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2023 Participant Based Survey: Titukulane Project – PaBS Outcome Report

Despite decades of robust government and donor investments in livelihoods, food security, nutrition, and resilience, over 50% of the population lives below the poverty line. Previous activities have not sufficiently reduced the number of chronically food and nutrition insecure households nor effectively enhanced the capacity of local and government structures to implement resilience focused policies and actions. To address these issues, the Government of Malawi developed a National Resilience Strategy 2018-2030 (NRS) to guide investments in agriculture, reduce impacts and improve recovery from shocks, promote household resilience, strengthen the management of Malawi’s natural resources, and facilitate effective coordination between government institutions, civil society organizations and development partners. CARE and consortium partners designed the Titukulane Resilience Food Security Activity (RFSA) which means “let us work together for development” in the local Chichewa language—to support pilot implementation of NRS in Zomba and mangochi districts. The Titukulane RFSA, implemented by CARE International in Malawi (CIM), aims to achieve sustainable, equitable, and resilient food and nutrition security for ultra-poor and chronically vulnerable households. Specifically, Titukulane is designed to increase households’ abilities to deal with shocks without experiencing food insecurity following a three-purpose approach:

1. Increased diversified, sustainable, and equitable incomes for ultra-poor, chronically vulnerable households, women, and youth.
2. Improved nutritional status among children under 5 years of age, adolescent girls, and women of reproductive age.
3. Increased institutional and local capacities to reduce risk and increase resilience among poor and very poor households in alignment with the Malawi NRS.

To meet these three purposes, the Titukulane RFSA provides households with a package of interventions, including: Care Groups with Nutritional Cash Transfers (NCT), Farmer Field Business Schools and crop marketing support, Village Savings and Loan Associations, Adolescent nutrition, Irrigation farming, Youth vocational training including start-up capital and Gender dialogues. Read More...

HATUTAN II Baseline McGovern Dole Food for Education

In this report, we present findings from the baseline assessment of the HATUTAN II (Hahán ne’ebé Atu fó Tulun ho Nutrisaun no Edukasaun or Food to Support Nutrition and Education) program. This program is a five year (2022 – 2027), US$26.5 million initiative that will work in partnership with the Government of Timor-Leste and development stakeholders to address two strategic objectives: improved literacy of school-aged children and increased use of health, nutrition, and dietary practices. The program will operate in 378 schools and communities within four of Timor-Leste’s most deprived municipalities, Ainaro, Ermera, Manatuto, and Oe-cusse, to support an estimated 171,232 target beneficiaries including school-aged children, teacher, school administrators, and community members. Key activities will include support for the government-run School Feeding Program (SFP) and trainings targeting teachers, school administrators, and community members.

The baseline assessment finds that grade 2 students’ literacy abilities are very weak and many students remain unable to read words. The average overall score on the literacy assessment was only 10.9% for intervention students, and only 18.2% of intervention students demonstrated the ability to read and understand the meaning of a grade-level passage. Scores were highest—though still low in absolute terms—for letter recognition, at 21.8% for intervention students. Furthermore, many grade 2 students have no literacy abilities, with 21.8% of intervention students scoring 0% overall on the literacy assessment.

We find moderate use of engaging teaching practices in most intervention municipalities, with relatively more frequent use of these practices in Ermera and less frequent use in Oe-cusse. However, across all municipalities, substantial potential remains to continue improving the use of engaging teaching practices, as well as reducing the use of traditional, unengaging teaching practices including copying from the board and repeating after the teacher. Furthermore, corporal punishment was still observed to be used by some teachers in intervention schools and is likely underreported in our data due to social desirability bias. Read More...

