The migration discourse has not remained confined to focusing upon the mobility of people from low income countries to high income countries. There has been growing attention to migration from higher-income countries to lower-income countries. The current literature, however, is increasingly taking note of human movements within any of the two regions – the higher income countries and the lower income countries, also described as the global north and the global south respectively. Based on the level of development of the countries of origin and destination, the United Nations has therefore identified a typology of two inter-regional and two intra-regional streams of contemporary international migration: south-north and north-south, south-south and north-north (United Nations 2013). This typology also subsumes the category of a transit country in its roles of being an origin and a destination country at the same time. [26 Pages] Read More...

Women, Migration and Development: Investing in the future

On the 17th and 18th of July 2014, the International Conference on Women, Migration and Development: Investing In The Future was convened by CARE
International and hosted at the Overseas Development Institute in London. The objectives of the conference were to: 1) highlight the challenges faced by vulnerable migrant workers, especially women, 2) advocate, based on CARE and others’ experiences, for strategies, policy and practical responses which need to be taken to protect migrant workers’ well-being, particularly with respect to safe mobility and access to healthcare, 3) recognize women migrants’ contribution as economic actors and advocate for policies and planning processes that ensure their protection, 4) advocate for recognition of the role of migration as a key development enabler in the post-2015 development agenda. CARE and ODI presented the findings from their five year EMPHASIS (Enhancing Mobile Populations’ Access to HIV and AIDS Services, Information and Support) programme in South Asia. EMPHASIS, a project which started as a HIV and health intervention, was successful in surfacing and addressing other aspects such as safety and dignity of migrants, economic empowerment, financial inclusion and safe remittances, access to education for migrants’ children, and women’s empowerment. The conference was a response to the call at the May 2014 Stockholm Global Forum for Migration and Development both for civil society/government cooperation around regional systemic approaches to migration and for urgently needed programmatic data and evidence on migration. EMPHASIS is considered among very few projects globally which comprehensively cover the migration experience from source, through transit, to destination countries. The EMPHASIS Learning Series report, which provides a comprehensive overview of
the EMPHASIS programme, was launched during the conference. [5 Pages] Read More...

Evaluation of Enhancing Mobile Populations’ Access to HIV and AIDS Services (EMPHASIS)

EMPHASIS is a 5 year project funded by Big Lottery Fund, UK, which was initiated in August 2009 and is due to conclude in July 2014. It has been implemented in Nepal, India and Bangladesh to address both HIV and AIDS vulnerability and safe mobility issues of cross border migrant populations. Its overall goal has been to contribute to reduction of vulnerability of mobile populations (particularly women) to HIV infection across selected cross border regions within India, Bangladesh and Nepal. There has however, appropriately, been an increased focus on safe mobility issues within the last two years of the project. The three main outcomes of the project focus on: 1) the development of an effective and integrated cross border model of HIV prevention, care, treatment and support to benefit mobile populations and their families and target groups at source, transit and destination locations who are vulnerable to acquiring and spreading HIV and AIDS, 2) building the capacity of partner organizations (including regional authorities, government agencies, border police, customs officials, research institutions, NGO, Community Based Organizations [CBO] and key stakeholders) to deliver improved and integrated services to mobile populations vulnerable to HIV, 3) Increasing recognition of the vulnerabilities of mobile populations and demonstration of ways to address them in source and destination communities that will inform policies and produce evidence based advocacy messages with which to lobby government stakeholders. The aim of this evaluation is to assess the project according to its three outcomes areas and to assess the effectiveness and relevance of different interventions. One week visits to India, Nepal and Bangladesh were conducted at the end of January/ early February 2014 by a team of three people, during which interviews and focus group discussion were conducted, and a Lickert Scale tool administered. These visits were then supplemented by some additional meetings in Bangladesh in April, following the production of the first draft report. An endline study was conducted in parallel to the evaluation, and its conclusions are also drawn upon in this report. [88 Pages] Read More...

A Qualitative study comparing the effects and outcomes of HIV-related interventions for Nepalese migrants – at source, transit and destination

