Sexual|Reproductive Health

UBALE: United in Building and Advancing Life Expectations – PARTICIPATORY GENDER ANALYSIS FINAL REPORT

United in Building and Advancing Life Expectations (UBALE), is a five-year (2015-2019) Food for Peace program funded by the United States Agency for International Development (USAID) and implemented by a consortium led by Catholic Relief Services (CRS) in partnership with the Cooperative for Assistance and Relief Everywhere (CARE), Save the Children, and the Catholic Development Commission in Malawi (CADECOM). The program aims to reduce chronic malnutrition and food insecurity and build resilience among vulnerable populations in three districts in Malawi, Blantyre Rural, Chikwawa and Nsanje.

This report describes the process and findings specific to the UBALE program. Read More...

CARE INTERNATIONAL TIMOR-LESTE HAMORIS project MONITORING AND EVALUATION PRELIMINARY BASELINE REPORT

The HAMORIS project is managed and implemented by Care International Timor-Leste (CITL) and funded by the Australian aid program. The HAMORIS project goal is to contribute to lasting reductions in maternal mortality and morbidity by increasing the number of women in targeted communities utilizing appropriate and quality Sexual, Reproductive Maternal Health and Rights (SRMHR) services. The project aims to enable this by improving gender relations at the family and community level. HAMORIS started in July 2017 and will conclude in June 2021.

The baseline data has been collected to provide the team and key stakeholders to the project with a clear understanding of context at the initiation of the project. It will help the team assess changes in knowledge, attitudes and practice of participants and their approach to SRMHR services and changes in gender relations, social and power norms of participants and within the broader community. Read More...

Baseline Study Report KHUSHAAL PROJECT 2019

CARE India in partnership with Alstom Foundation is implementing socio-developmental projects in 7 villages of District Madhepura, Bihar. Project Khushhaal is one among the many initiatives being undertaken in the identified villages. It aims to enhance the capabilities of women and girls (age 12 years and above) and youth in the age group of 18-35 years for resilient livelihoods and improved health outcomes through a participatory process.

The project aims to empower 1500 individuals (women and girls) from these 7 villages (Tuniyahi Uttarwadi, Tuniyahi Dakshinwadi, LakshmiRampur Chakla Uttarwadi, LakshmiRampur Chakla Dakshinwadi, Ganeshsthan, Shreepur Utarwadi and Shreepur Dakshinwadi) with better health and hygiene practices and have better preparedness for gainful employment opportunities

The study focused at 5 specific areas
1. Menstrual Hygiene related status and challenges
2. Health and Hygiene related situation in young Girls, Pregnant and Lactating women
3. Work and Communication Skills status of Adolescents and Youth
4. Work/Market situation of women Entrepreneurs
5. Social Scenario / Current Situation on Safe Space for Girls in community and social realization regarding it. Read More...

STORIAN BLONG YUMI PROJECT EVALUATION

The purpose of this evaluation is “to assess whether or not the Community Scorecard (CSC) approach as adapted to Vanuatu through the Storian Blong Yumi pilot (SBY) project offers a viable model for community-centred social accountability in Vanuatu and to document lessons from the pilot for future application”.
The Storian Blong Yumi project (SBY) tested the Community Scorecard approach for the first time in the Pacific, applying the CSC to Sexual and Reproductive Health services delivered by Vanuatu MoH health facilities serving 4 communities in Tafea Province.
The Storian Blong Yumi pilot of the CSC model in Vanuatu demonstrated results in the following areas, most strongly in the first two areas:
Stimulating dialogue between service providers and communities and overcoming social taboos to open up discussion within the community on SRH issues. Across all groups, including young men, who were the group that proved most difficult to engage, participants valued the process of community discussion. This dialogue appears to have been the basis for establishing better understanding and relationship between service providers and community members. This in turn seems to have laid the foundations for increased access to services by community members and responsiveness by service providers.
Increasing awareness of the SRH services available within their local health facility. Across groups of older and younger men and women in all locations people were aware of what family planning and STI services were available to them and what the role of the health staff were. in all locations, people who participated in the evaluation were more aware of what family planning and STI services were available to them and what the role of the health staff were. Men in all locations reported that they didn’t previously know what happened in the health centre regarding SRH, but now they have a better understanding. Read More...

FINAL PERFORMANCE EVALUATION REPORT OF THE PROJECT “ZIKA RESPONSE IN ECUADOR AND PERU”

This document is the final report of the performance evaluation of the binational project Zika Response in Ecuador and Peru, implemented in Ecuador and Peru by CARE from 2016 to 2019. The main objectives of the project were to strengthen community, local and national capacities to respond to the outbreak of Zika virus and other vector-borne diseases, as well as to improve regional and national efforts to reduce Zika transmission rates.

