Sexual|Reproductive Health
Integrated GBV Prevention and Response to the Emergency Needs of Newly Displaced Women, Men, Girls, and Boys in Borno State, North-East Nigeria Final Report
Under the European Commission Civil Protection and Humanitarian Aid (ECHO) funding with support of CARE France, CARE Nigeria to implement a Gender Based Violence in Emergencies project. The project was implemented in Bama and Ngala Local Government Areas (LGAs) – Northeast, the goal of the project was to contribute to the protection of the lives of vulnerable women, men, girls, and boys most affected by the crisis in North-eastern Nigeria. The evaluation survey showed that beneficiaries in both intervention LGAs were aware of GBV issues and referral pathways facilitated by the project. There was an increase in the awareness of beneficiaries from the mid-term evaluation; as more respondents were more likely to make a report on GBV related incidences (i.e. sexual violence, sexual exploitation, domestic violence, sexual harassment, and forced marriages). Based on analyzed evaluation data, of the total number of beneficiaries interviewed, the following project activities were most effective in increasing beneficiary GBV knowledge e.g. Use of GBV champions - 87.5% (Ngala 32.9% and Bama 54.6%), Sensitization activities – 91.5% (55.5% in Bama and 36% in Ngala) and provision of livelihood assistance – 66.8% (43.5% in Bama and 23.3% in Ngala).
At the final evaluation, awareness amongst beneficiaries was greater in Bama than Ngala; as project-driven sensitization activities emerged as the predominant means by which beneficiaries were informed of GBV issues and accompanying referral pathways by the project. In spite of CARE Nigeria not having an on the ground presence in Ngala at the time of the final evaluation study (i.e. due to the lack of funding for GBV interventions since August 2020); interviewed beneficiaries remained knowledgeable of GBV issues and referral pathways. [122 pages] Read More...
At the final evaluation, awareness amongst beneficiaries was greater in Bama than Ngala; as project-driven sensitization activities emerged as the predominant means by which beneficiaries were informed of GBV issues and accompanying referral pathways by the project. In spite of CARE Nigeria not having an on the ground presence in Ngala at the time of the final evaluation study (i.e. due to the lack of funding for GBV interventions since August 2020); interviewed beneficiaries remained knowledgeable of GBV issues and referral pathways. [122 pages] Read More...
Strengthening Access to Emergency Primary Health and Protection Services for Most- affected Vulnerable Returnees and Host Families in Ninewa Governorate, Zummar sub-district
With the objective of Increasing access to quality and equitable health care and protection services for vulnerable women, men, boys and girls conflict-affected populations in Zummar primary health care centre (PHCC), underserved and epidemic-prone communities and improving civic participation of local residents, CARE’s interventions targeted highly prioritized areas of Zummar surrounded villages and Zummar PHCC in need of rehabilitation as well as continuing to provide a variety of essential medicine and laboratory supplies for NCD treatment. The SRMH service package included medication (such as oxytocin ampoule, methergine vaginal tablet and suppositories) and medical consumables including suture materials, sterile and non-sterile gauze, gloves to meet needs of patients visiting Zummar PHCC through close collaboration with the Ninawa Directorate of Health (DoH) as the local authorities are currently overwhelmed by the scale of needs to enable affected populations to return home. The project also distributed dignity kits packages to GBV survivors, mainly, vulnerable women and adolescent girls based on pre identified criteria and continued to avail safe space for women and children. The provision of safe space allowed the female patients to concentrate on their medical consultations with the doctors at the PHCC and meaningfully participate in awareness sessions delivered by CARE at the free space within the PHCC without worrying about the safety of their children.
The endline evaluation seeks to analyze the endline values for key SRMH and protection indicators as stated in the project documents in the targeted areas and to assess, impact and effectiveness of programming to successfully track accomplishments of the project, relevance and sustainability of the project after the implementation through the usage of quantitative and qualitative data. The evaluation also looked into areas of success as well as challenges faced implementing activities in Zummar sub-district. [28 pages]. Read More...
The endline evaluation seeks to analyze the endline values for key SRMH and protection indicators as stated in the project documents in the targeted areas and to assess, impact and effectiveness of programming to successfully track accomplishments of the project, relevance and sustainability of the project after the implementation through the usage of quantitative and qualitative data. The evaluation also looked into areas of success as well as challenges faced implementing activities in Zummar sub-district. [28 pages]. Read More...
Durable Solutions for Returnees and IDPs in Somalia (DSRIS) Project Final Report
The Durable Solutions for Refugees and IDPs in Somalia (DSRIS) was a three-year that was implemented in Somalia between 10 January 2017 to 9 January 2020 under the consortium of CARE International (Lead agency), Save the Children (SCI), Agency for Technical Cooperation and Development (ACTED), IMPACT Initiatives and Save Somali Women and Children (SSWC). The project was funded by the European Union (EU). The aim of the project was to contribute to the integration of internally displaced persons, returnees and refugees in Somalia by improving access to basic quality services such as education, health, hygiene and sanitation, Child Protection and Gender-Based Violence (GBV) intervention. Additionally, the project aimed at enhancing relevant and sustainable livelihood opportunities for youth at risk of illegal migrations, radicalization, as well as other vulnerable displaced people, returnees and host communities to enhance integration and social cohesion. The project was being implemented in Puntland, Bari, and Mudug (Bossaso and Galkacyo north districts), Galmudug, Mudug, and Galgaduud (Dhusamareb, Adaado, and Galkacyo south). The sectors targeted by the project include Education, Health, WASH, Child Protection/GBV, women and youth empowerment and integration. Read More...
