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Towards Economic and Sexual Reproductive Health Outcomes for Adolescent Girls (TESFA) Ex-Post Evaluation Report
TESFA project (Towards Improved Economic and Sexual Reproductive Health Outcomes for Adolescent Girls) was launched in 2010 which targeted ever-married adolescent girls’ economic status and reproductive health. The project envisioned to mitigate the effects of early marriage among ever-married adolescent girls in two woredas, Farta and Lay Gayint, of South Gondar zone in the Amhara regional state of Ethiopia. The project aimed to reach five thousand adolescent girls having marital history under the age of 19 in 25 kebeles in the two woredas, with the goal of achieving measurable positive change in their economic empowerment and sexual and reproductive health status. The project operated through four programmatic arms: Economic empowerment only (EE only), Sexual and reproductive health only (SRH-only), Economic empowerment with sexual and reproductive health (combined) and a delayed implementation arm (Delayed comparison).
This sustainability assessment (Ex-Post Evaluation) was conducted in the areas where TESFA project was implemented for three years to improve economic (EE-only), and sexual and reproductive health (SRH-only) outcomes for ever‐married adolescent girls (10 - 19 years old). The Ex-post evaluation is conducted four years after the completion of TESFA project to assess the sustainability and auto-replication of original girls groups formed by TESFA project. Qualitative approach with purposive sampling method was employed in this sustainability study. Ever married girls groups from the former TESFA project SRH and EE arms, SAA group members (Adult male and female community members) in the SRH Arm, and different level government officials such as Kebele Officials, Health Extension Workers (HEW) and experts from different government offices were participants in the study. Detail information about the group was pulled from archived documents at field office and mapping exercise was done by identifying the girl groups with the help of CARE field office and SAA members in each kebele prior to the focus groups and key-informant interviews. Read More...
This sustainability assessment (Ex-Post Evaluation) was conducted in the areas where TESFA project was implemented for three years to improve economic (EE-only), and sexual and reproductive health (SRH-only) outcomes for ever‐married adolescent girls (10 - 19 years old). The Ex-post evaluation is conducted four years after the completion of TESFA project to assess the sustainability and auto-replication of original girls groups formed by TESFA project. Qualitative approach with purposive sampling method was employed in this sustainability study. Ever married girls groups from the former TESFA project SRH and EE arms, SAA group members (Adult male and female community members) in the SRH Arm, and different level government officials such as Kebele Officials, Health Extension Workers (HEW) and experts from different government offices were participants in the study. Detail information about the group was pulled from archived documents at field office and mapping exercise was done by identifying the girl groups with the help of CARE field office and SAA members in each kebele prior to the focus groups and key-informant interviews. Read More...
Tipping Point Final Evaluation Phase One Nepal
Phase 1 of CARE’s Tipping Point project addressed child marriage through a dynamic process of innovation, insight, and influence in two districts of Nepal in partnership with Siddhartha Samudayik Samaj (SSS) and Dalit Social Development Centre (DSDC). In its first phase, the project promoted girls’ rights and choices regarding marriage in 16 communities using complementary approaches with collectives of girls, boys, and parents, who regularly participated in meetings, and advocacy events to raise public awareness and promote gender-equitable social norms. The project also engaged allies and potential champions for girls’ rights, including government and civil society, to help drive social change and direct more resources towards girls’ empowerment in project communities.
At the conclusion of Phase 1, an external evaluation team visited project sites in Kapilvastu and Rupandehi to conduct qualitative data collection with girls, boys, parents, and community members. The evaluation team’s findings indicate that Tipping Point’s iterative and adaptive strategies have contributed to several changes in the lives of girls, the actions of parents and community members to support girls, and social norms that promote gender equity. Read More...
At the conclusion of Phase 1, an external evaluation team visited project sites in Kapilvastu and Rupandehi to conduct qualitative data collection with girls, boys, parents, and community members. The evaluation team’s findings indicate that Tipping Point’s iterative and adaptive strategies have contributed to several changes in the lives of girls, the actions of parents and community members to support girls, and social norms that promote gender equity. Read More...
