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Ella Alimenta Al Mundo Linea de Base/Baseline She Feeds the World Colombia
El proyecto Ella Alimenta al Mundo busca facilitar las condiciones para que mujeres productoras estén empoderadas y cuenten con medios de vida más seguros y resilientes para la seguridad alimentaria y nutricional de ellas y su comunidad. Tiene como objetivo fortalecer el papel de las mujeres productoras a pequeña escala en cadenas de valor seleccionadas y mejorar los vínculos con los actores del mercado, incluida potencialmente la cadena de suministro de PepsiCo, para garantizar ingresos sostenibles y estables.
El presente documento corresponde al estudio de línea base que presenta los resultados en relación con la situación inicial y el contexto que viven las familias participantes del proyecto en los municipios de Pasto, Ipiales, Pupiales y Gualmatán del departamento de Nariño.
El análisis se orienta a dar a conocer las condiciones actuales con relación al empoderamiento económico de las mujeres, inclusión financiera, cadenas de valor inclusivas, procesos de comercialización justos y procesos productivos sostenibles, desarrollo de resiliencia y desarrollo de las asociaciones. De igual manera enfatiza en conocer las necesidades de capacitación en agricultura adaptativa, vinculación con el mercado, gestión financiera, prácticas de nutrición; de tal manera que sea posible fortalecer capacidades de la comunidad, especialmente mujeres para crear recursos propios y mejorar los vínculos con otros actores del mercado.
Brinda un análisis desde el enfoque de género que parte de la comprensión de cómo las relaciones de género influyen en todos los aspectos de una comunidad, tanto en el ámbito productivo como social. La distribución de tareas de las mujeres y de los hombres de un grupo social específico permiten comprender la dinámica de las relaciones de género, el apoyo mutuo, el intercambio, las cargas de trabajo con relación a otras labores, como son las tareas de cuidado y sostenimiento de la vida en el hogar.
La recolección, sistematización y análisis de la información fue realizada por el equipo consultor Tierra que Anda entre los meses de septiembre a noviembre de 2023.
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El presente documento corresponde al estudio de línea base que presenta los resultados en relación con la situación inicial y el contexto que viven las familias participantes del proyecto en los municipios de Pasto, Ipiales, Pupiales y Gualmatán del departamento de Nariño.
El análisis se orienta a dar a conocer las condiciones actuales con relación al empoderamiento económico de las mujeres, inclusión financiera, cadenas de valor inclusivas, procesos de comercialización justos y procesos productivos sostenibles, desarrollo de resiliencia y desarrollo de las asociaciones. De igual manera enfatiza en conocer las necesidades de capacitación en agricultura adaptativa, vinculación con el mercado, gestión financiera, prácticas de nutrición; de tal manera que sea posible fortalecer capacidades de la comunidad, especialmente mujeres para crear recursos propios y mejorar los vínculos con otros actores del mercado.
Brinda un análisis desde el enfoque de género que parte de la comprensión de cómo las relaciones de género influyen en todos los aspectos de una comunidad, tanto en el ámbito productivo como social. La distribución de tareas de las mujeres y de los hombres de un grupo social específico permiten comprender la dinámica de las relaciones de género, el apoyo mutuo, el intercambio, las cargas de trabajo con relación a otras labores, como son las tareas de cuidado y sostenimiento de la vida en el hogar.
La recolección, sistematización y análisis de la información fue realizada por el equipo consultor Tierra que Anda entre los meses de septiembre a noviembre de 2023.
Read More...
Lafiyayyan Yara (Healthy Child) – Reducing Infections Disease Among Children Under Five (RIDCU) Bade LGA, Yobe State
The Lafiyayyan Yara (Healthy Child): Reducing Infectious Disease among Children under Five (RIDCU-5) project was a 27-month private donor funded project implemented from October 2021 through December 2023. The project strengthened health systems in Bade Local Government Area (LGA) of Yobe state by providing required equipment and medication for health facilities, increasing capacity of health personnel to use approved diagnostic methods, and engaging the community to improve uptake of health services.
