Usaid

Support for Service Delivery Integration- Services (SSDI-Services) Endline

SSDI-Services was the flagship project for USAID/Malawi’s health office. The project was implemented from November 8, 2011 to March 7, 2017 under a cooperative agreement, valued at USD 89 million. Active project implementation occurred over a 4.5-year period from April 2012 to December 2016, with the preceding and following months focused on startup and closeout activities respectively.

SSDI-Services provided financial and technical assistance to the Malawian Ministry of Health (MoH) to deliver, refine, and scale up high-impact interventions contained in the Essential Health Package (EHP). The EHP includes globally proven and cost-effective interventions to address key causes of illness and death in Malawi. SSDI-Services implemented interventions under the following program areas: maternal, newborn, and child health (MNCH); family planning (FP); malaria; nutrition; HIV/AIDS; and sanitation and hygiene.

SSDI-Services was implemented by a consortium comprising Jhpiego as lead, CARE, Plan International, and Save the Children. The project focused on increasing access to, and strengthening the delivery of, EHP services both at the health facility and in the community. It leveraged the work of both SSDI-Communication and SSDI-Systems to improve health-seeking behavior and the quality of health services by addressing the informational needs of both service providers and their clients. It also addressed systems issues that may hinder the provision of high-quality Read More...

Ghana Strengthening Social Accountability Mechanism (GSAM) final

USAID/Ghana contracted Social Impact, Inc. to conduct an impact evaluation of USAID’s Ghana Strengthening Accountability Mechanisms (GSAM) program, which aims to increase accountability of local District Assemblies in Ghana. This randomized-controlled trial, impact evaluation tests the effect of two distinct efforts to increase accountability and improve service delivery outcomes at the district level. One-hundred and fifty of Ghana’s districts were matched and randomized into one of three groups: a top-down treatment group that received performance audits conducted by the central government Ghana Audit Service (GAS); a bottom-up treatment group that received civil-society organization (CSO) led scorecard campaigns; and a control group that did not receive either intervention.
Through surveys with citizens, local administrators, and local politicians and through a review of administrative data, we find that both CSO and GAS programming generally reduce citizen satisfaction with projects and services, but this is largely driven by districts that receive negative audit reports. That citizens are correctly attributing bad audit performance to poor-performing DAs is encouraging from the point of view of accountability. This progress with citizens has not, however, translated into many substantial changes in how administrators or politicians manage projects or project budgets. Neither GAS nor CSO programming improve transparency or corruption. GAS programming does reduce the incidence of partisan manipulation of public resources by politicians, and it also increases the perception of partisan manipulation among administrators. This is consistent with GAS sensitizing administrators to partisan manipulation and reducing its actual incidence among DA politicians.
CSO programming increases citizen-reported consultation on recent development, and administrators in CSO districts spend, on average, three hours more responding to constituents. Reasons that the intervention did not have a stronger impact on district officials includes (1) natural limits to the number of citizens reached by the intervention, (2) limited district government capacity and frequent turnover, and (3) local government dependence on federal budget transfers. Read More...

Final Evaluation Food for Peace II program in Syria

Jouri for Research and Consulting was commissioned by CARE International (CARE) to undertake a final evaluation of the project “Emergency and Regular Food Assistance in Syria” in Aleppo and Idleb, funded by USAID Food for Peace and implemented by four partner organizations over a period of 15 months. Project activities included multi-round and emergency cash assistance, in-kind assistance (RTE rations and ready to-eat rations) and wheat value chain support (wheat purchase from selected farmers participating in another of CARE’s livelihood project, milling into flour, distribution to bakeries for subsidized bread production, and infrastructure improvements). The evaluation was conducted in the period between August to mid-September 2020 to address the key evaluation questions posed by CARE, organized under the OECD DAC evaluation criteria: 1) Relevance, 2) Efficiency, 3) Effectiveness, 4) Impact, 5) Sustainability.
The purpose of the evaluation was to document evidence of change at outcome and impact levels to be used for organizational learning and improvements of future programming, and accountability towards donor, partners and ultimately beneficiaries. Read More...

