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Somalia: Cash Transfers via Mobile Money for Maternal Child Health Services

This study is part of a larger multi-country study by CARE entitled “Cash and Voucher Assistance for Sexual Reproductive Health and Rights Outcomes: Learnings from Colombia, Ecuador, Lebanon and Somalia.”
CARE Somalia has used Cash and Voucher Assistance (CVA) in its programs for over ten years. This includes CVA for food security and livelihoods, nutrition, WASH, and education, as well as multipurpose cash transfers. Since 2018, with support from Office of Foreign Disaster Assistance (OFDA) (now the Bureau for Humanitarian Assistance (BHA)), CARE Somalia has been implementing a food security and Livelihoods, health, nutrition, protection and WASH program. With BHA support, CARE currently supports 19 MCH facilities across Somaliland and Puntland that target children and pregnant and lactating women (PLW). Read More...

Ecuador: Vouchers for Sexual Reproductive Health and Rights

This study is part of a larger multi-country study by CARE entitled “Cash and Voucher Assistance for Sexual Reproductive Health and Rights Outcomes: Learnings from Colombia, Ecuador, Lebanon and Somalia.” Ecuador is both a transit and destination country for refugees and migrants from Venezuela and elsewhere. As of July 2020, over 400,000 Venezuelans were living in Ecuador. Venezuelan refugees and migrants have considerable health, psychosocial, and economic needs. Within these groups, women, adolescents, and LGBTQI people face heightened risks of Gender-Based Violence (GBV), human trafficking, and sexual exploitation as well as challenges to earning an income while in Ecuador. Although the public health system in Ecuador is free to all regardless of migration status, not all health – and especially SRH services – are covered in the public system. Furthermore, safe access to available services without discrimination based on nationality, sexual orientation/gender identity, or age is a barrier to access and uptake of SRH services in Ecuador. Read More...

Colombia: Vouchers for Sexual Reproductive Health (SRH) Services

This study is part of a larger multi-country study by CARE entitled “Cash and Voucher Assistance for Sexual Reproductive Health and Rights Outcomes: Learnings from Colombia, Ecuador, Lebanon and Somalia.” As a result of Venezuela’s socioeconomic and political crisis, there have been massive migratory flows of people from Venezuela into Colombia.1 According to the Interagency Coordination Platform for Refugees and Migrants, as of May 2020 over 1.76 million Venezuelans had fled to Colombia with many continuing to walk to and across the Southern Border with Ecuador as caminantes.

CARE Colombia began direct operations in the country in 2019, focusing primarily on the needs of Venezuelan
refugees and migrants in Pamplona, Norte de Santander and, later, Bucaramanga, Santander. Cash and Voucher
Assistance then (CVA) are primary modalities for CARE Colombia, particularly for its SRHR and protection portfolio.
Working with populations on the move as was was the case in this program, together with high levels of unmet SRHR needs resulted in a unique operating environment for a voucher intervention supporting SRHR programming.
This case study focuses on the design of the programming only. Due to the timing of the review, no substantive data on the user experience of the vouchers or outcomes could be captured. Read More...

Lebanon: Cash Transfers for Sexual Reproductive Health and Rights (SRHR) within Protection

This study is part of a larger multi-country study by CARE entitled “Cash and Voucher Assistance for Sexual Reproductive Health and Rights Outcomes: Learnings from Colombia, Ecuador, Lebanon and Somalia.”
On August 4, 2020, an explosion in the port of Beirut left hundreds killed and thousands injured, damaged numerous neighborhoods – including hospitals and residential buildings – and left 300,000 people homeless. The economic, social, and psychological tolls of the blast were added to an already strained population suffering from an economic crisis and the impacts of COVID-19. The Lebanese Red Cross reported in a post-blast study2 that, of those surveyed, approximately 5% of respondents reported having family members who were pregnant or lactating and, of those households, 40% reported needing Maternal Child Health (MCH) services. A UNFPA report identified a decrease in SRH service availability due to facilities destroyed or damaged in the blast.
Prior to the blast, the Interagency Sexual and Gender-based Violence (SGBV) Task Force conducted an assessment with 562 women and girls across the country on the SGBV impact since the beginning of COVID-19. This assessment found that 51% of respondents felt less safe in their communities and only 30% reported accessing health services.4 Sixty-seven percent of respondents reported that the main barrier to accessing services was lack of money.5 Read More...

CASH AND VOUCHER ASSISTANCE FOR SEXUAL REPRODUCTIVE HEALTH AND RIGHTS LEARNINGS FROM ECUADOR, COLOMBIA, LEBANON, AND SOMALIA

CARE is committed to ensuring that projects with cash and voucher assistance (CVA) are designed with and for women and girls, addressing recipients’ needs, challenges, and opportunities. CARE has invested in research on how to make CVA work for women and girls through gender-sensitive approaches to framing processes and outcomes of the modalities. As a widely accepted method of increasing access to services and improving autonomy, dignity, and resilience, programming with CVA has been integrated into numerous sectors to improve the lives of displaced communities, particularly the most underserved. To date, CARE’s CVA has primarily been used for food security and livelihood outcomes and multisectoral outcomes via multipurpose cash (MPC) transfers. Now, aligned with its strategic intent, CARE is investing in sectoral areas where CVA is less often used and that are of primary interest for women and girls, including gender-based violence (GBV) response and sexual and reproductive health and rights (SRHR).

