English
Aid obstruction in Gaza
Aid agencies working in Gaza are demanding the international community take action to address the Israeli government’s continuing and increasing obstruction of aid. While Israeli military attacks on Gaza intensify, lifesaving food, medicine, medical supplies, fuel, and tents have been systematically blocked from entering.
New data backed up by recent footage reveals the scale of aid obstruction, which is driving a humanitarian disaster, leaving the entire population of Gaza facing hunger and disease, and almost half a million at risk of starvation. Read More...
New data backed up by recent footage reveals the scale of aid obstruction, which is driving a humanitarian disaster, leaving the entire population of Gaza facing hunger and disease, and almost half a million at risk of starvation. Read More...
Ukraine Rapid Gender Analysis 2024
This Rapid Gender Analysis (RGA) applies a gender lens to better understand specific needs, priorities, and barriers to services and life-saving assistance available to war-affected people in Ukraine. Since the full-scale invasion in February 2022, CARE has conducted several gender analyses1 in the country to highlight the compounding vulnerabilities of internally displaced people (IDPs), returnees, and non-displaced people across diversity categories such as women, adolescents, female-headed households (FHHs), Roma communities, LGBTQI+ people, people with a disability, and older people. This RGA builds upon that foundation to better understand how pre-existing vulnerabilities are changing over time as the war evolves, while centring the essential role of women’s rights organisations (WROs) in the humanitarian response.
A mixed methods approach was used to collect, consolidate, and analyse qualitative and quantitative data for this RGA. While being triangulated with secondary sources, primary data was collected during the months
of March and April 2024 in Dnipropetrovska, Donetska, Kharkivska, Khersonska, Mykolaivska, Odeska, and Zaporizka oblasts. These locations were selected based on the population size of people in need of assistance,
with the addition of three oblasts (Donetska, Khersonska and Zaporizka) since the 2023 RGA.
The RGA primary data comprised: a household survey (HHS) with 2,027 respondents; 17 focus group discussions (FGDs) with displaced and resident people of different genders and ages, both in rural and urban areas; and 23 key informant interviews (KIIs). The KIIs were with sector-specific and cross-cutting theme leads and gender focal points within the humanitarian response, and representatives of the Government of Ukraine (GoU) authorities and international and national non-governmental organisations (INGOs and NNGOs), including WROs and organisations representing the Roma and LGBTQI+ communities.
Building upon the findings of the 2023 RGA, the summary below highlights trends and sector-specific findings to support the development of more inclusive humanitarian programming and inter-agency coordination in Ukraine. Read More...
A mixed methods approach was used to collect, consolidate, and analyse qualitative and quantitative data for this RGA. While being triangulated with secondary sources, primary data was collected during the months
of March and April 2024 in Dnipropetrovska, Donetska, Kharkivska, Khersonska, Mykolaivska, Odeska, and Zaporizka oblasts. These locations were selected based on the population size of people in need of assistance,
with the addition of three oblasts (Donetska, Khersonska and Zaporizka) since the 2023 RGA.
The RGA primary data comprised: a household survey (HHS) with 2,027 respondents; 17 focus group discussions (FGDs) with displaced and resident people of different genders and ages, both in rural and urban areas; and 23 key informant interviews (KIIs). The KIIs were with sector-specific and cross-cutting theme leads and gender focal points within the humanitarian response, and representatives of the Government of Ukraine (GoU) authorities and international and national non-governmental organisations (INGOs and NNGOs), including WROs and organisations representing the Roma and LGBTQI+ communities.
Building upon the findings of the 2023 RGA, the summary below highlights trends and sector-specific findings to support the development of more inclusive humanitarian programming and inter-agency coordination in Ukraine. Read More...
