The True Cost of COVID-19 Vaccination Campaigns in South Sudan

By November 2023, South Sudan had received 7,076,570 doses and administered 5,101,991 doses of COVID-19 vaccine through various vaccination strategies to curb the detrimental effects of COVID-19. The country has fully vaccinated 5,033,836 individuals across 80 counties of 10 states and 3 administrative areas .
CARE got funding from the United Nations Children's Fund (UNICEF) through Crown Agents (prime recipient of UNICEF). CARE International South Sudan conducted both static and intensified National COVID-19 Vaccination Campaign (NCVC)/Integrated COVID-19 Vaccination and Preventive Therapy (ICVOPT) in 9 counties from 3 states and 2 administrative areas out of 80 counties in South Sudan. CARE implemented the NCVC in Jonglei State (Twic East, Bor South & Duk counties), Western Bahr El Ghazal State (Jur River and Wau counties), Unity State (Rubkona and Mayom counties), Greater Pibor Administrative Area (Pibor County and Boma sub-county), and Ruweng Administrative Area (Pariang county).
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CARE’s Fast and Fair COVID-19 campaign: Comprehensive local-to-global impact

Report available in English, French and Spanish

In November 2020, CARE launched the Fast and Fair campaign to push for fairness and efficiency in the global COVID-19 vaccination effort. We skillfully leveraged our global reach and influence to build and maintain support for more comprehensive funding for vaccine delivery while working hand-in-hand with national and local governments in 34 countries to get the vaccines into the arms of those most in need. Our advocacy and influencing of US and global policy, along with our deep engagement in communities and years of programming investments drove systems-level change that contributed to 21.2 million people getting fully vaccinated in 29 countries. To determine the comprehensive impact of the Fast and Fair campaign, we utilized country case studies, internal program data, and an external evaluation. These sources all affirmed CARE's advocacy and influencing contributions to the global vaccination effort, resulting in millions of vaccinations at the last mile. Read More...

Fast and Fair Country Case Studies: Mini Advocacy and Influencing Impact Reporting (AIIR) Tool Analysis

Fast and Fair Country Case Studies: Mini Advocacy and Influencing Impact Reporting (AIIR) Tool Analysis Read More...

Global Covid-19 Supplemental Campaign: A case study to assess the efficacy of CARE and the coalition’s advocacy strategies

Between December 2021 and late March 2022, CARE and five close allies led an ad hoc coalition advocating for US government approval of $17B in supplemental funding for global COVID-19 relief, specifically for resources to support vaccine delivery and front-line health workers. The purpose of this case study is to assess the effectiveness of the advocacy strategies employed by CARE and allies and draw out lessons to (1) inform future campaigning and (2) better integrate this type of assessment in CARE’s MEL activities. Read More...

Fighting for the Least Vaccinated

The global vaccination effort was generally considered inequitable and ineffective. Vaccination rates mostly followed an income-based pattern both in terms of onset of large-scale vaccination efforts and numbers of people vaccinated. Despite global efforts to address vaccine inequity, vaccination coverage in low-income countries has remained low, though the gap is shrinking. CARE USA, an international poverty fighting and human rights organization, began its Fast and Fair COVID vaccine initiative and advocacy campaign in late 2020 –relatively early in the pandemic period. As the campaign’s name suggests, CARE wanted to help steer the global vaccination effort down the path of fairness and efficiency. This evaluation is an assessment of whether and to what extent CARE, in collaboration with its partners, achieved its objectives Read More...

PROHORI: Combating Intimate Partner Violence in Bangladesh in the Context of COVID-19

In July 2021, CARE Bangladesh and its local partner GBK launched the Prohori project to prevent intimate partner violence (IPV) and respond to survivors of violence through safe spaces, behavior change communication and capacity building approaches that address gender norms and practices. The 12-month project was generously funded by Voices Against Violence: The Gender-Based Violence Global Initiative, a public-private partnership led by Vital Voices and funded with support from the State Department and the Avon Foundation. The project targeted female garment workers and their male partners in Gazipur District, and female agricultural workers and their male partners in Rangpur District. CARE implemented activities in four locations in Gazipur, a peri-urban industrial area in central Bangladesh, and GBK implemented activities in five locations in Rangpur in northwest Bangladesh. Prohori used a blend of community-based, participatory approaches to prevent IPV, improve IPV survivors’ linkages to post-GBV referral services, and strengthen the capacity of first responders to respond empathetically to people who disclose they have experienced GBV. The project built 9 Women and Girls’ Safe Solidarity Spaces (WSSSs, adding to the 18 that CARE had already established in Gazipur) and strengthened GBV services through capacity building and referral service coordination. Read More...

