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CASH AND VOUCHER ASSISTANCE IN RESPONSE TO THE COVID-19 PANDEMIC

In April 2020, CARE received a five million dollar grant from MARS to implement a multi-country program, including Cote d’Ivoire, Ecuador, Ghana, Guatemala, Haiti, Honduras, India, Peru, Thailand, and Venezuela1, with the aim of reducing the negative impacts of COVID-19 on vulnerable populations, especially women and girls, using complementary and multimodal approaches. A key activity of this program was the provision of cash and voucher assistance (CVA) to vulnerable populations to meet their diverse basic needs. Program data indicated that CVA was implemented in Cote d’Ivoire, Ecuador, Ghana, Guatemala, Haiti, Honduras, and Thailand. Monitoring data from different countries showed that CVA was unconditional; with cash modality representing 95% of transfers. Key targets populations for CVA activities vary by country and include: vulnerable households (Cote d’Ivoire, and Haiti); migrants and refugees (Honduras, Ecuador, and Thailand); domestic workers (Guatemala and Ecuador); survivors of GBV and other forms of violence against women (Guatemala and Ecuador); and lesbian, gay, bisexual, transgender, intersex, and queer/questioning (LGBTQI+) individuals (Ecuador). Across all projects (or countries), participants reported numerous uses of CVA including purchase foods stuff, payment of health services, hygiene services, rental/housing, savings and livelihoods activities.
Given the nature and scale of this program as well as its organizational commitment to learning, CARE was keen to understand the extent to which the project supported and protected vulnerable populations against the loss or disruption of their livelihoods in a gender sensitive manner. The study seeks to provide open-source learnings for peer
companies and agencies on how CVA was utilized in this program with two major questions: (i) How gender sensitive was the process for CARE’s CVA? (ii) How gender sensitive was the intended outcome of CARE’s CVA?
This documentation report compiles lessons from across the projects implemented in the targeted countries and draws from the diversity of their experiences to provide some recommendations on more gender sensitive CVA in the future. Read More...

Final: Servicio de Diagnóstico sobre las Necesidades de Financiamiento y de Servicios de Desarrollo Empresarial en contexto Post-COVID 19 de los Empresarios de la Microempresa y Pequeña Empresa – MYPE

CARE Peru. El presente informe tiene como objetivo presentar los resultados del primer y segundo levantamiento de información y el diagnóstico para la identificación de las Necesidades de Financiamiento y de Servicios de Desarrollo Empresarial en contexto Post-COVID 19 de los Empresarios de la Microempresa y Pequeña Empresa – MYPE, durante el periodo de diciembre del 2020 a marzo del 2021. Para ello, se realizó una revisión del enfoque metodológico empleado, proceso y herramientas de recojo de información, en donde se detalló los elementos que permitieron y dificultaron dicho proceso. El diagnóstico consitió en el análisis de la información recogida en donde se tomará en cuenta la revisión de los hallazgos por variables del estudio, diferencias percibidas por grupo de participación (strivers y pre-strivers), así como de la diferenciación por género y resiliencia. Por otro lado, se presentan conclusiones enfatizando temas relacionados a su gestión empresarial como formas de financiamiento, conocimiento de plataformas y medios virtuales, conocimientos sobre estructuración de costos, demanda de microcréditos de los y las micro-empresario/as [63 pgs.] Read More...

Somalia: Cash Transfers via Mobile Money for Maternal Child Health Services

This study is part of a larger multi-country study by CARE entitled “Cash and Voucher Assistance for Sexual Reproductive Health and Rights Outcomes: Learnings from Colombia, Ecuador, Lebanon and Somalia.”
CARE Somalia has used Cash and Voucher Assistance (CVA) in its programs for over ten years. This includes CVA for food security and livelihoods, nutrition, WASH, and education, as well as multipurpose cash transfers. Since 2018, with support from Office of Foreign Disaster Assistance (OFDA) (now the Bureau for Humanitarian Assistance (BHA)), CARE Somalia has been implementing a food security and Livelihoods, health, nutrition, protection and WASH program. With BHA support, CARE currently supports 19 MCH facilities across Somaliland and Puntland that target children and pregnant and lactating women (PLW). Read More...

