Final

Nutrition at the Center Homegrown Project (N@C:H)

Rates of under nutrition among women and children are among the highest in the world. Malnutrition is highly associated with avoidable mortality and morbidity. Improvement of maternal health, reduction of child mortality and eradication of extreme poverty and hunger received high attention in the Millennium Development Goals. The government, NGOs and development partners have come up with innovative ideas and intervention programs to address these issues. Nutrition at the Center (N@C) in collaboration with CARE Bangladesh implemented a program in two under-served upazilas under Sunamganj district, Bangladesh to address malnutrition as well as food security, improved water and sanitation practices, Infant and Young Child Feeding (IYCF) and women autonomy and empowerment in terms of their role in household decision making and attitude towards gender violence. [70 pages] Read More...

Nutrition at the Center Endline Report Bangladesh


Rates of malnutrition among women and children in Bangladesh are among the highest in the world. Malnutrition is one of the leading causes of mortality and morbidity in many countries. Considering the serious effect of malnutrition, improved nutritional outcomes are intimately tied to Millennium Development Goals in improving maternal health, reducing child mortality and eradicating extreme poverty and hunger. CARE Bangladesh, in collaboration with Government of Bangladesh (GoB) implemented a Nutrition at the Center (N@C) program in Bangladesh with two-fold strategies that include integrating nutrition in existing community health system and promotion of multisectoral approaches to improve nutrition. Among others, the intervention includes, household food productions, water sanitation and hygiene, maternal and child health, infant and young child feeding, gender and women’s empowerment. For measuring the impact/effect of this intervention, benchmarks on important nutrition related indicators were established through a baseline survey conducted in the N@C intervention and control areas in 2014. [117 pages]
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Nutrition at the Center Endline Report Zambia

From 2013 to 2017 CARE International in Zambia implemented the Nutrition at the Center (N@C) Project in 22 health facilities of Lundazi and Chadiza Districts of Eastern Zambia (15 in Lundazi and 7 in Chadiza district). The impact indicator of the N@C Project was pegged at improving the nutritional status of women (15-49 years) and children whose age was below 3 years old with a focus on reducing stunting generally. During the 4 years of project implementation, a number of activities were successfully implemented; as a result, CARE Zambia decided to institute an endline evaluation whose focus was to assess achievements on several nutrition and general indicators including infant and young child feeding (IYCF), maternal health and nutrition, food security, women empowerment, water, sanitation and hygiene (WASH), and program participation. The current evaluation also aimed at determining perceived or actual weaknesses and strengths of the N@C project as well as document lessons learned to inform future nutrition programming.
Data was collected from 41 health facilities out of the 46 targeted in Chadiza and Lundazi districts. A structured household questionnaire was used to collect data from women who had children below the age of 3 years in both intervention and non-intervention areas. Of the targeted 1266 women, 1195 were successfully interviewed representing a response rate of 94.4 percent. Four focus group discussions and 12 key informant interviews were also conducted. [58 pages]
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Nutrition at the Center Endline Report Benin/Togo

CARE has implemented an innovative, comprehensive five-year program (2013 – 2017) that aims to reduce anemia in women (age 15-49 years) and stunting and anemia in children (age 0-24 months) by integrating: i) Maternal, Infant and Young Child Nutrition and Health (MIYCNH); ii) Water, Sanitation and Hygiene (WASH), iii) Food Security (FS), and iv) women’s empowerment. Nutrition at the Center (N@C) were implemented in 4 developing countries (Bangladesh, Benin, Ethiopia and Zambia). It aimed to develop, document and disseminate highly effective and efficient integrated approaches that substantially improve nutritional outcomes for mothers and children. The program’s objectives were: (i) improved nutrition-related behaviors, (ii) improved use of maternal and child health and nutrition services; (iii) increased household adoption of appropriate water and sanitation practices; and (iv) increased availability and equitable access to quality food. An additional P4P program has been experimented at household level in order to supply communities in animal protein source especially for children feeding.
In Benin, N@C has intervened in two communes of the Oueme department (Dangbo and Bonou) and in 32 villages. By engaging with communities, other partners, the Ministry of Health, the Ministry of Family and the Ministry of Agriculture, N@C will build upon this commitment to improve nutritional status. In 2014, INSAE and CARE International conducted the baseline study, which served as guidelines for actions to be taken up to 2017.
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DEC Supported Emergency Response Project in Amran and Abyan Governorates, Yemen

