RESET II Project Promoting Resilient Livelihoods in Borana Final Report

Purpose: The purpose of this end line evaluation is to assess the achievements, constraints and lessons learnt and to produce sufficient evidence to show how the project performed against its overall objective. Overview of the project: Funded by the European Union (EU) through its European Union Trust Fund (EUTF) with a total budget of Є6,586,291, the Promoting Resilient Livelihoods in Borana RESET II Project was implemented by a consortium of CARE Ethiopia, Oromo Self Help Organization (OSHO) and Action against Hunger (AAH). The project focused in the geographic area of Arero, Miyo, Dire, Moyale, Dillo and Dhas districts in the Borena Zone within the Oromia region. The overall aim of enhancing the resilience of 100,000 PSNP beneficiaries, reducing irregular migration through improved access and coverage to provision of WASH, health and nutrition services, diversifying and increasing livelihood opportunities and incomes, improving Disaster Risk Reduction (DRR) capacity, enhancing research and knowledge management systems as well as reducing barriers to women empowerment, the project begun implementation October 2016 and end in December 2020. CARE’s Pastoralist Resilience Casual Model (PRCM) using proven CARE’S Village Saving and Loan Associations (VSLA), Climate Vulnerability and Capacity Assessment (CVCA), Social Analysis and Action (SAA), Participatory Scenario Planning (PSP) and AAH’s as well as Assisting Behavior change (ABC) methods and approaches were utilized throughout the project. Read More...

Somalia Resilience Program (SomRep) Endline Assessment

The Somalia Resilience Program (SomReP) is intended to enhance the resilience of vulnerable households and communities in Southern Somalia against cyclical shocks and stressors. SomReP is a consortium of seven international non-governmental organisations (INGOs). The program’s activities focus on improving livelihoods and increasing adaptive capacities of communities and households in Somalia.
On behalf of SomReP, Forcier Consulting is conducting Third Party Monitoring (TPM) of the program in two districts in South Central Somalia: Baidoa, Bay Region and Afgooye, Lower Shabelle Region. This document represents the initial main findings of the end line of the TPM. The end line report will report trends in program results after the program’s completion. Further, the status of the indicators will be compared to the baseline and midline values.
The data collection for this midline study was collected in August 2019. All data was collected, cleaned, and analysed by Forcier Consulting. Analyses compare midline and baseline data to end line results to identify trends among the results. This report follows the structure of the midline and baseline assessments, which was conducted by Forcier Consulting in 2017 and 2018.
A total of 1,590 program beneficiaries were surveyed, including 58% female and 42% male respondents. Respondents were sampled in urban/peri-urban, pastoral, agro-pastoral, and IDP livelihood zones. The vast majority of respondents were household heads, with an average age of 37 years. A large majority of participants had attended madrasa only (70%), and the average household size was 4.3 members.
Overall, the findings are positive for many program areas, however conditions varied over the period of the study; there was some recovery from the very severe 2016/2017 drought in 2018, but deterioration into 2019. These poor conditions created challenges for program beneficiaries. As a result, the analyses in the end line study show some mixed results. One limitation of the study is that the negative effects of the drought cannot be differentiated from the positive effects of the program. Read More...

SANI (Southern Africa Nutrition Initiative)