Ecuador: Vouchers for Sexual Reproductive Health and Rights

This study is part of a larger multi-country study by CARE entitled “Cash and Voucher Assistance for Sexual Reproductive Health and Rights Outcomes: Learnings from Colombia, Ecuador, Lebanon and Somalia.” Ecuador is both a transit and destination country for refugees and migrants from Venezuela and elsewhere. As of July 2020, over 400,000 Venezuelans were living in Ecuador. Venezuelan refugees and migrants have considerable health, psychosocial, and economic needs. Within these groups, women, adolescents, and LGBTQI people face heightened risks of Gender-Based Violence (GBV), human trafficking, and sexual exploitation as well as challenges to earning an income while in Ecuador. Although the public health system in Ecuador is free to all regardless of migration status, not all health – and especially SRH services – are covered in the public system. Furthermore, safe access to available services without discrimination based on nationality, sexual orientation/gender identity, or age is a barrier to access and uptake of SRH services in Ecuador. Read More...

Colombia: Vouchers for Sexual Reproductive Health (SRH) Services

This study is part of a larger multi-country study by CARE entitled “Cash and Voucher Assistance for Sexual Reproductive Health and Rights Outcomes: Learnings from Colombia, Ecuador, Lebanon and Somalia.” As a result of Venezuela’s socioeconomic and political crisis, there have been massive migratory flows of people from Venezuela into Colombia.1 According to the Interagency Coordination Platform for Refugees and Migrants, as of May 2020 over 1.76 million Venezuelans had fled to Colombia with many continuing to walk to and across the Southern Border with Ecuador as caminantes.

CARE Colombia began direct operations in the country in 2019, focusing primarily on the needs of Venezuelan
refugees and migrants in Pamplona, Norte de Santander and, later, Bucaramanga, Santander. Cash and Voucher
Assistance then (CVA) are primary modalities for CARE Colombia, particularly for its SRHR and protection portfolio.
Working with populations on the move as was was the case in this program, together with high levels of unmet SRHR needs resulted in a unique operating environment for a voucher intervention supporting SRHR programming.
This case study focuses on the design of the programming only. Due to the timing of the review, no substantive data on the user experience of the vouchers or outcomes could be captured. Read More...

Lebanon: Cash Transfers for Sexual Reproductive Health and Rights (SRHR) within Protection

This study is part of a larger multi-country study by CARE entitled “Cash and Voucher Assistance for Sexual Reproductive Health and Rights Outcomes: Learnings from Colombia, Ecuador, Lebanon and Somalia.”
On August 4, 2020, an explosion in the port of Beirut left hundreds killed and thousands injured, damaged numerous neighborhoods – including hospitals and residential buildings – and left 300,000 people homeless. The economic, social, and psychological tolls of the blast were added to an already strained population suffering from an economic crisis and the impacts of COVID-19. The Lebanese Red Cross reported in a post-blast study2 that, of those surveyed, approximately 5% of respondents reported having family members who were pregnant or lactating and, of those households, 40% reported needing Maternal Child Health (MCH) services. A UNFPA report identified a decrease in SRH service availability due to facilities destroyed or damaged in the blast.
Prior to the blast, the Interagency Sexual and Gender-based Violence (SGBV) Task Force conducted an assessment with 562 women and girls across the country on the SGBV impact since the beginning of COVID-19. This assessment found that 51% of respondents felt less safe in their communities and only 30% reported accessing health services.4 Sixty-seven percent of respondents reported that the main barrier to accessing services was lack of money.5 Read More...

CASH AND VOUCHER ASSISTANCE FOR SEXUAL REPRODUCTIVE HEALTH AND RIGHTS LEARNINGS FROM ECUADOR, COLOMBIA, LEBANON, AND SOMALIA

CARE is committed to ensuring that projects with cash and voucher assistance (CVA) are designed with and for women and girls, addressing recipients’ needs, challenges, and opportunities. CARE has invested in research on how to make CVA work for women and girls through gender-sensitive approaches to framing processes and outcomes of the modalities. As a widely accepted method of increasing access to services and improving autonomy, dignity, and resilience, programming with CVA has been integrated into numerous sectors to improve the lives of displaced communities, particularly the most underserved. To date, CARE’s CVA has primarily been used for food security and livelihood outcomes and multisectoral outcomes via multipurpose cash (MPC) transfers. Now, aligned with its strategic intent, CARE is investing in sectoral areas where CVA is less often used and that are of primary interest for women and girls, including gender-based violence (GBV) response and sexual and reproductive health and rights (SRHR).

