Final Evaluation Report: Gender-sensitive WASH, Nutrition and Health Support to vulnerable communities in South and East Darfur

CARE has been implementing the WASH ,Health and Nutrition project from which aims to provide lifesaving and integrated WASH, Health and Nutrition Services to 174,504 individuals (87,077 males and 87,427 females) in East Darfur and South Darfur through the GAC-funded 2019-2021 project (“the GAC project”).The program aimed to benefit refugees in camp and out of camp settings, out of camp IDPs and host communities by increasing access to safe water supply, sanitation facilities and hygiene supplies, improving access to basic curative and preventive primary health care, and increased access to nutrition assistance for children under five and pregnant and lactating women (PLWs). End line evaluation was conducted for the ended project.

Water: from the survey result it shows that 85.8% responded that their primary source of water is safe throughout the year, compared to the baseline survey which shows that 66% of the respondents still use unsafe drinking water sources.

Sanitary practices: 73.9% of survey participants indicated that they use family toilets for defecation, where in the base line survey show that 34% of the respondents having access to adequate sanitation.

Practice Of Hand Washing: 60.9 % of interviewees (Female: 61.0%, Male: 60.8%) know three critical moments, where in base line survey 65% of the respondents being able to mention at least 3 critical times to perform hand washing.

WASH satisfaction: The end line survey for HHs reported that with WASH regarding relevance, timely and accountability, (75.3%)- (70.6% f,77.9%m) reported that it was relevant

Nutrition: 72.9%% of respondents were satisfied with the nutrition assistance provided.

McGovern-Dole Food Fore Education Program HATUTAN – Midline Evaluation

The HATUTAN program (Hahán ne’ebé Atu fó Tulun ho Nutrisaun no Edukasaun or Food to Support Nutrition and Education) is a five-year initiative to build a partnership between schools and communities in order to improve literacy, learning, healthy, and nutrition for children and adults in Timor-Leste. The program works in partnership with the Government of Timor-Leste and development stakeholders to address two strategic objectives: improved literacy of school-aged children and increased use of health, nutrition, and dietary practices. The HATUTAN program is funded by the U.S. government through the Foreign Agricultural Service of the United States Department of Agriculture under the McGovern-Dole International Food for Education and Child Nutrition Program. The program is implemented by a consortium led by CARE International with Mercy Corps and WaterAid. The lead Timorese government partner is the Ministry of Education, Youth, and Sports, in collaboration with the Ministry of Health, Ministry of State Administration, and Ministry of Agriculture and Fisheries.

To achieve these objectives, the program supports, among a variety of activities, the Government of Timor-Leste’s school feeding program (SFP) to fully operate in all basic education and preschools throughout the school year. Key project activities include strengthening and supplementing the government-sponsored SFP and building school capacity through trainings for teachers and administrators and provision of resource materials. Additionally, the HATUTAN program seeks to support farmers to boost the production of local produce to increase yields and help create sustainable sources of nutritious food for local schools. In addition to activities related to literacy and SFPs, HATUTAN seeks to conduct trainings related to nutrition, health, and other topics, and to promote gender equality and the reduction of gender-based violence.

This report presents the midline evaluation of the HATUTAN program, which began in early 2019. It is important to note that restrictions due to the COVID-19 pandemic have had a substantial impact on program activities and target outputs and outcomes. In March 2020, HATUTAN field activities were halted, field offices were temporarily closed, and staff began to work from home due to a State of Emergency issued by the Government of Timor-Leste. This State of Emergency remains in effect to date, with varying levels of restriction on school activities, movement, and group gatherings. As a result, the HATUTAN program is behind schedule in terms of some major deliverables due to COVID-19. Additionally Read More...


