Sexual|Reproductive Health

Women’s Empowerment Program (WEP) Midterm Report

In 2009, Norad-funded women empowerment programs (WEPs) started implementation in seven countries: Burundi, Mali, Myanmar, Niger, Rwanda, Tanzania, and Uganda. In 2009 and early 2010, an extensive quantitative baseline study was conducted in these countries around a common set of indicators. The present mid-term review (MTR), which was done using qualitative methodology, analysed in depth the process and nature of changes that the programs are contributing towards. In all the program countries, the country WEP team carried out the review internally with the technical assistance of an external consultant and CARE Norway (CN).

With slight variations, the overall objectives of the country WEPs focused on the economic, social, and political empowerment of women. The village savings and loan association (VSLA) methodology was common for all the programs; and these groups create the platform for working on other aspects of the program besides economic empowerment. The initial changes that the programs produce are seen in terms of increased access to savings and loans, employment opportunities, and asset ownership. The ability of the women to earn income, generate their own savings and make financial contributions in the household (HH) has greatly improved their self-esteem, thereby giving them better leverage to involve in and influence HH decision making processes. Men were highly appreciative of the income women were able to bring in to the family as a result of being involved in VSLAs. Through their improved position in the household, women reported being able to negotiate the use of sexual and reproductive health (SRH) services and the abandonment of different harmful practices. Through the use of couples-based approach and engaging men initiatives, HH relationships are beginning to improve; men in these households are reportedly starting to have a more positive attitude towards women’s empowerment and are themselves even taking part in domestic activities in some contexts. The VSLA approach is enabling women to create strong social networks that are becoming an influential force for social change. As a result of increased knowledge on their human rights and increasing leadership skills, women are beginning to understand how they have to position themselves to realize their strategic interests. The VSLA groups and networks also enable women to mobilise support when they are running for elections; this support has increased number of women being elected into different posts. The contribution of women in VSLAs and in community leadership positions is being increasingly recognised and appreciated by local authority figures, which can be seen when they actively seek the advice of women and VSL groups in relation to different community development initiatives.
Through working in partnership with others, the programs are being implemented in a high quality and timely manner. Engagement with strategic partners has occurred effectively in some countries, and been instrumental in enabling the programs to link grassroots evidence to national level advocacy activities which have achieved concrete results. [52 pages] Read More...

Women’s Empowerment Program (WEP) 2009-2013

CARE Norway, collaborating CARE country offices (COs), and partners have from 2009 through 2013 run the “Women Empowerment Programme” (WEP). With funding from NORAD, it has been implemented in Mali, Niger, Uganda, Tanzania, Rwanda, Burundi, Myanmar and DRC (from 2013).

The results presented in this report derive from CARE’s monitoring systems, thematic assessments and research done over the 5 years. This final report is intended to give NORAD an overview of key results within the program’s four thematic focus areas: 1)Women’s Economic Empowerment, 2)Women’s Participation in Decision Making, 3) Women’s Sexual and Reproductive Health and Rights, and 4) Prevention and Mitigation of Gender-based violence. In agreement with NORAD, the end-line evaluation of the WEP is due in May 2015. [55 pages] Read More...

Sexual Reproductive Maternal Child Health Project

This report presents the findings of an end of project evaluation for “Sexual Reproductive Maternal Child Health” a project implemented by CARE International in Uganda through Gulu Women’s Economic Development and Globalization-GWED-G a local Non-Governmental Organisation based in Gulu Northern Uganda. The goal of the project was: “Improving Access to Reproductive, Child and Maternal Health in Northern Uganda” in the three districts of Gulu, Amuru and Nwoya, covering 9 Sub Counties (Ongako, Bungatira, Bobi, Koro, Patiko, Awach, Lamogi, Koch Goma and Alero). The three expected results were: 1)All members of the participating households have the required, age appropriate knowledge about key Sexual, Reproductive, Maternal and Child Health issues to support family members in accessing services; 2)Men and adolescent boys demonstrate supportive behaviours with regard to their family members accessing Sexual, Reproductive, Maternal and Child Health services; and 3) Health and Education service providers are more aware of demand based obstacles and actively engage to mitigate deterrents. [98 pages] Read More...