Building on extensive experience with CVA and SRHR programming, CARE conducted a study to investigate how outcomes for the pilot initiatives using CVA for SRHR compare to global learnings, and to identify opportunities for strengthening and expanding pilots for long-term programming. The study reviewed programming in four contexts (Colombia, Ecuador, Lebanon, and Somalia). The initial study was undertaken by two consultants, one focused on Lebanon and Somalia and one focused on Colombia and Ecuador. Data collection included 25 remote key informant interviews (KIIs) with CARE staff at the global and country levels as well as staff from partner organizations, followed by After Action Reviews with each country team and a validation meeting. All activities were undertaken in either English or Spanish and transcripts were analyzed using data analysis software. Analysis was conducted both by country and across contexts to identify commonalities and thematic learning, mostly led by CARE technical advisors. Read More...

External ex-post evaluation of the “Multi-sectoral Protection Response for Vulnerable Populations in Ecuador affected by the Humanitarian Crisis” Project executed by CARE, Alas de Colibrí Foundation and Diálogo Diverso between 2019 and 2020

To respond to the migration crisis CARE Ecuador (CARE), Diálogo Diverso (DD) and Alas de Colibrí Fundation (ACF) associated to implement, with funding from the Bureau of Population, Refugees, and Migration (PRM) of the U.S. Department of State (that finances assistance actions for vulnerable refugee and migrant populations around the world), the “Multi-sectoral Protection Response for Vulnerable Populations in Ecuador affected by the Humanitarian Crisis” Project (PRM Project), from September 1, 2019 through August 31, 2020. The Project aimed at improving health and physical and psychological well-being of the forced-to-migrate Venezuelan population (and other nationalities), both migrants and refugees; as well as of the vulnerable local population, particularly LGBTIQ+ individuals and women survivors of gender-based violence, through a multi-sectoral intervention that includes: health care, legal and psychosocial advice, shelter, and comprehensive support interventions for the migrant humanitarian crisis. The project also generated advocacy actions to strengthen the capacities of public officials and institutions related to migratory processes, and to promote the restitution of migrants and refugees’ rights.
This report is 78 pages long. Read More...

FINAL EVALUATION PROJECT: PROTECTION, WASH AND SHELTER SUPPORT FOR VULNERABLE VENEZUELAN REFUGEES IN ECUADOR 2019

The following evaluation corresponds to the 12-month implementation of the project Protection, WASH, and Shelter Support for Vulnerable Venezuelan Refugees in Ecuador, which was funded by the Government of Canada (Global Affairs Canada) and that took place from April 2019 to March 2020. The goal of this process was to analyze the fulfillment of results and strategies used to respond to the urgent needs of the Venezuelan migrant population in the areas of shelter, protection and WASH. The objectives of the evaluation focused on a) determining the relevance, efficiency and effectiveness, as well as the sustainability of actions and results by component; b) identifying milestones and innovations, as well as the main challenges; and, c) identifying recommendations and opportunities for improvement for future interventions. To this end, primary and secondary information, both qualitative and quantitative was collected and analyzed, and was then structured according to the evaluation criteria and the project components.
This report is 59 pages long. Read More...

DESARROLLO ECONÓMICO, SOCIAL Y RURAL INTEGRAL EN COMUNIDADES INDÍGENAS DE LA PROVINCIA DE NAPO

El objeto a evaluar es el proyecto “Desarrollo económico, social y rural integral en comunidades indígenas de la provincia de Napo” (Para los fines de esta evaluación se resumirá de la siguiente manera el nombre del proyecto: “DESRICI de la Provincia de Napo”). El Proyecto es llevado a cabo por Maquita Cushunchic y financiado a través del Ministerio Federal de Cooperación Económica y Desarrollo de Alemania (BMZ) y CARE Alemania. Su localización geográfica es la Provincia de Napo en el cantón Tena y las parroquias de Ahuano y Chontapunta. Se evalúa el periodo completo de ejecución entre el 2017 y 2020 y corresponde a la evaluación final sobre cómo el diseño, proceso y ejecución han contribuido al logro de los tres resultados propuestos en la formulación de la intervención Read More...

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