Health
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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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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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.
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The Executive Summary is in Both English and in Spanish.
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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...
Latin America and the Caribbean rapid gender analysis for COVID-19
Women and girls across Latin America and the Caribbean (LAC) are facing a terrifying mix of increased domestic violence and care burden, as well as a lower access to income and jobs, and potential social unrest as a result of the coronavirus outbreaks.
The LAC region has the highest levels of inequality in the world, with wide gaps in living standards across countries, regions, sectors, and socioeconomic spheres. When coupled with the pervasive gender inequality that persists, the response to Covid-19 in LAC becomes immeasurably more complicated. CARE International and UN Women joined forces in Latin America, and the Caribbean on this report which presents a series of recommendations aimed at ensuring a more effective gender-inclusive response in the region. The Rapid Gender Analysis (RGA) for COVID-19 is a tool designed to provide information about the different needs, risks, capacities, and coping strategies of women, men, boys, girls, and gender-diverse people during the COVID-19 crisis. This RGA is part of the iterative RGA process for the LAC region and is intended as a programming tool for humanitarian actors. Read More...
The LAC region has the highest levels of inequality in the world, with wide gaps in living standards across countries, regions, sectors, and socioeconomic spheres. When coupled with the pervasive gender inequality that persists, the response to Covid-19 in LAC becomes immeasurably more complicated. CARE International and UN Women joined forces in Latin America, and the Caribbean on this report which presents a series of recommendations aimed at ensuring a more effective gender-inclusive response in the region. The Rapid Gender Analysis (RGA) for COVID-19 is a tool designed to provide information about the different needs, risks, capacities, and coping strategies of women, men, boys, girls, and gender-diverse people during the COVID-19 crisis. This RGA is part of the iterative RGA process for the LAC region and is intended as a programming tool for humanitarian actors. Read More...
Umeed-e-Nau Project Health and WASH Support project for drought affect people of Umerkot, Sindh
This report present the external evaluation of Umeed-e-Nau project - Health and WASH Support project for drought affect people of Umerkot, Sindh. The project was implemented by CARE International in Pakistan (CIP) through its partner CWSA under UNOCHA’s PHPF-III from February – December 2019.
The evaluation of the CIP’s Umeed-e-Nau project has been carried out as per the DAC criteria such as Relevance/appropriateness, Effectiveness, Efficiency, Impact and Sustainability. However, CIP has included an additional criteria i.e. Project Management.
Findings of the final evaluation indicate that CIP rightly identified the needs in holistic manner, as the people in the target area were struggling for water and vulnerable to different health related hazards. The community appreciated all the project activities particularly the MMCs due to quality services, equipment and medicines. Innovations introduced by CIP and donor’s flexibility to understand and approve required changes was also an important factor for paving a smooth path towards achieving successful results of the project. The capacity building and awareness raising activities like health & hygiene training, nutrition awareness has inbuilt sustainability. In both WASH and Health interventions, the impact on behaviors and practice can be observed with passage of time. The trend of use of latrines, water filtrations, consultation with qualified health practitioners, realization of importance of health care especially maternal health and last but not the least hygiene awareness are likely to impact positively on beneficiaries’ individual and communal lives for many years.
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The evaluation of the CIP’s Umeed-e-Nau project has been carried out as per the DAC criteria such as Relevance/appropriateness, Effectiveness, Efficiency, Impact and Sustainability. However, CIP has included an additional criteria i.e. Project Management.
Findings of the final evaluation indicate that CIP rightly identified the needs in holistic manner, as the people in the target area were struggling for water and vulnerable to different health related hazards. The community appreciated all the project activities particularly the MMCs due to quality services, equipment and medicines. Innovations introduced by CIP and donor’s flexibility to understand and approve required changes was also an important factor for paving a smooth path towards achieving successful results of the project. The capacity building and awareness raising activities like health & hygiene training, nutrition awareness has inbuilt sustainability. In both WASH and Health interventions, the impact on behaviors and practice can be observed with passage of time. The trend of use of latrines, water filtrations, consultation with qualified health practitioners, realization of importance of health care especially maternal health and last but not the least hygiene awareness are likely to impact positively on beneficiaries’ individual and communal lives for many years.
