ASISTENCIA TÉCNICA EN LA IDENTIFICACIÓN, DISEÑO E IMPLEMENTACIÓN DE INICIATIVAS COMUNITARIAS DE CONTENCIÓN, REACTIVACIÓN SOCIAL Y ECONÓMICA PROMOVIENDO COMUNIDADES SALUDABLES FRENTE A LA COVID-19 Y SISTEMATIZACIÓN DE LA EXPERIENCIA
El proyecto “Fortalecimiento de la Respuesta Sanitaria Local a través de la Movilización y Reactivación Social - FORS” y tiene como principal objetivo “Fortalecer las capacidades de respuesta organizada de los sistemas de salud locales y las comunidades/territorios del Área de Influencia Operativa de la Compañía Minera Antamina frente a la emergencia COVID-19, priorizando a la familia y ser humano en su protección, cuidado y capacidad de contagio. Además, acompañar el tránsito hacia una comunidad/territorio saludable que gestione un nuevo escenario post emergencia, protegiendo y promoviendo la salud de la población”. Read More...
EVALUATION EXTERNE DE LA RIPOSTE COVID-19 MISE EN ŒUVRE PAR LE CONSORTIUM (ACF, ASOS, CARE ET MDM)
Financé par UE et AFD, d’un montant de 750 000 Euros, opérationnalisé par un consortium d’ONG à vocation humanitaire, le Projet « Riposte à la crise sanitaire COVID-19 à Madagascar », intégra la Stratégie de riposte nationale, en réponse à la découverte des trois premiers cas importés malagasy le 20 mars 2020, suivie de l’annonce de l’instauration de l’état d’urgence sanitaire dans tout le pays par le Président de la République de Madagascar. Ce consortium est formé de trois ONG internationales et d’une ONG nationale, notamment ACF-CARE-MDM et ASOS. Ce projet ambitionnait de contribuer à la réduction de la morbi-mortalité due à l’épidémie de coronavirus, ainsi que des impacts sociaux des mesures prises pour éviter sa propagation à Madagascar.
La présente évaluation a pour objectifs de mesurer l’impact de cette riposte sur une crise inédite à travers la recherche de réponses aux questions d’évaluation liées à des critères d’évaluation ci-après : (i) impacts ou effets larges du projet au niveau individuel, communautaire , et institutionnel ; (ii) son adéquation aux besoins des bénéficiaires, à la stratégie nationale, (iii) sa gouvernance, pointant la qualité des structures et mécanismes de coordination intra-consortium, et envers les autres intervenants et cibles bénéficiaires ; l’optimisation des ressources à travers des réponses à des questions d’économie, d’efficience, d’efficacité, d’équité ; (v) l’analyse de sa durabilité à travers quelques domaines clés : renforcement des capacités (formations, dotations, infrastructures) et l'approche au niveau communautaire, etc. Read More...
La présente évaluation a pour objectifs de mesurer l’impact de cette riposte sur une crise inédite à travers la recherche de réponses aux questions d’évaluation liées à des critères d’évaluation ci-après : (i) impacts ou effets larges du projet au niveau individuel, communautaire , et institutionnel ; (ii) son adéquation aux besoins des bénéficiaires, à la stratégie nationale, (iii) sa gouvernance, pointant la qualité des structures et mécanismes de coordination intra-consortium, et envers les autres intervenants et cibles bénéficiaires ; l’optimisation des ressources à travers des réponses à des questions d’économie, d’efficience, d’efficacité, d’équité ; (v) l’analyse de sa durabilité à travers quelques domaines clés : renforcement des capacités (formations, dotations, infrastructures) et l'approche au niveau communautaire, etc. Read More...
PROTECCIÓN Y ATENCIÓN EN SALUD SEXUAL Y REPRODUCTIVA A REFUGIADOS VENEZOLANOS VULNERABLES EN ECUADOR
El proyecto se ejecutó en un contexto simultáneo de crisis económica y sanitaria provocada por el COVID 19, y de reforma de la Ley de Movilidad Humana propuesta por el gobierno ecuatoriano hacia finales del 2020 y aprobada en febrero de 2021. Las estrategias empleadas para enfrentar la emergencia sanitaria y reducir el retraso de actividades se orientaron a: (a) establecimiento de alianzas y trabajo en asocio con organizaciones sociales locales de las ciudades de Ibarra y Huaquillas con el propósito de dinamizar las entregas de las diferentes modalidades de asistencia (b) organización de brigadas de atención legal y acompañamiento psicosocial y visitas in situ a lugares estratégicos de concentración de población migrante y refugiada (alberges y espacios públicos); (c) fortalecimiento de relaciones con plataformas de coordinación local y nacional y con el Ministerio de Salud Pública para apoyar y complementar acciones desempeñadas por el sistema de salud (CARE, 2021); (d) el abordaje a través de medios digitales y adaptación del SOP a esta modalidad (CARE, 2019). Read More...
