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My Forest, My Livelihood, My Family program (FUTURES) Baseline report

The FUTURES—My Forest, My Livelihood, My Family program (FUTURES) serves communities in the Yayu Coffee Forest Biosphere Reserve (YCFBR) located in Southwestern Ethiopia, in Oromia Regional State. The YCFBR encompasses the Hurumu, Yayo, Bilo Nopa, Alge-Sachi, and Doreni woredas of Illu-Abba Bora zone and Chora woreda of Buno Bedele zone and includes protected forest area as well as designated areas for economic activities like coffee and spice production, commercial forest plantations and eco-tourism, and areas where many traditional and modern agricultural practices take place.
Households in the area depend on a combination of small-scale agricultural and forest management systems dominated by traditional agronomic practices and characterized by a lack of crop diversity and low productivity. Deforestation, degradation, and increased loss of biodiversity are major concerns for sustainable agricultural and livelihood practice in the region. Social, gender, and cultural barriers have historically limited women’s and youth’s engagement in agricultural and economic sectors. High rates of early and forced marriage, and limited availability of reproductive health and family planning services, especially youth-friendly services, may further limit women and youth from participating meaningfully in agricultural practice and livelihood generation. Government services and local civil society organizations in the area operate at a limited capacity, and their offices are male-dominated and do not meaningfully incorporate a gendered approach to their work (Gebrehanna and Seyoum, 2020).
The three-year FUTURES project was launched in April 2021 to address many of the health, environment, and livelihood concerns of the YCFBR region. The project is implemented by CARE Ethiopia and its three local partners, Oromia Development Association (ODA), Environment and Coffee Forest Forum (ECFF), and Kulich Youth Reproductive Health and Development Organization (KYRHDO). The FUTURES project evaluation, funded by USAID, and led by Data for Impact (D4I), aims to understand the impact of the FUTURES project on key health, agricultural, and livelihood and conservation behavioral outcomes, and to contribute to knowledge about the implementation of cross-sectoral programs, including monitoring, evaluations, and learning (MEL) of such programs. Read More...

At the last mile: Lessons from Vaccine Distributions in DR Congo

The Democratic Republic of the Congo (DRC) has one of the lowest COVID-19 vaccination rates in the world, with just 0.87% of people in DRC having received even one dose. While the country has received 8.2 million doses of COVID-19 vaccine, it has managed to administer 528,000 of them—just under 11% of vaccines available. In April of 2021, DRC became one of the first countries to return 1.3 million COVID-19 doses to COVAX because they could not deliver them to people before the vaccines expired.

The challenges that risked more than a million doses expiring are still in play for most of the country. In both January and February 2022, 114,705 vaccines expired in country because there was not enough investment in systems and health workers to deliver vaccines. To reach 70% of the population—62.7 million people—DRC will need to drastically scale up and accelerate COVID-19 vaccination.

CARE is working with 4 vaccination sites—2 in Butembo and 2 in Goma—to support with community mobilization in partnership with local leaders, health center operations, and training. With joint action and communication plans developed with chiefs, religious leaders, and local authorities, and additional equipment to protect health workers, those sites had vaccinated 1,132 people. In those 4 sites, we have also conducted several rounds of research and problem-solving using community dialogues between health workers and clients using the Community Scorecard, as well as the Social Analysis and Action tools, which provides the insights for this case study. The team has also supported local vaccination teams with IT infrastructure, personnel costs, and creating locally adapted COVID-19 communications plans.

Version Francaise
La République démocratique du Congo (RDC) possède un des taux de vaccination les plus bas dans le monde avec la lutte contre COVID-19. Seulement 0,87% des personnes en RDC ont reçu même une seule dose du vaccin. Alors que le pays a reçu 8,2 millions de doses de vaccin contre la COVID-19, il n’a réussi qu’à en administrer 881,204, soit un peu moins de 11% des vaccins disponibles administrés. En avril 2021, la RDC est devenue l’un des premiers pays à restituer 1,3 million de doses de COVID-19 à COVAX parce qu’elle ne pouvait pas les administrer aux personnes avant l’expiration des vaccins.

Les défis qui risquaient d’expirer plus d’un million de doses sont toujours en jeu pour la majeure partie du pays. En janvier et février, 114,705 doses ont expiré dans le pays parce qu’il n’y avait pas assez d’investissements dans les systèmes et les agents de santé pour livrer des vaccins. Pour atteindre 70 % de la population, soit 62,7 millions de personnes, la RDC devra considérablement intensifier et accélérer la vaccination contre la COVID-19.

