Research Study

Meeting the demand of women affected by ongoing crisis: Increasing contraceptive prevalence in North and South Kivu, Democratic Republic of the Congo

Over 20 years of conflict in the DRC, North and South Kivu have experienced cycles of sta- bility and conflict, resulting in a compromised health system and poor sexual and reproduc- tive health outcomes. Modern contraceptive use is low (7.5%) and maternal mortality is high (846 deaths per 100,000 live births). Program partners have supported the Ministry of Health (MOH) in North and South Kivu to provide good quality contraceptive services in pub- lic health facilities since 2011.

This paper used cross-sectional population-based surveys in the program areas using a two- stage cluster sampling design to ensure representation in each of six rural health zones.

It found that modern contraceptive prevalence among women in union ranged from 8.4% to 26.7% in the six health zones; current use of long-acting or permanent method (LAPM) ranged from 2.5% to 19.8%. The majority of women (58.9% to 90.2%) reported receiving their current method for the first time at a health facility supported by the program partners. Over half of women in four health zones reported wanting to continue their method for five years or longer. Read More...

Delivering High-Quality Family Planning Services in Crisis-Affected Settings II: Results

An estimated 43 million women of reproductive age experienced the effects of conflict in 2012. Already vulnerable from the insecurity of the emergency, women must also face the continuing risk of unwanted pregnancy but often are unable to obtain family planning services. The ongoing Supporting Access to Family Planning and Post-Abortion Care (SAFPAC) initiative, led by CARE, has provided contraceptives, including long-acting reversible contraceptives (LARCs), to refugees, internally displaced persons, and conflict-affected resident populations in Chad, the Democratic Republic of the Congo (DRC), Djibouti, Mali, and Pakistan. The project works through the Ministry of Health in 4 key areas: (1) competency-based training, (2) supply chain management, (3) systematic supervision, and (4) community mobilization to raise awareness and shift norms related to family planning. This article presents data on program results from July 2011 to December 2013 from the 5 countries. Read More...

Delivering High-Quality Family Planning Services in Crisis-Affected Settings I: Program Implementation

In 2012, about 43 million women of reproductive age experienced the effects of conflict. Provision of basic sexual and reproductive health services, including family planning, is a recognized right and need of refugees and internally displaced people, but funding and services for family planning have been inadequate. This article describes lessons learned during the first 2.5 years of implementing the ongoing Supporting Access to Family Planning and Post-Abortion Care in Emergencies (SAFPAC) initiative, led by CARE, which supports government health systems to deliver family planning services in 5 crisis-affected settings (Chad, Democratic Republic of the Congo, Djibouti, Mali, and Pakistan). Read More...

“It is a thing that depends on God”: barriers to delaying first birth and pursuing alternative futures among newly married adolescent girls in Niger

Pregnancy among adolescent girls in Niger contributes to 34% of all deaths among females ages 15– 19, but there is a dearth of research as to the specific contextual causes. In Zinder region, an area that is especially impoverished and where girls are at heightened risk, there is very little information on the main obstacles to improving adolescents’ health and well-being.

This qualitative study examines the underlying social, individual and structural factors influencing married girls’ early first birth and participation in alternative opportunities (such as education or economic pursuits) in Niger. Read More...

USAID Agricultural Extension Support Activity: Study on Gender Impact

The USAID Agricultural Extension Support Activity (AESA) is a five years’ project funded by USAID that aims to enhance access to and utilization of agricultural extension services by smallholder farmers – both men and women. It is working for building capacities and creating support to a farmer demand-driven agricultural extension system, synergized by the use of information communication technology (ICT).

This research paper identifies the gender impact of this project. The research used both quantitative and qualitative approaches to understand the gender awareness and dynamics within the project. Read More...

AESA Performance of Mungbean in the South-Central Region of Bangladesh

Bangladesh has been experiencing a shortage of land for pulses, whereas its demand is increasing day by day. This, increasing yield remains to be the option for elevating pulse production in the country. In this regard, mungbean can play an important role especially in the South-Central Region of Bangladesh.

This study was undertaken for scoping increased yield and profitability of the crop in the region. Field experiments were conducted using three genotypes, four locations environments, two seasonal environments, and two managements. Read More...