Impact Evaluation of the Integrated Humanitarian Assistance Project that aiming to Reduce the Secondary Impacts of COVID-19 on the Most Vulnerable Populations in South and East Darfur
The evaluation intended to assess integrated WASH, health, nutrition, and multipurpose cash assistance (MPCA) programs. The evaluation conducted to answer questions related to quality and relevance of the project design, its activities and objectives in addressing the priority issues. This is in addition to assessment of project efficiency and to what extent the project resources have been used economically and in a timely manner. Moreover, the evaluation assessed the effectiveness and major achievements of the project to date. The evaluation also assessed the project impact and to what extent the project contributed to provision of sustainable, adequate, and lifesaving WASH, Health and Nutrition services to the targeted communities. This beside Identification of which positive outcomes that likely to continue after the project ends in addition to assessment of bottlenecks, opportunities and lessons learned to inform future planning.
Based on the desk review of available data, the evaluation was deploying different approaches to ensure rich data and triangulation of findings. These approaches were combining qualitative and quantitative methods to maximize validity and reliability. The main methods of data collection used were interviews with the primary stakeholders, observation, asking questions, review of documents and transect walking at sites. Different tools for data collections were used as well that included focus group discussions with different target groups, and observation check list, Key Informant Interview, questionnaire, asking open and closed questions with beneficiaries at water points and at health and nutrition centers.
The project is in line with national and State WASH plans. It was also found that, the project followed and complied with SMoH specifications and guidelines. The comprehensive community consultation indicated that all project activities, technology adopted, and outputs are quite relevant to the target communities and their actual needs and also appropriate for the selected areas. Generally, the evaluation team concluded that, the planned activities were completed with same allocated initial budget. Despite difficulties and challenges in the SLA areas and at sites located in territories between the government and SLA areas the evaluation team believes that, the project is efficient in terms of implementation of the planned activities and management of resources. Read More...
Based on the desk review of available data, the evaluation was deploying different approaches to ensure rich data and triangulation of findings. These approaches were combining qualitative and quantitative methods to maximize validity and reliability. The main methods of data collection used were interviews with the primary stakeholders, observation, asking questions, review of documents and transect walking at sites. Different tools for data collections were used as well that included focus group discussions with different target groups, and observation check list, Key Informant Interview, questionnaire, asking open and closed questions with beneficiaries at water points and at health and nutrition centers.
The project is in line with national and State WASH plans. It was also found that, the project followed and complied with SMoH specifications and guidelines. The comprehensive community consultation indicated that all project activities, technology adopted, and outputs are quite relevant to the target communities and their actual needs and also appropriate for the selected areas. Generally, the evaluation team concluded that, the planned activities were completed with same allocated initial budget. Despite difficulties and challenges in the SLA areas and at sites located in territories between the government and SLA areas the evaluation team believes that, the project is efficient in terms of implementation of the planned activities and management of resources. Read More...
Sistematización del modelo de respuesta sanitaria desde la comunidad – FORS
CARE Perú en asociación con la compañía minera Antamina implementó el Proyecto de Fortalecimiento de la Respuesta Sanitaria Local a través de la Movilización y Reactivación Social (FORS), con el objetivo de fortalecer las capacidades de respuesta organizada de los sistemas de salud locales y las comunidades/territorios del Área de Influencia Operativa (AIO) de Antamina, frente a la emergencia de la CODIV-19, priorizando a la familia como unidad de vigilancia, información y cambio de hábitos, a través de dos componentes: 1) Movilización local de respuesta a la COVID-19 y Reactivación Social; y 2) Fortalecimiento de los Establecimientos de Salud locales para la atención de la pandemia según nivel de atención. Read More...
CAP Final Proyecto FORS
Este estudio se ha desarrollado en el marco del proyecto Proyecto Fortalecimiento de la Respuesta Sanitaria Local a través de la Movilización y Reactivación Social (FORS). El objetivo del estudio fue implementar el estudio de línea de salida (final) de los Conocimientos, Actitudes y Prácticas (CAP) de las familias del Área de Influencia Operativa de Antamina, del personal de establecimientos de salud del AIO, y valorar la contribución del proyecto FORS en el impacto de la reducción del COVID-19. Read More...
Urban Community Health Workers in Afghanistan
Building strong relationships and trust between community health workers and the communities they serve prior to public health emergencies can help ensure continuity of health seeking behaviors during times of crisis. When health services dropped during COVID-19 lockdowns, women community health workers increased services 25%.
Health-seeking significantly decreased during COVID-19 lockdown due to fear of contracting the virus, and
many of the health posts in CHWs homes were shut down at this time. In contrast, CARE-supported urban CHWs,
particularly in Kabul and Balkh, were able to continue service provision in their homes due to the strong trust
they had built with the communities they served and their recognized leadership among community members
and as part of the health system. The relationship between CHWs and local communities was complemented by
CARE’s efforts to quickly provide CHWs with personal protective equipment and build capacity on WHO
protocols for COVID-19 screening, detection, and referral of cases as well as risk communication and
community engagement. During COVID-19 lockdown, the CHWs also continued provision of SRH, GBV services,
and referrals to midwives at community-based health centers run by CARE. In addition to maintaining service
delivery, the CHWs also began offering counseling and support to local women using mobile phones. Read More...