The qualitative study, commissioned by Care Nepal, sought to explore the effects and outcomes of the EMPHASIS project, launched four years ago to reduce HIV and AIDS vulnerability among cross border migrants; and to influence national and regional policies relating to safe mobility through evidence generated regionally. The project, working along a continuum of source, transit, and destination areas, provides HIV prevention and treatment services to migrants and their families. Additionally, the project partners with local stakeholders to ensure safe passage of migrants on transit besides providing other support services. The study was, thus, designed to assess the influence of the project in addressing HIV vulnerabilities, and at the same to enquire into whether inter-country passage has been made safer for migrants. The study aimed to answer the following research questions: a) How has the EMPHASIS intervention impacted HIV vulnerabilities among Nepali migrants, b) What are the qualitative differences between HIV related attitudes and behaviors between migrants reached at destination and their spouses reached at source and those not reached either at source or destination, c) What are the qualitative differences between HIV
related attitudes and behaviors between spouses who have been reached by the project and those who have not been reached by the project, d)) What are the benefits and barriers of support services provided to migrants for safe mobility and empowerment. The study was conducted among 60 migrants and family members, and 5 key informants in four locations- two at the destination site of Delhi and two at the source site of Nepal. In depth interviews by trained researchers were conducted with the help of semi structured interview guides. [39 Pages] Read More...

Journeys: Experiences of Nepalese and Bangladeshi cross border migrants living with HIV

Enhancing Mobile Population’s Access to HIV and AIDS Information (EMPHASIS), Services and Support is a 5-year project funded by Big Lottery Fund, UK. EMPHASIS is implemented in Nepal, India and Bangladesh to address AIDS related vulnerabilities of cross border populations who are moving between Bangladesh, India and Nepal EMPHASIS is an operations research project and one of the pioneer regional projects to address HIV and AIDS vulnerability among cross border populations. The project aims to address its goals through service provision,
capacity building of relevant partners/stakeholders, and advocacy through generating evidence. As part of generating evidence, EMPHASIS developed a research study to investigate the dynamics associated with accessing services for mobile groups who are already affected by HIV and AIDS. This study examines people and questions that were not covered by the EMPHASIS baseline survey that was previously conducted.

Three separate studies were conducted in Bangladesh, Nepal and India. Bangladesh and Nepal first initiated the study aiming to understand the dynamics of HIV infection among migrant populations and also to assess barriers to accessing services at source. In India the study was initiated later, to assess the barriers to accessing services at destination. The prime objective of the study was to present these barriers to services at the regional level among the regional stakeholders. Sharing the findings at South Asian Association for Regional Cooperation (SAARC) could be an important way to initiate dialogue between the governments of Nepal and India to formalize a cross border referral system. Country specific barriers to services will be provided as evidence to inform policy at the national level. [45 Pages] Read More...

Vulnerability to HIV & AIDS: A social Research on Cross Border Mobile Population from Bangladesh to India

There are a growing number of people migrating between Bangladesh, Nepal and India. Mobility has long been linked with heightened vulnerability to HIV & AIDS. While overall
HIV prevalence is low in Bangladesh and Nepal, there is a growing concern that vulnerable mobile populations are forming a bridge between high prevalence areas of India and low prevalence areas in Bangladesh and Nepal. Enhancing Mobile Populations’ Access to HIV & AIDS Services Information and Support (EMPHASIS) is a regional program being implemented by CARE Bangladesh, CARE India and CARE Nepal and led by CARE International UK (CIUK) to reduce AIDS related vulnerabilities among mobile populations crossing the borders of Bangladesh and Nepal into India. This 5-year (August 2009 – July 2014) program, is funded by the Big Lottery Fund (BIG) of United Kingdom.

Baseline Research on cross border migration was initiated to understand the drivers of mobility, access to services for migrants at source and destination, and to understand the risk and vulnerabilities associated with migration and HIV & AIDS. The study was conducted using quantitative methods and a separate qualitative study was conducted to enhance and complement the quantitative data. [57 Pages] Read More...


Gender-based violence (GBV) in humanitarian contexts represents a global issue of grave concern, disproportionately affecting women and girls. In light of its detrimental impact on the health, well-being and development of survivors, the international community has placed a strong priority on combatting and responding to GBV in all its forms.
Women and Girls’ Safe Spaces (WGSS) are among the most widely implemented GBV prevention and response programming interventions globally. In spite of their popularity and potential to increase the well-being, safety, and empowerment of women and girls, there is a lack of rigorous evidence regarding the role of these spaces in the lives of participants. Building an evidence base is particularly crucial in order to understand the impact and effectiveness of WGSS as an intervention and determine ways in which existing programming can be adapted to increase overall quality.
In response to the crucial need for evidence around WGSS programming globally, CARE USA conducted a study to examine the effectiveness of WGSS in the lives of women and girls in two conflict-affected settings, Northwest Syria and South Sudan. These locations are particularly relevant for this research as the selected study sites are home to a large number of internally displaced persons (IDPs), and are settings in which women and girls face a significant risk of experiencing GBV. These contexts are also ones in which CARE has existing WGSS interventions in place. Read More...

