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
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.

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.

Endline evaluation of WASH project in West Mosul, Iraq

This is an endline evaluation for the "Improving Sanitation, Hygiene, Renovation of Sewage Systems" project, funded by the Ministry of Foreign Affairs of the Czech Republic.
This project addressed critical needs for sanitation services in West Mosul, as a direct contribution to enable the affected populations to return home. The project aimed to repair two vital sanitation resources/infrastructure in West Mosul and to support the municipal authorities to build their capacity to eventually recover their costs, once the situation allows. Finally, the project intended to mobilize local communities towards greater ownership for their local environment, to avoid the recurrence of such sanitation risks and maintain a cleaner, more habitable environment. In addition to mitigate a number of health risks related to poor sanitation in urban areas, CARE’s engagement aimed to promote social cohesion and community participation among vulnerable populations affected by the conflict.
The End-line project Evaluation is intended to assess the relevance, performance, management arrangements and success of the project. It looks at signs of potential impact of project activities on men,
women, girls and boys identified as vulnerable and the sustainability of results, including the contribution to capacity development. The Evaluation also identifies, and documents lessons learnt and makes recommendations that project staff and the stakeholders might use to improve the design and implementation of other related projects and programs. Read More...

WASH Support to IDPs & host communities in Duhlok and Ninawa, Iraq (2017-2019)

CARE’s GAC funded WASH project started in January 2017 providing critical water, sanitation and hygiene (WASH) services to improve overall WASH services for women, men, boys and girls and reduce tensions between the host community and IDPs in the areas of 4 IDP camps (Mamrashan, Essyan, Sheikhan, and Chamishko), and host community collectives (Ardawan, Ba’adre, Kalakchi, Mahate and Ayas) of Duhok Governorate. The project also had an emergency response component in November 2017 in three neighbourhoods of West Mosul (Al-Mansour, Al-Jawsaq and Wadi Al-Hajar). The project is implemented through two local partners Harikar and REACH. Working through partners is a key modality of CARE’s country strategy to strengthen the capacity of local NGOs. This approach has had a significant impact in achieving the GAC aim of supporting vulnerable and conflict-affected people living in the Kurdistan Region of Iraq. The ongoing WASH intervention aims to provide 55,572 (27,318 women & 28,434 men)2 IDPs and members of host communities with access to water supply, safe sanitary facilities and increased awareness on safe hygiene practices in a dignified, gender-sensitive and culturally appropriate manner.
The midterm project evaluation aims to assess the relevance, performance, and progress on targets within the project. It looks at signs of potential impact of project activities on men, women, girls and boys identified as vulnerable and the sustainability of results, including the contribution to capacity development. The evaluation also identifies, and documents lessons learnt and makes recommendations for CARE Iraq and project partners to improve the implementation of the final year of the GAC project as well and strengthen the design of future related projects. Read More...

Dutch Relief Alliance Horn of Africa Joint Response in Ethiopia and Somalia/Somaliland

This evaluation assesses the impact of the Dutch Relief Alliance’s (DRA) multi-sectoral Horn of Africa (HoA) joint response implemented in Somaliland and Ethiopia from April to December 2018. The five project components, i.e. Food security and livelihood (FSL); Livestock and agriculture; Water, sanitation and hygiene (WASH); Health; and Nutrition, were assessed against a set of key evaluation criteria including relevance, efficiency, effectiveness, sustainability, impact, localization, accountability, gender mainstreaming, and coordination.
In addition to an in-depth desk review of the DRA HoA joint response documentation to examine quantifiable targets and progress, the evaluation was conducted through qualitative and quantitative data collection in four different project locations in four different regions. In order to provide variety of geography, context, implementing partners, and project components, Bulale (Jarar), Kabri Dahar (Korahe), Ainabo (Sool), and Lughaya (Awdal) were selected. A total of 29 key informant interviews and eight focus group discussions targeting 72 beneficiaries were conducted. A quantitative
household survey collected data from 428 beneficiaries across all four locations.
Based on findings in this report, the DRA’s greatest strength lies in its coordination and flexibility between implementing partners and ability to adapt to changing local contexts. This was seen across multiple project locations when dealing with insecurity in the Somali region of Ethiopia and Sanaag region of Somaliland or changing project activities in Awdal region after the cyclone in May severely impacted the local situation. Partners also felt the CARE focal point was extremely communicative and responsive and that decisions could be approved at higher levels within a few hours, which was particularly relevant for an emergency response program when response time is crucial. The DRA was
effective in incorporating localization measures into their program designs as well. While many of the partners have had established field offices in the target locations for many years, in some cases program activities were implemented through local NGOs who have an in-depth understand of the local context and well-established relationship with the communities they work in.