The Southern Africa Nutrition Initiative (SANI) is a $29,487,135 CAD project to address undernutrition in women of reproductive age (15-49) and children under 5 years in Malawi, Mozambique and Zambia. A partnership between CARE, Cuso International, Interagency Coalition on AIDS and Development (ICAD) and McGill University and the Governments and communities of implementing countries, SANI aimed to improve the nutritional status of women of reproductive age (15-49 years) and children under-5 years old. SANI was designed to align with national health and nutrition strategic priorities of Malawi, Mozambique and Zambia, and has been implemented in close collaboration with the Ministries responsible for Health, Agriculture, and Gender in each country, as well as national and district-level nutrition coordination committees (NCC and DNCC). Between June 2016 and March 2021, SANI contributed directly to the improved health of 234,000 women, children and men directly and over 498,000 individuals indirectly.
This final report covers the implementation period of the original SANI contribution agreement and project implementation plan finalized in February 2017.
Key project achievements:
Outcome 1100 aimed to improve nutrition practices and services for women of reproductive age, boys, and girls under 5 by strengthening the delivery of community-based nutrition services at the intersection between community health and the health system. Growth Monitoring and Promotion (GMP) and Community Management of Acute Malnutrition (CMAM) programs built this link, working on the continuum of prevention of malnutrition and early detection and treatment of moderate and severe acute malnutrition. Training and support on Maternal, Infant, and Young Child Nutrition (MIYCN), CMAM, and GMP was provided to health service workers and community health workers, and Care groups were established to support families to learn about and apply gender-sensitive MIYCN practices. Interactive teaching was also done at scale through participatory education theatre and cooking demonstrations using local nutritious foods. Social Analysis and Action (SAA) dialogues encouraged families involved in the program to identify, discuss, and challenge traditional social norms and practices that affect women’s health, nutrition, and empowerment.
Endline data revealed the following increases in nutrition-specific indicators from baseline:
- All three countries had considerable increases in rates of exclusive breastfeeding of children up to 5 months, increasing by 15-percentage points in Zambia (from 70% to 85%), 25- percentage points in Malawi (from 61% to 86%) and 17-percentage points in Mozambique (from 65% to 82%)
- Minimum Acceptable Diet (MAD) for children 6 to 23 months increased by 24-percentage points for boys and girls in Malawi (from 7% to 31%) and in Zambia by 7-percentage points for boys (from 24% to 31%) and by 13-percentage points for girls (from 17% to 30%)
- Knowledge of men and women on MIYCN practices improved by 6-percentage points for men (from 79% to 85%) and 4 percentage points for women in Malawi (from 90% to 94%), by 12- percentage points among women (from 59% to 71%) in Mozambique, and by 11-percentage points for women (from 81% to 92%) and 14-percentage points for men (from 72% to 86%) in Zambia. Read More...

Water for Food Security, Women’s Empowerment and Environmental Protection Project (SWEEP) Gender Assessment II

East and West Belesa woredas (districts) are located in the central Gondar zone of Amhara Regional State, Ethiopia. The people of East and West Belesa woredas are dependent on subsistence farming and rain fed agriculture in a context of recurrent drought and severe land degradation. The overwhelming majority live in extreme poverty and face food shortages as a result of the frequent shocks these conditions expose them to. The condition is more devastating for women, girls and marginalized households – for example, female-headed households and households including persons with disability who are often excluded from social and economic entitlements.
CARE, with the financial support from the Austrian Development Agency (ADA) and funds from Austrian Development Cooperation (ADC) has implemented a three years' (October 2017 to September 2020 – then extended to February 2021) project titled "Water for Food Security, Women's Empowerment and Environmental Protection (SWEEP)" to address the socio-economic and environmental problems causing food insecurity in 20 kebeles of east and west Belesa woredas. The project was implemented by CARE in collaboration with local government, communities and universities. To increase the resilience of households, the SWEEP project followed an integrated and holistic project implementation approach, which put marginalized people at the center.
At the end of the project period, a gender assessment was conducted to see and capture the changes in the lives of women; especially the results of the women empowerment and the social norms change components of the project. Findings from the Rapid Gender Assessment (May 2017) and In-depth gender Assessment (May 2018) were used as a baseline to compare the before and after situation of women in the community. This report is prepared to share the findings of the end line gender assessment II, which was conducted between December 14 and 23, 2020. Read More...

Supporting flood Forecast-based Action and Learning (SUFAL) Project in the 2020 Monsoon Floods

Background: ‘Supporting flood Forecast-based Action and Learning’ (SUFAL) project was designed to contribute to reducing the adverse impacts of the increasing frequency of catastrophic flooding on the vulnerable and poor communities through Forecast-based Action (FbA). The project was funded by The Directorate-General for European Civil Protection and Humanitarian Aid Operations (ECHO) and was implemented through a consortium led by CARE Bangladesh, with Concern Worldwide, Islamic Relief and Regional Integrated Multi-Hazard Early Warning System for Africa and Asia (RIMES). The project was implemented in three northern districts of Bangladesh: Jamalpur, Gaibandha, and Kurigram. FbA contributed to disseminating Flood Early Warning messages with a lead time of 10 – 15 days with timely and accurate weather forecast information, while and it also helping to identify potential flooding areas.