NUTRITION AND HYGIENE: END OF PROJECT REPORT (2013‐2019)

In alignment with USAID’s resilience strategy to mitigate recurrent shocks on vulnerable populations in Mali, the overall goal of the Integrated Rural Program to Improve Nutrition and Hygiene – USAID Nutrition and Hygiene – project (2013‐2019) was to improve the nutritional status of women and children, with a special emphasis on building resilience through the prevention and treatment of undernutrition.
The project – which was implemented by a CARE‐led consortium that included Family Health International (FHI 360), the International Rescue Committee (IRC) and a Malian non‐governmental organization (NGO) called Yam‐Giribolo‐Tumo (YA‐G‐TU) – targeted three regions in Mali: Mopti, Ségou and Koulikoro. These regions are all characterized by drought and climate‐related chronic food insecurity and high acute malnutrition rates. The project was implemented in nine districts across these three regions: Nara (Koulikoro Region), Niono (Ségou Region), Mopti, Bandiagara, Bankass, Tenenkou, Youwarou, Koro and Djenne (Mopti Region). In 2016, the
project received additional funding from Feed the Future to reinforce its agriculture component in the Mopti region.
The project aimed to reach children during the 1,000‐day “window of opportunity” period between conception and the first two years of life through the promotion of community and health sector services, improved agricultural practices, nutrition education and social behavior change communication. Our approach addressed both the immediate causes of malnutrition – such as inadequate dietary intake and infectious diseases, including diarrheal diseases – and the underlying root causes of malnutrition – such as poor hygiene, inadequate sanitation infrastructure and barriers to the access to and consumption of quality, diverse foods. Read More...

Harande Outcome Mapping Report

The USAID-funded Harande program aims to sustainably improve the food, nutrition and income security of 179,690 vulnerable household members by 2020 in 193 communities of Youwarou, Tenenkou, Bandiagara and Douentza districts in the Mopti region. This area is located in the center of Mali and suffers from frequent drought and current conflict and political instability. The program is a Development Food Assistance Program (DFAP) and is implemented by a consortium of international NGOs, composed of CARE International (lead), Save the Children International (SCI), Helen Keller International (HKI) and two national NGOs, namely: YAGTU and Sahel Eco.

Starting from July 2019, the program set in motion a qualitative and participative approach known as « Outcome Mapping » through its M&E Team (Harande MEAL Team). This approach was favored because it allows adequate monitoring and also helps to assess the level of expected changes.

Upon completion of the implementation approach – which lasted for about 9 months – the Harande MEAL Team prepared this report based on information collected from community actors and beneficiaries of the program. Read More...

Zimbabwe OFDA Baseline 2018

CARE International in Zimbabwe is implementing a 12-month OFDA funded project in Gwanda and
Beitbridge district of Matabeleland South Province. The area is characterized by extensive farming ,where
livestock production is domineering and small grains production is the gateway to maintaining food
security levels. The current funding opportunity through OFDA aims to address the immediate agricultural
and financial needs of the most vulnerable households to recover from: the impact of successive drought
years, erratic rainfalls, mid-season dry spells, and prevent potential food insecurity. The declining
macroeconomic conditions and lack of development at the national level have compounded the impact
of the droughts and hindered recovery resulting in negative coping strategies as the majority of vulnerable
households are selling productive assets (mainly livestock) through the previous season and consequently
ad libitum before the coming farming season. Read More...