Ecological Assessment and Detailed Scoping Study in the Sundarbans and Hakaluki Haor Ecologically Critical Areas (ECA) for Nature-based Solutions (NbS) and Locally Led Adaptation (LLA)
The Ecologically Critical Areas (ECAs) in Bangladesh, notably the Sundarbans and Hakaluki Haor are vital for biodiversity and livelihoods. The UK government’s Adaptation in Ecologically Critical Areas known locally as NABAPALLAB- (Nature Based Adaptation towards Prosperous and Adept Lives & Livelihoods in Bangladesh) project aims to enhance resilience of the ecosystem and livelihoods through Nature-based Solutions (NbS) and Locally Led Adaptation (LLA). The project has conducted three separate assessments (Ecological Assessment and Detailed Scoping study; Stakeholder Mapping and Political Economy Analysis; and Baseline Study) simultaneously during its inception stage. This report synthesizes findings from the ecological assessment and detailed scoping study. Insights were gathered to understand ecological status, community needs, and intervention opportunities in the Sundarbans and Hakaluki Haor. The report further highlights current and emerging threats, drivers and complexities in both ECAs. The status of the natural resource base, degradation pattern and ecosystem health were also analysed and documented using physical data and recent satellite imagery.
In the Sundarbans, the study found different ecosystems, including wetlands, low-lying lands, riverside areas, homesteads, croplands, and coastal embankments. All of these ecosystems are affected by various climatic stressors such as salinity, tidal inundation, erratic rainfall, and cyclones. They are also impacted by anthropogenic drivers such as shrimp farming, water logging, overharvesting, illegal fishing, deforestation, poaching. For example, the study shows that shrimp cultivation has a profound effect on agriculture with changes in land use and intrusion of saline water, which lead to decreased soil fertility, crop failure and lower productivity. Shrimp cultivation also contributes to surface water pollution, leading to scarcity of drinking water and negative impacts on WASH. The study also highlights significant threats to important endangered wildlife species in the Sundarbans ECA, including the Masked Finfoot and White-Rumped Vulture. In addition to the anthropogenic threats, the study has identified other problems such as fishing with poison, bird hunting, use of illegal fishing equipment, canal siltation, and intrusion of saline water into freshwater wetlands. These issues result in decreased fish population, depletion of wildlife and reduced agricultural productivity.
The Hakaluki Haor, encompassing 276 interconnected beels (wetland lakes) over an area of 18,000 hectares, faces significant threats from both anthropogenic and climate change stressors. Extensive sedimentation and agricultural expansion have led to the conversion of over 20 beels to agricultural production, impacting wetland productivity, aquatic vegetation, fish populations, and local livelihoods. Degradation of rivers, canals, and hill streams within the Haor has further exacerbated these problems and challenges, affecting crop production, fish yields, and biodiversity. Encroachment on protected swamp forest areas after phase-out of previous projects, wide-ranging deforestation, and conversion of raised land (Kandas) for agriculture have negatively impacted the habitats of fish and birds, and other wetland-dependent wildlife as well as waterfowl migratory routes. Furthermore, elite capture excludes poor fisher folk and landless individuals from fishing and accessing natural resources, while agricultural expansion in Kanda areas raises concerns about increased use of chemical pesticides and fertilizers that pollute wetlands. Read More...
In the Sundarbans, the study found different ecosystems, including wetlands, low-lying lands, riverside areas, homesteads, croplands, and coastal embankments. All of these ecosystems are affected by various climatic stressors such as salinity, tidal inundation, erratic rainfall, and cyclones. They are also impacted by anthropogenic drivers such as shrimp farming, water logging, overharvesting, illegal fishing, deforestation, poaching. For example, the study shows that shrimp cultivation has a profound effect on agriculture with changes in land use and intrusion of saline water, which lead to decreased soil fertility, crop failure and lower productivity. Shrimp cultivation also contributes to surface water pollution, leading to scarcity of drinking water and negative impacts on WASH. The study also highlights significant threats to important endangered wildlife species in the Sundarbans ECA, including the Masked Finfoot and White-Rumped Vulture. In addition to the anthropogenic threats, the study has identified other problems such as fishing with poison, bird hunting, use of illegal fishing equipment, canal siltation, and intrusion of saline water into freshwater wetlands. These issues result in decreased fish population, depletion of wildlife and reduced agricultural productivity.
The Hakaluki Haor, encompassing 276 interconnected beels (wetland lakes) over an area of 18,000 hectares, faces significant threats from both anthropogenic and climate change stressors. Extensive sedimentation and agricultural expansion have led to the conversion of over 20 beels to agricultural production, impacting wetland productivity, aquatic vegetation, fish populations, and local livelihoods. Degradation of rivers, canals, and hill streams within the Haor has further exacerbated these problems and challenges, affecting crop production, fish yields, and biodiversity. Encroachment on protected swamp forest areas after phase-out of previous projects, wide-ranging deforestation, and conversion of raised land (Kandas) for agriculture have negatively impacted the habitats of fish and birds, and other wetland-dependent wildlife as well as waterfowl migratory routes. Furthermore, elite capture excludes poor fisher folk and landless individuals from fishing and accessing natural resources, while agricultural expansion in Kanda areas raises concerns about increased use of chemical pesticides and fertilizers that pollute wetlands. Read More...
