Sexual|Reproductive Health

Working for impact in Papua New Guinea: CARE International’s portfolio review

This review focuses on CARE International’s program portfolio in Papua New Guinea (PNG) over the past five years (2013-2018). CARE’s goal in PNG is to achieve significant, positive and lasting impact on poverty and social injustice in remote, marginalised rural areas through the empowerment of women and their communities and through effective partnerships. CARE has worked in PNG since 1989 and now has offices in Goroka in Eastern Highlands Province, Mt Hagen in Western Highlands Province, Buka in the Autonomous Region of Bougainville (ARB) and an office in Port Moresby.

Over the past five years, CARE’s program in PNG has worked in multiple areas: sexual, reproductive and maternal health, community health promotion, awareness and behaviour change; inclusive governance; women’s economic empowerment; climate change adaptation and disaster risk reduction; and emergency response. These programs have been implemented in PNG’s particularly challenging operating environment.

Two underlying elements in CARE’s programs in PNG have been an emphasis on promoting gender equality and supporting inclusive governance. This review thus focused closely on CARE’s gender and governance approaches: what impacts were seen, what lessons learned, and what promising approaches are emerging to inform better programming by CARE and other players. [108 pages] Read More...

Creating spaces for dialogue: a cluster-randomized evaluation of CARE’s Community Score Card on health governance outcomes

Social accountability interventions such as CARE’s Community Score Card© show promise for improving sexual, reproductive, and maternal health outcomes. A key component of the intervention is creation of spaces where community members, healthcare workers, and district officials can safely interact and collaborate to improve health-related outcomes. Here, we evaluate the intervention’s effect on governance constructs such as power sharing and equity that are central to our theory of change. Read More...

Improving Sexual and Reproductive Health of Adolescents and Youth in Burundi

The objective of the baseline study for the Joint Program "Menyumenyeshe" is to determine the baseline situation through 7 indicators identified by the consortium at the beginning of the program implementation. This willbe used as the basis to compare to the final evaluation in 2020 to measure the progress and achievements / results of the program, and provide recommendations to guide the current and other future programs.

The survey reached successfully 1247 households on an initial sample of 1260 distributed in all 18 provinces of the country.It targeted any young people aged 10-24 years found in the selected households. In these households, 5037 members were registered and 1483 young people and adolescents were successfully interviewed. [120 pages] Read More...

Umodzi – Men, Women, Boys and Girls in Alliance to Achieve Gender Equality Final Narrative

Umodzi was a two-year action research project to test the effectiveness and scalability of a gender-synchronized, transformational approach that is integrated into existing school-based life skills (LS) and sexuality education programs for 10- to 19-year-old adolescent boys and girls. The purpose of Umodzi was to enhance the sustained empowerment of adolescent girls in rural communities in Central Malawi to exercise their sexual and reproductive health (SRH) rights and ultimately achieve better life outcomes. The project used a comparative study to demonstrate evidence-based impact and also used a proof-of-concept component to inform process in real time. [20 [pages] Read More...

Intégration de la vaccination et de la planification familiale

Dans le cadre d’un élargissement géographique de l’intégration de la vaccination et de la planification du programme VIVO, CARE Niger a initié une recherche formative dans le district sanitaire de Gaya en vue de mettre en œuvre un projet de promotion des méthodes modernes de contraception dans dix(10) CSI selon des critères bien précis. L’objectif est de faire une analyse situationnelle au niveau des aires de santé et des établissements de santé communautaires afin d’identifier les obstacles structurels et socio-culturels ainsi que ceux qui sont liés au genre, qui empêchent l’accès aux services de planification familiale et de vaccination et qui pourraient constituer un obstacle à une intégration réussie de ces services.

Le constat des données de l’OMS de 2015, selon lesquelles le Niger a un taux de mortalité maternelle élevé : 553 décès maternels pour 100000 naissances vivantes dû à un taux de prévalence contraceptive les plus bas dans la région (12%). Alors que le taux de vaccination est de 68%, ont dû être des déterminants majeurs du programme VIVO au Niger.

Les données (sur le terrain) recueillies dans le district sanitaire de Gaya, serviront de base sur la mise en œuvre du projet d’élargissement géographique de l’intégration de la vaccination et de la planification. [95 pages]
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Rapport de l’Evaluation des Prestataires des Centres Appuyes par CARE sur les Methods Contraceptives de Longue Duree

CARE Niger dans le cadre du projet Vivo, avait organisé en septembre et octobre 2016 une formation des prestataires des formations sanitaires d’intervention du projet. Cette formation avait porté sur la technologie contraceptive et l’intégration des services de planification familiale et de vaccination. Ainsi 21 prestataires ont acquis des connaissances et des compétences en technologie contraceptive. A la suite de cette formation, des supervisions ont été organisées par le staff clinique du projet.

La présente évaluation externe vise à apporter un autre regard et une autre appréciation des compétences transmises au cours de cette session de formation et leur utilisation dans les centres de santé. Ainsi du 09 au 16 aout 2017 a été menée une évaluation de tous les prestataires formés par le projet sur ces sites d’intervention. Elle a été menée par un (01) consultant venu du Burkina Faso et la responsable de la santé de la reproduction du district sanitaire de Gaya. [8 pages]
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Sexual Reproductive Maternal Child Health End of Project Evaluation

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). [98 pages] Read More...

Umodzi – research on gender synchronized approaches to adolescent lifeskills

The aim of Umodzi Project was to test the effectiveness of adding gender conscious practice curriculum (GCP) and intergenerational dialogues on existing Auntie Stella life skills curriculum to accelerate and enhance adolescent life skills and sexual reproductive health programming. CARE Malawi contracted the CDM to implement the evaluation to compliment routine monitoring activities and establish the effectiveness of the gender synchronized approach. (169 pages) Read More...

Umodzi -using a gender synchronized approach to accelerate impact-midline

The Umodzi Project aims to test the effectiveness and scalability of a gender synchronized and transformational approach to accelerate and enhance the impact of integrated adolescent life skills and sexual reproductive health (SRH) programming. The Umodzi project relies on coordinating existing initiatives to achieve: 1) Adoption of gender-equitable attitudes and behaviours among adolescent boys and girls in primary school; 2) Improved health and development knowledge, attitudes, self-efficacy, and self-care practices among adolescent boys and girls in primary school; and, 3) Enhanced inter-generational relationships between men and boys and women and girls that are supportive of adolescent gender and SRHR. The Midterm Evaluation (MTE) of the project aimed to explore the effect of UMODZI gender conscious practice (GCP)) on gender conscious attitudes; and on further outcomes identified in coordination with the development of GCP curriculum and Theory of Change. (76 pages) Read More...

Umodzi -using a gender synchronized approach to accelerate impact-baseline

This 112 page baseline study provides quantitative and qualitative data on the UMODZI research project, whose aim is to test the effectiveness and scalability of a gender synchronized and transformational approach to accelerate and enhance the impact of integrated adolescent life skills and sexual reproductive health programming. UMODZI is funded through the Gates Foundation Grand Challenges Read More...

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