Myanmar

Impact, Influence, and Innovation: Reflecting on 10 Years of the CARE-GSK Frontline Health Worker Initiative

In recognition of their critical role in health linkages and systems strengthening, CARE and GSK established a decade long strategic investment in frontline health workers (FHW) and community health workers (CHW) in 2011 called the Frontline Health Worker Initiative. Following 10 years of partnership and programming, this report explores the resulting impacts, influence, and innovation. It synthesizes reach and impact data from 13 programmes across the 9 countries included in the Frontline Health Worker Initiative between 2011 and 2021. The countries included in this initiative are Afghanistan, Bangladesh, Cambodia, Cameroon, Chad, Laos, Myanmar, Nepal, and Togo.
The data presented here is specific to the communities in which CARE delivered sexual and reproductive health, maternal and child health, nutrition, and sanitation programming with GSK’s support. The analysis is designed to identify the changes in overall health outcomes that occurred at a population level. While these findings do not necessarily imply causation, CARE’s efforts have likely reasonably contributed towards these changes within the specific communities.
The Frontline Health Worker initiative has achieved these results across multiple development and humanitarian contexts – including slow-onset and sudden shocks, conflict, and most recently the COVID-19 pandemic. Many of these results were only made possible through the long-term investment from GSK and scalable actions that were implemented across all nine countries. Critically, the Frontline Health Worker Initiative established platforms, networks and health service capacity-building that served as a catalyst for CARE to pivot towards the response to the COVID-19 pandemic quickly in the communities where these projects exist.
Learnings from this programme will serve to strengthen CARE’s private sector partnership models for future programmes to build resilience and achieve health impact in communities. Read More...

End of the Project Evaluation | Strengthening Approaches for Improved Maternal, Neonatal and Reproductive Health in Myanmar: Lashio Township, Northern Shan State, Myanmar

GSK and CARE Myanmar have been working together in the country since 2012 to provide better health services. The project was expanded from 45 villages to 60 villages in northern Shan State, based on successes and lessons learned in 2012-2015. The project goal is to contribute to the reduction of maternal and neonatal mortality through increased access to, and quality of, sexual and reproductive health, and maternal and child health services. Read More...

End-line Survey Report for Scaling-up Sustainable Agriculture (SSA) Project: Lashio – Northern Shan

CARE Myanmar is working closely with the vulnerable communities in conflict-affected areas across Myanmar to achieve sustainable and inclusive community development. With the specific objective to improve agricultural yield, income, food and nutrition security of smallholder farmers and women-headed households through promoting sustainable agriculture technologies and nutrition and hygiene practices, a resilient livelihood project, namely Scaling Up Sustainable Agriculture (SSA), funded by Latter-day Saints (LDS) Charities, was implemented in Lashio between 2019 and 2020. Read More...

Migrant Women Mini-survey on Sexual Harassment Aung Myin Hmu Project: Industry Solutions for Safe Employment

Introduction
This AMH project aims to provide safe work opportunities for migrant women by working with the private sector and the government to provide in demand vocational training and job matching while ensuring that women can access appropriate social and protection services.
Objectives
The study follows up with the project measurement framework to simplify and better visualize the below project indicators.
1) HLO2.2 % of migrant women who report experiencing discrimination and abuse in public and/or at the workplace
2) HLO 2.4 % of women who report feeling safer due to SH awareness activities and existence of complaint mechanism
3) IO 2.2.3 % of women report experiencing sexual harassment at their workplace
Read More...

