Nutrition

P4PII to P4PIII Final Report

In order to prevent malnutrition among children from 0 to 23 months and women of childbearing age, CARE International Benin/Togo has initiated an integrated nutrition program called “Nutrition at the Center”. This program is the starting point for the implementation of the P4P project which has just completed its third phase. The main goal of P4P III is to help reduce stunting and anemia in children under 2 years of age, and anemia in women of childbearing age, by increasing availability and equitable access foods of animal and vegetable origin with high nutritional value. The present study aims to assess the results of P4P II in the communes of Adjohoun and Dangbo and of P4P III in the 4 beneficiary communes: Adjohoun, Dangbo, Covè and Djakotomey. Information was collected from 475 mother-child couples aged 6 to 23 months using individual interviews and questionnaires, and from 114 P4P beneficiary groups using an interview guide. Read More...

A Glimpse on Poor and Extreme Poor Pregnant and Lactating Women’s Situation in Sunamganj, amidst COVID-19

The global pandemic COVID19 outbreak has crippled the economy after the nationwide lockdown imposed by the Bangladesh government since the end of March 2020 and has thrown millions of its population into poverty and food insecurity. Sunamganj, district is highly susceptible to natural hazards such as heavy rain, storm, thunderstorm, flash flood, which severely affect their livelihood and food and nutrition security where the COVID19 crisis has speeded up the devastation of daily livelihood. While writing this report the total number of infected corona patients in Sunamganj was 1162 and nine died. To better understand how pregnant and lactating women in the poor and the extremely poor household of Sunamganj district, are experiencing and adapting during this COVID 19 crisis, Collective Impact for Nutrition (CI4N), CARE Bangladesh conducted a rapid mobile-based survey from May 14 to 23, 2020. This report represents unofficial survey findings to keep a finger on the pulse of the food and nutrition security situation in rural Bangladesh. Read More...

Evaluation Finale “Dans les Zones de Feed the Future” du Projet USAID/Nutrition et Hygiène/ CARE dans la Région de Mopti – Mali

L’objectif de cette évaluation finale est d’apprécier le niveau d’évolution des indicateurs du Projet entre l’étude de base et étude finale. De façon spécifique il s’agit d'évaluer les niveaux actuels des indicateurs agricultures, les indicateurs Santé/Nutrition/WASH d’une part, et d’autre part, de mesurer l’impact des émissions radiophoniques sur les communautés bénéficiaires.

De façon globale des résultats forts encourageants sont notés, car la plupart des indicateurs ont
connu des améliorations par rapport à leur valeur de base en 2016. La synthèse de ces résultats
est présentée ci-après. Read More...

Emergency Water, Sanitation, Hygiene and Nutrition for Crisis Affected Communities in East Darfur and South Darfur, Sudan, 2017-2019

The project under evaluation was a two-year project implemented in one locality in South Darfur and three localities in East Darfur during the years 2017 and 2019. The Project was implemented by CIS in partnership with two local organizations and in cooperation with the State institutions.

The intervention activities are tailored to address urgent lifesaving needs of the vulnerable communities through improving communities’ access to WASH facilities and nutrition services. Where, the two components are expected to complement each other and the resultant outcomes are expected to reflect on the improvement of maternal and child health in particular.

The ccomparison of the actual implementation with the planned showed that the types of the activities implemented conform to the planned and that planned outputs are almost completed in accordance with the plan in quantitative and qualitative terms. while the number of beneficiaries reached exceeded the target by about 30%.
As immediate outcomes, IDPs and refugees’ camps expressed improvement in their access to safe drinking water, where 98.6% indicated obtaining water from protected sources. They also revealed satisfaction with availability of water by 65% of the HHs and the water distance has been cut to about 320 m in SD and to 106 m in ED, with an average water distance of 213 meter.

Evident progress has been made along communities’ access to and use of latrines, including women, where, 89.3% and 86.1% of target community members indicated their access to and regular use of latrines. The created hygiene awareness has induced the required positive changes in hygiene and sanitation attitude and practices among communities.

In overall, the treatment of malnutrition reached 80% of the cases and for both girls and boys the cure rate is 75% also for both sexes and the Number of MAM cases treated ranges between 10 to 15 daily, while number of PLW treated ranged between 4 to 7 women daily.

Ultimately, The WASH and nutrition interventions the project delivered so far have addressed emergency humanitarian needs of the IDPs and host communities, without which their lives would have been at great risk. The inadequate unsafe water sources are now more accessible, clean and healthy. The personal hygiene and environment has much improved due to increased awareness and positive change in attitude and practices. VSLAs have added a new livelihood means for women and their families by starting to save and becoming economically active and contributing to households’ budget.
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Mid-Term Strategic Review of the Livelihoods for Resilience Activity

CARE commissioned a Mid-Term Strategic Review (MTSR) of the Livelihoods for Resilience Activity to formulate recommendations for the remaining life of the project to increase effectiveness in achieving sustainable impact. The Livelihoods for Resilience Activity is being implemented in 27 Woredas in the three regions of Tigray, Amhara, and Southern Nations, Nationalities and Peoples and is just over the midway point in its five-year life from December 5, 2016, through December 3, 2021. The purpose of the Livelihoods for Resilience Activity is to reduce food insecurity and increase resilience for 97,900 chronically food insecure households that are enrolled in the fourth cycle of the Government of Ethiopia’s Productive Safety Net Program (PSNP4), enabling them to graduate with resilience from the PSNP4.