Building on extensive experience with CVA and SRHR programming, CARE conducted a study to investigate how outcomes for the pilot initiatives using CVA for SRHR compare to global learnings, and to identify opportunities for strengthening and expanding pilots for long-term programming. The study reviewed programming in four contexts (Colombia, Ecuador, Lebanon, and Somalia). The initial study was undertaken by two consultants, one focused on Lebanon and Somalia and one focused on Colombia and Ecuador. Data collection included 25 remote key informant interviews (KIIs) with CARE staff at the global and country levels as well as staff from partner organizations, followed by After Action Reviews with each country team and a validation meeting. All activities were undertaken in either English or Spanish and transcripts were analyzed using data analysis software. Analysis was conducted both by country and across contexts to identify commonalities and thematic learning, mostly led by CARE technical advisors. Read More...

Response to the Influx of refugees and returnees from Niger in Diffa Region

Les refugiés et les retournés sont arrivés au Niger par vagues de 20 à 30 personnes selon les moyens de transport disponibles. Généralement le départ de la zone d’origine est précipité du fait d’une explosion de violence avec des attaques meurtrières, des incendies de villages entiers et des exactions. Une fois sortis des zones de violence ouverte, les 1ers regroupements se font dans des auto-gares formelles ou informelles. Certaines familles passent des jours et des nuits cachées dans la brousse, privées de nourriture et d’eau avant de trouver un moyen de transport. C’est généralement à l’arrivée sur les 1ers sites de destination qu’on commence à rechercher sur-place, des parents ou des connaissances susceptibles d’offrir un hébergement. Certaines personnes déplacées ne trouvent pas immédiatement leurs parents ou leurs connaissances et passent des jours et des nuits d’incertitude dans les autos gares. Les familles d’accueil sont généralement le premier soutien aux retournés et refugiés. Aucun accueil ou appui des acteurs humanitaires ou du gouvernement n’est disponible dès les 1ers jours d’arrivée des personnes déplacées. Ce sont donc les familles d’accueil qui offrent abris, vêtements, couchettes/nattes, nourriture et 1ers soins. Les premiers moments de détresse passés, les personnes déplacées cherchent une maison à louer ou en prêt selon leurs moyens. Cette situation fait qu’il y a des refugiés et retournés qui sont soit dans des familles d’accueil, soit relogés dans des maisons prêtées soit relogés dans des maisons louées.
Report #1 is 6 pages long.
Report #2 is 11 pages long. Read More...

Programme Sante USAID/Kenya Ciwara Rappor D’Analyse de L’Enquete D’Evaluation Finale

The program is part of Strategic Objective 6 (SO 6) which aims to increase the use of high impact services and improve health behaviors / practices. These services relate to the survival of the child (vaccination, malaria, diarrheal diseases, acute respiratory infections, nutrition and vitamin A). The final evaluation takes place two years after the mid-term evaluation and four years after the baseline evaluation. The report is 55 pages long. Read More...

Evaluation Finale du Project USAID/Nutrition WASH

The Mission of the United States Agency for International Development in Mali (USAID / Mali) through the NGO Care Internationale entrusted Kurugan Fuga Consulting with the final evaluation of the USAID / Nutrition and Hygiene project in the regions of Koulikoro, Ségou and Mopti in Mali. At the end of this program, which spanned a 5-year implementation period from October 2014 to September 2018 extended in 2019, its final evaluation was required. This study aims to assess the effectiveness of the IRP's integrated nutritional strategy combining nutrition, agriculture, water, sanitation and hygiene (WASH) to improve the nutritional status of pregnant and breastfeeding women and children of less than 2 years. The report is 80 pages long. Read More...

Evaluation a mi-parcours du Programme d’Amenagement du Delta Interieur du Niger (PADIN-II)

The Development Program of the Inner Niger Delta (PADIN-II) is the result of a request from the National Directorate of Rural Engineering (DNGR, for the Ministry of Agriculture) to respond to the planning guidelines of the Program. of Sustainable Development of the Inner Niger Delta (PDD-DIN). PADIN-II is designed by the NGO CARE and the DNGR, with the involvement of members of the Regional Committee for the Orientation, Coordination and Monitoring of Development Actions (CROCSAD) of the Mopti Region. This five-year program (2013-18) is funded by the Embassy of the Netherlands in Bamako. CARE-Mali is implementing it in 24 Communes in the Mopti Region. It is preceded by PADIN-I (2011-13) and the Food Security through Promotion of Irrigation project (SAPI 2007-11), for which CARE was also responsible. PADIN is therefore part of a history of the development and management of wetlands in the Mopti region. The report is 85 pages long. Read More...

Evaluation finale du Programme d’Amenagement du Delta Interieur du Niger (PADIN-II)

The Inner Niger Delta Development Program (PADIN-II) in the Mopti Region has been implemented in 24 Communes classified as vulnerable in four Circles of the Mopti Region in Mali. The program, lasting more than five years (Sept. 2013-June 2019), was implemented by a number of stakeholders: technical services and governorate, municipal authorities, NGOs and farmers' organizations. The NGO CARE-Mali was the main operator of the program, which was funded by the Embassy of the Netherlands in Bamako to the amount of 7.87 billion FCFA. The goal was to improve the living conditions of 20,000 households (or 120,000 people) of agro-pastoralists and fishermen in the Inner Niger Delta (DIN) and Sourou. The report is 104 pages long. Read More...

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