Sexual|Reproductive Health

The Nawiri Project: Stories and Best Practices

The Siaya Maternal and Child Nutrition Nawiri Project is a 36-month intervention on maternal and child nutrition. The project targets to reach 94,435 children under 5 years; 127,065 women of reproductive age; 42,000 adolescent girls and 20,000 men in the Siaya County. The project is executed in partnership among three consortium members; CARE (the coordinator), Family Health Options Kenya (FHOK) and the Kisumu Medical and Education Trust (KMET) in Siaya County with funding support from the European Union, the Austrian Development Cooperation (ADC) and CARE.
The overall objective of the project is to contribute to improving maternal, infant and young child nutrition (MIYCN), including nutrition of women of reproductive age in Siaya County. In order to increase the nutritional status of children under the age of five and of women of reproductive age, the project aims to alleviate the most severe obstacles of poor MIYCN in Siaya County. Read More...

FAMILY PLANNING FOR RESILIENCE BUILDING – RESET PLUS PROJECT

The purpose of this baseline study is to determine baseline levels and document SRH-influencing behaviors, generate understanding of the attitudes related to Sexual and Reproductive Health, Family Planning, adolescents’ and youth' views and experiences of sexuality and sexuality information and education, the range and quality of SRH services available to them in project areas; traditional practices that impact on SRH, the role of religious and traditional leaders and levels of male involvement. Read More...

Mid-Term Evaluation of the Adolescents Empowerment Program (AEP) in Mukuru and Kajiado, 2019

BACKGROUND
The Adolescents Empowerment Program (AEP) is a five-year (2015-2020) education project that is seeking to empower marginalized in-and out-of-school adolescent girls and boys aged 10-19 years in urban informal Nairobi (Mukuru) and rural Kajiado areas of Kenya. The AEP is focusing on three main areas: (i) adolescent sexual and reproductive health, (ii) economic empowerment and (iii) use of ICT to support and enhance learning.

OBJECTIVES
The specific objectives of the midline study were to assess knowledge, attitudes and practices of adolescents on ASRH, gender norms, saving and economic empowerment, financial literacy, youth leadership and decision making, education and schooling.

METHODS
Quantitative and qualitative methods were used.

KEY FINDINGS
- The AEP was associated with likelihood of adolescents seeking SRH services, increased confidence to access SRH services and higher intention to use contraceptives.
- Negative gender norms and harmful traditional practices are prevalent, especially in Kajiado.
- The AEP was associated with increasing adolescents’ likelihood to save.
- At midline, there were increases in adolescents with economic empowerment.
- The AEP was associated with increasing adolescents’ financial literacy.
- The AEP was associated with greater participation in youth groups and improved youth leadership norms.
- The AEP had marginal effects on schooling outcomes such as learning and attendance.
Read More...

Meeting the demand of women affected by ongoing crisis: Increasing contraceptive prevalence in North and South Kivu, Democratic Republic of the Congo

Over 20 years of conflict in the DRC, North and South Kivu have experienced cycles of sta- bility and conflict, resulting in a compromised health system and poor sexual and reproduc- tive health outcomes. Modern contraceptive use is low (7.5%) and maternal mortality is high (846 deaths per 100,000 live births). Program partners have supported the Ministry of Health (MOH) in North and South Kivu to provide good quality contraceptive services in pub- lic health facilities since 2011.

This paper used cross-sectional population-based surveys in the program areas using a two- stage cluster sampling design to ensure representation in each of six rural health zones.

It found that modern contraceptive prevalence among women in union ranged from 8.4% to 26.7% in the six health zones; current use of long-acting or permanent method (LAPM) ranged from 2.5% to 19.8%. The majority of women (58.9% to 90.2%) reported receiving their current method for the first time at a health facility supported by the program partners. Over half of women in four health zones reported wanting to continue their method for five years or longer. Read More...