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...
Addressing GBV & SRHR Challenges in Bama and Dikwa LGAs in Borno State, Northeast Nigeria
Borno state in Northeast Nigeria has been under frequent attacks in the past decade, which has left several million people insecure, homeless, and without any means of livelihood. Hence, the rate of Gender-based Violence (GBV) continues to increase coupled with lack of awareness and basic infrastructure for promoting Sexual and Reproductive Health and Rights (SRHR). To alleviate the challenges faced by several inhabitants of these conflict-affected communities, CARE is implementing a SRHR and GBV project to reach 47,000 vulnerable boys, girls, men and women, living in Internally Displaced Person (IDP) camps and host communities in Bama and Dikwa Local Government Areas (LGAs) in Borno State. This report highlights the current gaps in GBV and SRHR in Bama and Dikwa LGAs to serve as benchmark for measuring progress and guide implementation of the right intervention mix.
In October – November 2019, CARE Nigeria conducted a baseline survey for the project. The study involved administration of Knowledge Attitude and Practice (KAP) questionnaires as well as Focus Group Discussions (FGD) and Key Informant Interviews (KII) covering SRHR and GBV to randomly selected men, women, boys and girls in the project communities. Among the interviewed were; community members, representatives of security agencies, camp coordinator and health facility staffs respectively, in Dikwa and Bama LGAs in Borno State. A total of 79 FGDs and 46 KIIs were conducted, in addition to the quantitative survey involving 3,112 participants. Read More...
In October – November 2019, CARE Nigeria conducted a baseline survey for the project. The study involved administration of Knowledge Attitude and Practice (KAP) questionnaires as well as Focus Group Discussions (FGD) and Key Informant Interviews (KII) covering SRHR and GBV to randomly selected men, women, boys and girls in the project communities. Among the interviewed were; community members, representatives of security agencies, camp coordinator and health facility staffs respectively, in Dikwa and Bama LGAs in Borno State. A total of 79 FGDs and 46 KIIs were conducted, in addition to the quantitative survey involving 3,112 participants. 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...
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...
Cambodia COVID-19 Rapid Gender Analysis
The number of COVID-19 cases in Cambodia is quite low (141) however the impact on global supply chains and the livelihood of thousands of factory and migrant workers, who are mostly women, is immense. The loss of income could potentially push families back into poverty and the value of unpaid care work which will increase during the pandemic, is not measured in financial terms, nor seen as a valuable contribution. Additionally, the growth of women’s empowerment which is strongly linked to financial contributions to the household, will decline.
Women and girls in Cambodia face inequalities in many areas such as in employment and payment, division of domestic labour, decision making and participation. Those are likely to further increase in the course of the COVID-19 pandemic. An area of specific concern is in the education of girls and boys, from poor families, who do not have the technical infrastructure and capacity to support online home schooling.
The current health system does not have the capacity to deal with an increasing number of COVID-19 cases. Sub- national health facilities are considered low quality and previous health crisis showed that patients will directly consult provincial and national facilities which is going to exceed their capacity.
There is still uncertainty about transmission of COVID-19 which causes fear and creates potential for rumours causing
stigmatisation and discrimination of certain population groups such as foreigners, women working with foreigners as in bar work and Muslim groups.
Gender based violence is common and widely accepted in Cambodia. Globally, intimate partner violence (IPV) may be the most common type of violence women and girls experience during emergencies. In the context of COVID-19 quarantine and isolation measures, IPV has the potential to dramatically increase for women and girls. Life-saving care and support to GBV survivors may be disrupted when front-line service providers and systems such as health, policing and social welfare are overburdened and preoccupied with handling COVID- 19 cases. Restrictions on mobility also mean that women are particularly exposed to intimate-partner violence at home with limited options for accessing support services. Read More...
Women and girls in Cambodia face inequalities in many areas such as in employment and payment, division of domestic labour, decision making and participation. Those are likely to further increase in the course of the COVID-19 pandemic. An area of specific concern is in the education of girls and boys, from poor families, who do not have the technical infrastructure and capacity to support online home schooling.
The current health system does not have the capacity to deal with an increasing number of COVID-19 cases. Sub- national health facilities are considered low quality and previous health crisis showed that patients will directly consult provincial and national facilities which is going to exceed their capacity.
There is still uncertainty about transmission of COVID-19 which causes fear and creates potential for rumours causing
stigmatisation and discrimination of certain population groups such as foreigners, women working with foreigners as in bar work and Muslim groups.
Gender based violence is common and widely accepted in Cambodia. Globally, intimate partner violence (IPV) may be the most common type of violence women and girls experience during emergencies. In the context of COVID-19 quarantine and isolation measures, IPV has the potential to dramatically increase for women and girls. Life-saving care and support to GBV survivors may be disrupted when front-line service providers and systems such as health, policing and social welfare are overburdened and preoccupied with handling COVID- 19 cases. Restrictions on mobility also mean that women are particularly exposed to intimate-partner violence at home with limited options for accessing support services. Read More...