Enhancing Women’s Voice to STOP Sexual Harassment Final Evaluation – Myanmar

The Enhancing Women’s Voice to Stop Sexual Harassment project (STOP), an initiative of CARE Australia, has been working since 2017 to prevent and address the under-reported problem of sexual harassment (SH) in mainland Southeast Asia’s garment sector.
At the time of writing, STOP is the only initiative that addresses this issue on a multi-country scale within the sub-region. Operating across a pool of garment factories in four Mekong countries—Cambodia, Lao PDR1, Myanmar and Vietnam—STOP aims to enhance women’s voice and economic rights at both the national and factory levels. Based on a socio-ecological model of violence prevention, CARE Country Offices (COs) are working with participating factories to create workplaces where female workers feel safe and experience less SH through the implementation of standardised SH reporting mechanisms and rigorous training programs. Supported by CARE Regional staff, each CARE CO engages with relevant country, regional and international stakeholders to strengthen the national regulatory environment to promote laws, policies and mechanisms to address SH in the workplace.
In 2018, CARE Australia commissioned a consortium of researchers from UNSW Sydney and UNSW Canberra to undertake an independent evaluation the STOP project and provide a separate Social Impact Assessment (SIA) focused on Cambodia STOP as the particular case study. It is important to note that the SIA is intended to complement the findings of the Final Evaluation (FE) of the STOP, as implemented in the other three project sites. In this way, the SIA and the Final Evaluation should be read as two parts of a single whole.
The STOP project is evidence-based. This strength of evidence is reflected in the rapid review of evidence first published by CARE (Campbell and Chinnery 2018) in November 2018, which provides a comprehensive discussion of how to prevent and respond to SH in the workplace. The continued inclusion of evidence into the project cycle ensures that the STOP project is built on current best practice.
This report provides an overview of Final Evaluation findings of the full STOP project and evaluation findings relating to the STOP project in Myanmar. Read More...

GENDER AND COVID-19 VACCINES Listening to women-focused organizations in Asia and the Pacific

More than a year into the coronavirus pandemic, COVID-19 vaccines are being distributed across at least 176 countries, with over 1.7 billion doses administered worldwide. Combating the pandemic requires equitable distribution of safe and effective vaccines, however, women and girls are impacted by gaps both in the supply side and the demand side that hamper equitable distribution of the vaccine. Evidence reveals that 75 per cent of all vaccines have gone to just 10 countries, and only 0.3 per cent of doses have been administered in low-income countries. Very few of COVID-19 vaccines are going to those most vulnerable. The vaccine rollout in Asia and the Pacific has been relatively slow and staggered amid secondary waves of the virus. India, despite being the largest vaccine developer, has only vaccinated 3 per cent of the population and continues to battle a variant outbreak that, at its peak, was responsible for more than half of the world’s daily COVID-19 cases and set a record-breaking pace of about 400,000 cases per day.5However, the small Pacific nation of Nauru, reported a world record administering the first dose to 7,392 people, 108 per cent of the adult population within four weeks. Bhutan also set an example by vaccinating 93 per cent of its eligible population in less than two weeks. That success could be at risk, given the situation in India and the suspended export of vaccines. Read More...

STOP Southeast Asia Impact Reflections

Sexual harassment is any unwanted, unwelcome or uninvited behaviour of a sexual nature which could be expected to make a person feel humiliated, intimidated or offended. Female garment workers experience sexual harassment in their workplace, generally have limited legal protections, lack job security and work in an environment where there is often impunity for the harassment they experience. In Cambodia alone, sexual harassment costs in the garment industry USD $89 million per annum in lost productivity.

After four years of work, independent evaluations found the STOP project had assisted factory management to set up clearer guidelines and mechanisms for dealing with and preventing sexual harassment. It also empowered female workers to be confident to report sexual harassment incidents and become more aware of their rights. Read More...