Every Voice Counts: Social Inclusion Report

This qualitative study on social inclusion of women and girls in (in)formal planning and budgeting processes at local level took place under the EVC programme. In Burundi, EVC advocates for the respect of the 30% quota of women’s participation at community level, it aims for inclusion of women and girls in community development planning (PCDC), and advocates for the completion and implementation of the Gender Based Violence (GBV) law; specifically looking at the quality of legal and health services offered to GBV victims and strengthening municipal marriage registration. Key strategies of EVC Burundi include the implementation of the Community Scorecard (CSC), support to Village Savings and Loan Associations (VSLAs), and advocacy on the aforementioned topics. Lobby is tied to CSC outcomes as well as existing community peace clubs.

There is very little data available on how women and girls participate in (in)formal governance spaces that focus on planning and budgeting, and how they perceive their participation. This research therefore aims respond to the following main research question: What are the factors or "pathways" that contribute to women and girls participating in (in) formal planning and budgeting processes? In line with the overall research framework of this study, specific emphasis lies on analysing different degrees of participation, notably access, presence and influence. Factors/pathways are tied to three types of empowerment (or obstacles): individual or collective agency of women, their relations with others (ex. family, community, organisations), and support offered by structures (ex. authorities and CSOs/INGOs). Findings aim to improve effectiveness of the EVC programme by offering insight into how the programme can influence these (in) formal planning and budgeting processes. Read More...

A Study Report on the Link Between Land Use Planning and Rural Economic Growth through Mobile Applications in the Sagcot Area: A Case Study of Iringa Rural and Kilolo Districts

his study investigated ways in which mobile applications can best be used to link village land use planning and village economic growth so that CARE and its partners will more effectively engage key stakeholders in supporting smallholder farmers to find better ways of using their land to improve their economic wellbeing. This is because, after more than a decade of advocating for the land rights of smallholder farmers, CARE Tanzania is currently looking at how best village land use planning can, in addition to demarcation of village land and issuance of certificates of customary rights of occupancy (CCROs), help to transform the lives of those depending on land as a means of livelihood or identity.

More specifically, this study (a) assessed the extent to which village land use planning in Tanzania improves rural economy in general and the economic wellbeing of smallholder farmers in Tanzania; (b) identified and analyzed the best ways in which mobile applications can be used to link land use planning with rural economy and economic wellbeing of smallholder farmers; and (c) identified and analyzed economic, social, environmental and political factors which help or hinder smallholder farmers with formalized land rights, from improving their economic wellbeing. Read More...

VSLAs as Economic Drivers: Exploring Linkages Between Capital Available within Women’s Savings Groups and Economic Contribution to the Tanzanian Economy

Savings-led microfinance innovation aims to improve access to financial services in remote areas, especially among women. In the past decade, more and more researchers and practitioners have recognized and taken advantage of this informal financial service to help improve lives of the poor. A leading innovator in the field, CARE International, has spawned extensive household- and community-level benefits from its Village Savings and Loan Association (VSLA) programmes. With about 700,000 members in 28,000 groups in Tanzania, CARE is seeking to measure the potential contribution of VSLAs on the growth of the Tanzanian national economy.
This literature review shows some important insights and establishes a foundation for future research on the topic. Read More...

Rapport d’Evaluation Multisectorielle dans les zones de santé de MIABI et Tshilundu au Kasaï Oriental; de Kamiji, Luputa à Lomami et Yangala au Kasaï Central

Le présent rapport fait état de la situation humanitaire des populations vivant dans les zones de santé de Kamiji et Luputa dans la province de Lomami, Cilundu et Miabi dans la province du Kasaï oriental puis Yangala dans la province du Kasaï Central. Pour parvenir à la collecte des informations attendues, nous avons fait recours à une méthodologie diversifiée utilisant les techniques d’enquêtes dans les ménages, les entretiens avec des informateurs clés, des focus groupes avec des groupes spécifiques dont les femmes, les commerçants, des autorités locales, ect ; des observations directes libres et/ou guidées ainsi que l’exploitation de documents existants. Read More...

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