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The Cost of Delivering COVID-19 Vaccines in Zambia
While Zambia aims to deliver COVID-19 vaccines to 70% of its people by June 30, 2022, the road to getting there is uncertain. The Zambian Ministry of Health reports that, as of February 21, 2022, 21.6% of people were fully
vaccinated. Vaccine doses available in the country are slowly rising, with 6.2 million doses arrived as of February 11, but less than half of those doses have made it into people’s arms. By February 23, only 2.77 million doses had gotten to people. By December 31, 2021, only 7.2% of people had gotten a vaccine, compared to a goal of 40%. Without significant investments in last mile delivery, especially for people at highest risk, Zambia risks missing its next COVID-19 vaccine targets.
CARE estimates that in Zambia, vaccine delivery costs a minimum of $17.18 per fully vaccinated person, or $7.30 per dose delivered. That is 7.2 times more than current global estimates. Even with its robust childhood vaccination system—93% of Zambian children got their first measles vaccine in 2019—Zambia has not been able to get enough COVID-19 vaccines to the last mile. Read More...
vaccinated. Vaccine doses available in the country are slowly rising, with 6.2 million doses arrived as of February 11, but less than half of those doses have made it into people’s arms. By February 23, only 2.77 million doses had gotten to people. By December 31, 2021, only 7.2% of people had gotten a vaccine, compared to a goal of 40%. Without significant investments in last mile delivery, especially for people at highest risk, Zambia risks missing its next COVID-19 vaccine targets.
CARE estimates that in Zambia, vaccine delivery costs a minimum of $17.18 per fully vaccinated person, or $7.30 per dose delivered. That is 7.2 times more than current global estimates. Even with its robust childhood vaccination system—93% of Zambian children got their first measles vaccine in 2019—Zambia has not been able to get enough COVID-19 vaccines to the last mile. Read More...
Community Scorecard for COVID-19 Vaccines in Malawi
The significant amount of misinformation surrounding COVID-19 has deteriorated trust in governments and health systems, leading the World Health Organization to claim it as an “infodemic.” As the massive vaccine roll-out efforts launch, systematic trust-building and social accountability approaches are vital to ensure that civil society can hold governments accountable for equitable and people-centered vaccine roll-out that reaches the last mile. CARE knows that epidemics, like COVID-19 and Ebola, start and end with communities, which is why we are working to build meaningful citizen engagement into national vaccine roll-out frameworks to increase trust, accountability, and information dissemination.
CARE’s Community Score Card
The Community Score Card (CSC) was developed by CARE Malawi in 2002 and has been effectively used in a wide range of settings and sectors to ensure that public services are accountable to the people and communities they serve. CSC has demonstrated impact on power-shifting and improving service quality and trust building within and between communities and government actors. When COVID-19 arrived in Malawi during March 2020, CARE adapted CSC for remote use. The remote CSC includes an SMS platform and WhatsApp groups through which groups of men, women, youth, community and religious leaders, and service providers could voice their concerns and hesitancies about the vaccine and other health services. The CSC helped to identify major concerns around the vaccine and aided stakeholders in creating locally-driven solutions to combat vaccine hesitancy and misinformation.
Building on these early experiences, from May to June 2021, CARE further implemented a pilot project designed to support efficient and equitable COVID-19 vaccine roll-out in three locations in Malawi: Kandeu and Chigodi health facility catchment populations in Ntcheu district and the New Hope Clinic health facility catchment population in Ngolowindo in Salima district. In all three locations, key stakeholders included groups of women, men, youth, community leaders (chiefs and religious), district health management teams, and health personnel (including health surveillance staff, health facility staff in-charge, and the health center management committee). CARE Malawi’s CSC team led the implementation of the pilot with support from CARE USA and digital support from Kwantu. Read More...
CARE’s Community Score Card
The Community Score Card (CSC) was developed by CARE Malawi in 2002 and has been effectively used in a wide range of settings and sectors to ensure that public services are accountable to the people and communities they serve. CSC has demonstrated impact on power-shifting and improving service quality and trust building within and between communities and government actors. When COVID-19 arrived in Malawi during March 2020, CARE adapted CSC for remote use. The remote CSC includes an SMS platform and WhatsApp groups through which groups of men, women, youth, community and religious leaders, and service providers could voice their concerns and hesitancies about the vaccine and other health services. The CSC helped to identify major concerns around the vaccine and aided stakeholders in creating locally-driven solutions to combat vaccine hesitancy and misinformation.
