Uganda

Evaluating systems-level change and impact in CARE’s programming in Ecuador, Ethiopia, Nepal and Uganda: A global report

This report provides a detailed analysis and review of the evaluations of four CARE systems-level change projects - from Ecuador, Ethiopia, Nepal and Uganda exploring the extent to which their actions influenced systems change and led to impacts in people’s lives. It represents what is understood as the first time CARE has undertaken a deep dive evaluation into its systems-level approaches. The report begins with an overview of these projects and the Outcome Harvest evaluation methodology used across these countries to measure systems change, including the adaptations made to apply Outcome Harvesting to a systems-level project rather than standard CARE programming. Read More...

Evaluating Systems-level change and impact Findings from the evaluation of the National Policy Regulatory Program Support (NPRPS) program in Uganda

CARE’s ten-year strategy, Vision 2030, seeks to deepen the organizational focus on systems-level change and impact, recognizing that this is essential to expanding CARE’s reach and fulfilling our mission to save lives, defeat poverty and achieve social justice. To support this, CARE launched a systems-level impact initiative to measure the effect of our programs that have influenced or changed systems, and the impact of this systems-change on people’s lives. The initiative also increased capacity across the CARE confederation to design, finance, and implement high-quality systems change programs, and to strengthen the focus on systems-level change within our Country Office organizational frameworks and strategies. Four CARE Country Offices were selected to evaluate a project or program and to synthesize the results for national and global learning. Read More...

Uganda: Refugees and Host Communities in Yumbe and Terego Districts Rapid Gender Analysis

The conflict in South Sudan expanded to the southern parts of the country in July 2016, which led to an influx of refugees in Northern Uganda. Uganda hosts 1.5 mill. refugees in total, many live in refugee settlements. The four largest settlements in West Nile are Bidi Bidi, Palorinya, Rhino and Imvepi, with numbers of refugees ranging from 60,000 to more than 240,000. According to a report of the World bank and Uganda Office of the Prime Minister (OPM) on gender-based violence (GBV) in Uganda from 2020, more than 80 % of the refugees and asylum seekers in Uganda are women and children. During the conflict, violence against women and girls such as the abduction of girls and the use of rape as a weapon of war was used. Women and girls fleeing to Uganda reported sexual and gender-based violence (SGBV) “to have taken place throughout the route of migration within South Sudan itself as well as when crossing the border." Read More...

ON THE FRONTLINE: Lessons on health worker empowerment through the COVID-19 pandemic response

Around the world,frontline and community health workers serve to connecthealth services, commodities, and informationwiththose who need them. Equippedwith the relevant skills and community trust, theycanstrengthen health systems by bridginggeographic and financial accessibility gaps for rural, hard-to-reach, and vulnerable populations through last-mile health delivery. When integrated into national and local healthcare systems, community health workers can additionally help patients navigate complex systems of care and ensure care continuity across services. Historically during times of health crises, global governments and organizations have often relied on community health workforces as frontline responders to deliver life-saving care to disproportionate l y affected populations. The 2020 COVID-19 pandemic was no exception, with many countries mobilizing their existing community health worker programs or initiating new ones to assist with pandemic response . Leveraging lessons learned through its decades long support and implementation of frontline and community health worker initiatives across 60 countries, CARE developed guidelines for community-level pandemic response and disease prevention during this time. In June 2020, CARE partnered with Abbott to launch a one-year in-depth primary care response to the COVID-19 pandemic Read More...

STRENGTHENING WOMEN AND YOUTH AT RISK OF GENDER BASED VIOLENCE Challenges and opportunities for enhancing resilience, with a focus on urban contexts and adolescent girls

