health
Elevating Married Adolescents’ Voices for Responsive Reproductive Healthcare in Syria
Increases in early marriage and pregnancy resulting from Syria's humanitarian crisis highlight a critical gap in adolescents' access to life-saving sexual and reproductive health information and services, and a larger need for adolescent-specific interventions grounded in gender transformative approaches. Seeking to address this, CARE, UNFPA and Syria Relief and Development adapted global evidence-based approaches to humanitarian contexts to create the Adolescent Mothers Against all Odds (AMAL) Initiative for pregnant girls and first-time mothers aged 10 to 18 years. Designed to improve the lives of young girls through responsive health systems and enabling environments, AMAL includes three components: a Young Mothers Club for first-time mothers and pregnant girls, participatory dialogues with health providers, and reflective dialogues with girls' marital family and community members. The AMAL Initiative intends to ensure responsiveness to the unique vulnerabilities of adolescent sub-groups by co-implementing with them. Select girls undergo additional leadership training and serve as adolescent representatives on community advisory groups sharing feedback for program improvement. One hundred-four first-time mothers and pregnant girls, 219 community members, and 120 health providers participated in AMAL in northwest Syria. In a mixed methods evaluation, facilitators administered monitoring tools to identify program improvements, pre-post surveys to assess outcomes, and end-line discussions to gather perceptions of impact. Girls reported a 47% overall increase in self-esteem, confidence, health-seeking capacity, and communication ability. Community support for girls' use of family planning increased by 27% and girls' equal access to services by 35%. Findings across all participant groups demonstrate decreased expectations of early marriage and increased acceptance of family planning post-marriage. Areas that participants cited for potential improvement included programming for girls/women above the age of 18 years, and additional training for health providers on long-acting contraceptive methods. These results show that participatory adolescent-centered sexual and reproductive health programming is not only feasible in crisis settings but can improve the self-efficacy of vulnerable adolescents to overcome barriers to accessing healthcare and improving well-being. The AMAL Initiative is now being scaled up through local partners in Syria and piloted in northern Nigeria. Read More...
Baseline Study of SUFAL Project Funded by ECHO “Supporting Flood Forecast-based Action and Learning in Bangladesh” (SUFAL)
Supporting Flood Forecast-based Action and Learning in Bangladesh (SUFAL) is being studied in 4 unions (Chinadulli, Kulkandi, Noarpara, Shapdhari) of Islampur Upazila of Jamalpur district, 4 unions (Bhartkhali, Ghuridaha, Haldia, Saghata) of Sagatha Upazila of Gaibandha district and 4 unions (Begumganj, Buraburi, Hatia, and Saheber Alga) of Ulipur Upazila of Kurigram districts by BCAS with the support of Care Bangladesh and the consortium members including Concern Worldwide, Islamic Relief Bangladesh, and the Regional Integrated Multi-Hazard Early Warning System (RIMES) and financially supported by ECHO. SUFAL will set up a Forecast-based Early Action (FbA) system in three northern flood-prone districts: Kurigram, Gaibandha, and Jamalpur. There are many char land in the study area which are the propensities of disaster. The inhabitants of Char land are the most vulnerable and poorest community who are in search of livelihood. Their daily life is full of uncertainty. Read More...
SISTEMATIZACION DE ESTRATEGIA DE PROMOTORES DE LA INTEGRACIÓN Y VOLUNTARIOS Y AGENTES COMUNITARIOS DE SALUD
El proyecto Alma Llanera ejecutado por CARE Perú en coordinación con las DIRESAS de Tumbes y Piura, y la GERESA de La Libertad, ha representado una importante estrategia para brindar asistencia humanitaria a población refugiada y migrante venezolana. El proyecto se ha centrado en cuatro objetivos, dentro de los cuales se ha sistematizado y se presenta en este documento, corresponde a la estrategia de Promotores de la Integración y ACS. Read More...