McGovern-Dole Food for Education and Child Nutrition Program in Timor-Leste HATUTAN Sustainability Study Liquica
The United States Department of Agriculture (USDA) has supported Timor-Leste through the McGovern-Dole Food for Education and Child Nutrition Initiative since 2018. The McGovern-Dole funded Hahán ne’ebé Atu fó Tulun ho Nutrisaun no Edukasaun/ Food to Support Nutrition and Education program – HATUTAN - supported 455 schools and surrounding communities in four of Timor-Leste’s most disadvantaged municipalities: Ainaro, Ermera, Liquica, and Manatuto. Between 2018 and 2023, HATUTAN reached 431,244 students, out of whom 109,065 received school meals.
HATUTAN’s final evaluation show that the integrated intervention has achieved remarkable results, including:
-A gain of 4.8 percentage points in literacy scores, over and above the comparison group.
-A major reduction in teachers’ use of traditional practices: the proportion of students who spent the class copying from the board declined by 15 percentage points over and above the comparison group, while the proportion of students repeating after the teacher declined by 25 percentage points; and
- A major improvement in infant feeding practices, reducing by 13.6 percentage points in the proportion of mothers feeding formula to babies under six months of age.
In 2023, the schools14 in the municipality of Liquica – 101 in total, out of which 35 receiving the full intervention15 - graduated out of the program following demonstrated improvements in school management, SFP delivery, increased use of participatory teaching practices and reduction in negative teaching practices, and improvements in hygiene and sanitation. Among other results, the final evaluation showed that 91% of the schools in Liquica had reading corners in grade 2, compared to HATUTAN’s 65% average; the average attendance rate reached 78%, compared to a 64% average; and teacher attendance rate reached 85%. The second phase of the program has continued to support schools in Ainaro, Ermera, and Manatuto since 2023, and expanded operations to Oé-cusse in 2024. Read More...
HATUTAN’s final evaluation show that the integrated intervention has achieved remarkable results, including:
-A gain of 4.8 percentage points in literacy scores, over and above the comparison group.
-A major reduction in teachers’ use of traditional practices: the proportion of students who spent the class copying from the board declined by 15 percentage points over and above the comparison group, while the proportion of students repeating after the teacher declined by 25 percentage points; and
- A major improvement in infant feeding practices, reducing by 13.6 percentage points in the proportion of mothers feeding formula to babies under six months of age.
In 2023, the schools14 in the municipality of Liquica – 101 in total, out of which 35 receiving the full intervention15 - graduated out of the program following demonstrated improvements in school management, SFP delivery, increased use of participatory teaching practices and reduction in negative teaching practices, and improvements in hygiene and sanitation. Among other results, the final evaluation showed that 91% of the schools in Liquica had reading corners in grade 2, compared to HATUTAN’s 65% average; the average attendance rate reached 78%, compared to a 64% average; and teacher attendance rate reached 85%. The second phase of the program has continued to support schools in Ainaro, Ermera, and Manatuto since 2023, and expanded operations to Oé-cusse in 2024. Read More...
Rapid Assessment of the FBMT Family Business Management Training
This rapid review was commissioned by CARE to evaluate the Family Business Management Training (FBMT) in Côte d’Ivoire using a qualitative approach.
The relevance of the FBMT in relation to the objectives of the W4C (Women for Change) program was analyzed by comparing the FBMT content and the evidence from the interviews with the objectives and indicators of the W4C logframe.
It becomes clear that the FBMT was most effective in increasing IGAs, balancing decision making and improving relationships. The effect of IGAs on household income not entirely clear yet. Access to the training is determined by participation in VSLAs. While this is not detrimental in the first place, potential entry barriers to VSLAs need to be kept in mind when scaling up.
For men the main challenges to participate in the FBMT are a perceived loss of power and possibly the available time to attend. Yet, those who participated were attracted by potential economic gains and finally recognized the advantages of improved relationships.
