THROUGH FORMAL FINANCIAL SERVICES FOR SAVINGS GROUPS (LINK UP)

LINK Up, funded by the Bill and Melinda Gates Foundation, aimed to link 10,000 Village Savings and Loan Associations (VSLAs) to formal financial institutions; building financial inclusion in Kenya and Tanzania, assessing the impacts of access to formal financial services on VSLAs and their
members and determining whether serving such groups presented a viable business case for financial service providers (FSPs).

Over the course of this program, LINK Up partners have opened 13,165 group savings accounts and have served approximately 322,000 members, 81% of which were women.
To implement LINK Up, CARE partnered with four financial service providers; co-designing and copromoting group products and alternative channel solutions tailored to the needs of savings groups and their members. The collaborations resulted in the creation of four new group-focused products and a host of innovations in the mobile and agent banking solutions deployed to deliver those products. Read More...

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