Nutrition
Fill the Nutrition Gap (FNGAP) Impact Assessment Report Kyaka II, Kyegegwa District
This document is an impact assessment report for the Fill the Nutrition Gap (FNGAP 1) project, which was implemented in the Kyaka II refugee settlement in Uganda. The project, carried out by CARE and JESE from January 2023 to June 2024, aimed to improve nutrition, resilience, and income generation among vulnerable households, particularly focusing on women and children. The report evaluates the project’s effectiveness through mixed-methods data collection, including household surveys, focus group discussions, and key informant interviews. The findings highlight significant improvements in food security, child feeding practices, and household income, with notable shifts in gender dynamics. However, the report also identifies ongoing challenges, such as crop diseases and water scarcity, and offers recommendations for strengthening the project’s impact, including enhanced agricultural support, financial empowerment, and community engagement. The document provides valuable lessons for future nutrition and food security interventions in similar contexts. Read More...
Evaluation of the CASCADE Programme in Uganda
This paper introduces and evaluates the CASCADE programme, a joint initiative by GAIN and CARE, supported by the Netherlands Ministry of Foreign Affairs, aimed at improving food security and reducing malnutrition for women of reproductive age (WRA) and children in six Sub-Saharan African countries. Running from June 2022 to December 2026, the programme seeks to enhance access to and consumption of healthy diets while increasing resilience to nutritional shocks, particularly for vulnerable populations in Uganda. The baseline report outlines the programme’s objectives, theory of change, research methodology, and initial findings, focusing on community and household-level interventions in domains 3 (community structures) and 4 (women's empowerment in nutrition and climate-resilient practices). It highlights the critical challenges of malnutrition, food insecurity, and the socio-economic and environmental factors influencing dietary outcomes, providing a foundation to guide implementation and measure impact.
Page Count: 110 Read More...
Page Count: 110 Read More...
End Of Project Evaluation Report For Emergency Food Assistance in Nakivale Project, Isingiro District
The Emergency Food Assistance in Nakivale (EFAN) project aimed to address the food security needs of vulnerable refugees in Nakivale settlement, Uganda, through a food voucher system. This project, running from November 2023 to October 2024, focused on groups such as pregnant and lactating women, children under two years, and child-headed households. The evaluation assessed the project’s relevance, effectiveness, efficiency, impact, and sustainability. Results showed significant improvements in food security, nutrition, and economic well-being, with 97.1% of beneficiaries reporting better meal frequency. However, challenges such as inadequate support for larger households and exclusion of older refugees were identified. The evaluation concluded with recommendations for expanding targeting criteria, extending project timelines, and integrating additional support to enhance long-term sustainability and resilience for refugees and host communities. Read More...
PSNP and Sustainable Land Management in Ethiopia: A Formative Qualitative Investigation
The SPIR II project is designed to enhance food security, livelihoods, and climate resilience for vulnerable households in Ethiopia. This research study, commissioned by World Vision, presents the findings of a qualitative investigation into the role of the Productive Safety Net Program (PSNP) in promoting sustainable land management (SLM) practices in the Amhara and Oromia regions. CARE, as a key partner in the project consortium, contributes to the delivery of this initiative. The study examines the implementation of SLM on both public and private lands, highlighting the benefits, challenges, and gender dynamics involved. The findings reveal that while PSNP-supported SLM practices provide significant benefits, barriers such as gender-specific constraints and resource limitations hinder broader participation and impact.
Page Count: 7
Partners: World Vision, CARE, The Organization for Rehabilitation and Development in Amhara, and IFPRI Read More...
Page Count: 7
Partners: World Vision, CARE, The Organization for Rehabilitation and Development in Amhara, and IFPRI Read More...
USAID’s CNHA Health Facility Readiness and Functionality Assessment, 2024
The Community Nutrition and Health Activity (CNHA), funded by the United States Agency for International Development (USAID), is dedicated to enhancing the nutritional status of women and children within vulnerable 1000-day households in Bangladesh—those with pregnant and lactating women and/or children under two years. This assessment, conducted between March and June 2024, evaluated the readiness and functionality of 1,336 community clinics (CCs) and 354 Union Health and Family Welfare Centers (UH&FWCs) across 14 districts. It aimed to identify strengths and weaknesses in key operational areas, including governance and management, health workforce presence, service delivery, logistics, and information systems. The findings revealed a significant presence of community groups in CCs but highlighted operational gaps in regular meetings and management practices. While the availability of maternal and child health services was generally high, discrepancies existed in the provision of family planning methods and comprehensive nutritional services. The assessment serves as a foundational tool for CNHA to target interventions, enhance health systems, and improve overall community health outcomes by integrating these findings into local government improvement plans.
Total Page No: 62 Read More...
Total Page No: 62 Read More...
USAID’s Community Nutrition and Health Activity (CNHA) Report – Consultation (Meetings with Stakeholders, Households & Community People to Understand Information Sources, Media Access and Habits of CNHA Primary Target Groups to Inform CNHA SBC Strategy)
The USAID Community Nutrition and Health Activity (CNHA) is a five-year project (2023-2028) aimed at improving the nutritional status of women and children within the first 1,000 days of life in vulnerable communities across Bangladesh. Implemented in collaboration with CARE-Bangladesh and partners, the project spans 50 Upazilas in 14 districts and focuses on enhancing service delivery at the community level through health facilities and a strong Social and Behavior Change (SBC) strategy. The project aims to increase the adoption of family planning, maternal and child nutrition, and other health-related practices among its target population of 4 million direct and 10 million indirect participants. To inform its SBC strategy, CNHA conducted stakeholder consultations in February 2024, gathering data from various groups, including pregnant and lactating mothers, adolescents, and community health service providers, through individual and group consultations.