Nepal’s reductions in maternal and child undernutrition since the mid-1990s have been remarkable, but the high burden persists. Among children under five years, 36% are stunted, 10% are wasted, and 27% are underweight. Additionally, 17% of women of reproductive age (WRA, 15-49 years) are underweight while 41% are anemic (Nepal DHS Survey, 2016). The Government of Nepal (GoN) is rolling out the second phase of their national Multi-Sector Nutrition Plan (MSNP), with support of external development partners (EDPs). Suaahara II (SII) is a USAID-funded multisectoral nutrition program, aligned with Nepal’s MSNP, and is being implemented in all communities of 42 of Nepal’s 77 districts from April 2016 to March 2021. SII’s overall aim is 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), agricultural/homestead food production (HFP), and governance, using a gender equality and social inclusion (GESI) approach for all interventions.
SII has a large, rigorous monitoring, evaluation, and research system. Annual monitoring surveys, a key component of SII’s monitoring system, primarily serve to monitor progress over time related to key SII inputs, outputs, and outcomes 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. At the household level, mothers were the primary survey respondents. A primary male (or female, if male unavailable) household decision maker, the youngest child’s grandmother, and an adolescent girl (10-19 years), if residing in the same household, were also interviewed. Data was also collected from Female Community Health Volunteers (FCHVs) and 1 key informant from each health facility in the sampled areas. The household surveys included questions related to exposure, knowledge and practices for each of the thematic areas mentioned above. Anthropometric status was assessed for all female respondents and children. FCHV and health facility surveys collected information on exposure to training, motivation, supervision, and work-related activities. In 2017, the final survey sample included 3,642 households. Read More...

Growing Nutrition for Mothers and Children (GROW) Project in Ethiopia – End Line Household Survey Report

CARE has implemented the Growing Nutrition for Mothers and Children (GROW) Project in Ethiopia between 2017 and 2019. The goal of GROW was to improve the nutritional status of women of reproductive age and boys and girls under 5 years. This endline study was conducted to establish values for outcome level indicators for the project and assess change and impact of the project by comparing data from baseline to end line values. This evaluation employed a cross-sectional study design. The study includes a household survey and anthropometric measurements of women and children to assess their nutritional status. The study covered 39 project intervention Kebeles in 14 Woredas of East and West Hararghe and Afar. A total of 1291 women, 974 men, and 1291 children were included in the study. Read More...

A Win-Win for Gender and Nutrition: Testing A Gender-Transformative Approach From Asia In Africa

Since 2016, CARE Burundi has partnered with Great Lakes Inkingi Development (GLID), RBU2000, and the University of Burundi/Agronomy department and the Africa Center for Gender, Social Research and Impact Assessment to implement and test the EKATA approach – Empowerment through Knowledge And Transformative Action – integrated into an agriculture program to test its effectiveness against a typical gender mainstreaming approach (Gender Light) and a Control (with agriculture interventions only) in a modified randomized control trial, funded by the Bill & Melinda Gates Foundation.

The Win-Win project randomly assigned collines to EKATA, Gender Light and Control groups. Baseline data was collected in 2016 – Midterm was conducted in 2018, and end-line data was collected in 2020 from a random sample of 1,315 households and 1,849 individuals (1,059 female heads of household, and 790 male heads of household). Additionally, the project conducted 36 individual in-depth interviews, disaggregated by sex and age – and male- or female-headed households – at baseline, midline and end-line. This data was complimented with focus group discussions (FGDs). The evaluation looked at the impact of EKATA compared with Gender
Light and Control on several areas, including rice production (which was the main focus crop), income and wealth, gender equality and women’s empowerment. The cost-effectiveness of these approaches also was analyzed. The evaluation used the project level Women’s Empowerment in Agriculture Index (Pro-WEAI) to measure changes in gender equality and women’s empowerment. 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...

Etude de Base en eau, Hygiene Assainissement et Nutrition

The centrally managed USAID / Washington WASHplus project, led by FHI360 with CARE USA and Winrock International, as key partners, creates and supports interventions that lead to improvements in Water, Hygiene and Sanitation. 'Sanitation and explores and encourages innovation in the WASH sector, including the integration of WASH into related sectors such as nutrition. The report is 66 pages long. Read More...

Evaluation Finale du Projet Washplus de Care Mali Dans la Region de Mopti

The centrally managed USAID / Washington WASHPlus project, led by FHI 360 with CARE USA as a lead partner, creates and supports interventions that lead to improvements in water, sanitation and hygiene, explores and promotes the innovation in WASH, including mainstreaming WASH into related areas such as nutrition. The report is 68 pages long. Read More...

Formative Research for Social & Behavior Change (SBC) in nutrition, reproductive health and WASH

Between July and August 2016 formative research was carried out by HKI with the overall scope to gather evidence about current practices in nutrition, reproductive health and WASH and identify appropriate strategies for achieving project social and behaviour change outcomes. The formative research explored behaviors, focusing on improving the health and nutritional status of pregnant and lactating women as well as children, and improving access to and utilization of WASH infrastructure. The research findings will be used to generate a robust Social and Behavior Change Communication Strategy (SBCC) focused on several key practices. Topics explored by the research were reproductive health, children and maternal nutrition, WASH and media exposure. The report is 80 pages long. Read More...

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