The primary objective of the evaluation was to assess the project's performance and document its achievements, challenges, and best practices to guide future similar programming; and provide recommendations to CARE Nigeria and its partners to make informed decisions and enhance the effectiveness and efficiency of future initiatives.
Effectiveness
Evidence from the desk review showed that the project made remarkable progress towards reducing mortality in under-5 children through a community-based health systems strengthening approach that ensures that communities receive a core package of services. The major factors that influenced the effectiveness and achievement of the project results were the use of community structures (community health volunteers, model mothers, and community-based surveillance focal points), capacity building, the referral system and the Social Analysis and Action (SAA) approach through community dialogues, supportive supervision, routine monitoring visits and facility health promotion session. The SAA approach also helped to shift practices related to family planning, immunization and poor health seeking behavior, as evidenced from the qualitative findings.
Efficiency
In both the design and implementation of the project activities, CARE International RIDCU5 team ensured that the project was efficient. The project design allowed the RIDCU5 project to train and work with community members as volunteers and adequately build their capacity and work collaboratively with local partners and relevant stakeholders. The use of community structures and local partners made the project implementation cost effective and created the opportunity for sustainability.
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The project’s design engaged community volunteers1 to serve as model mothers, community-based surveillance focal points, feedback and accountability volunteers, and community health volunteers, has enabled the project to increase community mobilization through a cost-effective approach. Through the community referral system, and health promotion sessions, many women were reached through the activities of the community volunteers.
Impact
Findings showed that the objectives and activities of the CARE RIDCU5 project were relevant in addressing the humanitarian needs of Bade Local Government communities. The weekly dialogue session with model mothers helped to address social norms and practices that negatively impact maternal and child health and the strengthened detection and referral of infectious disease (acute respiratory illness, malaria, diarrhea, and measles) through community-based surveillance (CBS) that included door-to-door visits and referrals for care. Also, health promotion sessions and supportive supervision in the 22 health facilities of the implementation contributed to quality of services. The project was able to respond largely to the needs of the target groups, including Community Health Workers (licensed and volunteers); children under five and their caregivers; pregnant and postpartum women and adolescent girls through support to strengthen referral systems, community engagement approaches to improve health behaviors and accountability of the health system as well as capacity building and provision of supplies and equipment to improve health service delivery.
Sustainability
The involvement of community volunteers assisted in the community ownership of the project. At present, community volunteers and community leaders, who benefited from the training conducted by CARE International, are engaged in community mobilization and awareness creation among community members on various aspects of the project. Respondents reported that that through the knowledge gained from CARE international, they were able to strengthen their cooperation among each other. The project has also built the capacity of the local partners and community members in a sustainable way through supportive supervision and training for health care workers and volunteers to improve and enhance their capacity to diagnose and detect infectious diseases. Read More...
The primary objective of the evaluation was to assess the project's performance and document its achievements, challenges, and best practices to guide future similar programming; and provide recommendations to CARE Nigeria and its partners to make informed decisions and enhance the effectiveness and efficiency of future initiatives.
Effectiveness
Evidence from the desk review showed that the project made remarkable progress towards reducing mortality in under-5 children through a community-based health systems strengthening approach that ensures that communities receive a core package of services. The major factors that influenced the effectiveness and achievement of the project results were the use of community structures (community health volunteers, model mothers, and community-based surveillance focal points), capacity building, the referral system and the Social Analysis and Action (SAA) approach through community dialogues, supportive supervision, routine monitoring visits and facility health promotion session. The SAA approach also helped to shift practices related to family planning, immunization and poor health seeking behavior, as evidenced from the qualitative findings.
