Maternal|Child Health

Projet Nutrition at Center (N@C)

CARE implemented an innovative, comprehensive five-year approach (2013-2017) with the goal of reducing anemia in women of childbearing age, and anemia and stunting in children under two years old. The approach integrated i) maternal and child health (MCH), infant and young child feeding (IYCF); ii) Water, hygiene and sanitation (WASH); and iii) food security (FS) and women's empowerment. Conducted in four (04) developing countries (Bangladesh, Benin, Ethiopia and Zambia), nutrition at the Center (N@C) aims to develop, document and disseminate the effectiveness and efficiency of an integrated approach that will improve sustainable nutritional status of mothers and children. Read More...

P4PII to P4PIII Final Report

In order to prevent malnutrition among children from 0 to 23 months and women of childbearing age, CARE International Benin/Togo has initiated an integrated nutrition program called “Nutrition at the Center”. This program is the starting point for the implementation of the P4P project which has just completed its third phase. The main goal of P4P III is to help reduce stunting and anemia in children under 2 years of age, and anemia in women of childbearing age, by increasing availability and equitable access foods of animal and vegetable origin with high nutritional value. The present study aims to assess the results of P4P II in the communes of Adjohoun and Dangbo and of P4P III in the 4 beneficiary communes: Adjohoun, Dangbo, Covè and Djakotomey. Information was collected from 475 mother-child couples aged 6 to 23 months using individual interviews and questionnaires, and from 114 P4P beneficiary groups using an interview guide. Read More...

Hinnou Vivo Final Evaluation

The project HINNOU VIVO, which kicked off in January 2015, drew to its close on 20 December 2019 following the implementation of its phase II. The purpose of this final evaluation is to measure the progress made and the results obtained following its implementation, in terms of improving family planning and immunization services with regard to the evolution of the contraceptive prevalence rate within the Adjohoun-Bonou-Dangbo healthcare zone (ABD/HZ) and across the healthcare areas (health centres and beneficiary communities) within the said healthcare zone. The evaluation also aims to determine the factors of the project which proved to be determining factors in this improvement of the contraceptive prevalence rate, to assess the effectiveness of the project implementation strategy (i.e. the immunization/FP activities’ integration strategy) and to assess the attitudes of healthcare providers in relation to the project results obtained. Read More...

Hamenus Mortalidade no Risku ba Inan (HAMORIS – 2017-2021) Midterm Report and Summary CI Timor-Leste

The Hamenus Mortalidade no Risku ba Inan Sira (HAMORIS) project is funded by the Australian Government and implemented by CARE International Timor-Leste. Focused on the municipalities of Ermera and Covalima, the project aims to address the high number of women who die during childbirth in Timor-Leste, which has one of the highest rates of maternal death in the world, by improving their access to and use of quality maternal health services. The HAMORIS project was launched in July 2017 and has been extended until June 2022. This is the midterm report and findings. Please also find a summary in English as well as Tetum. Read More...

Rapid Needs Assessment COVID-19 impacts on Urban Health in Bangladesh

Since the initial outbreak of COVID-19 in Bangladesh earlier this March, Bangladesh is at an economic and social standstill due to the government imposed nation-wide lockdown. Although every sector of the country is facing problems, the health sector is currently among the most affected sectors.
The Health Access and Linkage Opportunities for Workers Plus (HALOW+) is directly related to the health sector and is responsible for maintaining the overall health and safety of the people/areas under its intervention. To assess the current situation of the RMG workers of 17 factories and their respective communities under HALOW+ in this pandemic crisis, a small-scale survey study was conducted from 23rd-26th April, 2020. A total of 141 participants from both Community Support Groups (CSG), Urban Low income
people including RMG Workers, Ward Health Development Committee and GO – NGO Coordination Forum, District Managers of Public, Private and NGO health and Family Planning department, Public Health Specialist from UN bodies, INGO and Academic institutes and RMG Factory owner and senior management were interviewed with a standardized questionnaire. The study revealed that COVID-19 had a significant impact on the overall health system as a total of 322 health workers out of 516 in Gazipur are currently in home/institutional quarantine, telemedicine facilities have dropped to 80% and there’s a 50% reduction in total patient reported in Upazila Health Complexes (UHC)-reasons being absence of doctors and proper medical facilities. Read More...