The MTSR for the Livelihoods for Resilience Activity was a formative evaluation exercise intended to provide guidance on ways to improve the effectiveness of the program in achieving intended impact.

Relative to the four global learning questions for the MTSR (see page 4), the MTSR found that the model that the Livelihoods for Resilience Activity is implementing is effective for achieving graduation with resilience, but because frontline delivery is constrained by the number of staff, their technical capacities and the degree of supervision and support that they receive, interventions are not always going deeply enough to ensure behavioral change. The program is empowering women both economically and socially through the VESA platform, but there are significant variations between regions; and outside of the VESA, there is some evidence to suggest that women’s empowerment has not yet been well incorporated, especially in value chain participation and MFI linkages. Progress is certainly being made in transferring ideas and knowledge to PSNP counterparts, but that has not yet translated into practice mainly because of resource constraints. Key approaches that need to be added or strengthened in the coming two years include expanding frontline delivery capacities, expanding efforts to ensure that strategies and approaches are well understood by implementation staff at all levels in all partners, ensuring that women’s empowerment is included in all approaches by all partners, and looking for new ways to facilitate access to jobs, either through self-employment or wage employment, for youth from PSNP households.

The Livelihoods for Resilience Activity is already doing some very nice work in starting to achieve sustainable impact. The project has strong potential to be recognized as a “great” project if it can make some adjustments.
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Rapid Gender Analysis – SNNP Region Ethiopia and Gedeo Crisis Response

As of July 14, conflict between Guji Oromo and Gedeo communities displaced over 1 million people (82 per cent in Gedeo; 19 per cent West Guji zones). Internally displaced people (IDPs) stay in cramped public buildings and spontaneous IDP sites while other live with host communities. This massive and sudden population displacement prompted CARE Ethiopia to expand its emergency programme in the South Nation, Nationalities People Region (SNNPR). Consistent with its focus on gender equality, CARE initiated a rapid gender analysis (RGA) to provide gendered data on needs, power relations, access and controls, risks and coping strategies of displaced women, men, boys and girls affected by the conflict.

An RGA mission led by CARE International Rapid Response Team Gender Specialist took place in Dilla town, Gedeb and Yirgachafe woredas (administrative unit in Ethiopia) between 25 and 31 July. Read More...

Pastoralist Areas Resilience Improvement through Market Expansion (PRIME) Endline Survey Report

Beginning in 2012, the United States Agency for International Development (USAID) launched a 5-year project, named the Pastoralist Areas Resilience Improvement through Market Expansion (PRIME), to increase vulnerable communities’ resilience to climate change and reduce hunger and poverty. This endline report presents findings on whether PRIME achieved its overall objective in the Afar, Oromiya and Somali woredas where it was implemented. It also recommends further investigations prior to developing additional interventions (e.g. PRIME Phase Two), and considerations for defining any future monitoring and evaluation (M&E) plan. [64 pages] Read More...

Final abiemnom smart survey report 2017

This 50 page report details a SMART Nutrition Survey undertaken in Abiemnom County, South Sudan in ... Read More...

Gender and GBV analysis and operational suggestions – CARE Nigeria field Assessment

CARE international has deployed a multisector assessment team in North East Nigeria to assess the increasing humanitarian needs and inform CARE’s emergency Strategy and response programming. The assessment will look at the areas of food security, Sexual and reproductive Health and Gender based violence. The gender-specific dynamics and impacts of the insurgency require a strong focus on gender mainstreaming and sexual and gender-based violence (SGBV) prevention and mitigation. Therefore a rapid gender and GBV analysis has been conducted with the global objective to improve the quality and effectiveness of CARE and partner’s response in the North East Nigeria through strong integration of gender equality and GBV at all stage of the humanitarian project cycle.

This analysis aim to provide answer to the following key questions:
• What are the different Impact of the insurgency for girls, women, boys and men and what
are the different needs of these groups?
• Who has access, and who has control over what resources and assistance? Who has the
decision among the family and the community? How the crisis has affected this power
relation, what social norms and practices affect the access and control?
• What are main GBV risks? Who is most affected and at-risk among girls, women, boys and
men? What are main social, cultural norms and practices that shape GBV in the Area?
• What are main GBV services providers and actors in the ground and what is their capacity to deliver? Do GBV survivors have access to comprehensive GBV services? What are main gaps
in service
• Formulate geographic and programmatic recommendations to guide CARE decision on GBV
• Develop a GAP to improve gender integration into the assistance. Read More...

Air first process evaluation report

This 55 page evaluation highlights learning from This report presents the findings for the first sta... Read More...

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