CARE travaille avec 4 sites de vaccination – 2 à Butembo et 2 à Goma – pour soutenir la mobilisation communautaire en partenariat avec les leaders et structures locaux, les opérations des centres de santé et la formation. Ces sites avaient vacciné 1 132 personnes. Dans ces 4 sites, nous avons également mené plusieurs séries de recherches et de résolution de problèmes à travers des dialogues communautaires entre les prestataires des services et les clients avec la Carte Communautaire et l’analyse et l’action sociale, à l’aide de la carte de pointage communautaire, qui fournit les informations nécessaires à cette étude de cas. On a aussi appuyé les missions de supervisions avec l’infrastructure pour la connexion internet, la motivation des prestataires, et l’élaboration des plans de communication adaptes aux contextes.
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Climate Learning and Advocacy for Resilience (CLAR) Programme

Climate Learning and Advocacy for Resilience (CLAR) was a CARE Denmark global programme that during the years 2018-2021 provided technical support to CARE country programmes. The overall objective of CLAR was “Adaptive capacity and resilience of vulnerable communities to climate change impacts, risks and uncertainties has increased.” The programme had three interrelated specific objectives, focusing on (1) demonstrating good practice, innovation and impact in climate resilience, and generating new evidence and learning, (2) improving capacity and influence among CSOs and networks on global and national policies, plans and projects on climate change adaptation and finance, and (3) strengthening of climate knowledge brokering for multi-stakeholder, cross-discipline and South-South learning and coordination.
The intention with CLAR was to link practical approaches and outcomes in climate change adaptation work with influencing policy and planning processes, in particular national adaptation plans (NAPs) and finance. CLAR was to add value to CARE country programmes through the provision of technical support for integration of climate change adaptation implementation as well as cross-country learning and knowledge sharing. CLAR targeted both local, national, and global policy spaces to promote pro-poor, equitable and effective adaptation policies, and mechanisms. Through the Southern Voices on Adaptation (SVA) advocacy community of practice, CLAR supported the sharing of experiences and best practices in different contexts on how to influence adaptation policies and adaptation finance. Read More...

Tackling Vaccine Hesistancy and Expanding Vaccine Access in Tanzania with Community Health Workers in the Lead

Since September 2021, CARE Tanzania has worked as a partner to the Government of Tanzania to improve vaccine access across the country. CARE’s logistical support has helped the government to cover large, underserved geographical areas. To increase vaccine uptake, CARE staff has also engaged local Community Health Workers (CHWs) to address vaccination misconceptions and developed improved health communication and data management tools. An initial training took place in November 2021 and trained 217 CHWs in the Tabora region. With these new resources, these health workers on the front lines have put in place two new strategies. First, COVID-19 vaccination is now integrated with other basic health services at local facilities. CARE supported COVID-19 vaccine distribution in 268 health facilities in Tabora Region. These facilities distributed 20,287 COVID vaccines in areas supported by CARE. Second, the CHWs are now conducting targeted outreach informed by local concerns to address vaccine hesitancy in women and children. Now, not only are vaccinations being provided, CHWs have confirmed that women have increased their acceptance of vaccination shots. Read More...

Gender Analysis of CARE Ethiopia-Resilience in Pastoral Areas Activity (RiPA) North Project

The purpose of the gender analysis is to provide information on gender-related rights in pastoral context and unpacks issues, factors and reasons on how gender relations will affect the achievement of the RiPA goals. Moreover, it also aims at identifying the key and existing discriminatory social and gender norms that are relevant to and responsible for perpetuating gender inequality in the pastoral and agro-pastoral communities in the targeted Regions and Woredas. To achieve this, CARE’s gender analysis framework called the ‘Good Practices Framework’ was used. The study was conducted in Somali, Afar and Oromia. Eight Woredas were selected from the 3 regions namely: Shabelle, Kebrebeya, Erer and Afdem from Somali region; Gewane and Afambo from the Afar region, and Babille and Meiso from the Oromia region. The survey, 40 KIIs and 56 FGDs data collection techniques were used to collect data from the targeted groups. A total of 402 (325 female and 77 male) participants took part in the survey. Read More...