Tipping Point Outcome Mapping Phase 1
CARE’S TIPPING POINT PROJECT addresses child marriage through a dynamic process of innovation, insight, and influence in Nepal and Bangladesh, two countries with high rates of child, early, and forced marriage (CEFM). The project focuses on identifying the root causes of child marriage and facilitates innovative strategies to create alternative paths for adolescent girls. The project conducted a Community Participatory Analysis (CPA) Study1 designed to deepen understanding of the contextual factors and root causes driving the prevalence of child marriage in distinctive regions within Nepal (two districts of the Terai; 16 municipal areas) and Bangladesh (one district in wetland areas; 90 villages) in the highly marginalized communities in which Tipping Point programming would take place. The CPA informed innovative and context-specific program design for local level strategies, including who to target, and contributed to the
development of approaches for monitoring and evaluation. As a learning and innovation initiative, the project is expected to contribute to the global understanding of the complex issues driving child marriage and different strategies that can contribute to a “tipping point” of sustainable change to prevent child marriage and create viable alternative paths for adolescent girls. Read More...
development of approaches for monitoring and evaluation. As a learning and innovation initiative, the project is expected to contribute to the global understanding of the complex issues driving child marriage and different strategies that can contribute to a “tipping point” of sustainable change to prevent child marriage and create viable alternative paths for adolescent girls. Read More...
EVALUATION OF LIFESAVING SHELTER, PROTECTION AND HEALTH SUPPORT FOR SOUTH SUDANESE REFUGEES IN UGANDA Rhino extension – Omugo, Arua District
CARE international in Uganda has been implementing a project on “Lifesaving Shelter, Protection and Health Support for South Sudanese Refugees in Uganda” between July 2017 and March 2018. The grant was awarded by the department of Foreign Affairs, Trade and Development (DFATD), International Humanitarian Assistance Division, through Global Affairs Canada (GAC). The GAC project was implemented in Rhino camp extension, Omugo, with a total project cost of 750,000 Canadian Dollars. The ultimate aim of the intervention was to save lives, reduce suffering, and maintain human dignity of refugees and the host communities in the Rhino settlement expansion site, with focus on the three thematic areas;
1) Increased access to appropriate, safe and dignified emergency temporary shelters for South Sudanese refugees, especially women, children and persons with special needs (PSNs) in Rhino Settlement Expansion Site;
2) Increased protection from GBV and sexual exploitation and abuse for refugees & host communities, particularly women and girls in Rhino Settlement Expansion Site; and
3) Increased access to critical SRMCH services for newly arrived refugee Pregnant and Lactating Women (PLW) to Rhino Settlement Expansion Site.
The project was designed to reach a total of 26,400 beneficiaries, 15,840 (60%) of whom are women and girls. Persons with Special Needs (PSNs) were a core target under this intervention, as well as women and girls, including Pregnant and Lactating Women (PLW). The majority of direct beneficiaries were South Sudanese refugees, with activities such as training and awareness raising also benefiting members of the host population. Read More...
1) Increased access to appropriate, safe and dignified emergency temporary shelters for South Sudanese refugees, especially women, children and persons with special needs (PSNs) in Rhino Settlement Expansion Site;
2) Increased protection from GBV and sexual exploitation and abuse for refugees & host communities, particularly women and girls in Rhino Settlement Expansion Site; and
3) Increased access to critical SRMCH services for newly arrived refugee Pregnant and Lactating Women (PLW) to Rhino Settlement Expansion Site.
The project was designed to reach a total of 26,400 beneficiaries, 15,840 (60%) of whom are women and girls. Persons with Special Needs (PSNs) were a core target under this intervention, as well as women and girls, including Pregnant and Lactating Women (PLW). The majority of direct beneficiaries were South Sudanese refugees, with activities such as training and awareness raising also benefiting members of the host population. Read More...
Inter-agency Rapid Gender Analysis and GBV Assessment – DRC Refugee Influx, Uganda
Overstretched and underfunded, the humanitarian response for the influx of DRC refugees into Uganda is struggling to meet the large basic needs. This Inter-Agency Rapid Gender Analysis and Gender-Based Violence (GBV) assessment was conducted with the objective of understanding the gender dimensions of the crisis, and needs and vulnerabilities of the refugees in order to inform a more gender responsive humanitarian response. In particular, it aimed to identify the specific GBV risks and vulnerabilities facing the affected population, and provide targeted recommendations to both CARE and other humanitarian actors on how to address these gaps and vulnerabilities.
GBV is a daily reality in Eastern DRC – both within and outside of the ongoing conflicts. Sexual violence has been a longstanding weapon of war used by parties to the conflicts and, increasingly, this sexual violence has extended through to every-day perpetration by civilians. This violence is situated within a society with deeply rooted discriminatory gender norms, in which women suffer entrenched inequality in all spheres of life and where a man’s worth is largely based on his capacity to provide for and protect his family. The sustained conflicts within the country have resulted in decreasing opportunities for men to perform this role, similarly so in displacement in Uganda, where livelihood opportunities are severely diminished.
This assessment found that in conflict, in transit, and in displacement in Uganda, the Congolese refugee population is facing numerous highly traumatic forms of human rights abuses, including various forms of GBV. In the conflict in DRC, sexual violence is systematically perpetrated against women and girls; and kidnapping, physical assault, torture and massacres are used against men and boys. Women and girls often face a compounded risk of additional sexual violence during flight. Read More...