Final Performance Evaluation of the Kore Lavi Development Food Assistance Project in Haiti

In FY 2013, the US Agency for International Development’s (USAID) Office of Food for Peace (FFP) issued an award to a consortium of three organizations, CARE, Action Contre La Faim (ACF), and the United Nations World Food Programme (WFP) to implement a Development Food Assistance Project (DFAP). World Vision (WV) later joined the consortium. The four-year project, titled ‘Kore Lavi’ (‘supporting life’ in Haitian Creole) started in August 2013. Following a two-year extension granted in 2017, the projected ended in September 2019.

The overall purpose of Kore Lavi was to support the Haitian Government in creating a social safety net for food and nutrition security that prioritizes consumption of locally grown quality products. The overall goal was to contribute to reducing food insecurity and vulnerability in targeted communities by establishing a replicable safety net system and expanding government capacities to prevent child under nutrition.

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Barriers and supports to reducing early child bearing among newly married adolescent girls in Zinder region: A qualitative study

CARE carried out formative research to understand the underlying gender and social norms, barriers to and facilitators for delaying early child birth among married/soon-to-be-married adolescent girls in Zinder region, from the perspective of multiple gatekeepers in the lives of married/soon-to-be-married adolescent girls. Read More...

Adolescent Motherhood: Understanding Individual and Community Perspectives to Delay First Birth in Rural Bangladesh

Globally, more than one third of girls marry before the age of 15. In Bangladesh, like in other developing countries, adolescent marriage is still very common. Early marriage leads to early pregnancy, as young wives are not allowed to make their own decisions about contraceptive use and timing of childbirth, deferring instead to their husbands and extended family. The major objectives of this formative research were to explore the intentions, desires, perspectives, motivators, and de‐motivators around the first pregnancy among married adolescent girls (MAGs). The study also explored ways to delay first pregnancies among MAGs, focusing on influential people in their lives, health providers, and positive deviants. Additionally, we examined alternative opportunities and barriers to delay first pregnancy through pursuit of an alternative life course and the use of modern contraceptives. The findings will be used to design an appropriate intervention for rural Bangladesh. Read More...

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

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. A baseline study was conducted in 2016 to inform implementation of the project. This midline evaluation was conducted in April 2019 to evaluate the progress of the project and inform programming mid-way through its implementation. The results will be used to guide the next steps in program implementation. 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.
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Baseline Survey in East and South Darfur Focused on Health, Nutrition and WASH

The humanitarian situation in Sudan has continued to deteriorate since 2018, where the number of people in need of humanitarian assistance steadily rose from an estimated 700,000 to a total of 5.5M individuals. Across Sudan, 3.8 million people are urgently in need of WASH assistance, 5.2 million people are in urgent need of access to basic primary health care services, and a total of 2.8 million children and Pregnant and Lactating Women (PLW) suffering from acute malnutrition. Darfur remains an epicenter of large-scale protracted displacement.

There have been limited baseline assessments conducted in CARE’s project areas due to the recent political uncertainties, insecurity, staff capacity and funding constraints. The assessment interviewed 277 households.
* 53% of people (46%m, 56%f) have good knowledge on positive nutrition practices.
* The survey found out that of the women interviewed, 62% were aware and had good knowledge of exclusive breastfeeding
* disease incidence averaged at 44% across the study area.
* 66% of the respondents still use unsafe drinking water sources;
* 34% of the respondents having access to adequate sanitation but still about 28% of respondents confirmed that at least one member of their HH practiced open defecation.
* 65% of the respondents being able to mention at least 3 critical times to perform hand washing.
* 21% of the respondents said women were actively involved as members of WASH committees within their communities.
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