Foster good health and economic resilience (in the COVID-19 pandemic and beyond): Integrated Programme to Reduce the Medium-term effects of COVID-19 (IPIC) in Sudan

This is the final evaluation for the Kassala state-implemented "Foster Good Health and Economic Resilience (in the COVID-19 Pandemic and Beyond): Integrated Programme to Reduce the Medium-Term Effects of COVID-19 (IPIC)". The evaluation's goal is to assess the project's impact on the targeted beneficiaries and to assess the project's level of achievement, as well as to provide project stakeholders with information about the project's performance in relation to its stated objectives, from January 2020 to December 2022.
Relevance: The project was found to be relevant and responding to the real needs of the targeted communities. The selected communities are among the most vulnerable people in the state, with the majority of them living below the poverty line. According to the baseline survey conducted in October 2020, most of the targeted beneficiaries (53%) have incomes ranging from 10,000 to 20,000 SDG’s per month, which is equivalent to 22 to 44 USD.
Efficiency: The project was carried out with good and acceptable efficiency; the project completed 100% of its planned activities with a high level of participation from the targeted communities and important institutions, particularly the state ministry of health.
Effectiveness: The project was determined to be very effective and resulted in many changes among the targeted persons, as well as a substantial contraption for preventing COVID-19 and reducing its harmful influence on the targeted people, as evidenced by the fact that:
During the project's implementation period, a total of 47,268 people received COVID-19 knowledge and capacity building. This includes all people in the targeted areas, with the possibility of duplicate counting because some people received the awareness more than once. These capacity building and awareness programs were carried out through the execution of awareness campaigns, and the trained community outreached played important roles in disseminating information to their community members. The community outreached were carefully selected with gender (50% women) in mind, and they were trained and provided with the necessary COVID-19 prevention items.
The evaluation witnessed high level of impact and effectiveness in health sector, this ensured by the feedback of all consulted people by direct interviews, FGDs and KII interviews, in addition to the observation of the evaluation team. Different sorts of support offered to the three health facilities enhanced access to health care for 3015 HH (21,105 people), this representing all HH in the three villages.
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“Supporting the response to COVID-19 alongside the Community”. Fast & Fair Initiative

The “Supporting the response to COVID-19 alongside the Community” Project contributed to the government's efforts to control the pandemic. The project strengthened outbreak prevention and control measures in selected communities, targeting people in human mobility, LGBTIQ+ individuals, sex workers and indigenous people of the Awa nationality. The project was implemented in partnership with ASOCIACION RIOS (in Spanish), a local NGO with experience in community health work. This project was funded by CARE USA, as part of the Fast & Fair strategy, in response to COVID-19, which objective is to support countries so that the most vulnerable people can access the vaccine and overcome gender-based and other types of barriers that create inequalities regarding access to vaccination and health services. Read More...

Fast and Fair Support to COVID-19 Vaccine Delivery in Burundi

As response to the COVID-19 pandemic, CARE International in Burundi has implemented a COVID-19 humanitarian intervention (funded by CARE USA/ECSA’s flexible funds) that ended in June 2021. CARE Burundi focused its risk communication and community engagement intervention on the negative economic impacts of the pandemic on women’s workload and health. CARE Burundi has experimented with SMS awareness and community and youth-focused hackathons (idea challenges/solutions) as empowering and dignified mobilizations approaches, unlike traditional outreach activities (widely known as "sensitization", a rather tiring and degrading concept). Read More...

Fast and Fair: Technical strategy for CARE’s support to COVID-19 vaccine delivery in Guatemala

The COVID-19 pandemic has impacted the economy, political and social conditions in all countries of the world, however, countries with a high economy have reached almost 100% of their population vaccinated, on the other hand developing countries such as Guatemala report statistical records show that only 36% have a complete scheme. It is widely known that as long as there are unvaccinated countries, new variants of SARS-CoV-2 will continue to develop, which will make it difficult to end the pandemic, it is therefore essential to ensure that the vaccine reaches all countries and all people quickly and safely, without discrimination. Read More...

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