Wash

Baseline Study Report KHUSHAAL PROJECT 2019

CARE India in partnership with Alstom Foundation is implementing socio-developmental projects in 7 villages of District Madhepura, Bihar. Project Khushhaal is one among the many initiatives being undertaken in the identified villages. It aims to enhance the capabilities of women and girls (age 12 years and above) and youth in the age group of 18-35 years for resilient livelihoods and improved health outcomes through a participatory process.

The project aims to empower 1500 individuals (women and girls) from these 7 villages (Tuniyahi Uttarwadi, Tuniyahi Dakshinwadi, LakshmiRampur Chakla Uttarwadi, LakshmiRampur Chakla Dakshinwadi, Ganeshsthan, Shreepur Utarwadi and Shreepur Dakshinwadi) with better health and hygiene practices and have better preparedness for gainful employment opportunities

The study focused at 5 specific areas
1. Menstrual Hygiene related status and challenges
2. Health and Hygiene related situation in young Girls, Pregnant and Lactating women
3. Work and Communication Skills status of Adolescents and Youth
4. Work/Market situation of women Entrepreneurs
5. Social Scenario / Current Situation on Safe Space for Girls in community and social realization regarding it. Read More...

Final Evaluation: Ah Har Ya (Nourish) Northern Shan State

This report presents the findings, conclusions and recommendations of the Final Evaluation of the project: “Ah Har Ya (Nourish)”. Implemented by CARE International in Myanmar, launched on April 2017, on its first phase for one year, later extended for a further year ending on 30th of June 2019.

The project, implemented in 12 villages of Lashio Township (Northern Shan State) with a target population of 528 Households (HHs), is funded by Latter-day Saints Charities (LDSC). It aims to contribute to food and nutrition security through sustainable agricultural production, access to water for human consumption and farming, women participation in
decision makings and improvement on hygiene and nutrition behaviour.

Read More...

Inter-agency Response to Tropical Cyclone Gita Tonga

In response to the damage and the immediate needs of the affected population, taking in to account the expertise of the agencies, MORDI Trust Tonga (MORDI), Live & Learn Environmental Education (LLEE) and CARE Australia (CARE) formed a partnership to deliver humanitarian assistance on the islands of Tongatapu and ‘Eua.

The response program included assistance provided in the areas of shelter, WASH, food security and livelihoods, with an underlying focus on gender and social inclusion. Donor funding for the response program through CARE Australia included DFAT funding through the Australian Humanitarian Partnership, ECHO and the START Network. Additional grants directly to MORDI from Oxfam and Rotary/MFAT also formed part of the overall response program.
This report will aim to test the effectiveness and efficiency of the overall response program. Read More...

Tropical Cyclone Gita Response Program Evaluation

Tropical Cyclone (TC) Gita, a Category 4 cyclone, struck Tonga in February 2018. CARE, Live and Learn, and MORDI (‘the partnership’) responded to the immediate needs of communities on Tongatapu and ‘Eua islands, delivering emergency shelter and hygiene kits. In the recovery phase the partnership supported communities with shelter, repairs to water, sanitation and hygiene (WASH) infrastructure, and food security and livelihood recovery efforts, including a specific project focused on the recovery priorities of seven women’s groups on ‘Eua island.

CARE commissioned this evaluation to assess the assistance provided through the response and recovery program in the first six months (February – August 2018). The evaluation focused on four main areas of enquiry: the partnership, the response, gender and inclusion, and localisation.

This report documents the findings from the evaluation and provides forward-looking recommendations for the partnership and for preparedness and future emergency response in Tonga. Read More...

EVALUATION FINALE DU PROJET USAID/NUTRITION – WASH DANS LES REGIONS DE KOULIKORO, SEGOU ET MOPTI

La présente étude vise, en effet, à évaluer l'efficacité de la stratégie nutritionnelle intégrée de l'IRP combinant nutrition, agriculture, eau, assainissement et hygiène (WASH) pour améliorer l'état nutritionnel des femmes enceintes et allaitant et des enfants de moins de 2 ans.

Les principaux indicateurs du projet dans le domaine de la nutrition aussi bien chez les enfants de moins de 2 ans que les femmes en âge de procréer (réduction de la prévalence de l’émaciation, du retard de croissance, de l’émaciation, de l’anémie, amélioration du régime alimentaire minimum acceptable pour les enfants de moins de deux ans et du défit énergétique chronique, de l’anémie et amélioration du régime alimentaire minimum acceptable) ont tous favorablement évolués entre la situation de départ et la situation actuelle. Par contre, aucune valeur de l’indicateur initialement prévu n’a été atteinte par le projet. Il en est de même pour les indicateurs WASH. Cependant, la motivation des bénéficiaires pour soutenir le projet et ses acquis ont été observé. Les bénéficiaires se disent favorables à la poursuivre les activités réalisées après le retrait du projet. Il s’avère nécessaire de poursuivre les activités du projet pour lui permettre d’atteinte des objectifs fixés. 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...