Methodology: The primary purpose of the study was to “Evaluate the impact of early actions” applied through the SUFAL project on household and community beneficiaries in responding to the 2020 monsoon floods. Customized OECD-DAC criteria, Quasi-experimental design (Difference-in-Difference Method), Knowledge, Attitude and Practices (KAP) framework and Value for Money (VfM) framework were used as guiding methods and tools to design study instruments and evaluate the impact of early actions at every stakeholder level. The study covered a control group in non-project areas and three treatment groups in the project areas: Treatment group 1 (EWM support), Treatment group 2 (EWM + Evacuation + Shelter + WASH support), Treatment group 3 (EWM + Evacuation + Shelter + WASH + Cash-grant support). Treatment groups were categorized in three different groups to conduct cost-effectiveness analysis. The study areas were in the districts of Kurigram (Hatia, Begumganj, Buraburi, Shaheber Alga unions), Gaibandha (Bharatkhali, Saghata, Ghuridaha, Haldia unions) and Jamalpur (Kulkandi, Chinaduli, Noarpara, Shapdhor. The survey sample consisted of 224 control respondents (of which 153 were women) and 754 treatment respondents (of which 426 were women), among which Sample for treatment group 1, 2, and 3 were 293 (100 women), 292 (192 women) and 169 (134 women), respectively. A total of 118 of the 754 treatment households interviewed through the survey were women-headed households and 38 out of 224 control group households were women headed households. The team had conducted 7 FGDs with community members in the three implementation areas, and 27 KIIs with community volunteers, project staff, government officials, and other related NGOs.

Impact: It was found through the study that less people in treatment group experienced damages compared to control households, treatment households saved more resources in 2020 than control households, and the average monetary values of assets saved by treatment group in 2020 were higher compared to the control group households. Due to the drawn-out duration and intensity of the flood in 2020, respondents reported that they were not able to prevent more damages although they took more early actions. Besides, treatment areas were the most flood affected areas. The early messages had helped the community to prevent damage to their assets and livelihoods. The percentage of damage prevented in agricultural sector for the treatment group had increased to 28% since the flood of 2019. The damage prevented in fisheries had increased significantly by 18 percent in 2020 in compared to that of 2019. The death of family members from waterborne diseases had decreased (except female members) in comparison to the previous flood in 2019. It is quite evident that the early warning message had enabled the males to take early actions regarding relocation of the vulnerable
family members to higher grounds, relative’s houses, or to the shelters. The cash for work modality had also helped the community people to obtain a source of income by working for the embankment, roads, bamboo bridges, etc. Shelter renovations and upgradations reportedly encouraged the community people to evacuate faster. The average amount of loan taken by a treatment respondent and control respondent was found to have been Taka 20,194 and Taka 18,335 respectively. However, post flood loan burden was significantly less for the cash grant recipients (only 32% took loan after flood) as compared to other treatment groups (more than 50% took loan). The
cash grants are said to have helped the recipients address their basic needs during the flood and also helped them to some extent to repair their house and pay for livestock treatment after the flood. [70 pages] Read More...

Collective Impact for Nutrition (CI4N)

The objective of the Collective Impact for Nutrition (CI4N) initiative has been to improve the nutritional status of women aged 15 to 49 and children under 2, through a multisectoral approach and initiatives based on two strategic axes: (1) Alliances for learning and advocacy and (2) community nutrition. [34 pages] Read More...

TAMANI (Tabora Maternal and Newborn Health Initiative) Impact Evaluation

According to the 2015-2016 DHS survey, Tabora region has the highest percentage population (45.8%) in the lowest wealth quintile in the country, which reflects high levels of structural inequality that have a direct bearing on reproductive, maternal, newborn, child, and adolescent health outcomes.(2) Polygamy is most prevalent in the Western zone with approximately one-third of marriages polygamous, contributing to high fertility rates. Tabora has a low contraceptive prevalence rate of 21.9%, and the Western Zone has the highest levels of teenage childbearing in Tanzania (38%). The latest DHS survey (2015-2016) indicated that 44.3% of women in Tabora deliver at home.

Given this context, the international aid organization CARE began reproductive health programming in Tabora in 2012 with the aim of improving maternal and reproductive health. This paper presents an impact evaluation of CARE’s second stage of reproductive, maternal and newborn health programming in Tabora, the Tabora Maternal and Newborn Health Initiative (TAMANI), which builds on the experience of CARE in the region and spans from 2017-2021. Read More...

