German government

Assessment on “Improving lives of Rohingya refugees and host community members in Bangladesh through sexual and reproductive healthcare integrated with gender-based violence prevention and response”

In response to the health and protection needs of the Rohingya refugees and the host communities in Cox´s Bazar, CARE is implementing the project “Improving lives of Rohingya refugees and host community members in Bangladesh through sexual and reproductive healthcare integrated with gender-based violence prevention and response” with funding support by German Federal Foreign Office. This is a two year project targeting Rohingya refuges of camp 11, 12, 15 and 16 and vulnerable host communities of Jaliapalong union for GBV and SRH services.

Indicator 1: %of targeted refugee and host community report an improved environment for women and girls following the implementation of SRH and GBV prevention measures
i. 93% respondents have good and very good understanding on available SRH service
ii. Proportion of women who make their own informed decisions regarding sexual relations, contraceptive use and reproductive health care. 17% of interviewed women can make their own informed decisions regarding sexual relations, contraceptive use and reproductive health care.
iii. 32% of interviewed female from both host community and refugee community received both Anti-natal Care (ANC) and Post Natal Care (PNC).
So, we can say that, 47% (average of result of three proxy indicator) of targeted refugee and host community report an improved environment for women and girls following the implementation of SRH prevention measures.
iv. 49% of women and girls reporting feeling safe following the implementation of GBV prevention measures
v. 63% respondents (male 21`% and female 42%) go to community leaders for seeking help when they face any form of violence both in their home and also outside of their home
Here, “56% of targeted refugee and host community report an improved environment for women and girls following the implementation of GBV prevention”
Considering the average result of above GBV and SRH indicators, we can say that, 51.5% of targeted refugee and host community reported an improved environment for women and girls on SRH and GBV prevention measures at the baseline of the project.
Indicator 2: # of people (m/f) accessing services and information on SRH services and GBV prevention and response
Indicator 3: % of refugees and host population who report satisfaction with GBV and SRH assistance
i. 70% respondents from refugee and host community reported full satisfaction with GBV assistance
ii. 87% female and 65% male from refugee and host community reported full satisfaction with SRH assistance. (Among them 67% female from refugee and 20% female from host community, 45% male from refugee community and 20% male from host community)
Indicator 4: % of staff members with improved knowledge on SHR and GBV
Inicator 5: 45% of men and boys who report rejecting intimate partner violence and domestic violence
80% of staff members with improved knowledge on SHR and GBV
Indicator 5: # of women and adolescent girls having received MHM kit
i. Most of the respondents (85%) use reusable clothes
ii. 90% respondents wash and use the cloth again
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Assistance en abris et protection contre les violences basées sur le genre aux ménages vulnérables parmi les nouveaux réfugiés et de la communauté hôte dans le Département de Bahr Sarah (Moissala) au Sud du Tchad

Présente au Tchad depuis 1974, CARE International est l’une des principales organisations internationales engagées dans la lutte contre la pauvreté et l’injustice sociale. Ses actions sont menées en faveur des populations les plus pauvres parmi lesquelles les communautés hôtes vulnérables, les réfugiés centrafricains et les retournés tchadiens de la RCA notamment dans les Provinces du Moyen Chari, du Logone Oriental et du Mandoul avec l’appui financier de ECHO, BPRM, START FUND, SAF-PAC, UNFPA, MOFA, UNHCR, etc. En effet, dans la zone de Moissala (Département Bar Sarah), le 21 février 2018, un afflux de nouveaux réfugiés en provenance de la RCA a encore été signalé et ce, dans une situation de vulnérabilité due à l’insuffisance des denrées alimentaires, des abris et d’ouvrages sanitaires et où les cas de violence sont récurrents. Ce qui a eu un impact significatif sur les moyens d'existence dans les villages d’accueil.
En réponse aux conséquences humanitaires de cette crise, CARE a obtenu l’appui financier de MOFA GERMANY pour la mise en œuvre du projet dénommé « Assistance en abris et protection contre les violences basées sur le genre aux ménages vulnérables parmi les nouveaux réfugiés et de la communauté hôte dans le Département de Bahr Sarah (Moissala) au Sud du Tchad ». Les besoins humanitaires pour lesquels le projet entend apporter sa contribution concerne trois secteurs majeurs à savoir les abris, les articles ménagers et la protection.
C’est dans ce cadre qu’il est prévu de réaliser cette évaluation finale interne afin de mesurer l’impact du projet, capitaliser les leçons apprises et formuler des recommandations pour l’amélioration des projets futurs.
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Epidemic Control and Reinforcement of Health Services (ECRHS) Phase 1 Programme in Sierra Leone

This report presents findings from the end phase evaluation of the Epidemic Control and Reinforcement of Health Services (ECRHS) Phase 1 Programme in Sierra Leone, which was implemented from November 2015 to December 2018. The aim of the Programme is to ‘Improve the health status of the population of Sierra Leone’. The Programme was originally designed to provide response to the Ebola outbreak in Sierra Leone, but also considered a longer-term view and worked towards putting in place preparations putting in place preparations for the transition of an extended health system strengthening (HSS) effort.

The overall purpose of the evaluation was ‘to assess result and impact of the above-mentioned Epidemic Control and Reinforcement of Health Services Programme against the Programme goal and outcomes in targeted northern region of Sierra Leone. The evaluation was specifically commissioned to; 1) Assess the Programme result areas in relation to effectiveness, relevance and efficiency of the Programme, 2) assess changes made in general conditions and perspectives, 3) assess need for additional (Programme-) support in future, 4) assess sustainability of achieved results with respective to the DHMTs and Community-based Surveillance (CBS) system, 5) identify the Programme’s key challenges during implementation, and lessons learnt/best practices, and 6)generate concrete recommendations for decision making process regarding health and SRH Programming in the future.

The Evaluation integrated both quantitative and qualitative research methods. 1,608 respondents were randomly selected from across 80 communities for households/individual interviews. This sample included 1,196 female and 412 male respondents. Focus Group Discussions (FGDs) were held with community members in 60 communities and 30 key informant interviews (KIIs) were done with CARE, implementing partners, state actors and chiefdom authorities. Twenty-seven (27) Community Health Workers (CHWs) and 5 Water Management Committee members were also interviewed. Also, facility assessment was conducted for -77 PHUs using the Ministry of Health and Sanitation standard tool and case studies/insight stories were further documented from the field interviews.
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