sexual and reproductive health

Making the Invisible Visible – An evidence-based analysis of gender in the regional response to the war in Ukraine

The escalation of the war in Ukraine began on 24 February 2022, causing thousands of civilian casualties; destroying civilian infrastructure, including hospitals, and triggering the fastest growing displacement crisis in Europe since World War II. The demographic profile of Ukraine, combined with the implementation of martial law and conscription policies, led to an awareness of gender- and age-related factors within the regional humanitarian response that recognised the pre-crisis situation of persons of all genders and diversities and how the war and subsequent regional crise s were compounding the risks that they face.

From the early days of the response, Rapid Gender Analyses (RGA) and other analyses and assessments were conducted, and the Regional Gender Task Force (RGTF) recognised the emergence of common themes and concerns within these that required a closer examination. It was identified that the solutions to the concerns identified required national, regional and cross-border solutions rooted in broad changes in policy and the humanitarian architecture. However, at the time, gender themes, including trends, gaps and specific challenges faced by women and men belonging to different socio-economic and ethnic groups, across the
humanitarian and refugee response in the region had not been captured adequately. Read More...

Building sustainable and scalable peer-based programming: promising approaches from TESFA in Ethiopia

This research was written by Pari Chowdhary, Feven Tassaw Mekuria, Dagmawit Tewahido, Hanna Gulema, Ryan Derni, and Jefrey Edmeades.

In Ethiopia's Amara region, girls encounter child marriage at a high rate. They are also less able to negotiate sex or use family planning. With the purpose of improving their lives, CARE's TESFA program delivered reproductive health and financial savings curriculum to married girls through peer-based solidarity groups to 5,000 adolescent girls. This was divided into 3 interventions: sexual and reproductive health, economic empowerment, and a combination of both. Participants reported improvement in both areas. Four years after TESFA, 88% of groups communicated meeting without continued CARE's assistance, and some of the girl participants created new groups following the TESFA model. Also, some girls that did not participate in TESFA, replicated the model to create their own groups. Despite this, there is still in question who contributed to this sustainment and scale-up of groups.

Original article:
Originally published by Biomedcentral and is republished under the creative commons 4.0 license ( - Read More...

End of the Project Evaluation | Strengthening Approaches for Improved Maternal, Neonatal and Reproductive Health in Myanmar: Lashio Township, Northern Shan State, Myanmar

GSK and CARE Myanmar have been working together in the country since 2012 to provide better health services. The project was expanded from 45 villages to 60 villages in northern Shan State, based on successes and lessons learned in 2012-2015. The project goal is to contribute to the reduction of maternal and neonatal mortality through increased access to, and quality of, sexual and reproductive health, and maternal and child health services. Read More...

Hinnou Vivo Final Evaluation

The project HINNOU VIVO, which kicked off in January 2015, drew to its close on 20 December 2019 following the implementation of its phase II. The purpose of this final evaluation is to measure the progress made and the results obtained following its implementation, in terms of improving family planning and immunization services with regard to the evolution of the contraceptive prevalence rate within the Adjohoun-Bonou-Dangbo healthcare zone (ABD/HZ) and across the healthcare areas (health centres and beneficiary communities) within the said healthcare zone. The evaluation also aims to determine the factors of the project which proved to be determining factors in this improvement of the contraceptive prevalence rate, to assess the effectiveness of the project implementation strategy (i.e. the immunization/FP activities’ integration strategy) and to assess the attitudes of healthcare providers in relation to the project results obtained. Read More...

Final Project End-line assessment of Shelter, NFI, Hygiene, SRHR and Livelihood Support for Disaster-Affected Populations in Afghanistan 2018-2020

The Emergency Shelter, NFI, Hygiene, SRHR and Livelihood Support for Disaster-Affected Populations in Afghanistan 2018-2020 Project aims to provide emergency assistance to the identified beneficiaries settled in Kabul, Parwan, Kapisa, Balkh, Ghazni, Khost and Paktya provinces of Afghanistan. The interventions covered under this project included Shelter, NFI, WASH, Livelihoods and SRHR needs of the women, men, boys and girls affected by disasters. The sample of 352 households for this end line evaluation was structured as according to the proportion beneficiaries per the different project outputs The two main output blocks of hygiene/SRHR on the one hand and different forms of cash and NFI support on the other are well captured in the end line survey. In addition to the quantitative approach, 8 FGDs, 7 KIIs and 3 IDIs conducted were conducted with the project beneficiaries, stakeholders and the GAC project team.