MAGNIFYING INEQUALITIES AND COMPOUNDING RISKS The Impact of COVID-19 on the Health and Protection of Women and Girls on the Move

More than one year into the coronavirus disease (COVID-19) pandemic—with some countries seemingly on their way out of the crisis while others enter new waves—evidence of its impact is growing. COVID-19 is increasing short-term humanitarian needs and negatively affecting longer-term outcomes for marginalized populations and people in vulnerable situations, significantly setting back hard-won development gains, magnifying inequalities, and compounding risks. Among those worst affected are the more than 80 million people worldwide—approximately half of whom are women and girls—who have been forcibly displaced by drivers such as persecution, conflict, generalized violence or human rights violations.1
The majority of forcibly displaced people live in resource-poor countries with weak public health and social protection systems, and economies that have been hard-hit by the pandemic.2 Yet, to date, there has only been limited research around the unique ways in which women and girls on the move are affected.3 This despite predictions of significant impacts on access to, and use of, basic health services—including for sexual and reproductive health (SRH)—and the overall protection environment, including increases in prevalence and risk of gender-based violence (GBV).
Placing gender at the center of its humanitarian and development responses, CARE undertook new research in Afghanistan, Ecuador, and Turkey between April and May 2021 to better understand how COVID-19 is impacting the health and protection of women and girls on the move. The three countries represent different types of forced displacement across multiple regions: internally displaced persons (IDPs) and refugee returnees in Afghanistan; more recent migrants and refugees due to the Venezuelan crisis in Ecuador; and longer-term Syrian refugees living under temporary international protection in Turkey. The primary data collected for this research included more than 1,000 surveys with women on the move and from host communities, to allow comparison; 31 focus group discussions (FGDs) with women and adolescent girls; and 45 key informant interviews (KIIs) with government actors, health and protection service providers, humanitarian organizations, and CARE staff. Read More...

Projet régional de Dialogue pour la Transhumance apaisée en Afrique de l’Ouest (PRODIATA)

Le Projet régional de Dialogue pour la Transhumance apaisée en Afrique de l’Ouest (PRODIATA) est mis en oeuvre pour opérationnaliser la composante 2 du Programme Régional de Dialogue et d'Investissement pour le Pastoralisme et la transhumance au Sahel et dans les pays côtiers d’Afrique de l’Ouest (PREDIP). Le PREDIP est conçu dans une approche régionale avec un objectif général de renforcer la contribution du pastoralisme et de la transhumance transfrontalière à la sécurité alimentaire et nutritionnelle, au développement socioéconomique équitable et à l’intégration régionale en Afrique de l’Ouest.
PRODIATA a pour objectif général de contribuer à long terme à faciliter une transhumance transfrontalière apaisée et à améliorer la nutrition des populations côtières et pastorales. L’objectif spécifique du projet est d’impliquer les acteurs locaux, nationaux et régionaux de la transhumance transfrontalière dans le dialogue et la bonne gouvernance des ressources et des espaces agro-sylvo-pastoraux en réduisant les risques de conflits et en améliorant la sécurité alimentaire. De façon spécifique, le projet viser à impliquer les acteurs locaux, nationaux et régionaux de la transhumance transfrontalière dans le dialogue et la bonne gouvernance des
ressources et des espaces agro-sylvo-pastoraux pour une réduction des risques de conflits et l’amélioration de la sécurité alimentaire. Read More...


El presente documento constituye el Informe Final del “Estudio de Línea de Base del Proyecto Alma Llanera” desarrollado por el equipo de consultores, entre los meses de enero y febrero del año 2020, de acuerdo a los términos de referencia de CARE. El levantamiento de la línea de base tiene como propósito brindar el estado de situación de los indicadores del Marco Lógico (ML), así como servir de instrumento para la medición posterior de los resultados y el impacto del proyecto.

La Línea de Base se elaboró en función a los tres ejes establecidos en el proyecto (acceso a la protección, servicios de salud mental y medios de vida). Entre los principales resultados encontrados luego del análisis de la información recogida, resaltan los siguientes:

a) Respecto del acceso a la protección, se evidencia la preocupación que perciben las personas migrantes y refugiadas venezolanas respecto de las condiciones de seguridad en el entorno donde viven y laboran.
b) Con relación al acceso a los servicios de salud mental, se ha encontrado que en el proceso de migración hacia Perú y el consecuente cambio y choque de expectativas, se generaron situaciones de estrés y depresión que se manifestaron de forma más severa durante la primera fase de adaptación a la comunidad de acogida.
c) El análisis sobre los medios de vida nos muestra, que las mujeres con empleo (formal o informal) y con emprendimientos (autoempleos), representan el 67.5% de la población total de mujeres encuestadas. Read More...

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