A mapping of training courses that are related to the FBMT and are applied in the W4C program revealed that the couple dialogues, the gender strategy interventions and FBMT overlap in some areas but the FBMT goes beyond the objectives of the other two courses. The IGA training courses, which are complementary to the FBMT, overlap with some of the contents of the FFBS1 (Farmer Field and Business School). The FFBS also overlaps with some of the FBMT contents on gender and also addresses the couple rather than just the women. However, it comprises of about double the number of training modules of the FBMT.
Training application is divided between technical advisors and field supervisors. This arrangement was not evaluated in detail but might not be the most effective and should be reviewed critically. The FBMT sustainably changed some of the behaviour of participating couples, confirming the sustainability of some of the effects of the training. The provision of the training still depends on external funding and cannot be considered fully sustainable yet. Change plans and their follow up by CARE staff are time consuming, resource intensive and might reduce the ownership of these plans by the couple that developed the plan.
The FBMT has been successful in changing household economies and relationships. Specifically the daily calendar, the income and expenditure tree and the prioritization of expenditures as practiced in the NEEDS and WANTS exercise have proven to be very effective. The perceived economic advantages of the training attract men eventually they discover the rewards of an improved relationship. The benefits of the FBMT have motivated some community members to spread its concepts to other households, which is as an opportunity for future programming. Read More...
The relevance of the FBMT in relation to the objectives of the W4C (Women for Change) program was analyzed by comparing the FBMT content and the evidence from the interviews with the objectives and indicators of the W4C logframe.
It becomes clear that the FBMT was most effective in increasing IGAs, balancing decision making and improving relationships. The effect of IGAs on household income not entirely clear yet. Access to the training is determined by participation in VSLAs. While this is not detrimental in the first place, potential entry barriers to VSLAs need to be kept in mind when scaling up.
For men the main challenges to participate in the FBMT are a perceived loss of power and possibly the available time to attend. Yet, those who participated were attracted by potential economic gains and finally recognized the advantages of improved relationships.
A mapping of training courses that are related to the FBMT and are applied in the W4C program revealed that the couple dialogues, the gender strategy interventions and FBMT overlap in some areas but the FBMT goes beyond the objectives of the other two courses. The IGA training courses, which are complementary to the FBMT, overlap with some of the contents of the FFBS1 (Farmer Field and Business School). The FFBS also overlaps with some of the FBMT contents on gender and also addresses the couple rather than just the women. However, it comprises of about double the number of training modules of the FBMT.
Training application is divided between technical advisors and field supervisors. This arrangement was not evaluated in detail but might not be the most effective and should be reviewed critically. The FBMT sustainably changed some of the behaviour of participating couples, confirming the sustainability of some of the effects of the training. The provision of the training still depends on external funding and cannot be considered fully sustainable yet. Change plans and their follow up by CARE staff are time consuming, resource intensive and might reduce the ownership of these plans by the couple that developed the plan.
The FBMT has been successful in changing household economies and relationships. Specifically the daily calendar, the income and expenditure tree and the prioritization of expenditures as practiced in the NEEDS and WANTS exercise have proven to be very effective. The perceived economic advantages of the training attract men eventually they discover the rewards of an improved relationship. The benefits of the FBMT have motivated some community members to spread its concepts to other households, which is as an opportunity for future programming. Read More...
Baseline Study Report of Flash Flood and Lightning
The baseline study concerning the impact of flash floods and lightning on the SUFAL-II project aims to analyze the context of flash floods and lightning, assess the scopes of the Early Warning System, and examine current trends of of hazard-specific responses taken by individual, community, and institutional levels. The objective of this project is to bolster the capabilities of vulnerable communities and institutions in Bangladesh to implement forecast-based early actions. The study employed a mixed-method approach, amalgamating both quantitative and qualitative data collection and analysis techniques. This was done to assess the context, accessibility, usage, and potential of early warning systems and early actions for mitigating the risks associated with the flash floods and lightning hazards.
The study encompassed three districts prone to flash floods, namely Sylhet, Sunamganj, and Netrokona. For the treatment group areas, the selected Upazilas were Gowainghat, Dharmapasha, and Khaliajuri and for control group areas, the selected areas were Sylhet Sadar, Sunamganj Sadar, Madan.