HALOW+: Decent work and productivity Baseline Presentation

Presentation addressing the following questions: Are decent work conditions associated with worker productivity? Building on the baseline report, we explored decent work in terms of factory facilities (i.e., soap and water, toilet quality, and food), and in terms of workers’ relationships with supervisors and managers.
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HALOW+ Health Intervention Baseline Report

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. [57 pages]
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Abdiboru Project Improving Adolescent Reproductive Health and Nutrition through Structural Solutions: Midterm Report

The Abdiboru project aims at improving the life’s of very young adolescent girls’ (10-14 years of age) specifically their sexual and reproductive health and nutrition through structural solution in West Hararghe zone, Oromia, Ethiopia.
The different combination of interventions are implemented by CARE Ethiopia: Arm 1(the Double-combination arm) combines individual and structural/government level interventions; Arm 2 (the Triple-combination arm) combines interventions at individual, structural/ government level, and community levels; and Arm 3 (the delayed intervention arm) serves as a control arm until it receives the better of Arm 1 or Arm 2 intervention in the final year of the project.
This midterm assessment was designed to gather evidence on the progress and lessons learned in the first half of the project life. This assessment pulled data from various sources that are part of the monitoring and evaluation system of the project, including mini-qualitative assessment, baseline qualitative and quantitative studies, sectoral office data, monitoring data, lite qualitative study and the mid-term assessment study. [43 pages]
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Towards Improved Economic and Sexual Reproductive Health Outcomes for Adolescent Girls (TESFA) Project Baseline Qualitative Study Report

Operational in Ethiopia since 1984, CARE’s involvement into sexual and reproductive health (SRH) and maternal, newborn and child Health (MNCH) programming began in 1995 with the Family Planning and HIV/AIDS program. Since that time, CARE has gained expertise in the design and implementation of family planning and MNCH programs in Ethiopia by piloting innovative approaches, social analysis and action, village saving and loan association, mobilizing communities, encouraging behavior change communication, and engaging with government and local organizations etc. CARE Ethiopia's experience working with stakeholders at various levels to develop and implement sustainable family planning and MNCH activities, combined with global leadership in SRH, MNCH and HIV/AIDS equips CARE with the unique skills to tackle enduring and emerging issues that affect the health and wellbeing of women, men and children of Ethiopia. [64 pages]
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Advocacy and Influencing Impact Reporting Tool Global Family Planning Summit

This tool has been developed to gather further information and evidence on CARE’s advocacy or influencing win. At CARE, advocacy is defined as “the deliberate process of influencing those who make decisions about developing, changing and implementing policies to reduce poverty and achieve social justice.1” Influencing and advocacy can go beyond government policies, it can include influencing governments, donors or NGOs to adopt a CARE program model or influencing the private sector to change their company policies or operating practices.
This tool captures the significance of the win, the level of CARE and our partner’s contribution, who stands to benefit from the change, and what evidence do we have to support a claim of change or impact. With the wide range of successes within influencing work and the various roles CARE may have played in this win, this tool allows us to identify how significant the win is as well as the significance of CARE’s contribution and our partners. Read More...

TESFA Qualitative Final Evaluation Report


TESFA project, funded by Johnson and Johnson Corporate Contributions, started in January 2015 aiming to reach 3,000 ever-married adolescent girls in order to bring measurable, positive change to ever married girls' sexual and reproductive health (SRH) and economic status. CARE Ethiopia has significant experience working with the same impact groups, in particular through an earlier phase of the TESFA project in a different geographical area funded by the Nike Foundation from 2010-2014. The J&J TESFA project complemented an ongoing Johnson & Johnson-supported WASH development initiative in the same geographical area in a selected number of kebeles, allowing CARE to share existing resources (technical capacity and tools) for cost-effective implementation and to make a collective, lasting impact on the target communities. [74 pages]
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Towards Improved Economic & Sexual Reproductive Health Outcomes for Adolescent Girls (TESFA) Endline Evaluation

Towards Improved Economic and Sexual Reproductive Health Outcomes for Adolescent Girls (TESFA)1 specifically addresses the economic and sexual and reproductive health problems of ever-married girls.2 CARE has years of experience in working with these girls through various interventions. Moreover, this project complements an ongoing Johnson & Johnson-supported water, sanitation and health (WASH) development initiative in the same geographical area, allowing us to share existing resources (technical capacity and tools) for cost-effective implementation and to make a collective, lasting impact on the target communities. [16 pages] Read More...

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