Knowledge Attitude & Practice (KAP) Survey of WASH Services Project in Dadaab Refugee Camps

The European Commission Directorate General Humanitarian Aid & Civil Protection (ECHO) funded CARE to implement Water, Sanitation and Hygiene (WASH) project in Ifo, Dagahaley and Hagadera refugee camps in Dadaab. The overall objective of the project was self-reliance in the provision of essential WASH services for persons of concern in Dadaab refugee camps.
Specifically, the project focused on provision of potable water, managing solid waste disposal and delivering a comprehensive environmental sanitation program that incorporated vector control and health/hygiene promotion for refugees and COVID-19 response. The overall objective of this survey was to examine knowledge, attitudes and practices of the beneficiaries, gaps in the WASH activities in Dagahaley, Ifo and Hagadera camps and to provide information that would improve future programming.
The survey adopted a cross-sectional descriptive research design, and employed quantitative and qualitative methods of data collection which included: Literature Review, 392 Household Surveys, four Key Informant Interviews (KIIs), three Focus Group Discussions (FGDs) and direct observations.
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Information for Adaptation in Vietnam (InfoAct)

Enhanced livelihoods and increased resilience of poor ethnic minority women and men rural areas to the effects of climate change and variability.
The “Information for Adaptation in Vietnam” Project (InfoAct) is funded by the Federal Ministry of Economic Cooperation and Development, abbreviated BMZ, and jointly implemented by CARE Vietnam (CVN) and three local partners, named Center for Community Development (CCD), Lai Chau Department of Agriculture and Rural Development (DARD) and Lai Chau provincial Vietnam Women’s Union (VWU). The project sites include four communes of Dien Bien province and four communes of Lai Chau province, namely: Muong Phang and Pa Khoang communes (Dien Bien district); Ang Cang, Ang Nua communes (Muong Ang District); Than Thuoc, Trung Dong, Ho Mit and Nam So Communes of Tan Uyen district, Lai Chau province. The overall objective of the InfoAct Project is to enhance livelihoods and increase the resilience of poor ethnic minority women and men in rural areas to the effects of climate change and variability. This is to be accomplished through a specific objective (outcome) to ensure ethnic minority households in rural areas have improved access to and use of climate information, and resources to help increase their climate resilience. The InfoAct Project is focusing mainly on two target groups: (1) 5,000 ethnic minority households, especially women, in Dien Bien and Lai Chau provinces and (2) government authorities and service providers, namely Department of Hydro-Meteorology, Department of Agriculture and Rural Development (DARD) and the provincial VWU and CCD. As InfoAct was going to phase out after three years’ implementation and close all its activities by November 2021, an independent final evaluation was conducted to understand the project’s impacts/outcomes and key lessons learned.
The Final Evaluation applied a mixed-method approach by using qualitative and quantitative data from primary and secondary sources. The primary data was collected from the key informants and household survey. The household survey was implemented with 363 and 266 people in Dien Bien and Lai Chau provinces, respectively. A total of 49 In-deep Interview (IDI) was conducted with stakeholders. In addition, 34 women and 39 men in two provinces participated in Focus Group Discussion (FGD). Read More...

Recipe for Response: What We Know About the Next Global Food Crisis, and How to Fight it

The genesis of the present hunger crisis goes back farther than February 2022 and is due to a combination of global and localized factors. Globally, climate change has compromised agricultural livelihoods and led to displacement, especially in regions like the Horn of Africa and Central America’s Dry Corridor, where famers struggle to produce yields that meet the needs of local markets. The global economic fallouts associated with COVID-19, and inadequate social safety nets, have led to record unemployment and growing poverty—especially for women and women-led households (UN Women 2021)—so that even where food is available, high prices put basic items out of reach for many. Armed conflict is also driving food insecurity, for example by making it difficult for farmers to cultivate their lands, or damaging or disrupting vital agricultural infrastructure—such as transportation, storage and distribution sites—and reducing access to markets and assistance.
Women and girls are disproportionately impacted by food insecurity and related shocks. Gender norms and roles mean that women are often responsible for their households’ food security, including shopping for and preparing food, yet they might also be the ones to eat “last and least” in their household. Women are also more likely to be excluded from decision-making when it comes
to addressing hunger in their communities (CARE 2020). These types of gendered imbalances hurt entire communities: in a 2021 assessment in Sudan, CARE found that 82% of people living in female-headed households reported recently skipping a meal, compared with 56% of people living in male-headed households. Read More...