Efficiency
In both the design and implementation of the project activities, CARE International RIDCU5 team ensured that the project was efficient. The project design allowed the RIDCU5 project to train and work with community members as volunteers and adequately build their capacity and work collaboratively with local partners and relevant stakeholders. The use of community structures and local partners made the project implementation cost effective and created the opportunity for sustainability.
7
The project’s design engaged community volunteers1 to serve as model mothers, community-based surveillance focal points, feedback and accountability volunteers, and community health volunteers, has enabled the project to increase community mobilization through a cost-effective approach. Through the community referral system, and health promotion sessions, many women were reached through the activities of the community volunteers.
Impact
Findings showed that the objectives and activities of the CARE RIDCU5 project were relevant in addressing the humanitarian needs of Bade Local Government communities. The weekly dialogue session with model mothers helped to address social norms and practices that negatively impact maternal and child health and the strengthened detection and referral of infectious disease (acute respiratory illness, malaria, diarrhea, and measles) through community-based surveillance (CBS) that included door-to-door visits and referrals for care. Also, health promotion sessions and supportive supervision in the 22 health facilities of the implementation contributed to quality of services. The project was able to respond largely to the needs of the target groups, including Community Health Workers (licensed and volunteers); children under five and their caregivers; pregnant and postpartum women and adolescent girls through support to strengthen referral systems, community engagement approaches to improve health behaviors and accountability of the health system as well as capacity building and provision of supplies and equipment to improve health service delivery.
Sustainability
The involvement of community volunteers assisted in the community ownership of the project. At present, community volunteers and community leaders, who benefited from the training conducted by CARE International, are engaged in community mobilization and awareness creation among community members on various aspects of the project. Respondents reported that that through the knowledge gained from CARE international, they were able to strengthen their cooperation among each other. The project has also built the capacity of the local partners and community members in a sustainable way through supportive supervision and training for health care workers and volunteers to improve and enhance their capacity to diagnose and detect infectious diseases. Read More...
Abdiboru Project Baseline Qualitative Study
Improving Adolescent Reproductive Health and Nutrition through Structural Solutions in West Hararghe Zone, Oromia, Ethiopia (Abdiboru Project) is funded by Bill and Melinda GatesFoundation and implemented by CARE/ Ethiopia. The project is a 5-year (2016 – 2020) intervention initiative focusing on girls aged 10-14. The project aims at empowering adolescent girls through applying improved individual level and structural level social interventions that are likely to improve the reproductive health, nutrition and education attainment of adolescent girls. The ultimate aim is to establish a cost effective model that can be applied at scale. In order to achieve this goal, the project focuses on ensuring adolescent girls have the agency to control decisions that affect their own lives and influence the local, regional and national development agenda, improving the accountability and support to adolescent girls of the government's local and district health, education and women affairs institution and strengthen social and cultural norms and values that protect and prevent discrimination against adolescent girls. [56 pages] Read More...
Community Scorecard in Emergencies Learning Brief
To be effective and equitable towards global populations, humanitarian organizations must adhere to the core standards and principles on quality humanitarian response. Since the inception of ideas on the centrality of local participation in aid in the early 2000s and the more recent evolution of that concept into accountability towards affected populations, the humanitarian community has sought to turn this doctrine into reality.
Accountability in humanitarian response requires that organizations carry out their efforts in an ethically and legally responsible manner that is inclusive of the communities they are seeking to serve. Of UNICEF’s nine Core Humanitarian Standards (depicted here to the right), three specifically refer to mechanisms of accountability towards affected peoples: response is based on communication, participation and feedback; complaints are welcome and addressed; actors continuously learn and improve. In practice this could include centralizing the voices of affected peoples by engaging communities in needs and performance assessments and decision-making. Achieving this is often hindered by the constraints inherent to conflict settings such as lack of localization of assistance, communication between actors, and exploration of needs.
