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.


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.


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...

Livelihoods Advancement for Marginalized Populations (LAMP)

CARE International’s Livelihood Advancement for Marginalized Populations (LAMP) project aims to create job opportunities and address the constraints faced by marginalized populations – Internally Displaced People (IDP), returnees, women, and youth – in securing jobs and business opportunities.
This gender analysis and baseline survey for the LAMP project is intended to create benchmarks for its key indicators and to help LAMP prioritize its interventions. The findings of this study will be used to create the baseline values of the key outcome indicators outlined in the LAMP Activity Monitoring, Evaluation and Learning Plan (AMELP) and inform appropriate interventions regarding livelihoods advancement and gender related activities.
CARE/LAMP and CBMC purposively selected the four provinces of Kabul, Khost, Ghazni and Balkh as intervention areas under LAMP. Random sampling was used to select a sub-group of intervention household groups and systematic random sampling was used to select a control group of respondents. Data collection enumerators and field supervisors were trained on the data collection tools and methodology to trail the approach with a sub-set of households prior to the survey. Focus group discussions (FGDs) and key informant interviews (KIIs) with secondary stakeholders provided qualitative and local context and a means to triangulate household survey findings. CBMC conducted three FGDs and three KIIs in each province, except for Kabul where KIIs were not possible due to the time constraints of government stakeholders and officials. The secondary stakeholders reached in this study were the MORR, MOWA, MAIL and MOLSAMD. Read More...

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.

Midline Report of the HALOW+ Health Intervention

HALOW+ (an extension of the Health Access and Linkage Opportunities for Workers project) is a partnership among GSK, M&S, and CARE, aimed at increasing Bangladeshi factory workers’ knowledge, empowerment, and access to health services. These workers often have low economic and social status, making it difficult for them to advocate for their needs. Because there is significant room for improvement in workers’ health (e.g., anemia is prevalent), and improved health is not just a benefit to workers but also facilitates greater productivity, this project combines the expertise of the three partner organizations to improve worker health and factory outcomes. Read More...

Evidence of Change In Gender Equality and Women‘s Empowerment in the Balkans 2005-2012

This is a report about CARE’s work to advance gender equality in the Balkans and what we have achieved over the past seven years. Our goal is to give account and to demonstrate our commitment to change the lives of the people we serve. We want to illustrate the real life impact of the work we do with our partners and to document the process, methods and the tools used. We want to show that what we and partners have achieved, is relevant to the regional context and that our approaches and methodologies make a demonstrable difference. We also want to learn from our challenges and limitations, and we will use these lessons in our future work. Read More...

Indashyikirwa programme to reduce intimate partner violence in Rwanda: Report of findings from a cluster randomized control trial

Intimate partner violence (IPV), which includes physical and sexual violence, economic abuse and emotional aggression within intimate relationships, is the most common form of violence against women globally. IPV can lead to a wide range of negative health consequences including depression, anxiety, suicidal ideation, post-traumatic stress disorder, drug and alcohol abuse, serious injuries, and death. The Indashyikirwa programme in Rwanda sought to reduce experience of IPV among women and perpetration of IPV among men, and also to shift beliefs and social norms that sustain IPV in communities and couples. The programme also strove to support equitable, non-violent relationships, and ensure more supportive and empowering responses to survivors of IPV seeking assistance. The impact evaluation of Indashyikirwa assessed whether and how the programme met these objectives and sought to inform the global best practices in IPV prevention by generating evidence through a rigorous community randomized controlled trial (cRCT).

The quantitative impact evaluation of Indashykirwa took the form of a cRCT with randomization at sector level and two separate evaluation components: (1) a cohort of control and intervention couples interviewed at baseline, 12 months, and 24 months, and (2) a pair of cross-sectional community surveys with control and intervention communities implemented at the beginning of the programme and 24 months later. This quantitative impact evaluation was accompanied by in-depth process evaluation and qualitative research with beneficiaries and programme staff. Read More...

Baseline Survey Report for a WASH project in West Mosul

This is a baseline survey report for the "Improving Sanitation, Hygiene, Renovation of Sewage System" project, funded by the Ministry of Foreign Affairs of the Czech Republic.
There are two priority issues to be addressed by this project: a) significant health risks posed by accumulation of solid waste in key arteries of West Mosul (Cree stream), precluding the effective flow of gray water towards the river as well as damaged pipes which serve to remove black water from residential areas (Al-Thawra neighborhood), and b) limited civic engagement and ownership of residential environment, resulting in poor communal hygiene practices and a high burden on local authorities, which are operating under severely reduced capacity to address needs.
A base-line survey was conducted to identify the current water, hygiene and sanitation conditions in the neighborhood, beneficiaries’ specific needs (disaggregated by men, women, boys and girls) and overall awareness towards water, hygiene and sanitation measures. In order to measure the impact of this projects base line data will be evaluated against end line data collected after project closure. Read More...

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...

Filter Evaluations

Clear all