Health-seeking significantly decreased during COVID-19 lockdown due to fear of contracting the virus, and
many of the health posts in CHWs homes were shut down at this time. In contrast, CARE-supported urban CHWs,
particularly in Kabul and Balkh, were able to continue service provision in their homes due to the strong trust
they had built with the communities they served and their recognized leadership among community members
and as part of the health system. The relationship between CHWs and local communities was complemented by
CARE’s efforts to quickly provide CHWs with personal protective equipment and build capacity on WHO
protocols for COVID-19 screening, detection, and referral of cases as well as risk communication and
community engagement. During COVID-19 lockdown, the CHWs also continued provision of SRH, GBV services,
and referrals to midwives at community-based health centers run by CARE. In addition to maintaining service
delivery, the CHWs also began offering counseling and support to local women using mobile phones. Read More...
COVID-19 Vaccine Acceptance among People in Kailali, Nepal
COVID-19 has caused massive disruption and destruction worldwide, with millions of deaths since 2019. Vaccination plays a vital role in ending COVID-19. The objective of the study was to assess
the acceptance of the COVID-19 vaccine and its determinants among the general population aged 18 years and above. A total of 506 participants were interviewed in the study. A quantitative questionnaire covered socio-demographic characteristics of the respondent's knowledge related to the vaccine, misconceptions related to the vaccine, perceived reliable sources, and acceptability of the vaccine. The COVID-19 vaccine acceptance rate was 76% in the study area. The vaccine acceptance rate was slightly lower among female participants (74%) in comparison to their male counterparts (78%). The Bivariate analysis showed a significant association of acceptance of the COVID-19 vaccine with the municipality, caste/ethnicity, and family type. Similarly, in the multivariate analysis, religion, caste/ethnicity, and disability statuses were found to be significantly associated with vaccine acceptance. Concluding that the COVID-19 pandemic cannot be curbed if people do not accept the vaccine. The findings of the study showed that a considerable proportion of the respondents did not accept the vaccine due to fear of the side effects and doubt about vaccine efficacy. Therefore there is a need to increase advocacy and awareness of the COVID-19 vaccine to increase people's trust in it. Read More...
the acceptance of the COVID-19 vaccine and its determinants among the general population aged 18 years and above. A total of 506 participants were interviewed in the study. A quantitative questionnaire covered socio-demographic characteristics of the respondent's knowledge related to the vaccine, misconceptions related to the vaccine, perceived reliable sources, and acceptability of the vaccine. The COVID-19 vaccine acceptance rate was 76% in the study area. The vaccine acceptance rate was slightly lower among female participants (74%) in comparison to their male counterparts (78%). The Bivariate analysis showed a significant association of acceptance of the COVID-19 vaccine with the municipality, caste/ethnicity, and family type. Similarly, in the multivariate analysis, religion, caste/ethnicity, and disability statuses were found to be significantly associated with vaccine acceptance. Concluding that the COVID-19 pandemic cannot be curbed if people do not accept the vaccine. The findings of the study showed that a considerable proportion of the respondents did not accept the vaccine due to fear of the side effects and doubt about vaccine efficacy. Therefore there is a need to increase advocacy and awareness of the COVID-19 vaccine to increase people's trust in it. Read More...
Women at the last mile: How investments in gender equality have kept health systems running during COVID-19
Even before COVID-19, investments in health systems—and especially female health workers—were too low. In 2019 the world had a gap of 18 million health workers. Two years and fifteen million deaths later, we have at least 26 million fewer health workers than we need. , This leaves us severely underprepared for future pandemics and other major shocks to the health system, including conflict and climate change. We must invest in health systems that don’t just meet the needs of today, but that are also resilient in the face of future shocks.
Pandemic preparedness requires gender equality: equal recognition, support, and fair pay for ALL health workers. Globally, 70% of health workers are women, but half of their work is unpaid. We must do more to support these health workers. The glimmers of success in COVID-19 built on previous investments in women health workers, their skills, and equality in health systems. Pre-existing investments in equality helped systems respond to COVID-19. Increased investments will build better resilience for the crises that come next.
This report highlights case studies and lessons learned from 20 countries during COVID-19. The evidence shows that we must invest in gender equality in health systems to prepare for and respond to the next pandemic. Health worker training is not enough. Focusing only on health workers working within the formal health system is not enough. We need to work for equality.
Read More...
Pandemic preparedness requires gender equality: equal recognition, support, and fair pay for ALL health workers. Globally, 70% of health workers are women, but half of their work is unpaid. We must do more to support these health workers. The glimmers of success in COVID-19 built on previous investments in women health workers, their skills, and equality in health systems. Pre-existing investments in equality helped systems respond to COVID-19. Increased investments will build better resilience for the crises that come next.
This report highlights case studies and lessons learned from 20 countries during COVID-19. The evidence shows that we must invest in gender equality in health systems to prepare for and respond to the next pandemic. Health worker training is not enough. Focusing only on health workers working within the formal health system is not enough. We need to work for equality.
Read More...
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...
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...
To search for projects containing a specific term, type the term in the search box above and click enter.
To sort evaluations by Country, Language, Evaluation Type, Approval Status, Keywords and Sectors, set the dropdown lists above and click the "Apply Filter" button.