CARE’s Community Score Card
Seeking to actualize these principles of community participation and accountability into our programming, CARE developed the Community Score Card as part of a project aimed at developing innovative and sustainable models to improve health services. Working in crisis settings requires an understanding of the lived experiences of people, the power dynamics, and micro-politics that inform humanitarian response approaches. It also requires bridging the gap between civil society organizations, local and national governments, international non-governmental organizations, and impacted communities. Social accountability approaches do this by connecting citizens with those responsible for providing services. The Community Score Card (CSC) is a participatory social accountability mechanism for assessment, planning, monitoring and evaluation of services. Designed for ease of use and adaptation into any sector with a service delivery scenario, the CSC brings together users and providers of a particular service or program to jointly identify service utilization and provision challenges, mutually generate solutions, and work in partnership to implement and track the effectiveness of those solutions in an ongoing process of quality improvement. The CSC has five phases: (I) planning and preparation; (II) conducting the scorecard with the community; (III) conducting the scorecard with service providers; (IV) interface meeting where the all parties present their findings in the presence of duty-bearers and then jointly develop action plans; and (V) monitoring of the action plans and evaluation of overall process. Read More...
Accountability in humanitarian response requires that organizations carry out their efforts in an ethically and legally responsible manner that is inclusive of the communities they are seeking to serve. Of UNICEF’s nine Core Humanitarian Standards (depicted here to the right), three specifically refer to mechanisms of accountability towards affected peoples: response is based on communication, participation and feedback; complaints are welcome and addressed; actors continuously learn and improve. In practice this could include centralizing the voices of affected peoples by engaging communities in needs and performance assessments and decision-making. Achieving this is often hindered by the constraints inherent to conflict settings such as lack of localization of assistance, communication between actors, and exploration of needs.
CARE’s Community Score Card
Seeking to actualize these principles of community participation and accountability into our programming, CARE developed the Community Score Card as part of a project aimed at developing innovative and sustainable models to improve health services. Working in crisis settings requires an understanding of the lived experiences of people, the power dynamics, and micro-politics that inform humanitarian response approaches. It also requires bridging the gap between civil society organizations, local and national governments, international non-governmental organizations, and impacted communities. Social accountability approaches do this by connecting citizens with those responsible for providing services. The Community Score Card (CSC) is a participatory social accountability mechanism for assessment, planning, monitoring and evaluation of services. Designed for ease of use and adaptation into any sector with a service delivery scenario, the CSC brings together users and providers of a particular service or program to jointly identify service utilization and provision challenges, mutually generate solutions, and work in partnership to implement and track the effectiveness of those solutions in an ongoing process of quality improvement. The CSC has five phases: (I) planning and preparation; (II) conducting the scorecard with the community; (III) conducting the scorecard with service providers; (IV) interface meeting where the all parties present their findings in the presence of duty-bearers and then jointly develop action plans; and (V) monitoring of the action plans and evaluation of overall process. Read More...
Youth Leadership Development (YLD) Ayutthaya (Central) & Rayong (East) of Thailand
NISSAN MOTORCO., LTD. through CARE International Japan (CIJ), supports the project entitled Youth Leadership Development (YLD). The overall goal of the YLD project is to build a better society through successful people with social consciousness, good livelihoods and social skills. As such, the YLD program contributes toward developing children/youth, particularly girls, with the following qualities:
1) Understanding the big picture of sustainable development and good citizenship;
2) Acquiring attitudes and actions of helping others, protecting the environment and working as teams;
3) Acquiring leadership qualities of team building, self-esteem, confidence, analytical and decision-making skills, and management for action;
4) Acquiring occupational skills and experience in initiating and/or engaging in a micro-business activity including technical fields (Science, Technology, Engineering and Mathematics – STEM). Read More...
1) Understanding the big picture of sustainable development and good citizenship;
2) Acquiring attitudes and actions of helping others, protecting the environment and working as teams;
3) Acquiring leadership qualities of team building, self-esteem, confidence, analytical and decision-making skills, and management for action;
4) Acquiring occupational skills and experience in initiating and/or engaging in a micro-business activity including technical fields (Science, Technology, Engineering and Mathematics – STEM). Read More...