Building on these early experiences, from May to June 2021, CARE further implemented a pilot project designed to support efficient and equitable COVID-19 vaccine roll-out in three locations in Malawi: Kandeu and Chigodi health facility catchment populations in Ntcheu district and the New Hope Clinic health facility catchment population in Ngolowindo in Salima district. In all three locations, key stakeholders included groups of women, men, youth, community leaders (chiefs and religious), district health management teams, and health personnel (including health surveillance staff, health facility staff in-charge, and the health center management committee). CARE Malawi’s CSC team led the implementation of the pilot with support from CARE USA and digital support from Kwantu. Read More...
RED SAACC Rapport Annuel 2017
Le projet de recherche-développement pour la sécurité alimentaire et l’adaptation climatique des systèmes ruraux de production au Niger (RED/SAACC-Niger) a pour objectif d’améliorer d’ici fin 2021, les revenus, la sécurité alimentaire et nutritionnelle de 15.000 exploitations agricoles familiales fragiles à faible résilience, dans 15 communes des régions de Maradi, Tahoua et Tillabéri. [33 pages] Read More...
HBCC (Hygiene and Behavior Change Coalition) Project: Inclusive Communities – Changing behaviors to respond to COVID-19
The “Promoting safer hygiene practices for women and girls to remain safe and live better lives project has been implemented between the 23rd of July 2020 and the 31st of August 2021 through CARE International in Jordan and funded by Unilever-UKAID HBCC (Hygiene Behaviour Change Coalition). The project’s overall objective was to support the most vulnerable women and girls in conflict communities, refugee, asylum and host populations within the Syrian crisis region to improve their key hygiene behaviours and be better equipped to protect themselves from COVID-19 transmission through mass awareness, interpersonal communication and digital media communication.
CARE Jordan implemented a package of multiple interventions which includes mass media, digital communication, and in some cases targeted face-to-face interactions complemented by the provision of hygiene and dignity kits to promote key hygiene behaviours of the targeted beneficiaries. The mass media and digital campaign, which targeted community members who live in Amman, Zarqa/Azraq town, Irbid, Mafraq, and Azraq Refugee Camp, but also reached beyond these areas in particular with the mass media intervention; focused on a variety of messages in line with the national/local Health Service approved guidelines as well as some of the Unilever Global assets like the PASSWORD Campaigns, Snake and Ladder game, and Mobile Doctorni. Messages covered issues of prevention, protection, safety, security and where to seek early support when showing signs and symptoms of COVID-19. Read More...
CARE Jordan implemented a package of multiple interventions which includes mass media, digital communication, and in some cases targeted face-to-face interactions complemented by the provision of hygiene and dignity kits to promote key hygiene behaviours of the targeted beneficiaries. The mass media and digital campaign, which targeted community members who live in Amman, Zarqa/Azraq town, Irbid, Mafraq, and Azraq Refugee Camp, but also reached beyond these areas in particular with the mass media intervention; focused on a variety of messages in line with the national/local Health Service approved guidelines as well as some of the Unilever Global assets like the PASSWORD Campaigns, Snake and Ladder game, and Mobile Doctorni. Messages covered issues of prevention, protection, safety, security and where to seek early support when showing signs and symptoms of COVID-19. Read More...
Promoting Peace and Socio-Economic Development among Conflict-Affected Communities In South, East Darfur and South Kordofan States
CARE has Implemented IcSP project “Promoting Peace and Socio-Economic Development for Conflict–Affected Communities in South Darfur, East Darfur and South Kordofan states" to contribute in achieving relevant results in terms of social stability, increased social cohesion, enhanced recovery and socio-economic integration among conflicting communities for selected vulnerable communities.
The final evaluation was conducted for this project from 12 September to 30 October 2021 to assess the project performance and achieving the intended results. Different methods were used for collecting the data, including: desk review, Focus Group Discussions (FGDs), Key Informant Interviews (KIIs), in addition to direct interviews with 393 household leaders, 59.2% of them are females.
The impact of conflict and dispute to the community needa to be addressed. 28.9% of respondants declare that it will led to Loss lives & properties,12% to destruction of infrastructure,16.6 % to displacement, 23.3% dismantling social coexistence,12.3% loss of livelihoods. 75% of total respondents say it will be all above.
People report that the best way and means of resolving conflict are: 84.9 % resolved by in official fair mechanism, 5.1% report that by official courts. This indicates that they trust in CBRMs are effective in solving disputes/cases and are accessible to everyone.
45.6% report that CBRMs are accessible to everyone to great extent, ,22.8 % to some extent, 8.1% minimally, and 23.6% not at all. On the other hand, 71.7% report that decisions made by conflicts resolution mechanisms are acceptable, where 23.3 % report that to some extent and 8.1% minimally.
Communities in the targeted areas get their drinking water from various sources,66% report that from water point, 23.5% from hand pumps, 8.8 % from hand dug wells, where 1.7 % from Haffir. The result indicated that around 10 % of total population get their water from contaminated surface water source other 90% get their water from safe water sources. Read More...