Midline (monsoon flood) and baseline (flsh flood) study of SUFAL-!! project

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 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 flash floods and lightning hazards.
The study encompassed three districts prone to flash floods, namely Sylhet, Sunamganj, and Netrokona. For 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 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.
The study further investigated the current and potential early actions that can be undertaken by communities and institutions to alleviate the impact of flash floods and lightning. These actions include seeking safe shelter, securing assets and livestock, and implementing strategies to cope with shocks and stress. Most significantly, there are no functional early warning systems in the targeted areas.
A total of 90.00% of the respondents from the treatment group and 50.80% of respondents from the control group areas said they were affected by flash floods within the previous three years. On the other hand, 69.30% of the respondents of treatment group and 50.80% of the respondents of control group areas admitted that their community members were affected by lightning in the past two years. Moreover, 74.40% of respondents of treatment group areas and 58.30% respondents of control group areas said that loss of human lives or major injury occurred due to lightning. Notably, Highest 81.90% of the respondents from both group areas said they did not get any early warning information regarding floods. FGD with respondents discovered that there is no functional early warning system in their areas for flash floods. Sometimes they got warnings through loudspeaker announcements when nearby areas got affected by the flood. In the case of lightning, 92.80% of the respondents from both group areas said they didn’t get any early warning information. Though there isn`t any early warning system for lightning, some respondents said in FGD that they occasionally identify symptoms by evaluating the cloud and notifying each other of the possibility of lightning which is considered as early warning for them. The respondents from both treatment and control group areas shared their opinions about different types of early warnings they received for different natural disasters. The highest 38.20% and 18.80% of the respondents received early warning (supposed to situation update) through television broadcasts from treatment and control group areas. The respondents from the treatment group and control group areas usually don’t get any functional early warnings. Hence, they consider flood situation updates and weather updates as early warnings. A total of 16.70% of the respondents admit that they won’t understand the early warning information due to language barriers, or technical jargon. From the treatment group areas, 61.50% of the respondents shared that due to a lack of clear instructions on severity and impact of the hazards, they won’t understand the warnings. Interestingly, a total of 17.90% of the respondents from both treatment and control group areas admitted some traditional beliefs and superstition might generate distrust against the early warnings. Read More...

Adolescent Girls’ Education in Somalia (AGES) Impact Brief

The Adolescent Girls’ Education in Somalia (AGES) project is an ambitious six-year initiative (2018-2024) funded by FCDO’s Girls’ Education Challenge and USAID, which aims to boost learning outcomes and positive transitions for ultra-marginalized girls living in conflict-affected areas of Somalia. To date, AGES has enabled 90,698 ultra-marginalized girls and female youth to access quality education responsive to their needs. AGES enrolled 67,509 girls in ABE and NFE in 2019-23. Read More...

Private Sector Health Facility Assessment USAID Adolescent Reproductive Health (ARH)

USAID Adolescent Reproductive Health (ARH) is a youth co-led initiative to empower girls and boys,10-19 years old, including the most marginalized, to attain their reproductive rights. The project's primary goal is to support adolescents to reach their full potential and strengthen public systems and private entities to create an enabling environment for healthy reproductive health (RH) behaviors by ensuring the readiness of private health facilities to provide adolescent-responsive services.

OBJECTIVES
The study's main objective is to assess most private health facilities meeting USAID ARH specific criteria and identify gaps in providing high-quality services to adolescents. Read More...

USAID ADOLESCENT REPRODUCTIVE HEALTH A Baseline Study Report

USAID Adolescent Reproductive Health (ARH) is a youth coled initiative to empower girls and boys of 10-19 years,
including the most marginalized, to attain their reproductive health (RH) rights. The goal of the program is to support
Nepali adolescents to reach their full potential by choosing and practicing healthy reproductive behaviors together with the support of their community members.
The baseline study aims to assess the current situation of adolescents' sexual and reproductive health in USAID ARH
working areas (11 districts and 60 municipalities), with specific objectives:
* to identify family planning (FP) and reproductive health (RH) knowledge and practices among adolescents,
exploring mass media exposure and preference among adolescents,
* assess menstrual hygiene practices among adolescents,
* identify factors affecting the age at marriage, and
* identify gender and social norms related to adolescent
SRH issues in the community. Read More...

Qualitative Monitoring Improvement Initiative Pilot for the SHOUHARDO III Program in Bangladesh

Strengthening Household Abilities to Respond to Development Opportunities (SHOUHARDO) III was a five-year multisectoral and integrated program implemented by CARE Bangladesh between 2015 and 2020 and funded by USAID and the Government of Bangladesh. The objective of the program was to improve the lives and livelihoods of 549,000 people living in poor and extreme poor communities in eight districts in the Deep Haor and Remote Char region of northern Bangladesh. The program focused on community-based asset development and women’s empowerment, building the capacity of local government and community-service organizations, increasing resilience to frequent shocks and stressors, and improving nutrition and health outcomes for mothers and children under two-years of age. SHOUHARDO III was extended for two years (2020 to 2022) and a second extension phase (SHOUHARDO III Plus) was funded for an additional two years (2022 to 2024). During this period the program will focus on engaging with and linking local service providers with the government and the private sector. Read More...