Haiti COVID-19 Rapid Gender Analysis
Suite à la propagation de la pandémie de la COVID-19 en Haïti qui a fait, jusqu’au 11 juillet 2020, 6727 cas de contamination et 139 morts, la population haïtienne, comme cela se passe au niveau mondial, est en train de subir les diverses conséquences de cette crise.
Certainement, celles-ci ne sont pas les mêmes partout dans le monde.
Elles changent avec la réalité socioéconomique des pays. Les retombées de cette crise sont de nature sanitaire, économique, psychologique et sociale. Cependant, les hommes et les femmes et les différentes catégories sociales ne sont pas affectés au même degré, selon leur niveau de vie, leur habilité (physique et mentale), leur orientation sexuelle et probablement d’autres facteurs qui ne sont pas pris en compte dans le cadre de l’enquête. L’Analyse Rapide Genre (ARG) vise à fournir des données et preuves sur les besoins
différenciés des femmes et des hommes par rapport à l'impact de la COVID-19 sur la vie des deux sexes en Haïti, en particulier les femmes qui représentent un groupe vulnérable et font face à de multiples discriminations. Cette démarche permettra de développer advantage des efforts sensibles au genre visant la prévention de la propagation de la COVID-19 par toutes les parties prenantes au niveau national, régional et local. En ce sens, l’ARG prend fondamentalement en compte les inégalités entre les sexes, les inégalités socioéconomiques, et tout ce qui peut engendrer des différences dans la manière dont les groupes sociaux sont affectés par la crise de la COVID-19. L’enquête qui conduit à cette analyse a été réalisée sur les dix départements géographiques du pays. Read More...
Certainement, celles-ci ne sont pas les mêmes partout dans le monde.
Elles changent avec la réalité socioéconomique des pays. Les retombées de cette crise sont de nature sanitaire, économique, psychologique et sociale. Cependant, les hommes et les femmes et les différentes catégories sociales ne sont pas affectés au même degré, selon leur niveau de vie, leur habilité (physique et mentale), leur orientation sexuelle et probablement d’autres facteurs qui ne sont pas pris en compte dans le cadre de l’enquête. L’Analyse Rapide Genre (ARG) vise à fournir des données et preuves sur les besoins
différenciés des femmes et des hommes par rapport à l'impact de la COVID-19 sur la vie des deux sexes en Haïti, en particulier les femmes qui représentent un groupe vulnérable et font face à de multiples discriminations. Cette démarche permettra de développer advantage des efforts sensibles au genre visant la prévention de la propagation de la COVID-19 par toutes les parties prenantes au niveau national, régional et local. En ce sens, l’ARG prend fondamentalement en compte les inégalités entre les sexes, les inégalités socioéconomiques, et tout ce qui peut engendrer des différences dans la manière dont les groupes sociaux sont affectés par la crise de la COVID-19. L’enquête qui conduit à cette analyse a été réalisée sur les dix départements géographiques du pays. Read More...
Evaluation externe mi-parcours du programme MAnU « Mwanamke, Amani na Usalama »
Le programme MAnU est mis en oeuvre dans un contexte social dominé par l’insécurité dans les nombreux villageset entitésdes territoires de la RDC oùceprogramme est exécuté. Durant la période évaluée du programmeMAnU, les conflits armés sontencore récurrents dans certains villages des territoires de Rutshuru, de Masisi et d’Uvira.
La promotion des droits de la femme fait face à des défis d’ordre culturels dans les communautés locales jusqu’au somment de l’Etat. Par exemple, l’équipe MAnU de Kinshasa, a rapporté le propos négatif d’un ministrepar rapport à la vulgarisation du code de la famille et la resolution 1325.1Au niveau local, certains gardiens de coutume résistent aux changements de certaines normes sociales qu’ils considèrent comme une valeur coutumière. (102 pages) Read More...