The evaluation of the project in Ecuador was carried out in the intervention zones of 10 cantons of the provinces of El Oro, Manabí and Esmeraldas, between August and September 2019; in Peru, in 20 districts of 10 provinces of the departments of Tumbes, Piura, Lambayeque, and Cajamarca. After the elaboration of the work proposal and the methodological design of the evaluation, secondary information was collected and primary information was collected at field through interviews, focus groups and social mapping (in Ecuador), and a Likert scale survey (in Peru). The evaluation was framed in five blocks: General Aspects, Community Mobilization, Community-Based Surveillance, Social and Behavioral Change, and Inter-Institutional Planning and Coordination.

The main findings of the evaluation determine that the project achieved, for the most part, the objectives of the project, having as its main achievement the facilitation of inter-institutional coordination of the different actors in the territory. In Peru, the experience of community-based vector control, supported by technological and communications innovations, stands out. In both countries, the project successfully mobilized the community to carry out prevention strategies against Zika and increase knowledge of the risks of this type of disease, as well as useful individual and collective strategies for its prevention. Read More...

Rapport d’evaluation Finale du Projet de Soins de Sante Primaire et Protection/VBG

Le projet soins de santé primaires et protection VBG est un projet qui vise à fournir des soins de santé primaires d'urgence et une réponse à la violence sexiste aux communautés déplacées et hôtes avec un meilleur accès aux soins de santé primaires, dans les zones de santé de BUTEMBO et LUBERO, il comprend un volet accès à la réponse à la violence basée sur le genre, ainsi qu'à des messages sur la prévention des IST et des grossesses non désirées, la prévention de la violence sexiste, l'information et la prévention en matière de Santé Sexuelle et Reproductive, maladies d'origine hydrique, y compris la prévention du choléra.

Tous les indicateurs tel que défini dans le projet ont fait l’objet d’une analyse triangulée qui a permis de mettre en exergue l’état actuel (final) de chaque indicateur dans la zone de mise en oeuvre du projet comparativement à l’état initial des indicateurs lors de l’évaluation de base.

Ainsi dans le premier out come, soutient au système de santé, il a été constaté que toutes les structures ciblées par le projet ont été appuyées lors de la mise en oeuvre du projet, il s’est remarque une augmentation des consultations curatives à hauteur de 121667 grâce à l’appui accordé par le projet OFDA dans les différentes structures sous appuie, une réhabilitation de 6 structures et deux BCZS dans les deux zones de santé a été possible grâce à l’appui du projet, mais aussi une augmentation significative dans le rapportage des données épidémiologiques qui est passé de 83% lors de la Baseline à 93.1% après la mise en oeuvre du projet. Cette performance a été possible grâce à l’appui apporté par le projet à travers le renforcement des prestataires des soins de santé et des volontaires communautaires sur la surveillance et le rapportage des maladies communautaires.

Dans le deuxième out come, Santé de la reproduction, il a été constaté que toutes les structures ont connu une baisse de fréquentation de CPN, CPON et CPS suite à la situation de la MVE qui se vie dans les deux zones de santé, certaines structures ont été contraints à une fermeture temporaire suite au vandalismes des infrastructures sanitaires par la population de ces aires de santé ( environnement sanitaire dégradé, biens des FOSA saccagé , certaines structures brulés) résultats de la méfiance qu’à la population pour la riposte à la MVE, cela a fait que certaines femmes ne fréquentes plus le CPN et CPON et se fassent à coucher à la maison de la manière traditionnel au risque de mettre leur vie en péril.

Dans le troisième out come, maladies communicables, les structures ont rapporté une augmentation des cas des diarrhées, paludismes, IRA, cette augmentation est due au fait qu’à travers les sensibilisations faites à travers les activités du projet, et le renforcement des capacités des volontaires communautaires sur la surveillance communautaire (identification et rapportage des maladies communautaires courantes) plusieurs cas ont été rapporté et prise en charge dans les 22 structures appuyées dans les 2 zones de santé.

Dans le quatrième out come, (santé communautaire ; les résultats issus de cette enquête montrent que là plus part des RECOs identifiées ont été formé et sensibilisé sur la surveillance communautaire à travers plusieurs formations sur la prise en charge des maladies communautaires courantes, et à travers plusieurs dialogues communautaires Read More...

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...

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