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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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STRENGTHENING WOMEN AND YOUTH AT RISK OF GENDER BASED VIOLENCE Challenges and opportunities for enhancing resilience, with a focus on urban contexts and adolescent girls

This learning brief documents challenges, capacities and opportunities of women and youth at risk of gender based violence (GBV), in particular in urban areas in Northern Uganda. It summarizes key findings from various studies of the Women and Youth Resilience Project (WAYREP), including two Rapid Gender Analyses, the baseline, knowledge model papers, and a qualitative assessment.
The learning brief informs WAYREP’s learning agenda which aims at:
 Gaining a better understanding of the livelihood and safety, security, and wellbeing challenges that marginalised and vulnerable communities face in urban poor and settlement settings with a focus on girls,
 Identifying and documenting effective and sustainable support strategies to alleviate challenges, namely poverty and gender-based violence (GBV), in the nexus, urban and COVID 19 context.
WAYREP’s overall objective is to “Strengthen the resilience of refugee and Ugandan women, girls and youth to live a life free from violence in Uganda”. WAYREP focuses on women and girls’ empowerment within the context of some of Uganda’s most pressing current challenges such as rapid urbanization, regular and high rates of displacement and migration across and within Uganda’s borders and a very young and largely unemployed population. In 2020, this fragile context was further exacerbated with the outbreak of the COVID-19 pandemic not only in terms of its health implications, but also in terms of its impact on livelihoods, safety and security. Read More...

AHP DFAT III-COVID-19: A Visit to OXFAM livelihood project in Teknaf

This joint monitoring visit was conducted in the Oxfam- MUKTI implemented project, part of the DFAT AHP III consortium. As per the agreed decision of the MEAL Working Group (MWG), the visit date was 27 February 2022. The activity was covered: 1) Homestead Gardening & Pit Composting, 2) Tailoring, 3) Goat Rearing, and 4) IGA of People with Disabilities. The visit location was Rasullabad, Dargapara, and Lichuaprang villages. A convenient sample was used in this visit, so generalizing is a limitation. Read More...

CARE in the Pacific PARTNERSHIPS RESEARCH REPORT

Partnership is central to CARE International’s global vision where poverty has been overcome and all people live with dignity and security. CARE International’s partnerships in the Pacific are carried out through CARE Australia managed country offices in Papua New Guinea (PNG) and Vanuatu, and through the CARE in the Pacific team (which sits under CARE Australia) which manage partnerships in countries where CARE Australia does not have a country office. This currently includes Fiji, Kiribati, Samoa, Solomon Islands, Tonga, and Tuvalu. CARE Australia is in the process of developing its Pacific strategy. Central to this process is understanding its approaches to partnership and supporting local leadership with its partners in Fiji, Kiribati, Samoa, Solomon Islands, Tonga, and Tuvalu. CARE in the Pacific commissioned this Partnerships Research to document its partnership approach and reflect key contributions and gaps to advancing localisation for its partners in the Pacific. The research was conducted during September and November 2021 and involved CARE in the Pacific and 12 partners in Fiji, Kiribati, Samoa, Solomon Islands, Tonga, and Tuvalu.

What this research report does
⮚ Documents CARE in the Pacific’s partnership approach and the key features of the partnership that are supporting locally led outcomes
⮚ Employs a qualitative approach drawing on the voice of partners through feedback captured during interviews, and secondary documentation related to CARE’s partnership and localisation practice, and current sector discourse on localisation to demonstrate how CARE in the Pacific is supporting localisation, and approaches hindering locally led outcomes
⮚ Identifies actions and approaches for CARE in the Pacific for charting a more strategic course for partnership and localisation by building on existing positive practices and considering areas for improving partnership practice to better support localisation

Key findings
Partnership findings
⮚ CARE’s partnership can be characterised by long-term and short-term partnerships. The long-term partnership is guided by a high-level partnership agreement with sub-agreements developed for project or program specific engagement. Capacity strengthening is focused on supporting organisation-wide learning and growth. The short-term partnership usually begins with CARE either securing or identifying a funding opportunity. Based on consultation and shared objectives, agreement is sought to work together and co-design proposals/projects. A sub agreement guides the engagement. Capacity strengthening (informed by due diligence assessments) is largely focused on ensuring partners can meet CARE’s program quality, administrative and financial requirements, including donor compliance requirements.
⮚ Both long-term and short-term partnerships are contributing to positive change, in advancing CARE’s strategic objective of achieving greater impact through partnerships, and for partners, helping to achieve positive change at organisational and community levels. Having both short-term and long-term partnerships allow for flexibility in the partnership and as partnering is also influenced by the amount of funding CARE has available to support partners. A long-term partnering approach would better position CARE to achieve its broader partnership goals for transformed partnerships in the Pacific for reduced poverty and inequality. A key consideration is for CARE to articulate how it will support partners who want to transition to long-term partnerships, the strategy to engage long-term partnerships and with which organisations it will establish such partnerships.
⮚ CARE’s approach is grounded in supporting partners to achieve their mandate and objectives, working within partners priorities, and partners strengths. Partners perceive CARE is taking a partner led approach that is based on shared values and complementary vision, and a strong commitment to partnership. This approach together with the provision of quality technical support in gender, disaster, and humanitarian programming is helping establish CARE as a partner of choice. This is noted by partners as a core strength of CARE’s partnership approach and an area that CARE should continue to build on.
⮚ CARE has strong foundational policies, processes, and principles in place for partnership, but these are not being consistently applied outside of project implementation. CARE has strong processes and principles in place for partnering but these are not being fully maximised, with the focus more on assessing project delivery and results and not partnership outcomes. This approach to partnerships is potentially hindering achievement of more meaningful partnership outcomes, including more effective programming. There is a desire from partners to have more conversations and participate in processes that are focused on assessing the partnership.
⮚ CARE is directly investing in partnerships in several ways: recruitment of dedicated staff and consultants to the CARE in the Pacific team including a Partnerships Coordinator, Gender, and Inclusion Senior Advisor (Fiji), Program Quality Coordinator, Finance & Grants Coordinator and Project Coordinators. CARE is also demonstrating ongoing financial investment in partners by mobilising consecutive funding with the majority of its partners. It will be important for CARE to consider and plan for future resourcing that may be needed to support a long-term partnering approach, acknowledging that CARE largely operates on project specific funding which directly influences the parameters of support CARE is able to provide to partners as this support has to fit within project budgets. Read More...

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