Delivering High-Quality Family Planning Services in Crisis-Affected Settings II: Results

An estimated 43 million women of reproductive age experienced the effects of conflict in 2012. Already vulnerable from the insecurity of the emergency, women must also face the continuing risk of unwanted pregnancy but often are unable to obtain family planning services. The ongoing Supporting Access to Family Planning and Post-Abortion Care (SAFPAC) initiative, led by CARE, has provided contraceptives, including long-acting reversible contraceptives (LARCs), to refugees, internally displaced persons, and conflict-affected resident populations in Chad, the Democratic Republic of the Congo (DRC), Djibouti, Mali, and Pakistan. The project works through the Ministry of Health in 4 key areas: (1) competency-based training, (2) supply chain management, (3) systematic supervision, and (4) community mobilization to raise awareness and shift norms related to family planning. This article presents data on program results from July 2011 to December 2013 from the 5 countries. Read More...

Delivering High-Quality Family Planning Services in Crisis-Affected Settings I: Program Implementation

In 2012, about 43 million women of reproductive age experienced the effects of conflict. Provision of basic sexual and reproductive health services, including family planning, is a recognized right and need of refugees and internally displaced people, but funding and services for family planning have been inadequate. This article describes lessons learned during the first 2.5 years of implementing the ongoing Supporting Access to Family Planning and Post-Abortion Care in Emergencies (SAFPAC) initiative, led by CARE, which supports government health systems to deliver family planning services in 5 crisis-affected settings (Chad, Democratic Republic of the Congo, Djibouti, Mali, and Pakistan). Read More...

Gender Equity and Women’s Empowerment: The Journey So far; The Experience of the ENSURE Program

The ENSURE Food Security Program is a USAID-funded, five-year intervention designed to profoundly and sustainably impact 215,000 vulnerable and food- insecure Zimbabweans in Manicaland and Masvingo Provinces. The program is a shared commitment by four partners and one service provider—World Vision, CARE, SNV, SAFIRE and ICRISAT—who work together to mainstream gender equity and natural resource management in the three key areas of maternal and child nutrition and health, agricultural production and marketing, and community resilience.

The success of ENSURE can be portrayed through the accounts of thousands of women and men whose lives have been changed through its various programme interventions. Tangible gender transformative changes can be noticed on several dimensions: joint household decision making; reduced violence against women; increased women’s leadership in community leadership; men assisting women with household chores and childcare; women’s ownership of high value productive assets; and increased access and control over income.
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...

Myanmar Endline Report Gender Equality and Women’s Empowerment Programme II 2016-2019

Project name: Gender Equality and Women’s Empowerment Programme (GEWEP) II
Project period: 2016-2019
Number of people that have been directly reached: 4,429 Female and 2,305 Male
Myanmar endline / baseline report submission: 31st March 2019
Result highlights for GEWEP II in Myanmar
Sex Workers in Myanmar (SWiM) is growing. SWiM advocates for the rights of fellow sex workers by advocating for amendment of the 1949 Suppression of Prostitution Act, a law that punishes and fines prostitution, putting sex workers at increased risk. With the contribution from SWiM and other stakeholders, the Ministry of Social Welfare, Relief and Resettlement has been drafting a new law. The draft law is expected to be submitted to parliament by the end of 2019.
More than a hundred brothels have been lobbied to promote safer work environment for female sex workers using a minimal standard checklist. The minimal standard includes provision of condoms, and hygiene and sanitary materials for both clients and female sex workers. It also needs the brothel owners/managers to allow sex worker to go out for regular medical check-up.
58% of the endline survey respondents are members of one or more self-help groups. Participation in self-help groups develops sense of social inclusion among the sex workers. This is important, as sex workers are greatly discriminated in the general community and often excluded from the social activities in the general community.
During the survey, a subset of men – who were partner of, have work relationship with, or are somehow related to FSWs – showed aggressive attitudes towards their intimate partners. These attitudes may be linked to high incidence of violence against female sex workers. More exploration on this finding and more targeted engaging men activities are suggested for future programs. Read More...

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