The final evaluation was conducted for this project from 12 September to 30 October 2021 to assess the project performance and achieving the intended results. Different methods were used for collecting the data, including: desk review, Focus Group Discussions (FGDs), Key Informant Interviews (KIIs), in addition to direct interviews with 393 household leaders, 59.2% of them are females.
The impact of conflict and dispute to the community needa to be addressed. 28.9% of respondants declare that it will led to Loss lives & properties,12% to destruction of infrastructure,16.6 % to displacement, 23.3% dismantling social coexistence,12.3% loss of livelihoods. 75% of total respondents say it will be all above.
People report that the best way and means of resolving conflict are: 84.9 % resolved by in official fair mechanism, 5.1% report that by official courts. This indicates that they trust in CBRMs are effective in solving disputes/cases and are accessible to everyone.
45.6% report that CBRMs are accessible to everyone to great extent, ,22.8 % to some extent, 8.1% minimally, and 23.6% not at all. On the other hand, 71.7% report that decisions made by conflicts resolution mechanisms are acceptable, where 23.3 % report that to some extent and 8.1% minimally.
Communities in the targeted areas get their drinking water from various sources,66% report that from water point, 23.5% from hand pumps, 8.8 % from hand dug wells, where 1.7 % from Haffir. The result indicated that around 10 % of total population get their water from contaminated surface water source other 90% get their water from safe water sources. Read More...
RED/SAACC-Niger Baseline
Le projet de recherche-développement pour la sécurité alimentaire et l’adaptation climatique des systèmes ruraux de production au Niger (RED/SAACC-Niger) a pour objectif d’améliorer d’ici fin 2021, les revenus, la sécurité alimentaire et nutritionnelle de 15.000 exploitations agricoles familiales fragiles à faible résilience, dans 15 communes des régions de Maradi, Tahoua et Tillabéri . Read More...
Tabora Maternal & Newborn Health Initiative (TAMANI): Year 4 results
The Tabora Maternal and Newborn Health Initiative (TAMANI) is a five-year project led by CARE in partnership with the Government of Tanzania’s Ministry of Health, Community Development, Gender, Elderly and Children (MoHCDGEC) and the Prime Minister’s Office for Regional and Local Government (PO-RALG). Implementing partners include the Society of Obstetricians and Gynecologists of Canada (SOGC), the Association of Gynecologists and Obstetricians of Tanzania (AGOTA), the Canadian Society for International Health (CSIH), McGill University’s Institute for Health & Social Policy, and Ifakara Health Institute (IHI). The project is financially supported by the Government of Canada and is closely aligned to Government of Tanzania (GoT) health polices, strategies and guidelines.
The Annual Report covers the period of April 1, 2020, to March 31, 2021.The report provides an analysis on operations to date against the Year Four Annual Work Plan. This report also highlights how the project
pivoted to respond to the COVID-19 global pandemic and includes reporting on COVID response programming as approved by GAC in March 2020. Read More...
The Annual Report covers the period of April 1, 2020, to March 31, 2021.The report provides an analysis on operations to date against the Year Four Annual Work Plan. This report also highlights how the project
pivoted to respond to the COVID-19 global pandemic and includes reporting on COVID response programming as approved by GAC in March 2020. Read More...
RANO WASH Final Evaluation
Rural Access to New Opportunities in Water, Sanitation, and Hygiene (RANO WASH) is a five-year
$30 million bilateral United States Agency for International Development (USAID) water, sanitation, and hygiene (WASH) activity in Madagascar. Its period of performance is June 2017 to June 2022. CARE International leads the consortium implementing the project, and sub-awardees include Catholic Relief Services (CRS), WaterAid, BushProof, and Sandandrano. The program aims to reach 250 rural communes in six high-priority regions of Madagascar: Vatovavy Fitovinany, Atsinanana, Alaotra Mangoro, Amoron’i Mania, Haute Matsiatra, and Vakinankaratra. RANO WASH is built around three interconnected strategic objectives (SOs):
• SO 1: Strengthening the governance and monitoring of water and sanitation
• SO 2: Increasing the engagement of the private sector in the delivery of WASH services
• SO 3: Accelerating the adoption of healthy behaviors and the use of WASH service
The Water, Sanitation, and Hygiene Partnerships and Learning for Sustainability (WASHPaLS) project completed a mid-term evaluation between April and August 2021 to assess whether the approaches employed and activities undertaken are successfully contributing to the program’s goal of increasing equitable and sustainable access to WASH services.