OUTCOME MAPPING ASSESSMENT REPORT RESILIECE IN PASTORAL AREAS (RIPA – NORTH)

Gender transformation is a major cross-cutting approach of the Mercy Corps-led RIPA-North program which aims to build resilience in the lowlands of Ethiopia. A key pillar of this approach is to address restrictive gender and social norms which limit female participation in market opportunities, exclude women from having an active voice in community institutions, and undermine nutrition improvements. The approach, led by CARE International, is a process of Social Analysis and Action (SAA) in which participants in RIPA-North community and market platforms engage in dialogue with their communities to identify and ultimately address the restrictive norms.
RIPA-North’s ‘Gender Outcome Mapping' Study, conducted in February 2023, aimed to assess how communities themselves measure theirprogress towards gender equality. The findings indicate very positive signs of progress, with almost 75% of women reporting 'high' or 'medium' levels of change for all eight main categories of gender norm that pose a challenge for women's participation and gender equity. Read More...

Ghana: Inequalities in Food Insecurity

Food insecurity is a global health challenge, especially among low- and middle-income countries. The Sustainable Development Goal (SDG) 2.1 targets to: “End hunger and ensure access by all people, in particular the poor and vulnerable people, including infants, to safe, nutritious and sufficient food all year round by 2030.” In Ghana, the situation worsened in 2022. The number of individuals in food crisis surged from 560,000 in 2021 to 823,000 in 2022, marking a 47% increase in individuals suffering from lack of food access, availability, and utilization. As per the Food and Agricultural Organization, in terms of the prevalence of moderate or severe food insecurity in Ghana, 12.9 million people, or 39.4% of the total population, were affected in 2022. Read More...

SHOUHARDO III Performance and Impact evaluation

This report evaluates the performance of the SHOUHARDO III project, which targets poor households in the char and haor (wetland) areas of Bangladesh and aims to address food and income insecurity, maternal and child health and nutrition, women’s and youth empowerment, as well as improve access to public services while building resilience capacities. This evaluation employs three methodologies: qualitative inquiry, pre-post comparison, and impact evaluation. The impact evaluation matches communities treated by SHOUHARDO III with untreated communities ex-post, using baseline stunting rates from the 2014 DHS dataset. The evaluation finds that the SHOUHARDO III project engaged more than 40% of households surveyed within target villages and successfully targeted poor and female-headed households. The analysis of baseline and endline statuses (pre-post analysis) of households in the SHOUHARDO III-targeted areas demonstrates that households from these areas improved across several indicators, including poverty levels, the nutritional status of women and children, women’s empowerment, and gender equity. From a qualitative standpoint, participants from areas where SHOUHARDO III appeared well-implemented offers insights into the potential of the interventions. The qualitative evaluation found mechanisms of change in several areas that can be built upon and enhanced. Qualitative findings show that the program succeeded in promoting multi-sectoral change at household and community levels. They also show that SHOUHARDO III effectively targeted services to the most food-insecure, Poor and Extremely Poor members of communities, and its multi-generational and gender-inclusive approach to its interventions facilitated community acceptance. From the impact evaluation, it is likely that we can credit SHOUHARDO III with improvements in women’s dietary diversity, women and children’s minimum acceptable diet, antenatal care access, and the increase in participation across several sectors. In addition, households in SHOUHARDO III villages experienced statistically significant differences in one resilience indicator, and households in program villages that experienced major shocks were better able to maintain their food consumption than similar households in comparison villages. However, the impact evaluation does not find meaningful differences between households in targeted communities and households in non-targeted communities in terms of women’s mobility and decision-making, children’s nutritional status (including child stunting and underweight status), children’s diarrhea, exclusive breastfeeding, household hunger, and improved use of health and nutrition services overall. Improvements in mostmeasured conditions in the SHOUHARDO III program areas appear to have been matched by similar improvements in non-program areas, suggesting broader forces may account for them. Ultimately understanding differences between program areas and non-program areas can help inform decisions about future chapters of the SHOUHARDO III program and other development food security programs to ensure the most effective programs for vulnerable populations. Understanding the dynamics and mechanisms of change and responses of participants to interventions can also inform future work. Salient findings are also important to highlight for action. The research team concludes this report with recommendations. Read More...

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