This learning brief documents challenges, capacities and opportunities of women and youth at risk of gender based violence (GBV), in particular in urban areas in Northern Uganda. It summarizes key findings from various studies of the Women and Youth Resilience Project (WAYREP), including two Rapid Gender Analyses, the baseline, knowledge model papers, and a qualitative assessment.
The learning brief informs WAYREP’s learning agenda which aims at:
 Gaining a better understanding of the livelihood and safety, security, and wellbeing challenges that marginalised and vulnerable communities face in urban poor and settlement settings with a focus on girls,
 Identifying and documenting effective and sustainable support strategies to alleviate challenges, namely poverty and gender-based violence (GBV), in the nexus, urban and COVID 19 context.
WAYREP’s overall objective is to “Strengthen the resilience of refugee and Ugandan women, girls and youth to live a life free from violence in Uganda”. WAYREP focuses on women and girls’ empowerment within the context of some of Uganda’s most pressing current challenges such as rapid urbanization, regular and high rates of displacement and migration across and within Uganda’s borders and a very young and largely unemployed population. In 2020, this fragile context was further exacerbated with the outbreak of the COVID-19 pandemic not only in terms of its health implications, but also in terms of its impact on livelihoods, safety and security. Read More...

Access Protection Empowerment Accountability and Leadership (APEAL) II project Endline Evaluation

The APEAL II project was a follow on project to APEAL I. The purpose of APEAL 2020 was to Enhance multi-sectoral responses by providing targeted life- saving protection, mental health, Psychosocial support and inclusive services to Congolese refugees and vulnerable host communities in Kyangwali and Kyaka II settlements. APEAL II deferred from APEAL I by; increasing the Consortium members from six (6) to nine (9) after incorporating three (3) organizations, programme scope included changes from GBV to SGBV, disability and Inclusion Services and strengthening the capacity of community structures. The community structures were strengthened to identify, respond, support and refer persons in need of MHPSS, comprehensive rehabilitation, disability and inclusion, protection and SGBV services. The Project operated in a COVID 19 environment which was not present in APEAL 1. As such, the project embedded a specific focus on COVID 19 response.
The European Civil Protection & Humanitarian Aid Operations (ECHO) funded the Project with Euro3,462,889.15 spanning from May 01, 2020 to April 30, 2021.
The project targeted 40,000 beneficiaries split between Kyaka II and Kyangwali refugee settlements and distributed support to 20% of surrounding Host communities and 80% of Refugees. The APEAL II intended to achieve: Enhanced access to timely protection, SGBV, MHPSS and disability and inclusion services, Improved protection mainstreaming and strengthen the capacity of community structures, duty bearers and stakeholders, provide extra capacity in nutrition screening for young children, pregnant and lactating mothers and supportive advocacy for standards setting, and harmonized approaches to refugee protection and MHPSS at the national level.
The APEAL II project end line evaluation was conducted to assess change and impact by comparing data from before and after for APEAL Project implementation. The end line evaluation was constructed on a cross-sectional assessment of intervention focus area, the individual refugees and host community members. Qualitative and quantitative data collection methods were applied with the former utilized to obtain information on project relevance, effectiveness and outcomes from Project key stakeholders including beneficiaries through key informant interviews and focus group discussions. Read More...

Gender Analysis Uganda – Rhino Refugee Settlement – Omugo Extension and Ariaze

Since the last decade, conflict in South Sudan (SS) and the Democratic Republic of the Congo (DRC) has led to an influx of refugees to Uganda. Across the West Nile region of Uganda, the refuge influx has increased the strain on a chronically overburdened health system and other services.
CARE is working in a consortium of partners1 led by MSI Reproductive Choices (MSI) on a multi-country programme across Uganda, Niger and Madagascar named the ASPIRE Project to identify, test and develop innovative, sustainable and scalable approaches with the aim of reaching some of the world’s most marginalised groups with comprehensive sexual and reproductive health and rights (SRHR).
To inform key programme design decisions, CARE conducted a gender analysis to understand the gendered dynamics around sexual and reproductive health, including barriers that women, girls, men and boys face with respect to accessing SRHR information, services and products, and present findings to the consortium.
This gender analysis provides information about the different needs, capacities and coping strategies of women, men, boys and girls in a crisis and how the crisis has impacted gender roles, relations and norms. The focus was on refugee women, men, boys and girls currently settled in Rhino Refugee Settlement in the West Nile Region of Uganda. Specifically, the study participants were from Omugo Extension Village 6 and Ariaze B. Read More...