Overall, the Evaluation Team assessed the program to be complex, ambitious, and innovative; perceived positively by a large majority of stakeholders; and seen as a sector leader. While water supply provision through the public private partnership (PPP) model is substantially off-track, there are plausible reasons for these delays, and important lessons to be learned. Sanitation results, particularly regarding Open Defecation Free (ODF) status, are above target Read More...
$30 million bilateral United States Agency for International Development (USAID) water, sanitation, and hygiene (WASH) activity in Madagascar. Its period of performance is June 2017 to June 2022. CARE International leads the consortium implementing the project, and sub-awardees include Catholic Relief Services (CRS), WaterAid, BushProof, and Sandandrano. The program aims to reach 250 rural communes in six high-priority regions of Madagascar: Vatovavy Fitovinany, Atsinanana, Alaotra Mangoro, Amoron’i Mania, Haute Matsiatra, and Vakinankaratra. RANO WASH is built around three interconnected strategic objectives (SOs):
• SO 1: Strengthening the governance and monitoring of water and sanitation
• SO 2: Increasing the engagement of the private sector in the delivery of WASH services
• SO 3: Accelerating the adoption of healthy behaviors and the use of WASH service
The Water, Sanitation, and Hygiene Partnerships and Learning for Sustainability (WASHPaLS) project completed a mid-term evaluation between April and August 2021 to assess whether the approaches employed and activities undertaken are successfully contributing to the program’s goal of increasing equitable and sustainable access to WASH services.
Overall, the Evaluation Team assessed the program to be complex, ambitious, and innovative; perceived positively by a large majority of stakeholders; and seen as a sector leader. While water supply provision through the public private partnership (PPP) model is substantially off-track, there are plausible reasons for these delays, and important lessons to be learned. Sanitation results, particularly regarding Open Defecation Free (ODF) status, are above target Read More...
The Final Evaluation of the Opportunities for Mother and Infants Development Project
The Opportunities for Mother and Infant Development (OMID) is a three year project (from 2018 to 2021), funded by The Glaxo Smith Kline (GSK). The current phase of the project has been implemented in the two districts (16th and 17th) in Kabul city. The main purpose of the project is to improve the health and reduce the mortality among mothers, newborns and children in the most vulnerable communities through community-based interventions facilitated and delivered by Community Health Workers (CHWs) and Community Midwives (CMWs).
Overall, the project has been effective in achieving the intended outcomes. Access and utilization of Maternal and Neonatal Child Health (MNCH) services have improved as demonstrated by achievement of the project’s key performance indicators across the continuum of care.
This included increases in the %:
- of women reporting ANC utilization
- of women who undertook the first ANC visit before by the 3rd trimester of their pregnancy
- of those who knew the date that the baby was expected to arrive
- of those women who had a plan where she would deliver the baby
- of those women who believed health facility is safer to deliver there
And decreases in the %:
- of those who didn’t go for ANC and believed it is not important
- of those who didn’t go for ANC and indicated the high cost of care as reason
The community systems strengthening undertaken by the project through establishment of community based health facilities and CHWs was effective in increasing health awareness and adoption of positive MNCH behaviors and practices. Read More...
Overall, the project has been effective in achieving the intended outcomes. Access and utilization of Maternal and Neonatal Child Health (MNCH) services have improved as demonstrated by achievement of the project’s key performance indicators across the continuum of care.
This included increases in the %:
- of women reporting ANC utilization
- of women who undertook the first ANC visit before by the 3rd trimester of their pregnancy
- of those who knew the date that the baby was expected to arrive
- of those women who had a plan where she would deliver the baby
- of those women who believed health facility is safer to deliver there
And decreases in the %:
- of those who didn’t go for ANC and believed it is not important
- of those who didn’t go for ANC and indicated the high cost of care as reason
The community systems strengthening undertaken by the project through establishment of community based health facilities and CHWs was effective in increasing health awareness and adoption of positive MNCH behaviors and practices. Read More...
Farmer Field Business Schools and Village Savings and Loan Associations for promoting climate-smart agriculture practices: Evidence from rural Tanzania
How can stakeholders (e.g., governments and their extension services, private sector, policy makers and NGOs) effectively stimulate the adoption of climate-smart agricultural (CSA) practices among small-scale farmers in developing countries? Changes in temperatures and rainfall lead to new risks of drought as well as erratic and excess rainfall (Ericksen et al., 2011; WMO, 2020). Many farmers experience climate change as a threat since crop yields that farmers needed to sustain themselves are adversely affected (IPCC, 2014; WMO, 2020). At the same time, the agricultural sector also contributes to climate change since agricultural greenhouse gas (GHG) emissions (nitrous oxide, methane, and carbon dioxide) are among the significant drivers of global warming (CCAFS, 2021). Read More...