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What Does Gender-Sensitive Cash and Voucher Assistance Look Like?

CARE is committed to being “cash ready” to achieve breakthroughs for women and girls in its cash and voucher assistance (CVA) and to convene other stakeholders on the gendered aspects of CVA. Building that commitment, CARE commissioned a study on gender-sensitive CVA from its own project participants. The study aimed at understanding the:
- Extent to which women, men, boys, and girls have been involved in the design of CVA and the implications of this involvement.
- Potential for CVA to foster positive and sustainable gender roles and relations that contribute to gender equity.
- Gender-related barriers and risks associated with collecting and receiving CVA including social and cultural
attitudes and protection risks. Read More...

Meeting the demand of women affected by ongoing crisis: Increasing contraceptive prevalence in North and South Kivu, Democratic Republic of the Congo

Over 20 years of conflict in the DRC, North and South Kivu have experienced cycles of sta- bility and conflict, resulting in a compromised health system and poor sexual and reproduc- tive health outcomes. Modern contraceptive use is low (7.5%) and maternal mortality is high (846 deaths per 100,000 live births). Program partners have supported the Ministry of Health (MOH) in North and South Kivu to provide good quality contraceptive services in pub- lic health facilities since 2011.

This paper used cross-sectional population-based surveys in the program areas using a two- stage cluster sampling design to ensure representation in each of six rural health zones.

It found that modern contraceptive prevalence among women in union ranged from 8.4% to 26.7% in the six health zones; current use of long-acting or permanent method (LAPM) ranged from 2.5% to 19.8%. The majority of women (58.9% to 90.2%) reported receiving their current method for the first time at a health facility supported by the program partners. Over half of women in four health zones reported wanting to continue their method for five years or longer. Read More...

Delivering High-Quality Family Planning Services in Crisis-Affected Settings II: Results

An estimated 43 million women of reproductive age experienced the effects of conflict in 2012. Already vulnerable from the insecurity of the emergency, women must also face the continuing risk of unwanted pregnancy but often are unable to obtain family planning services. The ongoing Supporting Access to Family Planning and Post-Abortion Care (SAFPAC) initiative, led by CARE, has provided contraceptives, including long-acting reversible contraceptives (LARCs), to refugees, internally displaced persons, and conflict-affected resident populations in Chad, the Democratic Republic of the Congo (DRC), Djibouti, Mali, and Pakistan. The project works through the Ministry of Health in 4 key areas: (1) competency-based training, (2) supply chain management, (3) systematic supervision, and (4) community mobilization to raise awareness and shift norms related to family planning. This article presents data on program results from July 2011 to December 2013 from the 5 countries. Read More...

Delivering High-Quality Family Planning Services in Crisis-Affected Settings I: Program Implementation

In 2012, about 43 million women of reproductive age experienced the effects of conflict. Provision of basic sexual and reproductive health services, including family planning, is a recognized right and need of refugees and internally displaced people, but funding and services for family planning have been inadequate. This article describes lessons learned during the first 2.5 years of implementing the ongoing Supporting Access to Family Planning and Post-Abortion Care in Emergencies (SAFPAC) initiative, led by CARE, which supports government health systems to deliver family planning services in 5 crisis-affected settings (Chad, Democratic Republic of the Congo, Djibouti, Mali, and Pakistan). Read More...

“It is a thing that depends on God”: barriers to delaying first birth and pursuing alternative futures among newly married adolescent girls in Niger

Pregnancy among adolescent girls in Niger contributes to 34% of all deaths among females ages 15– 19, but there is a dearth of research as to the specific contextual causes. In Zinder region, an area that is especially impoverished and where girls are at heightened risk, there is very little information on the main obstacles to improving adolescents’ health and well-being.

This qualitative study examines the underlying social, individual and structural factors influencing married girls’ early first birth and participation in alternative opportunities (such as education or economic pursuits) in Niger. Read More...

AESA: Effectiveness of the Training to the Beneficiaries by Adopting Improved Technologies Provided by the USAID-AESA Project and their Economic Benefits

Dhaka Ahsania Mission (DAM) has been implementing the USAID Agricultural Extension Support (USAID AESA) project in partnership with CARE Bangladesh and mPower. To materialize this aim, in addition to other approaches, the project created 3,878 village level farmer producer groups (FPGs) around production and marketing of six prioritized value chains – jute, chili, mung bean, beef fattening, dairy and fish. These groups have been working together to demand and receive extension services and training, as well as collectively purchasing inputs at lower prices and aggregating supply to negotiate better prices for their products.