FINAL EVALUATION “Support to Development of Agricultural Cooperatives”

The Final Evaluation Report consists of a project background, methodology, main findings (including analysis of in-depth interviews and focus group results), conclusions, recommendations and lessons learnt. The methodology used triangulation, combining desk research (qualitative and quantitative secondary data) and primary data collected during the mission in North Macedonia via interviews and focus groups in Skopje and other locations.
Relevance: The project was clearly relevant to the context of North Macedonia and the Western Balkans region. The interventions were timely and focused on addressing the priority needs of farmers, important for enhancing sustainability of North Macedonian agriculture. Its design was based on the in-depth needs assessment, which was a collaborative effort carried out by the partners, stakeholders and project beneficiaries. In the course of its implementation, the identified needs farmers and stakeholders were also met by the project to a great extent.
Effectiveness: The effectiveness of the project was visible in several areas. However in some areas more time is needed – likely until the completion of the project - to unveil the project outcomes and impacts. The project greatly succeeded in creating a significant number of new ACs and increasing the involvement of farmers into this kind of business model. Yet, their membership size is often small. Despite the efforts to consolidate representation of the AC’s, there were mixed results regarding the umbrella organization. On the one hand, it visibly improved the planning, management, and provision of services while ensuring the continuation of the funding until the end of 2020. On the other hand, it split into two entities, which hampered the consolidation process. There is limited progress that is visible in terms improved business performance of the ACs. However, the project lifespan was too short to detect a major shift in economic terms.
Efficiency: The implementation of the project was smooth and largely in line with its budget and timeline. The project encountered minor delays and budget issues from the beginning. Yet, the project was complemented with in-kind resources of the partners and thus was cost-efficient. Due to the Covid-19 pandemic, the project duration had to be extended. The management of the project was very efficient and responsive against this force majeure. The project lifetime was extended and this allowed for an adequate adaptation to those unusual circumstances.
Sustainability: Despite the relatively successful establishment of the ACs, the sustainability of the project has been called into question due to the fact that related legal frameworks have not been adopted and the challenges ACs face in accessing the markets. The cooperatives benefitted from investments to upgrade farm facilities (machinery, post-harvest storage), yet they were not clearly embedded into functioning value chains. The pandemic proved to be challenging for enhancing the links between the farmers and other value chain actors. Participation in face-to-face meetings and business events was seriously constrained. Yet, the project succeeded in facilitating contacts between business partners, especially for the AC Prespansko Jabolche. Read More...

Assessment on “Improving lives of Rohingya refugees and host community members in Bangladesh through sexual and reproductive healthcare integrated with gender-based violence prevention and response”

In response to the health and protection needs of the Rohingya refugees and the host communities in Cox´s Bazar, CARE is implementing the project “Improving lives of Rohingya refugees and host community members in Bangladesh through sexual and reproductive healthcare integrated with gender-based violence prevention and response” with funding support by German Federal Foreign Office. This is a two year project targeting Rohingya refuges of camp 11, 12, 15 and 16 and vulnerable host communities of Jaliapalong union for GBV and SRH services.

Indicator 1: %of targeted refugee and host community report an improved environment for women and girls following the implementation of SRH and GBV prevention measures
i. 93% respondents have good and very good understanding on available SRH service
ii. Proportion of women who make their own informed decisions regarding sexual relations, contraceptive use and reproductive health care. 17% of interviewed women can make their own informed decisions regarding sexual relations, contraceptive use and reproductive health care.
iii. 32% of interviewed female from both host community and refugee community received both Anti-natal Care (ANC) and Post Natal Care (PNC).
So, we can say that, 47% (average of result of three proxy indicator) of targeted refugee and host community report an improved environment for women and girls following the implementation of SRH prevention measures.
iv. 49% of women and girls reporting feeling safe following the implementation of GBV prevention measures
v. 63% respondents (male 21`% and female 42%) go to community leaders for seeking help when they face any form of violence both in their home and also outside of their home
Here, “56% of targeted refugee and host community report an improved environment for women and girls following the implementation of GBV prevention”
Considering the average result of above GBV and SRH indicators, we can say that, 51.5% of targeted refugee and host community reported an improved environment for women and girls on SRH and GBV prevention measures at the baseline of the project.
Indicator 2: # of people (m/f) accessing services and information on SRH services and GBV prevention and response
Indicator 3: % of refugees and host population who report satisfaction with GBV and SRH assistance
i. 70% respondents from refugee and host community reported full satisfaction with GBV assistance
ii. 87% female and 65% male from refugee and host community reported full satisfaction with SRH assistance. (Among them 67% female from refugee and 20% female from host community, 45% male from refugee community and 20% male from host community)
Indicator 4: % of staff members with improved knowledge on SHR and GBV
Inicator 5: 45% of men and boys who report rejecting intimate partner violence and domestic violence
80% of staff members with improved knowledge on SHR and GBV
Indicator 5: # of women and adolescent girls having received MHM kit
i. Most of the respondents (85%) use reusable clothes
ii. 90% respondents wash and use the cloth again
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