Analyse Rapide Genre pour COVID-19 Niger

Le Covid-19 est une nouvelle souche de coronavirus (CoV) n´ayant pas été précédemment identifiée chez l'homme. L'épidémie à Covid-19 s'est propagée à l'échelle mondiale depuis son premier signalement et elle a été déclarée une urgence de santé publique de portée internationale (USPPI), classé le 11 mars 2020 parmi les pandémies.

Cette situation de crise sanitaire a un impact certain sur le système de santé nigérien et sur son économie, mais aussi et principalement sur la vie des populations nigériennes déjà bouleversées par d´autres chocs et stress. Au Niger l'impact de la pandémie est encore exacerbé par la crise sécuritaire, la violence continue et les urgences humanitaires.

L´expérience tirée des épidémies précédentes confirme que l´impact des crises est différent chez les femmes, les hommes, les filles et les garçons, et que les réponses qui mettent en place des dispositifs incluant les aspects séxoespécifiques permettent de maintenir le bien être des personnes et évitent que les ménages sombrent dans la pauvreté et l´exclusion. Les analyses des effets et impacts de ces crises ont permis d´identifier des points forts et des vulnérabilités que nous ne devons pas oublier en ce moment.

Les études faites ont tendance à conclure que les inégalités de genre et autres inégalités s’aggravent souvent pendant une crise, mais en réalité les évidences montrent que les crises révèlent les inégalités structurelles et systémiques préexistantes qui causent lors d´une crise plusieurs types et niveau d’impacts sur les personnes selon leurs groupes d´appartenance.

Malheureusement, ces inégalités ne sont pas systématiquement incluses dans les réponses aux crises. CARE International et Le projet GenCap au Niger ont senti la nécessité de conduire une analyse rapide genre pour mettre en évidence les impacts sexospécifiques de la pandémie de Covid-19 pouvant informer l´équipe humanitaire pays (EHP) dans la réponse au Covid-19.

Ce rapport est destiné à l´équipe humanitaire. Il est organisé autour de grands thèmes et domaines d’intérêt particulièrement importants pour ceux dont la programmation fait progresser l’égalité des sexes. Il cherche à approfondir l’analyse de genre disponible en tirant des enseignements des données disponibles sur le genre pour l’urgence de santé publique Covid-19.

The NGO Health Service Delivery Project 2012 – 2018 – Final Report

From 2012 to 2017, USAID supported the Surjer Hashi (SH), or Smiling Sun, network through the NGO Health Service Delivery Project (NHSDP). The UK Department for International Development (DfID) provided additional funding beginning in the second project year. A consortium led by Pathfinder International, NHSDP provided material and technical support to 25 NGOs, who served a catchment area of 26.3 million people through a network of 399 static and 10,872 satellite clinics and 11,842 community service providers (CSPs). In its five years of implementation, the SH network made 251,490,942 services contacts, 8,237,567 of which were for antenatal care (ANC) and 42,577,833 were adolescents or youth. More than three million visits to SH clinics for children under five years of age integrated activities to monitor children’s growth and promote healthy nutrition. By providing 7,839,430 Couple Years' Protection, the SH network averted 2,000 maternal and 10,000 child deaths and 1.9 million unwanted pregnancies. Read More...