A Social Impact Analysis of CARE’s ‘Enhancing Women’s Voice to STOP Sexual Harassment ’ Project

The Enhancing Women’s Voice to Stop Sexual Harassment project (STOP), an initiative of CARE Australia, has been working since 2017 to prevent and address the under-reported problem of sexual harassment in mainland Southeast Asia’s garment sector. At the time of writing, STOP is the only initiative that addresses this issue on a multi-country scale within the sub-region. Operating across a pool of garment factories in four Mekong countries—Cambodia, Lao PDR, Myanmar and Vietnam—STOP aims to enhance women’s voice and economic rights at both the national and factory levels. Based on a socio-ecological model of violence prevention, CARE Country Offices (COs) are working with participating factories to create workplaces where female workers feel safe and experience less SH through the implementation of standardised SH reporting mechanisms and rigorous training programs. Supported by CARE Regional staff, each CARE CO engages with relevant country, regional and international stakeholders to strengthen the national regulatory environment to promote laws, policies and mechanisms to address SH in the workplace.

In 2018, CARE Australia commissioned a consortium of researchers from UNSW Sydney and UNSW Canberra to undertake an independent evaluation the STOP project and provide a separate Social Impact Assessment (SIA) focused on Cambodia STOP as the particular case study. The SIA is intended to complement the findings of the Final Evaluation (FE) of the STOP, as implemented in the other three project sites. The SIA and the Final Evaluation should be read as two parts of a single whole. The UNSW team drew upon a range of evaluative sources including factory surveys, focus group discussions and key informant interviews with factory workers, middle management and government officials. A conceptual framework is also advanced in order to better capture the nuances of social impact and gender transformation, and to provide a rigorous basis on which to evaluate STOP’s development and implementation in Cambodia. [94 pages]. Read More...

Regional Mekong Rapid Gender Analysis COVID-19

COVID-19 has created unprecedented health, economic, and social impacts all over the world. As of 31 August 2020, there have been 25,405,845 confirmed cases globally, and a total of 849,389 deaths. In the Mekong region, there have been 5,612 cases, with 274 in Cambodia, 22 in Lao PDR, 882 in Myanmar, 3,390 in Thailand and 1,044 in Viet Nam. In addition to health effects and deaths caused by the virus, the economic and social impacts of COVID-19 and prevention measures taken by governments are far reaching and long-lasting, especially in the context of climate change and natural disasters in the region.
For the Mekong region, COVID-19 presents special challenges for high-risk populations, including the many migrant workers, garment industry workers, indigenous and ethnic minorities, refugees, internally displaced peoples, migrants, urban slum-dwellers, and people working in the informal sector, such as female sex workers. As with all crises, women and children are disproportionately affected. COVID-19 exacerbates the challenges at-risk populations face and makes it even harder for women to access the support services they need in times of crisis.

This brief summarises the Mekong RGA, written by Athena Nguyen, Jordan Hoffmann, Laura Baines, Ratha Ra, Rebecca Elias, and Christina Haneef in September 2020. This Rapid Gender Analysis draws from 301 interviews (including 126 women), secondary data sources, and CARE’s research to understand women’s specific challenges in the Mekong region during the pandemic. Read More...

Rapid Gender Analysis Myanmar, Rakhine State COVID-19

Despite the number of COVID-19 cases in Rakhine State being quite low, the impact on rural food production and the livelihoods of thousands of farm labourers, who are mostly women, is immense. The loss of food production in the State could potentially push families into further poverty and produce further malnutrition in a State of Myanmar that already has one of the highest malnutrition rates in the country. Additionally, the growth of women’s empowerment, which is strongly linked to financial contributions to the household, will decline.
Women and girls in Rakhine State face inequalities in many areas, such as in employment and payment, division of domestic labour, decision making and participation. Those are likely to further increase in the course of the COVID-19 pandemic. An area of specific concern is in the education of girls and boys, from poor families, who do not have the technical infrastructure and capacity to support, especially with the continuous internet blackouts across the State. Deployed in an operational environment characterised by ongoing volatility, COVID-19 prevention, treatment and containment efforts have faced multiple difficulties. Mistrust of government officers by communities, restrictions on humanitarian access, limited health services, coupled with targeted attacks on healthcare workers and facilities have proved to be serious operational challenges. Read More...

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