This report assesses the effectiveness of such training with respect to adoption by farmers and impact to farm productivity. [42 pages] Read More...

Mid-term Evaluation of the USAID Agricultural Extension Support Activity

The purpose of the USAID Agricultural Extension Support Activity (AESA) mid-term evaluation is to 1) review and analyze the effectiveness of AESA project in achieving the program objectives and 2) analyze if the project is contributing to the improved agricultural service provision which in turn will lead to increased productivity of farmers.

The AESA project is organized into three components that together contribute to the AESA goal: "a strengthened agricultural extension system in southwest and central Bangladesh." Component 1 is premised on the empowerment of smallholder farmers (with an emphasis on women farmers), through development of farmer producer groups (FPGs) around six non-cereal value chains in central and southwest Bangladesh: jute, chili, mung bean, fish farming, beef-fattening and dairy. Component 2 enhances networking, linkages and access to information for farmers and extension agents through development and introduction of new information communication technology (ICT) capacity. Component 3 addresses transformational change within the public and private extension services, so they not only have the capacity to provide the most relevant and up-to-date technical information, but smallholder farmers have equal access to all government and non- government infrastructure and services in their area. Read More...

5 Game Changing Initiatives for Transformative Agricultural Extension

The USAID Agricultural Extension Support Activity (AESA) project is a key part of Bangladesh-centered Feed the Future (FtF) initiative addresses this challenge. Implemented by the Dhaka Ahsania Mission (DAM) with technical partners CARE Bangladesh and mPower Social Enterprises Ltd., the goal of the project which started at late 2012 is to strengthen the existing extension system in southwest and central Bangladesh to sustainably improve food security and nutrition for smallholder farmers. This translates to the enhancement of access to and utilization of agricultural extension services by smallholder farmers – both women and men. Key interventions under this project works to build capacities and creating support to a demand-driven extension system, synergized by the use of ICT. Geographically distributed in the central and southwest Bangladesh, the project operates in 12 districts, covering 26 upazilas, under Jessore, Khulna and Barisal regions as primary intervention areas.

This report identifies 5 game changing initiatives for transformative agricultural extension. Read More...

Public and Private Extension Agents’ in USAID Agricultural Extension Support Activity (AESA) Project

The USAID Agricultural Extension Support Activity (AESA) has been implanted since October 2012 with the primary objective of increasing farmers' access to improved agricultural extension services leading to increased household income, nutritional status and food security for 112,000 participating farmers.

The project has attempted to strengthen the public and private extension service provision in the project areas. This report is an assessment of the capacity and performance of the public and private service providers, the quality of services they are providing and whether the linkages between service providers and beneficiaries were functioning properly. Read More...

A-Card Preliminary Assessment Report

For smallholder farmers (SHFs) with limited savings and assets, agricultural spending is largely facilitated through two credit models, the micro-finance and bank models. The banking system while enabling access to credit at low interest rates of 9-10% average, has failed to reach 80% of SHFs; as SHFs lack collateral and have limited understanding of various procedural complexities. Micro-credit Programs (MCPs) due to high interest rates of between 25-31%, smaller loan sizes and inflexible and short repayment periods have also failed to address needs of SHFs. Furthermore, since both formal (bank) and informal (MCP) credit is extensively cash-based, there is a tendency for its use in nonfarming activities, negatively impacting agricultural productivity and profitability.

To address these challenges, A-Card was designed to digitalize and re-engineer Micro-Finance to enable formal financial Inclusion of smallholder farmers (SHFs). A-Card model was designed by Mr. Bidyuth Mahalder, Chief of Party of the AESA Project and USAID reserves its IP rights. It was piloted in three USAID’s Feed the Future districts of Bangladesh by three implementing partners-Dhaka Ahsania Mission, Care and mPower. A-Card is a debit card specially designed for SHFs, which facilitates financial access to credit for digital purchase of farm inputs at low interest rate (10%), no collateral requirement and flexible payback period (6 month tenure).

This evaluation was conducted in October-November 2017 on A-Card holders who took and repaid their loans before May 2017 in order to assess the product’s impact on productivity and profitability. The evaluation also involved one to one interviews with 200 SHFs, key informant interviews with 5 input retailers and 2 MFI agents who were all part of A-Card to assess the overall impact beyond productivity and profitability and recommendations for A-Card. Read More...

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