EVALUATION FINALE DU PROJET USAID/NUTRITION – WASH DANS LES REGIONS DE KOULIKORO, SEGOU ET MOPTI

La Mission de l'Agence américaine pour le développement international au Mali (USAID/Mali) à travers l’ONG Care Internationale a confié à Kurugan Fuga Consulting l'évaluation finale du projet USAID/Nutrition et Hygiène dans les régions de Koulikoro, Ségou et Mopti au Mali. Au terme de ce programme qui s’étalait sur une période d’exécution de 5 ans allant d’octobre 2014 à septembre
2018 prolongée en 2019, son évaluation finale s’imposait. La présente étude vise, en effet, à évaluer l'efficacité de la stratégie nutritionnelle intégrée de l'IRP combinant nutrition, agriculture, eau, assainissement et hygiène (WASH) pour améliorer l'état nutritionnel des femmes enceintes et allaitant et des enfants de moins de 2 ans.
Matériels et méthodes
Une étude évaluative de type avant/après selon un échantillonnage stratifié en grappe à trois degrés combinant une approche quantitative et qualitative auprès d’un échantillon de 1041 ménages comptant 1204 enfants de moins de 5 ans a été réalisée. Les résultats ont été présentés par leurs proportions et leurs moyennes. Le test de Chi² de Person a été utilisé pour la comparaison des moyennes avec un niveau de confiance de 95% et un risque d’erreur de 5%. Une différence statistiquement significative était observée lorsque le p value était inférieur à 0,05. L’Odd ratio a été calculé pour déterminer le degré de dépendance ou de survenue des facteurs
étudiés. L’étude a été approuvée par le comité éthique de l’INRSP. Read More...

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

Health International (FHI 360), International Rescue Committee (IRC), CARE International au Mali avec son partenaire malien l'ONG Yam-Giribolo - Tumo (YA -G- TU) - (Association pour la Promotion de la femme). L'objectif global du Projet est d'améliorer l'état nutritionnel des femmes et des enfants, avec un accent particulier sur le renforcement de la résilience à travers la prévention et le traitement de la malnutrition, tout en ciblant la «fenêtre d'opportunité» de 1000 jours de la période de conception de l'enfant jusqu'aux deux premières années de sa vie; et cela dans neuf (9)) districts sanitaires, dont Nara (région de Koulikoro), Niono (région de
Ségou), Mopti, Bandiagara, Bankass, Tenenkou, Youwarou Djenné et Koro(région de Mopti). Initialement, trois (3) objectifs stratégiques étaient assignés au projet USAID/Nutrition Hygiène, que sont : (i) accroître l'accès et la consommation d'aliments diversifiés et de qualité, (ii) améliorer la nutrition et les comportements liés à l'Hygiène et (iii) accroitre l’utilisation des Services à Haut Impact en Nutrition et en Eau, Hygiène et Assainissement. En mai 2016, le projet a bénéficié d’un fond additionnel qui a permis de renforcer les activités au niveau de l’objectif stratégique 1 et d’ajouter un quatrième objectif stratégique, qui consiste à « Contribuer au renforcement de la capacité institutionnelle et opérationnelle de la DNACPN1 pour la mise en oeuvre de la stratégie post FDAL (Fin de la Défécation à l'Air Libre) au 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. Read More...

Baseline Study of the Title II Development Food Assistance Program in Haiti

In fiscal year 2013, the U.S. Agency for International Development’s (USAID) Office of Food for Peace (FFP) awarded funding to CARE International and its partners, Action Contre La Faim International (ACF) and the U.N. World Food Programme (WFP), to implement a Title II development food assistance program in Haiti.1 The four-year Kore Lavi Program directly supports the Government of Haiti’s (GOH) social protection efforts. The overall objective of the program is to reduce food insecurity and vulnerability by supporting the GOH in establishing a replicable safety net system and expanding capacities for preventing child undernutrition.

KEY FINDINGS.
The Title II program area residents face challenges in all four pillars of food security: (1) availability of food, (2) access to food, (3) utilization of food and (4) stability.

Survey results indicate that 57.5 percent of households suffer from moderate hunger and 13.5 percent of households suffer from severe hunger.

An HDDS of 6.2 indicates that households in the Kore Lavi Program area typically can access and consume 6 of 12 basic food groups. Qualitative data indicate that food consumption is pragmatic at the household level. Individual families eat what is available, what they can grow or what they can afford to purchase. Despite these challenges, many respondents spoke ardently to beliefs about the cultural significance of certain foods, while also holding strong opinions on imported food in comparison to locally produced food.

The household survey data show that 69 percent of all households have an adequate level of food consumption, 22 percent score at the borderline level, and 9 percent score at the poor level.

Across the Kore Lavi Program area, 43.6 percent of households currently live in extreme poverty (less than the international poverty line of USD$1.25 at 2005 prices), with average daily per capita expenditures of constant USD$ 2.10.

The household survey data show that 40 percent of households use an improved drinking water source and 16 percent of households use a non-shared improved sanitation facility.

As measured by body mass index (BMI), the nutritional status of women 15-49 years of age who are not pregnant or two months post-partum is generally satisfactory despite a lack of dietary diversity.

The survey data reveal that 8 percent of children under five years of age in the Kore Lavi Program area show signs of being moderately or severely underweight, and 19 percent of children under five years of age are stunted.

Across the qualitative data, views about gender equality tended to be polarized, rooted historically and in tradition. 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.
Read More...

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