La promotion des droits de la femme fait face à des défis d’ordre culturels dans les communautés locales jusqu’au somment de l’Etat. Par exemple, l’équipe MAnU de Kinshasa, a rapporté le propos négatif d’un ministrepar rapport à la vulgarisation du code de la famille et la resolution 1325.1Au niveau local, certains gardiens de coutume résistent aux changements de certaines normes sociales qu’ils considèrent comme une valeur coutumière. (102 pages) Read More...
Evaluation of Circuit Rider System Established in Assalaya and Bahar EL Arab Localities- East Darfur State
In the quest to address sustainability challenges in OM&M of water yards in Assalaya and Bahar EL Arab localities in East Darfur (ED), CARE supported a Circuit –Rider (CR) approach as post construction support. This study was done to evaluate the progress that has been made so far regarding the improvement in the OM&M and sustainability of
the water yards. The specific objective was to measure improvements in term of water yard break downs and the time taken to repair, community empowerment to effectively manage and operate the facility, assess the supply chain, water tariff collection and adequacy to cover O&M cost and the technology appropriateness. The study also sought
to assess the CR and WUC performance and type of training they received. Data was collected using questionnaire survey, interviews, focus group discussions and field observations and the obtained data analyzed using (IBM SPSS V.254).
The evaluation results show that the project is very relevant to the village needs and State priority and has address one of the WASH sector strategic area. The most powerful success factor of the project was its ground-breaking approach to OM&M of the water facilities through introduction of the CR approach. The approach, based on the evaluation results, proved to be very effective and efficient. Despite the gap in the training of the WUC and limited services being provided by the CRs, the project has made appropriate choice by shifting from the conventional approaches to maintenance that largely been based on community alone taking on the burden of sustaining OM&M to a system that community and SWC share the roles and responsibilities. The evaluation findings also indicate that as a result of the approach, there is highly willingness to pay for further improvement, community trust on SWC has increased and social cohesion is well evidenced from sharing the water facilities by different community groups and segment. However, social mobilization and advocacy are essential components to better organize the communities, raise their awareness and sensitize decision makers, and they have not given the required attention. Read More...
the water yards. The specific objective was to measure improvements in term of water yard break downs and the time taken to repair, community empowerment to effectively manage and operate the facility, assess the supply chain, water tariff collection and adequacy to cover O&M cost and the technology appropriateness. The study also sought
to assess the CR and WUC performance and type of training they received. Data was collected using questionnaire survey, interviews, focus group discussions and field observations and the obtained data analyzed using (IBM SPSS V.254).
The evaluation results show that the project is very relevant to the village needs and State priority and has address one of the WASH sector strategic area. The most powerful success factor of the project was its ground-breaking approach to OM&M of the water facilities through introduction of the CR approach. The approach, based on the evaluation results, proved to be very effective and efficient. Despite the gap in the training of the WUC and limited services being provided by the CRs, the project has made appropriate choice by shifting from the conventional approaches to maintenance that largely been based on community alone taking on the burden of sustaining OM&M to a system that community and SWC share the roles and responsibilities. The evaluation findings also indicate that as a result of the approach, there is highly willingness to pay for further improvement, community trust on SWC has increased and social cohesion is well evidenced from sharing the water facilities by different community groups and segment. However, social mobilization and advocacy are essential components to better organize the communities, raise their awareness and sensitize decision makers, and they have not given the required attention. Read More...