Data was collected from 502 households, 12 focus group discussions, and 19 key informant interviews. The study's findings indicate that flash floods and lightning are recurrent and severe hazards that pose significant threats to the communities lives, assets, and livelihoods. These hazards are disproportionately affect women, individuals with disabilities and farmers. The study also identified several shortcomings in the existing early warning systems, including issues related to timeliness, quality, coverage, accessibility, comprehension, and trust.
Read More...
The study encompassed three districts prone to flash floods, namely Sylhet, Sunamganj, and Netrokona. For the treatment group areas, the selected Upazilas were Gowainghat, Dharmapasha, and Khaliajuri and for control group areas, the selected areas were Sylhet Sadar, Sunamganj Sadar, Madan.
Data was collected from 502 households, 12 focus group discussions, and 19 key informant interviews. The study's findings indicate that flash floods and lightning are recurrent and severe hazards that pose significant threats to the communities lives, assets, and livelihoods. These hazards are disproportionately affect women, individuals with disabilities and farmers. The study also identified several shortcomings in the existing early warning systems, including issues related to timeliness, quality, coverage, accessibility, comprehension, and trust.
Read More...
Adolescent Girls’ Education in Somalia (AGES) Post Project Evaluation Summaries
The Adolescent Girls’ Education in Somalia (AGES) project is an ambitious six-year initiative (2018-2024) funded by FCDO and USAID, which sought to enable 83,925 ultra-marginalized girls and female youth living in conflict-affected areas of Somalia to access quality education responsive to their needs. AGES combines the provision of three education modalities with financial literacy, youth savings groups, life skills, mentorship, and girl-led civic action. AGES enrolled a total of 90,698 girls in education, including 21,945 in primary education; 1244 in formal special needs schools; 13,276 in accelerated basic education (ABE); and 54,233 in non-formal education classes (NFE). This series of briefs highlights results on different components of results from the post-project evaluation.
Additionally, The Adolescent Girls’ Education in Somalia (AGES) project worked to improve learning outcomes and positive transitions for 90,698 extremely vulnerable girls and female youth in South Somalia. AGES research showed that vulnerable girls’ limited self-confidence and voice hinders participation in class, with a negative impact on learning, particularly among girls with disabilities and displaced youth. To address this barrier, AGES
formed school-based clubs known as Girls’ Empowerment Forum (GEF). Through the GEF, vulnerable students participate in activities to develop leadership skills with support from mentors and are linked to resource
persons within the community. They are trained to act as peer mentors within their schools and community, reaching out to other girls to provide support, and engaging in joint advocacy and action. GEF participants
work together to develop plans to address issues of their choice through girl-led action. GEF mentors and peer mentors are also trained on psychosocial first aid, providing support to those affected by shocks. In 2020-2024, AGES established 911 Girls’ Empowerment Forums with a total of 9,110 members. The GEFs were connected through 18 district-level networks. Read More...
Additionally, The Adolescent Girls’ Education in Somalia (AGES) project worked to improve learning outcomes and positive transitions for 90,698 extremely vulnerable girls and female youth in South Somalia. AGES research showed that vulnerable girls’ limited self-confidence and voice hinders participation in class, with a negative impact on learning, particularly among girls with disabilities and displaced youth. To address this barrier, AGES
formed school-based clubs known as Girls’ Empowerment Forum (GEF). Through the GEF, vulnerable students participate in activities to develop leadership skills with support from mentors and are linked to resource
persons within the community. They are trained to act as peer mentors within their schools and community, reaching out to other girls to provide support, and engaging in joint advocacy and action. GEF participants
work together to develop plans to address issues of their choice through girl-led action. GEF mentors and peer mentors are also trained on psychosocial first aid, providing support to those affected by shocks. In 2020-2024, AGES established 911 Girls’ Empowerment Forums with a total of 9,110 members. The GEFs were connected through 18 district-level networks. Read More...
Supporting meaningful civic engagement for improved accountability by leveraging digital technologies (Ref: ISAF-II) 2019-2023
This is the end of project Evaluation for CARE’s Implementation of Social Accountability Framework (ISAF) Project. Phase two of the ISAF was implemented in five target provinces (Ratank Kiri, Mondul Kiri, Koh Kong Kratie, and Stung Treng) over 50 months (2019-2024). ISAF II aimed to reduce poverty through democratic, inclusive, and equitable local governance and more accessible and equitable public service delivery. ISAF II worked with local Non-governmental Organisation (LNGOs) that were provided grants through the project and citizens of the five targeted provinces who received improved services (commune, health centres and primary schools).