A Lifesaving GBV, Women’s Leadership, and SRMH Support for Refugees, in Uganda, Arua District, West Nile ENDLINE EVALUATION – FINAL REPORT

CARE International in Uganda commissioned an endline evaluation to establish the performance of the GAC 3 project on outcome indicators and related information to determine reasonable targets and guide for assessing the outcomes of the project interventions. This report presents the results of the end term evaluation for the GAC 3. The results are from the two sampled refugee settlements of Rhino and Imvepi in Madi Okolo and Terego District formerly Arua District in West Nile Uganda. Overall the end term evaluation survey reached a total of 280 household respondents (186F, 94M) within both settlements.
Fieldwork was conducted for five days, using mixed quantitative and qualitative data collection and analysis methods. Quantitative data was obtained through a household survey using mobile data collection devices. A detailed questionnaire was developed, pre-tested for incorporation of relevant information. Primary qualitative data was obtained through six Focus Group Discussions (involving women, girls, boys and men) and twenty Key Informant Interviews that comprised of GAC 3 project staff, district local government officials, health workers, health partners, Office of the Prime Minister, among others. Qualitative data from mainly key informant interviews and FGDs were analyzed using thematic analysis techniques and the findings were used to strengthen the interpretation of the quantitative findings.
The end line evaluation findings indicate that there is improved feeling of safety and dignity. This was measured at household and community level. There was an improved feeling of safety and dignity as shown by the survey at 91% (92%F, M89%). Further interrogated, the respondents indicated that they felt safe at both household and community levels. At the community level people feel safe at 86% (86%F, 86%M) and at the household level they feel safe at 93% (94%M, 91%F). The study findings indicate men as change agents and as clients in relation to Gender Based Violence (GBV) seem to have been successful exhibited by the high values. Read More...

WOMEN LEAD IN EMERGENCIES IN UGANDA

Women have a human right to participate in public life and decision-making, including in preparing for, responding to, and recovering from natural disasters, conflict, and other crises. Yet, women directly affected by crises are still excluded from most humanitarian responses and from public decision-making more broadly. Women’s participation in community responses and recovery saves lives and increases gender equality. Conversely, when women’s voices are not heard, women’s rights and needs are often not adequately met, and emergency response can reinforce inequalities that perpetuate vulnerability, insecurity, and poverty. Women Lead in Emergencies is a CARE global program that supports local women’s groups to take a lead in responding to the crises that affect them and their communities. It is the first practical toolkit for frontline CARE staff and partners with guidance on how to promote the participation and leadership of women in communities at the forefront of crisis within humanitarian programming. Read More...

PROMOTING SOLAR POWERED ENERGY EFFICIENT STOVES IN KYANGWALI REFUGEE SETTLEMENT PROJECT (PROSPERS)

This report presents the results of the baseline survey on the project “Promoting Solar Powered Energy Efficient Stoves in Kyangwali Refugee Settlement”. Kyangwali settlement is one of the eleven (11)1 refugee settlements in Uganda with a population of over 12,780 refugees who mainly come from DRC (118,390 refugees); South Sudan (3,383 refugees); Rwanda (1,124 refugees); Burundi (107 refugees); Kenya (11 refugees); Somali (7 refugees) and Sudan (2 refugees) (UNHCR, 2020). It is located in Kikuube district in Western Uganda bordered by DRC in the West, Hoima district in the North and Kagadi in the South.
This innovative clean energy project is being implemented by CARE International in Uganda in partnership with African Clean Energy (ACE) and Kabarole Research and Resource Centre (KRC) and is supported by the Dutch Relief Alliance Innovation Fund. It aims at improving the accessibility of quality and affordable clean energy solutions to refugees (particularly women) in the Kyangwali refugee settlement. The project’s innovative package includes two complementary programs namely; a) The User Referral Bonus (URB) model whereby the ACE package (ACE one stove + smart phone + solar powered lamp) will be made affordable to refugees in Kyangwali settlement and host communities, by allowing for payment in installments and also enabling URB participants to earn waivers on their monthly instalments through recommendation of peers; and b) Briquetting program whereby the first ten groups (farming cooperatives/VSLAs) which enroll at least half of their members into the URB will be supported with knowledge and equipment for clean, biomass briquette production, and also empowered to set up their own briquetting businesses. Read More...

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