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CARE International in Pakistan (CIP) Humanitarian Project in North Waziristan Tribal District (NWTD): End of Project Evaluation Final Report
Over five million persons from the tribal districts of ex-FATA region were displaced over the last decade. Over 90% of these persons have now returned and face massive humanitarian needs. CARE International in Pakistan (CIP) implemented a humanitarian project in NWTD through a local partner (PRDS) focused on WASH and shelter. In October 2019, CIP commissioned an independent evaluation of the project to assess its relevance, effectiveness, efficiency, impact and sustainability. The evaluation collected information through a desk review of key documents, 8 FGDs and 200 household interviews with men and women in the project locations, 8 key informant interviews and physical observations. Overall, the quality and impact of the project is high, which is especially commendable given the extremely challenging work environment and external constraints. Read More...
Baseline Study Report KHUSHAAL PROJECT 2019
CARE India in partnership with Alstom Foundation is implementing socio-developmental projects in 7 villages of District Madhepura, Bihar. Project Khushhaal is one among the many initiatives being undertaken in the identified villages. It aims to enhance the capabilities of women and girls (age 12 years and above) and youth in the age group of 18-35 years for resilient livelihoods and improved health outcomes through a participatory process.
The project aims to empower 1500 individuals (women and girls) from these 7 villages (Tuniyahi Uttarwadi, Tuniyahi Dakshinwadi, LakshmiRampur Chakla Uttarwadi, LakshmiRampur Chakla Dakshinwadi, Ganeshsthan, Shreepur Utarwadi and Shreepur Dakshinwadi) with better health and hygiene practices and have better preparedness for gainful employment opportunities
The study focused at 5 specific areas
1. Menstrual Hygiene related status and challenges
2. Health and Hygiene related situation in young Girls, Pregnant and Lactating women
3. Work and Communication Skills status of Adolescents and Youth
4. Work/Market situation of women Entrepreneurs
5. Social Scenario / Current Situation on Safe Space for Girls in community and social realization regarding it. Read More...
The project aims to empower 1500 individuals (women and girls) from these 7 villages (Tuniyahi Uttarwadi, Tuniyahi Dakshinwadi, LakshmiRampur Chakla Uttarwadi, LakshmiRampur Chakla Dakshinwadi, Ganeshsthan, Shreepur Utarwadi and Shreepur Dakshinwadi) with better health and hygiene practices and have better preparedness for gainful employment opportunities
The study focused at 5 specific areas
1. Menstrual Hygiene related status and challenges
2. Health and Hygiene related situation in young Girls, Pregnant and Lactating women
3. Work and Communication Skills status of Adolescents and Youth
4. Work/Market situation of women Entrepreneurs
5. Social Scenario / Current Situation on Safe Space for Girls in community and social realization regarding it. Read More...
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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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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Sexual Reproductive and Maternal Health (SRMH) Baseline Assessment Report Primary health care project in Sinjar
CARE is implementing a Sexual, Reproductive and Maternal Health (SRMH) Project in three locations in Ninawa Governorate (Zummar, Sinjar and Rabia), which involves providing a full package of SRMH services through existing hospitals and/or PHCs in close coordination with Ninawa Directorate of Health and in partnership with a local partner, Harikar. 230 Primary Health Care (PHC) facilities have been destroyed across the country and there is a heavy burden on PHCs with consultations increasing eight-fold . The consortium will provide a physiological response to returnees’ needs through the rehabilitation of two accessible PHC centres by CARE to support pregnant and lactating mothers, sexual and reproductive health, management of childhood illnesses and other infections. This will include the training of 40 community health volunteers that will identify and refer cases to the PHCs, including gender-based-violence (GBV) survivors and at-risk children to the closest GBV services and provide essential information at the household level about nutrition, WASH, and disability awareness and referral information. The two PHCs that have been selected in Sinjar are AL Shahada PHC and AL Nasser PHC. Read More...
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