Objective of the Evaluation
The overall objective of the end of project evaluation is to provide a full assessment of the intended goals and objectives of the action including the treatment of key evaluation questions and using the six Organisation for Economic Co-operation and Development / Development Assistance Committee (OECD DAC) criteria; relevance, coherence, effectiveness, efficiency, impact, and sustainability. The evaluation also aims to capture best practices, challenges, and lessons learned during the project intervention, and provide clear recommendations for CARE, the National Committee for Sub-national Democratic Development (NCDD), European Union (EU), World Bank and other relevant Development Partners and stakeholders for future interventions. The evaluation will measure the impact and progress against the project’s logical framework. The evaluation will assess all three sectors (commune administration, health centres, and school services) in all five selected provinces under CARE’s mandate.
End of project respondents were chosen from key project participants: citizens, youth (aged 15 to 30 years old), local authorities/services providers (commune and district levels, healthcare centres and primary schools) and Community Accountability Facilitators (CAFs). A total of 649 respondents were interviewed for the evaluation. Data collection was conducted with a team of 10 data collectors in December 2023. Read More...
Objective of the Evaluation
The overall objective of the end of project evaluation is to provide a full assessment of the intended goals and objectives of the action including the treatment of key evaluation questions and using the six Organisation for Economic Co-operation and Development / Development Assistance Committee (OECD DAC) criteria; relevance, coherence, effectiveness, efficiency, impact, and sustainability. The evaluation also aims to capture best practices, challenges, and lessons learned during the project intervention, and provide clear recommendations for CARE, the National Committee for Sub-national Democratic Development (NCDD), European Union (EU), World Bank and other relevant Development Partners and stakeholders for future interventions. The evaluation will measure the impact and progress against the project’s logical framework. The evaluation will assess all three sectors (commune administration, health centres, and school services) in all five selected provinces under CARE’s mandate.
End of project respondents were chosen from key project participants: citizens, youth (aged 15 to 30 years old), local authorities/services providers (commune and district levels, healthcare centres and primary schools) and Community Accountability Facilitators (CAFs). A total of 649 respondents were interviewed for the evaluation. Data collection was conducted with a team of 10 data collectors in December 2023. Read More...
Lafiyayyan Yara (Healthy Child) – Reducing Infections Disease Among Children Under Five (RIDCU) Bade LGA, Yobe State
The Lafiyayyan Yara (Healthy Child): Reducing Infectious Disease among Children under Five (RIDCU-5) project was a 27-month private donor funded project implemented from October 2021 through December 2023. The project strengthened health systems in Bade Local Government Area (LGA) of Yobe state by providing required equipment and medication for health facilities, increasing capacity of health personnel to use approved diagnostic methods, and engaging the community to improve uptake of health services.
The primary objective of the evaluation was to assess the project's performance and document its achievements, challenges, and best practices to guide future similar programming; and provide recommendations to CARE Nigeria and its partners to make informed decisions and enhance the effectiveness and efficiency of future initiatives.
Effectiveness
Evidence from the desk review showed that the project made remarkable progress towards reducing mortality in under-5 children through a community-based health systems strengthening approach that ensures that communities receive a core package of services. The major factors that influenced the effectiveness and achievement of the project results were the use of community structures (community health volunteers, model mothers, and community-based surveillance focal points), capacity building, the referral system and the Social Analysis and Action (SAA) approach through community dialogues, supportive supervision, routine monitoring visits and facility health promotion session. The SAA approach also helped to shift practices related to family planning, immunization and poor health seeking behavior, as evidenced from the qualitative findings.
Efficiency
In both the design and implementation of the project activities, CARE International RIDCU5 team ensured that the project was efficient. The project design allowed the RIDCU5 project to train and work with community members as volunteers and adequately build their capacity and work collaboratively with local partners and relevant stakeholders. The use of community structures and local partners made the project implementation cost effective and created the opportunity for sustainability.