Impact Evaluation of the G-SAM Project in Ghana: Midline Report
USAID/Ghana’s Strengthening Accountability Mechanisms program (G-SAM) focuses on the district level of governance in Ghana, the Metropolitan, Municipal, or District Assemblies (MMDAs) democratically elected by residents. The following two activities are currently ongoing:
• Performance audits: The central government collects revenue and shares it with MMDA governments based on a revenue sharing formula. Prior to G-SAM, the Ghana Audit Service (GAS) conducted only a financial audit to ensure that this money was properly spent. Over the course of 2015 and with G-SAM funding, the GAS engaged in performance audits of 50 districts. In these audits the auditors went well beyond checking for receipts for purchases to assess the nature of project planning and contracting, the quality of service delivery outcomes and development
project outputs. This information has been used to develop citizen scorecards that were presented at district assemblies in April and May 2016; the scorecards are now being presented and discussed in public forums across the 50 districts.
• Civil society-led information campaign: Citizens struggle to hold their MMDA officials accountable, partially because they have very limited information about MMDA-level government budgets and activities. As such, a civil society-led effort under contract to CARE International and a coalition of Ghanaian CSOs has been conducting social audits on district capital projects and education and health service quality. This information will be used to develop citizen scorecards that will be presented and discussed in public forums over the course of the summer of 2016.
THE MIDLINE RESEARCH DESIGN
The G-SAM research design involves random assignment of 150 districts into one of three groups: a treatment group that has now received central government performance audits; a second treatment group that is now receiving civil-society led social audit; or a control group that will not receive either intervention. Given delays in the civil society organization (CSO)-led programming, this midline report only covers the 50 GAS performance audit districts and the 50 control districts. Moreover, while the baseline report provided data on citizen attitudes toward district governance and capital projects, the midline was carried out before any of the major citizen outreach efforts that will occur in both treatment arms in Summer 2016. The data collection only occurred among district administrators and politicians with the goal of determining if the GAS audits unto themselves, and without any significant citizen outreach, have had any effect on the planning, contracting and implementation of district capital projects.
Read More...
• Performance audits: The central government collects revenue and shares it with MMDA governments based on a revenue sharing formula. Prior to G-SAM, the Ghana Audit Service (GAS) conducted only a financial audit to ensure that this money was properly spent. Over the course of 2015 and with G-SAM funding, the GAS engaged in performance audits of 50 districts. In these audits the auditors went well beyond checking for receipts for purchases to assess the nature of project planning and contracting, the quality of service delivery outcomes and development
project outputs. This information has been used to develop citizen scorecards that were presented at district assemblies in April and May 2016; the scorecards are now being presented and discussed in public forums across the 50 districts.
• Civil society-led information campaign: Citizens struggle to hold their MMDA officials accountable, partially because they have very limited information about MMDA-level government budgets and activities. As such, a civil society-led effort under contract to CARE International and a coalition of Ghanaian CSOs has been conducting social audits on district capital projects and education and health service quality. This information will be used to develop citizen scorecards that will be presented and discussed in public forums over the course of the summer of 2016.
THE MIDLINE RESEARCH DESIGN
The G-SAM research design involves random assignment of 150 districts into one of three groups: a treatment group that has now received central government performance audits; a second treatment group that is now receiving civil-society led social audit; or a control group that will not receive either intervention. Given delays in the civil society organization (CSO)-led programming, this midline report only covers the 50 GAS performance audit districts and the 50 control districts. Moreover, while the baseline report provided data on citizen attitudes toward district governance and capital projects, the midline was carried out before any of the major citizen outreach efforts that will occur in both treatment arms in Summer 2016. The data collection only occurred among district administrators and politicians with the goal of determining if the GAS audits unto themselves, and without any significant citizen outreach, have had any effect on the planning, contracting and implementation of district capital projects.
Read More...
Rapid Gender Analysis TO SUPPORT THE GOVERNMENT OF SIERRA LEONE TO STRENGTHEN ITS HEALTH SYSTEM
This Rapid Gender Analysis (RGA) report presents findings from the gender and power analysis carried out in November and December 2023 in Falaba, Kambia, Bonthe, Tonkolili, Kenema, Karene, Kailahun, and Pujehun districts of Sierra Leone. The purpose of the RGA is to understand how gender and social norms, roles, relationships, and dynamics influence health outcomes and health-seeking behavior in Sierra Leone, especially for vulnerable populations. The report will inform the development of CARE’s future health programming and proposed interventions for health funding opportunities.