Under the Yemen Crisis Appeal and with the support from Disasters Emergency Committee, CARE Yemen has been implementing two emergency response projects in Abyan and Amran Governorates of Yemen with the aim of responding to the WASH, food insecurity and Cholera/Acute Watery Diarrhea (AWD) Crisis. This report provides the findings of the evaluation of the two phases of the DEC funded emergency response projects in Sawyer districts of Amran Governorate, Yemen.
The overall purpose of this evaluation was to ensure accountability and identify lessons learned and best practices so as to feed into and inform the decision making process of the project stakeholders, including the donor, beneficiaries, and government counterparts. In addition, the evaluation aimed to objectively assess the relevance, efficiency, effectiveness, and sustainability of the project in light of its objectives and provide recommendations for future programming. Furthermore, the evaluation assessed how the project ensured accountability to affected groups, considering the commitments of the Core Humanitarian Standards, and how the project ensured quality of implementation vis-à-vis emergency response standards such as SPHERE. [72 pages]
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Scaling up Inclusive Resilience Amongst Water Logged Communities in South Western Bangladesh

Final narrative report for Scaling up Inclusive Resilience Amongst Water Logged Communities in South Western Bangladesh. [33 pages] Read More...

Promoting an Enabling Environment for Women in Factories Final Evaluation

CARE Bangladesh’s women’s empowerment wing launched the project titled “Promoting an Enabling Environment for Women in Factories (PEEWF)” in 2015 with a target to work with 3,500 workers and 6 factories (5 RMG, 1 Ceramics factory). The funding of the project has been provided by Galeries Lafayete. The RMG factories were all under Intramex group, a leading RMG manufacturing company of the country, whereas the ceramic factory was named Artisan Ceramics Limited. The specific objectives of PEEWF Project are to make the management of RMG and Ceramics factories and other targeted stakeholders responsive and accountable for creating a worker friendly environment, to enhance worker awareness, skill and understanding on gender discrimination, rights and entitlement to increase their participation in the workers committees and demonstrate leadership, to build the capacity of factory mid-level management on workers needs and rights, professional attitude and behavior and benefits of investment on workers welfare, and to mobilize the community to create enabling environment at the community level. [106 pages] Read More...

Strengthening the Community Support System to Improve Maternal and Infant Health

Evaluation on Strengthening the Community Support System to Improve Maternal and Infant Health project in Gaibandha District, Bangladesh from November 2015-November 2017. [39 pages] Read More...

Building Resilience of the Urban Poor (BRUP)

Building Resilience of the Urban Poor (BRUP) of CARE, funded by C&A Foundation, is an integrated initiative that builds the resilience of targeted community to more effectively cope with seasonal and unanticipated disaster. The ultimate goal of the project enhanced resilience of six targeted urban communities and three targeted institutions, reaching a total of 8,000 individuals (directly and indirectly) who can prepare for, mitigate, respond to, and recover from shocks and stresses. [77 pages] Read More...

C-Change Endline Report: FP/HIV Integration through SBCC in Zambia

Between November 2009 and June 2011, the Academy for Educational Development (AED)1 partnered with CARE Zambia through the Communication for Social Change (C-Change) initiative to implement a project designed to explore the effects of social and behavior change communication on family planning uptake. The project aimed to increase family planning utilization and as well as address the underlying social norms that influence uptake of family planning services. The project had a particular goal of exploring the effect of these interventions on uptake of family planning among HIV-positive individuals.

The project was implemented in the Mwase Zonal Rural Health Center (Mwase RHC) catchment area in Lundazi District, Eastern Province, Zambia. Study participants included HIV-positive and HIV-negative men and women of reproductive age (18-50). Survey participants were selected from a sampling frame built from the Mwase RHC ART and VCT registers. [122 pages] Read More...

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