Final Report for the Final Evaluation of OFDA Response program

This report presents the final evaluation of the United States’ Agency for International Development (Office of Foreign Disaster Assistance ( Response Program implemented by CARE Turkey and its partners in Aleppo and Idleb governorates of Northwest Syria. The evaluation aimed to assess the program’s relevance, efficiency, effectiveness, impact, sustainability and coordination using the Organization for Economic Co operation and Development's Development Assistance Committee (OECD DAC) evaluation criteria and was carried out from July to October 2021.

“I am very satisfied with this assistance in terms of gravelling the road, providing the camp with water and upgrading the tents for the entire camp. All of those interventions were desperately needed. People are satisfied because the situation has improved within the camp.”
-Camp Manager
“I can say that this service is very important in all aspects because it is securing clean and safe water for the neighborhood (…). Everyone in the neighborhood is satisfied with the services.”
-FGD participant

Estudio sobre la situación de la seguridad alimentaria y las prácticas de alimentación infantil en hogares del ámbito de intervención del proyecto “Ella Alimenta el mundo”

CARE Perú es una Organización No Gubernamental que ha venido trabajando por mas de 50 años en intervenciones comunitarias para mejorar la nutrición y desarrollo en niñas y niños, alrededor de todo el país.
El presente estudio, buscó obtener información de primera mano sobre el estado actual de algunos de los indicadores del componente nutricional del proyecto del proyecto “Ella Alimenta al Mundo”, con la finalidad analizar los posibles efectos que pudieron darse un año después de la Línea de Base y considerando los potenciales factores influyentes en estos indicadores de estudio, en el contexto de la pandemia por COVID-19.
Ante ello, la consultora responsable del estudio diseñó y adaptó un protocolo adecuado con las variables de estudio que pudieran ser medidas de manera online (vía telefónica) como lo han venido haciendo otras intervenciones y estudios en salud pública alrededor del mundo, dado el contexto de la pandemia. La recolección de datos se dio entre los meses de junio y julio del 2021 bajo la modalidad telefónica teniendo en cuenta las restricciones de tránsito y recomendaciones vigentes de los organismos gubernamentales para evitar la propagación de COVID-19 en el país. Se reclutó un equipo de 11 encuestadores con formación de nutrición, quienes fueron designados a tres equipos según ámbito de estudio: i) Piura (Sullana), ii) Ica (San José de los Molinos y Subtanjalla) y iii) –Lima (Pachacámac), quienes aplicaron las encuestas bajo la supervisión de los especialistas y practicantes de cada ámbito, además de la consultora, asegurando la total objetividad y precisión de la información recolectada.
El estudio recolectó información de 569 niños menores de 5 años acerca de sus indicadores sociodemográficos e inseguridad alimentaria, así como también información en prácticas de alimentación infantil en un total de 115 niños menores de 24 meses.
El presente informe final de la evaluación de medio tiempo, resume los resultados de esta información según los indicadores clave y por distritos.
Indicadores

Estudio sobre conocimientos, actitudes y prácticas sobre COVID-19 y diseño de estrategias metodológicas de información, educación y comunicación (IEC)

Este estudio se realizó en el marco del Proyecto Fortalecimiento de la Respuesta Sanitaria Local que tiene como objetivos: i) fortalecer las capacidades de respuesta organizada de los sistemas de salud locales y las comunidades/territorios del área de influencia operativa de Antamina frente a la emergencia COVID-19, priorizando a la familia y ser humano en su protección, cuidado y capacidad de contagio; y ii) acompañar el tránsito hacia una comunidad/territorio saludable que gestione un nuevo escenario post emergencia, protegiendo y promoviendo la salud de la población.
El objetivo específico del estudio fue conocer la situación actual con relación a los Conocimientos, Actitudes y Prácticas (CAP) frente a la COVID-19 y otros cuidados de la salud, de las familias, agentes comunitarios de salud y comités COVID-19 comunales y distritales, así como entender el nivel de organización y articulación de los servicios de sanitarios y las organizaciones de base o comunales. Para ello, se aplicaron tres instrumentos. En primer lugar, una encuesta CAP a familias, aplicada a 276 jefas/es de hogar de las cinco UGT. En segundo lugar, una encuesta en los establecimientos de salud de las cinco UGT, aplicada a 111 profesionales de la salud. En tercer lugar, entrevistas semiestructuradas aplicadas a 5 agentes comunitarias de la salud y a 5 profesionales de la salud de los establecimientos de las UGT. Read More...

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