Rapport d’évaluation Finale du Projet Fagnoitse

Financé par OFDA et opérationnalisé par CARE International à Madagascar, le projet Fagnoitse a pour objectif de renforcer la résilience des populations vulnérables touchées par la sécheresse dans le sud de Madagascar. Son budget total s’élève à 1 262 725 USD pour une durée de 12 mois.
L’intervention vise au total 42 000 individus directs et se concentre sur trois volets dont :
1. Amélioration de la production agricole et de la sécurité alimentaire en fournissant : des intrants adéquats (semences/plants améliorés et résistants à la sécheresse), des outils, une formation aux techniques résilientes au climat (12,000 personnes) ; formation et mise en place d’installations de stockage pour la sécurité des semences et des productions agricoles (12,000 personnes) ; fourniture de petits ruminants/volaille, coupons d’alimentation/fourrage, formation technique (6,000 personnes);
2. Soutien de la reprise économique et des systèmes de marché en restaurant les moyens de subsistance (6,000 personnes) ; le soutien au développement de nouvelles entreprises en fonction de la mise en place de groupe d’épargne et de crédit (12,000 personnes) et le soutien à la transformation agricole/produits de la pêche (12,000 personnes) ; élaboration de business plans (9,000 personnes) ;
3. Promotion de l’accès à l’eau et l’hygiène par la mise en place/opérationnalisation de 120 comités de gestion des transports d'eau, la fourniture de charrettes à boeufs et des futs (12,000 personnes) ; fourniture d'équipements de stockage d’eau (900 personnes), la fourniture de séances de sensibilisation/information sur l’hygiène, l'alimentation et la nutrition (36,000 personnes), et la fourniture de kits Wash (bidons d’eau, seaux d’eau, gobelet, barres de savon) (3,000 personnes). Read More...

SUAAHARA II GOOD NUTRITION PROGRAM ANNUAL SURVEY YEAR TWO (2018)

SII aims to reduce the prevalence of stunting, wasting and underweight among children under five years of age and to reduce the prevalence of anemia among WRA and children 6-59 months of age. SII works across thematic areas including nutrition, health and family planning (FP), water, sanitation and hygiene (WASH), agriculture/homestead food
production (HFP), and governance, using a gender equality and social inclusion (GESI) approach for all interventions. CARE is a sub-grantee to Helen Keller International.
Annual surveys are a key component of SII’s monitoring system. The primary purpose is to monitor progress over time related to key SII inputs, outputs, outcomes and impacts in intervention areas. The first SII annual monitoring survey was conducted between June to September 2017. Similar to the first annual survey, data collection for the second SII annual survey was conducted between July to September 2018, again, among a representative sample of households with a child
under five years. Read More...

SUAAHARA II GOOD NUTRITION PROGRAM ANNUAL SURVEY YEAR ONE (2017)

The Government of Nepal (GoN) is currently rolling out the second phase of a national Multi-Sectoral Nutrition Program (MSNP), with the support of external development partners. Suaahara II is a USAID-funded multisectoral nutrition program, aligned with Nepal’s MSNP, being implemented in 42 of Nepal’s 77 districts from 2016 to 2021. Suaahara II aims to reduce the prevalence of stunting, wasting and underweight among children under 5 years of age and to reduce the prevalence of anemia among WRA and children 6-59 months of age. CARE is sub-grantee to Helen Keller International on this project.
Annual surveys are a key component of Suaahara II’s monitoring system. The primary purpose is to monitor progress over time related to key Suaahara II inputs, outputs, outcomes and impacts in intervention areas. The first SII annual monitoring survey was conducted between June to September 2017 among a representative sample of households with a child under five years, by New Era, a local survey firm. Read More...

LIVELIHOOD RAPID MARKET ASSESSMENT REPORT Ninawa Governorate

Gender-balanced implementation structures (including vetting committees comprised of local leaders, community representatives and local partner institutions) will be established and they will determine the criterion for identification of vulnerable vocational trainees. CARE will advertise the program in strategic locations, inviting beneficiaries to apply. Vocational training beneficiaries (including those carrying out agricultural production) will be identified through inclusive processes that rank applicants according to a vulnerability criterion. Selected beneficiaries are then provided vocational training, start-up kits and apprenticeships, based on the conducted market assessment.
Supporting micro-business enterprises: Applicants for business trainings will be shortlisted and identified by committees made up of community leaders/local partners, in a similar process to the selection of vocational trainees. Training materials will be developed and finalized. Beneficiaries will be trained in running a small business and gender and gender-based-violence awareness. Trainees that successfully complete the program will be supported in designing and applying for microbusiness pre-financing, which a gender inclusive committee will award to awardees.
Providing cash for work (CFW) on public works projects: CFW projects will be conducted over three-month periods, engaging 300 workers in each of the two project sites of Rabia and Zummar. The CFW projects will be described to and prioritized with relevant stakeholders there, which include local community leaders, community and religious leaders and lowest government administrative structures involved in selecting CFW public works projects and understand community needs.
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