L’initiative ACCES, a été mise en oeuvre dans les départements du Borgou et l’Ouémé du 1er septembre 2011 au 31 décembre 2016. Au cours de cette période, quatre composantes ont été exécutées en collaboration avec les acteurs étatiques, les partenaires communaux et l’institution Eau et Assainissement par l’Afrique (EAA) à travers la conduite de différentes activités liées aux résultats du cadre logique de l’intervention. Read More...

Rano WASH Baseline

CARE, in partnership with Catholic Relief Services (CRS), WaterAid, and local partners Bushproof and Sandandrano, presented an innovative approach under the Rural Access to New Opportunities in Water, Sanitation, and Hygiene (RANO WASH). The consortium capitalized on strong existing relationships with the Ministry of Water, Energy and Hydrocarbons (MEEH), municipalities and key stakeholders, and worked in close coordination with other USAID programs to address critical gaps in the WASH sector.
According to the MEEH’s Water and Sanitation Sector 2013 Yearbook, water and sanitation statistics in Madagascar are among the worst in the world and the country is far from achieving universal access to WASH services in 2030. The challenges to accelerate and expand the use of improved, sustainably managed WASH services are three-fold: Weak WASH governance, monitoring, and management capacities; Weak private sector/WASH supply; and Unhealthy behaviors/low demand for WASH. RANO WASH aims to increase equitable and sustainable access to WASH services to maximize the impact on human health and nutrition and preserve the environment in 250 rural communes in Vatovavy Fitovinany, Atsinanana, Amoron’i Mania, Haute Matsiatra, Vakinankaratra, and Alaotro Mangoro. Read More...


In Darfur, CARE has been focusing on providing assistance and support in the areas of health, nutrition, WASH, agriculture, food security, early recovery of market systems and peace building with various donors such as OFDA, ECHO, Dutch MoFA, UNDP UNICEF, WFP, and other private agencies.

CARE has been working through ECHO funding in East Darfur and South Darfur implementing emergency WASH activities since 2009. The 2018 funding covered the same areas of East and South Darfur as well as extension activities in South Kordofan, reaching refugees, IDPs and affected nearby host communities.

CARE International was able to sustain operation and maintenance of 6 water yards in Geredia (4 mortised and 2 solar pumps) and sustain O&M in Kalma (,6 solar pumps, one mortised system, rehabilitation of existing 12 water points and 9 hand pumps). In East Darfur, CARE contributed to the rehabilitation of one yards in Kairo for host community, O&M for 2 water yards in Kairo Refugees camps and 11 water distribution points in addition to 30 km of distribution network. CARE was able to construct and distribute 100 slabs household latrines in Gereida, and construction of 186 households’ latrine in Kalma camp. All details including hygiene promotion activities issues are reflected in the body of discussion.

Thanks to CARE’s actions, all water points visited were hygienic and protected from contamination with human and animals using separate water trough and drainage basins. The average water consumption per day is near 15 liters/consumption/day with proper distance. All plans were implemented as per the observation the team had in the visited sites and the reports received from the project staff and community representatives. In some cases, over plan accomplishment were reported.


Evaluation Report of Community Led Sanitation in Odisha

There is a direct relationship between water, sanitation and health. Inadequate water and sanitation infrastructure and unhygienic practices facilitate the transmission of pathogens that cause diarrhoea, which accounts for 2 million child deaths annually in the world, about half of them in India. Globally 1.1 billion people, including an estimated 638 million in India alone, practice open defecation (OD). This is inextricably linked to the very low availability and use of toilets. In India, the 2011 census indicated that less than half (46.9%) of households (HH) have latrines within their premises. Disappointing results from incentive driven government schemes for toilet construction and increased political commitment to sanitation led the Government of India (GoI) to elevate achievement of Open Defecation Free (ODF) status to a national mission in 2014. India aims to achieve ODF status by 2019 through a mix of strategies that include financial incentives for HH toilet construction, recognition and rewards for villages that become ODF, and community led initiatives to mobilise behaviour change. Community Led Total Sanitation (CLTS) is one such community empowerment approach. CLTS seeks to raise awareness of the faecal-oral contamination route, by capitalising on human emotions of disgust and shame to bring about community-wide change in defecation practices, with the ultimate goal of triggering entire villages to become ODF. [86 pages] Read More...

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