GBV is a daily reality in Eastern DRC – both within and outside of the ongoing conflicts. Sexual violence has been a longstanding weapon of war used by parties to the conflicts and, increasingly, this sexual violence has extended through to every-day perpetration by civilians. This violence is situated within a society with deeply rooted discriminatory gender norms, in which women suffer entrenched inequality in all spheres of life and where a man’s worth is largely based on his capacity to provide for and protect his family. The sustained conflicts within the country have resulted in decreasing opportunities for men to perform this role, similarly so in displacement in Uganda, where livelihood opportunities are severely diminished.
This assessment found that in conflict, in transit, and in displacement in Uganda, the Congolese refugee population is facing numerous highly traumatic forms of human rights abuses, including various forms of GBV. In the conflict in DRC, sexual violence is systematically perpetrated against women and girls; and kidnapping, physical assault, torture and massacres are used against men and boys. Women and girls often face a compounded risk of additional sexual violence during flight. Read More...
Key findings from CARE’s rapid gender analysis in Rhino and Imvepi settlements, March 2017
CARE has conducted a rapid gender analysis (RGA) during the week of 12th March 2017 in Rhino and the newly opened Imvepi settlements in the Arua district of the West Nile region of Uganda. The following are a set of initial findings pulled out of the analysis to support engagement with ECHO regarding potential work in the West Nile region.
Methodology: RGA can provide information about the different needs, capacities and coping strategies of women, men, boys and girls in a crisis by examining the experiences and relationships between women, men, boys and girls. However, an RGA should be built up progressively, and therefore the forthcoming report will provide an initial but incomplete insight into the gendered situation within the South Sudanese refugee community in West Nile. Read More...
Methodology: RGA can provide information about the different needs, capacities and coping strategies of women, men, boys and girls in a crisis by examining the experiences and relationships between women, men, boys and girls. However, an RGA should be built up progressively, and therefore the forthcoming report will provide an initial but incomplete insight into the gendered situation within the South Sudanese refugee community in West Nile. Read More...
Improving Effective Coverage of Maternal, New-born and Child Health Interventions for Reducing Preventable Child Deaths in Tangail and Khulna
Bangladesh has achieved success in reducing U5 & maternal mortality in last decade. UNICEF is partnering with GoB to contribute to reduce maternal and newborn deaths. To this end, MoH&FW with partnering with UNICEF and technical support from KOIKA implemented a MNCH project (IECMNCH) in Tangail and Khulna in line with UNICEF’s efforts to pay attention to low performing upazilas and HTR areas, started in 2015. CARE is one of the partners on this project.
designed to address main causes of newborn deaths (birth asphyxia, infection, prematurity)
to increase availability, utilization of quality MNCH-&-Nutrition services by
- increasing, sustaining of effective coverage of selected interventions;
- strengthening health system with increased availability & access to quality MNCH services;
-positive behaviour & social norm change through community participation & ownership for effective demand creation for increased utilization of MNCH services.
A baseline study in 2015 and an endline evaluation study in 2018 were implemented by UNICEF. Here are the endline study findings with corresponding baseline findings where necessary.
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designed to address main causes of newborn deaths (birth asphyxia, infection, prematurity)
to increase availability, utilization of quality MNCH-&-Nutrition services by
- increasing, sustaining of effective coverage of selected interventions;
- strengthening health system with increased availability & access to quality MNCH services;
-positive behaviour & social norm change through community participation & ownership for effective demand creation for increased utilization of MNCH services.
A baseline study in 2015 and an endline evaluation study in 2018 were implemented by UNICEF. Here are the endline study findings with corresponding baseline findings where necessary.
Read More...
Improving Sexual, Reproductive Health and Rights Including Maternal and Newborn Health in Bangladesh
UNICEF in collaboration with Bangladesh government launched a project “Improving Sexual, Reproductive Health and Rights including Maternal and Newborn Health in Bangladesh” to improve integrated sexual and reproductive health and rights including maternal, newborn, child and adolescent health in 5 districts. CARE was a key implementing partner in this project.
Before implementation of the project a baseline study in 5 project districts (Patuakhali, Rangamati, Sirajganj, Jamalpur and Moulvibazar) with 4 comparison districts (Barguna, Khagrachhari, Lalmonirhat and Sylhet), implemented by UNICEF and conducted by SURCH between 9th May and 18th August 2018
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Before implementation of the project a baseline study in 5 project districts (Patuakhali, Rangamati, Sirajganj, Jamalpur and Moulvibazar) with 4 comparison districts (Barguna, Khagrachhari, Lalmonirhat and Sylhet), implemented by UNICEF and conducted by SURCH between 9th May and 18th August 2018
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