SISTEMATIZACIÓN DE EXPERIENCIA “COMEDORES PARA LA PREVENCIÓN DE LA ANEMIA EN NIÑOS Y NIÑAS DE 6 A 36 MESES DE EDAD
El proyecto de ayuda humanitaria “Alimenta su Fuerza” en su segunda etapa, fue ejecutado por CARE Perú y financiado por el Banco de Crédito del Perú (BCP); su continuidad nació de la iniciativa para dar respuesta a la crisis alimentaria generada como consecuencia de la emergencia sanitaria por COVID-19 debido a medidas restrictivas que afectaron el ingreso económico de muchas familias y con ello la posibilidad de cubrir necesidades básicas. El proyecto tuvo como finalidad mejorar la seguridad alimentaria de la población en situación de vulnerabilidad, brindando apoyo alimentario con raciones nutritivas a través de espacios estratégicos como los comedores auto gestionados adscritos al Programa de Complementación Alimentaria de los gobiernos locales, a su vez de forma complementaria se incorporó un piloto para la prevención de la anemia en niños y niñas de 6 a 36 meses, que consistió en la entrega de preparaciones que incluyeron alimentos fuente de hierro, para ello se articuló acciones con establecimientos de salud y agentes comunitarios de la zona, así mismo se brindó acompañamiento a las madres o cuidadoras de los niños y niñas para que mejoren las prácticas de alimentación y accedan a los servicios de salud para la prevención y reducción de la anemia. Read More...
SISTEMATIZACIÓN DE LA IMPLEMENTACION DE LA ESTRATEGIA DE ACCESO A SERVICIOS DE SALUD
Es una iniciativa a favor de los migrantes y refugiados venezolanos, en el Perú, que CARE ha implementado en las Regiones Tumbes, Piura, La Libertad y Lima, gracias al valioso aporte del Gobierno de los Estados Unidos. Tiene como objetivo Mejorar la autosuficiencia y la integración de los refugiados y migrantes venezolanos vulnerables en el Perú, a través de un mayor acceso a los servicios de protección y salud mental y a los medios de vida”. En tal sentido, sus objetivos específicos se orientan a facilitar el acceso de las víctimas de violencia de género a los servicios públicos de salud mental y de protección; asimismo, a mejorar los medios de vida de las mujeres. Read More...
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
Read More...
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
Read More...
External ex-post evaluation of the “Multi-sectoral Protection Response for Vulnerable Populations in Ecuador affected by the Humanitarian Crisis” Project executed by CARE, Alas de Colibrí Foundation and Diálogo Diverso between 2019 and 2020
To respond to the migration crisis CARE Ecuador (CARE), Diálogo Diverso (DD) and Alas de Colibrí Fundation (ACF) associated to implement, with funding from the Bureau of Population, Refugees, and Migration (PRM) of the U.S. Department of State (that finances assistance actions for vulnerable refugee and migrant populations around the world), the “Multi-sectoral Protection Response for Vulnerable Populations in Ecuador affected by the Humanitarian Crisis” Project (PRM Project), from September 1, 2019 through August 31, 2020. The Project aimed at improving health and physical and psychological well-being of the forced-to-migrate Venezuelan population (and other nationalities), both migrants and refugees; as well as of the vulnerable local population, particularly LGBTIQ+ individuals and women survivors of gender-based violence, through a multi-sectoral intervention that includes: health care, legal and psychosocial advice, shelter, and comprehensive support interventions for the migrant humanitarian crisis. The project also generated advocacy actions to strengthen the capacities of public officials and institutions related to migratory processes, and to promote the restitution of migrants and refugees’ rights.
This report is 78 pages long. Read More...
This report is 78 pages long. Read More...
Análisis de la Información de indicadores del proyecto “Ella Alimenta el mundo”
Information about the nutritional component indicators such as demographical characteristics, anthropometric measures, and nutritional status and habits, was obtained in the context of the project “She feeds the world”, in order to characterize the current situation in these settings prior to CARE Peru’s intervention. The baseline information was collected by an independent consultancy group, selected following the regular process in order to guarantee the objectivity of the information during the data collection and analysis. This baseline data collection was conducted between February and May 2020, and data analysis was developed on May and June 2020.