The document is structured into four primary chapters – Background, Methodology, Findings: Results and Analysis, and Recommendations—each containing sub-chapters. The background section outlines the study’s purpose, objectives, and underlying rationale. The methodology section describes the research design, applied approaches, data collection methods and participant information. The study’s key findings are categorized into distinct thematic areas aligned with CARE's Good Practices Framework for Gender Analysis and includes the following Core Areas of Inquiry:
• Household decision-making, division of labor and control of productive assets
• Control over one’s body
• Access to public spaces and services
• Claiming rights and meaningful participation in public decision-making
The RGA also applies the above domains related to health outcomes, behaviors, and health-seeking behavior, including gender dynamics within the Sierra Leone health system with recognition that unequal gender dynamics gaps impact health care providers and their ability to deliver quality services. Finally, the recommendations section outlines actions or interventions CARE should consider in future programming.
Key Findings:
* Men have more influence over decisions for the household than women—including the seeking of healthcare—and women lack control over key decisions related to sex, marriage, and children, including if and when to use contraception. Women’s mobility is limited by social norms which require male permission for movement.
• Contraceptive use is low. Despite around 70% of people knowing about contraceptives and where to get them, only 50% are currently using them. Many community members believe modern forms of family planning are haram or unhealthy, with anecdotal evidence suggesting there is perception that it promotes extramarital affairs.
• Front Line Health Workers (FLHW) face major barriers to effective service delivery: almost half of FLHWs interviewed are unpaid, effectively operating as volunteers, struggle with difficult living conditions and lack of supplies, and report inequitable treatment between male and female workers.
• There is a lack of evidence-based health information for pregnant women: only 27% of pregnant women in the study reported having received any information related to sexual and reproductive health or associated risks.
• Despite generally positive health-seeking behavior, both women and men are concerned by lack of availability of medicine. Read More...
The document is structured into four primary chapters – Background, Methodology, Findings: Results and Analysis, and Recommendations—each containing sub-chapters. The background section outlines the study’s purpose, objectives, and underlying rationale. The methodology section describes the research design, applied approaches, data collection methods and participant information. The study’s key findings are categorized into distinct thematic areas aligned with CARE's Good Practices Framework for Gender Analysis and includes the following Core Areas of Inquiry:
• Household decision-making, division of labor and control of productive assets
• Control over one’s body
• Access to public spaces and services
• Claiming rights and meaningful participation in public decision-making
The RGA also applies the above domains related to health outcomes, behaviors, and health-seeking behavior, including gender dynamics within the Sierra Leone health system with recognition that unequal gender dynamics gaps impact health care providers and their ability to deliver quality services. Finally, the recommendations section outlines actions or interventions CARE should consider in future programming.
Key Findings:
* Men have more influence over decisions for the household than women—including the seeking of healthcare—and women lack control over key decisions related to sex, marriage, and children, including if and when to use contraception. Women’s mobility is limited by social norms which require male permission for movement.
• Contraceptive use is low. Despite around 70% of people knowing about contraceptives and where to get them, only 50% are currently using them. Many community members believe modern forms of family planning are haram or unhealthy, with anecdotal evidence suggesting there is perception that it promotes extramarital affairs.
• Front Line Health Workers (FLHW) face major barriers to effective service delivery: almost half of FLHWs interviewed are unpaid, effectively operating as volunteers, struggle with difficult living conditions and lack of supplies, and report inequitable treatment between male and female workers.
• There is a lack of evidence-based health information for pregnant women: only 27% of pregnant women in the study reported having received any information related to sexual and reproductive health or associated risks.
• Despite generally positive health-seeking behavior, both women and men are concerned by lack of availability of medicine. Read More...