7
The project’s design engaged community volunteers1 to serve as model mothers, community-based surveillance focal points, feedback and accountability volunteers, and community health volunteers, has enabled the project to increase community mobilization through a cost-effective approach. Through the community referral system, and health promotion sessions, many women were reached through the activities of the community volunteers.
Impact
Findings showed that the objectives and activities of the CARE RIDCU5 project were relevant in addressing the humanitarian needs of Bade Local Government communities. The weekly dialogue session with model mothers helped to address social norms and practices that negatively impact maternal and child health and the strengthened detection and referral of infectious disease (acute respiratory illness, malaria, diarrhea, and measles) through community-based surveillance (CBS) that included door-to-door visits and referrals for care. Also, health promotion sessions and supportive supervision in the 22 health facilities of the implementation contributed to quality of services. The project was able to respond largely to the needs of the target groups, including Community Health Workers (licensed and volunteers); children under five and their caregivers; pregnant and postpartum women and adolescent girls through support to strengthen referral systems, community engagement approaches to improve health behaviors and accountability of the health system as well as capacity building and provision of supplies and equipment to improve health service delivery.
Sustainability
The involvement of community volunteers assisted in the community ownership of the project. At present, community volunteers and community leaders, who benefited from the training conducted by CARE International, are engaged in community mobilization and awareness creation among community members on various aspects of the project. Respondents reported that that through the knowledge gained from CARE international, they were able to strengthen their cooperation among each other. The project has also built the capacity of the local partners and community members in a sustainable way through supportive supervision and training for health care workers and volunteers to improve and enhance their capacity to diagnose and detect infectious diseases. Read More...
The primary objective of the evaluation was to assess the project's performance and document its achievements, challenges, and best practices to guide future similar programming; and provide recommendations to CARE Nigeria and its partners to make informed decisions and enhance the effectiveness and efficiency of future initiatives.
Effectiveness
Evidence from the desk review showed that the project made remarkable progress towards reducing mortality in under-5 children through a community-based health systems strengthening approach that ensures that communities receive a core package of services. The major factors that influenced the effectiveness and achievement of the project results were the use of community structures (community health volunteers, model mothers, and community-based surveillance focal points), capacity building, the referral system and the Social Analysis and Action (SAA) approach through community dialogues, supportive supervision, routine monitoring visits and facility health promotion session. The SAA approach also helped to shift practices related to family planning, immunization and poor health seeking behavior, as evidenced from the qualitative findings.
Efficiency
In both the design and implementation of the project activities, CARE International RIDCU5 team ensured that the project was efficient. The project design allowed the RIDCU5 project to train and work with community members as volunteers and adequately build their capacity and work collaboratively with local partners and relevant stakeholders. The use of community structures and local partners made the project implementation cost effective and created the opportunity for sustainability.
7
The project’s design engaged community volunteers1 to serve as model mothers, community-based surveillance focal points, feedback and accountability volunteers, and community health volunteers, has enabled the project to increase community mobilization through a cost-effective approach. Through the community referral system, and health promotion sessions, many women were reached through the activities of the community volunteers.
Impact
Findings showed that the objectives and activities of the CARE RIDCU5 project were relevant in addressing the humanitarian needs of Bade Local Government communities. The weekly dialogue session with model mothers helped to address social norms and practices that negatively impact maternal and child health and the strengthened detection and referral of infectious disease (acute respiratory illness, malaria, diarrhea, and measles) through community-based surveillance (CBS) that included door-to-door visits and referrals for care. Also, health promotion sessions and supportive supervision in the 22 health facilities of the implementation contributed to quality of services. The project was able to respond largely to the needs of the target groups, including Community Health Workers (licensed and volunteers); children under five and their caregivers; pregnant and postpartum women and adolescent girls through support to strengthen referral systems, community engagement approaches to improve health behaviors and accountability of the health system as well as capacity building and provision of supplies and equipment to improve health service delivery.
Sustainability
The involvement of community volunteers assisted in the community ownership of the project. At present, community volunteers and community leaders, who benefited from the training conducted by CARE International, are engaged in community mobilization and awareness creation among community members on various aspects of the project. Respondents reported that that through the knowledge gained from CARE international, they were able to strengthen their cooperation among each other. The project has also built the capacity of the local partners and community members in a sustainable way through supportive supervision and training for health care workers and volunteers to improve and enhance their capacity to diagnose and detect infectious diseases. Read More...