Umodzi Project: Men, Women, Boys and Girls in Alliance to Achieve Gender Equality Endline Report

Umodzi Project: Men, Women, Boys and Girls in Alliance to Achieve Gender Equality, was a research project, whose aim was to test the effectiveness of adding gender conscious practice curriculum (GCP) and intergenerational dialogues on existing Auntie Stella life skills curriculum to accelerate and enhance adolescent life skills and sexual reproductive health programming. The project was implemented in Suza Zone. CARE Malawi, in collaboration with the Ministry of Education, Science and Technology (MoEST) at district level, had already been working in Suza and Linyangwa Zones to implement an enhanced life skills curriculum that was being implemented by public school teachers in two zones in Kasungu District. The initiative was supported by PCTFI under the CARE Malawi Adolescent Girls’ Empowerment (AGE) program.

Under the Umodzi project, the idea was to test the effectiveness of adding a gender conscious practice curriculum to the existing life skills curriculum. Therefore, the main activity that was implemented under the project was the delivery of a gender synchronized intervention through the Gender Conscious Practice (GCP) curriculum to the supplementary life skills curriculum that was delivered after school by trained teachers in Suza and Linyangwa Zones in Kasungu District. To enhance adoption of GCP, the project promoted intergenerational discussions through the Working with Men and Boys to Advance Gender Equality and SRH (WMB/SRH) manual targeting mostly older men, commonly called ‘Male Champions of gender’ that were recruited through the Pathways program.

This document is a report of findings of an end line evaluation of the Umodzi Project implemented in Suza Education Zone in Kasungu District in the Central Region of Malawi. Data collection and analysis for the end line evaluation took place in February 2018 while the report was compiled in March 2018. The end line evaluation was part of evaluation activities for the project, which were subcontracted to CDM to support learning. Read More...

Rapid Gender And GBV Assessment in MMC and Jere Local Governments – Borno State

The unprecedented gender and protection implications of the NE Nigeria insurgency prompted CARE International to initiate a gender and GBV assessment. The assessment was undertaken in two phases: a desk review and consultation with stakeholders in March 2017 to gather relevant data of the gender and protection context in NE Nigeria in conflict and post-conflict situations, as well as information on existing legal provision and frameworks. A field assessment was conducted in January 2018, to complete the first assessment with primary data from affected women and men in Borno and Yobe states.

Rapid Gender and GBV1 assessments provide information about the different GBV risks, needs, capacities and coping strategies of women, men, boys and girls in a crisis. The analysis is built up progressively using a range of primary and secondary information to understand gender roles and power relations and the implied GBV risks and how they may change during a crisis. The analysis provides practical, programming and operational recommendations to meet the different needs of women, men, boys and girls, to ensure that humanitarian actors ‘do no harm’ in their operations. The global objective of this assessment is to improve the quality and effectiveness of CARE and partner’s response to the North East Nigeria crisis. Read More...

Gender and GBV analysis and operational suggestions – CARE Nigeria field Assessment

CARE international has deployed a multisector assessment team in North East Nigeria to assess the increasing humanitarian needs and inform CARE’s emergency Strategy and response programming. The assessment will look at the areas of food security, Sexual and reproductive Health and Gender based violence. The gender-specific dynamics and impacts of the insurgency require a strong focus on gender mainstreaming and sexual and gender-based violence (SGBV) prevention and mitigation. Therefore a rapid gender and GBV analysis has been conducted with the global objective to improve the quality and effectiveness of CARE and partner’s response in the North East Nigeria through strong integration of gender equality and GBV at all stage of the humanitarian project cycle.

This analysis aim to provide answer to the following key questions:
• What are the different Impact of the insurgency for girls, women, boys and men and what
are the different needs of these groups?
• Who has access, and who has control over what resources and assistance? Who has the
decision among the family and the community? How the crisis has affected this power
relation, what social norms and practices affect the access and control?
• What are main GBV risks? Who is most affected and at-risk among girls, women, boys and
men? What are main social, cultural norms and practices that shape GBV in the Area?
• What are main GBV services providers and actors in the ground and what is their capacity to deliver? Do GBV survivors have access to comprehensive GBV services? What are main gaps
in service
• Formulate geographic and programmatic recommendations to guide CARE decision on GBV
• Develop a GAP to improve gender integration into the assistance. Read More...

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