The Executive Summary is in Both English and in Spanish.
Read More...
The Executive Summary is in Both English and in Spanish.
Read More...
Impact Socio-Economique du COVID-19 chez les Jeunes au Niger
Le COVID-19 est une maladie infectieuse découverte à Wuhan (Chine) en décembre 2019. Elle est transmise principalement d’une personne à une autre par le biais de gouttelettes respiratoires expulsées par le nez ou par la bouche lorsqu’une personne malade tousse, éternue ou parle.
Le Niger ne fait pas exception des pays épargnés par le COVID-19. A cet effet, le Gouvernement s’est active à mettre en place avec l’appui des partenaires techniques et financiers des mesures pour lutter contre le virus . Ces mesures ont permis un contrôle efficace de la maladie. Parmi celle-ci, on peut citer la suspension ou limitation des passagers pour les transports en communs, le couvre-feu, l’isolement de la ville de Niamey etc.
Ces mesures bouleversent malheureusement tous les secteurs économiques. Selon le rapport publié par Dispositif National de Prévention et de Gestion des Crises Alimentaires, ces mesures auront un impact sur les dépenses des ménages:
• La mise en quarantaine et le couvre-feu pourraient augmenter de 30% les dépenses liées
à l’alimentation (hausse des prix) ;
• La réduction du temps de travail, la présence des enfants à la maison pourront occasionner
une augmentation de 10% des dépenses d’énergie et d’eau de 30% dans les centres urbains
• L’interdiction des cérémonies sociales (mariage, baptême, funérailles) pourrait faire baisser les dépense y afférentes de 30% dans les villes chef-lieu des régions et de 50%
dans celle de Niamey ;
• Les dépenses liées à la communication pourraient augmenter de 50% à Niamey et 20%
dans les autres centres urbains à cause du confinement (saturation des réseaux);
Les dépenses des ménages liées principalement à l’hygiène corporelle et équipements sanitaires pourront augmenter de 50% en milieu urbain et 10% en milieu rural.
C’est dans ce cadre que Youth Tea, un laboratoire pilote initié par CARE International au Niger a décidé de conduire une analyse sur l’impact socio-économique du coronavirus sur les jeunes filles et garçons en milieu urbain et rural (Communes de Niamey et de Bermo). Read More...
Le Niger ne fait pas exception des pays épargnés par le COVID-19. A cet effet, le Gouvernement s’est active à mettre en place avec l’appui des partenaires techniques et financiers des mesures pour lutter contre le virus . Ces mesures ont permis un contrôle efficace de la maladie. Parmi celle-ci, on peut citer la suspension ou limitation des passagers pour les transports en communs, le couvre-feu, l’isolement de la ville de Niamey etc.
Ces mesures bouleversent malheureusement tous les secteurs économiques. Selon le rapport publié par Dispositif National de Prévention et de Gestion des Crises Alimentaires, ces mesures auront un impact sur les dépenses des ménages:
• La mise en quarantaine et le couvre-feu pourraient augmenter de 30% les dépenses liées
à l’alimentation (hausse des prix) ;
• La réduction du temps de travail, la présence des enfants à la maison pourront occasionner
une augmentation de 10% des dépenses d’énergie et d’eau de 30% dans les centres urbains
• L’interdiction des cérémonies sociales (mariage, baptême, funérailles) pourrait faire baisser les dépense y afférentes de 30% dans les villes chef-lieu des régions et de 50%
dans celle de Niamey ;
• Les dépenses liées à la communication pourraient augmenter de 50% à Niamey et 20%
dans les autres centres urbains à cause du confinement (saturation des réseaux);
Les dépenses des ménages liées principalement à l’hygiène corporelle et équipements sanitaires pourront augmenter de 50% en milieu urbain et 10% en milieu rural.
C’est dans ce cadre que Youth Tea, un laboratoire pilote initié par CARE International au Niger a décidé de conduire une analyse sur l’impact socio-économique du coronavirus sur les jeunes filles et garçons en milieu urbain et rural (Communes de Niamey et de Bermo). Read More...