The consultations revealed key findings on the sources and trustworthiness of health-related information, with community health workers like CHCPs and FWAs emerging as the most trusted sources. Although many pregnant and lactating mothers received information on nutrition and family planning, adolescents and mothers-in-law were less informed. Common barriers to accessing accurate information included limited literacy, restricted access to health facilities due to poor transportation, and traditional beliefs that discouraged the adoption of new practices. Despite the widespread use of mobile phones, especially smartphones, media access was limited, with most women relying on family and community gatherings for information. The consultations also highlighted the need for improved communication flow from health facilities to the community, particularly for nutritional information and family planning services. The consultations also highlighted the need for improved communication flow from health facilities to the community, particularly for nutritional information and family planning services, emphasizing the importance of targeted interventions to bridge gaps in knowledge and access within these vulnerable groups.
Total Page No: 66 Read More...
The consultations revealed key findings on the sources and trustworthiness of health-related information, with community health workers like CHCPs and FWAs emerging as the most trusted sources. Although many pregnant and lactating mothers received information on nutrition and family planning, adolescents and mothers-in-law were less informed. Common barriers to accessing accurate information included limited literacy, restricted access to health facilities due to poor transportation, and traditional beliefs that discouraged the adoption of new practices. Despite the widespread use of mobile phones, especially smartphones, media access was limited, with most women relying on family and community gatherings for information. The consultations also highlighted the need for improved communication flow from health facilities to the community, particularly for nutritional information and family planning services. The consultations also highlighted the need for improved communication flow from health facilities to the community, particularly for nutritional information and family planning services, emphasizing the importance of targeted interventions to bridge gaps in knowledge and access within these vulnerable groups.
Total Page No: 66 Read More...
Takunda Resilience Food Security Activity (RFSA) Outcome Mapping Baseline report
The main objective of Progress Marker Monitoring/Outcome Mapping is to assess, the extent to which gender transformative changes are taking place in Takunda Program areas among men, women, and youth based on age, life stage, socio-cultural norms, and religious practices. Takunda acknowledges that gender inequality is both a cause and consequence of food insecurity; hence gender equality is at the heart of the Takunda Program. To challenge gender norms that fuel food insecurity, the Program implements Social Analysis and Action (SAA), a key gender transformative approach that triggers shifts in gender norms at the individual, household, community, and policy level. This progress marker assessment specifically measured behaviors and practices at play for the different study participants before Takunda’s Social Analysis and Action (SAA) interventions and it confirmed some of the findings of the Takunda gender Analysis study held in December 2021. The progress marker assessment measured gender outcomes/behaviors as defined by the communities, whereas the gender analysis assessed program-wide challenges experienced by different groups as defined by the program. Read More...
Titukulane Gender Progress Marker Monitoring Report
Titukulane is a five-year, US $75 million Resilience Food Security Activity funded by the Bureau for Humanitarian Assistance. The project is led by the Cooperative for Assistance and Relief Everywhere (CARE) in partnership with Emmanuel International (EI), the International Food Policy Research Institute (IFPRI), the National Smallholders Farmers’ Association of Malawi (NASFAM), Save the Children (SC), and WaterAid. Implemented in 19 Traditional Authorities (T/As) of two southern districts of Malawi (Zomba and Mangochi), Titukulane directly impacts 510,910 individuals – including adolescent girls and boys aged 10 to 19, and young women and men aged 20 to 29 – who face an uncertain future as farming becomes less viable. Titukulane offers an integrated and gender-responsive package of interventions across the following program elements: maternal and child health; nutrition and water, sanitation, and hygiene, (WASH); agriculture sector capacity; microenterprise productivity; civic participation; and capacity building, preparedness, and planning. The program works across three purpose areas:
Purpose 1: Increased, diversified, sustainable incomes for ultra-poor, chronically vulnerable households (HHs), women and youth.
Purpose 2: Nutritional status among children < 5, adolescent girls, and women of reproductive age improved; and
Purpose 3: Increased institutional and local capacities to reduce risk and increase resilience among very poor and chronically vulnerable households in alignment with the National Resilience Strategy.
Gender integration is a crosscutting component among all activities and project emphasizes the critical importance and benefits of increased voice, participation and leadership of women and youths, including young women. A Gender Analysis was initially conducted for Titukulane in 2020 to identify context specific gender barriers, inequalities, and potential risks that could negatively affect the achievement of the project’s expected outcomes, as well as to assess how these constraints could be addressed in Zomba and Mangochi. Read More...
Purpose 1: Increased, diversified, sustainable incomes for ultra-poor, chronically vulnerable households (HHs), women and youth.
Purpose 2: Nutritional status among children < 5, adolescent girls, and women of reproductive age improved; and
Purpose 3: Increased institutional and local capacities to reduce risk and increase resilience among very poor and chronically vulnerable households in alignment with the National Resilience Strategy.
Gender integration is a crosscutting component among all activities and project emphasizes the critical importance and benefits of increased voice, participation and leadership of women and youths, including young women. A Gender Analysis was initially conducted for Titukulane in 2020 to identify context specific gender barriers, inequalities, and potential risks that could negatively affect the achievement of the project’s expected outcomes, as well as to assess how these constraints could be addressed in Zomba and Mangochi. Read More...