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SANI (Southern Africa Nutrition Initiative)

The Southern Africa Nutrition Initiative (SANI) is a $29,487,135 CAD project to address undernutrition in women of reproductive age (15-49) and children under 5 years in Malawi, Mozambique and Zambia. A partnership between CARE, Cuso International, Interagency Coalition on AIDS and Development (ICAD) and McGill University and the Governments and communities of implementing countries, SANI aimed to improve the nutritional status of women of reproductive age (15-49 years) and children under-5 years old. SANI was designed to align with national health and nutrition strategic priorities of Malawi, Mozambique and Zambia, and has been implemented in close collaboration with the Ministries responsible for Health, Agriculture, and Gender in each country, as well as national and district-level nutrition coordination committees (NCC and DNCC). Between June 2016 and March 2021, SANI contributed directly to the improved health of 234,000 women, children and men directly and over 498,000 individuals indirectly.
This final report covers the implementation period of the original SANI contribution agreement and project implementation plan finalized in February 2017.
Key project achievements:
Outcome 1100 aimed to improve nutrition practices and services for women of reproductive age, boys, and girls under 5 by strengthening the delivery of community-based nutrition services at the intersection between community health and the health system. Growth Monitoring and Promotion (GMP) and Community Management of Acute Malnutrition (CMAM) programs built this link, working on the continuum of prevention of malnutrition and early detection and treatment of moderate and severe acute malnutrition. Training and support on Maternal, Infant, and Young Child Nutrition (MIYCN), CMAM, and GMP was provided to health service workers and community health workers, and Care groups were established to support families to learn about and apply gender-sensitive MIYCN practices. Interactive teaching was also done at scale through participatory education theatre and cooking demonstrations using local nutritious foods. Social Analysis and Action (SAA) dialogues encouraged families involved in the program to identify, discuss, and challenge traditional social norms and practices that affect women’s health, nutrition, and empowerment.
Endline data revealed the following increases in nutrition-specific indicators from baseline:
- All three countries had considerable increases in rates of exclusive breastfeeding of children up to 5 months, increasing by 15-percentage points in Zambia (from 70% to 85%), 25- percentage points in Malawi (from 61% to 86%) and 17-percentage points in Mozambique (from 65% to 82%)
- Minimum Acceptable Diet (MAD) for children 6 to 23 months increased by 24-percentage points for boys and girls in Malawi (from 7% to 31%) and in Zambia by 7-percentage points for boys (from 24% to 31%) and by 13-percentage points for girls (from 17% to 30%)
- Knowledge of men and women on MIYCN practices improved by 6-percentage points for men (from 79% to 85%) and 4 percentage points for women in Malawi (from 90% to 94%), by 12- percentage points among women (from 59% to 71%) in Mozambique, and by 11-percentage points for women (from 81% to 92%) and 14-percentage points for men (from 72% to 86%) in Zambia. Read More...

Lesson Learned from the construction of a 1800m3 capacity gabion in Wadi Hassan Valley, Khanfer district, Aden governorate under Food for Assets (FFA) Project

What is the specific situation that the lesson learned relates to?
It is about this asset that serves and protects more than 5,000 acres of agricultural land from drought and adds value in different aspects such as increasing underground water level of Abyan and Aden, as such, leading to diversified livelihood options e.g. livestock rearing and bee farming.

How is this impacted by the local context/environment/culture?
The agricultural sector is one of the most important economic sectors in Abyan governorate, and the main source of income for most of the people, as many of them are engaged in agriculture activities. Abyan governorate is famous for its agricultural valleys including Wadi Banna, Wadi Hassan, Wadi Delta Abyan, Delta Ahour.

Because of previous conflicts and wars that occurred in Abyan, the irrigation system was destroyed and was subjected to destruction and neglect. The Abyan Delta agricultural area located in the districts of Zanzibar and Khanfar in Abyan governorate experienced high flow of water from seasonal rainfall, however, the flow of water irrigated a small part of agricultural areas in Khanfar and Zanzibar districts. The bulk of these flood water went into to the sea, as well as causing damages such as eroding farmers' lands, damaging roads, damaging irrigation channels, bridges, and even the destruction of homes that affected some villages and population centres.

After the failure of the dam project in Wadi Hassan in year 1992, many irrigation channels, including Hussein Canal, were deprived of floodwater, which led to the drought of agricultural lands, in the process, depriving more than 2000 families of their main source of income. Hussein Canal covers more than 5000 Hectares of agricultural land that has been deprived for more than ten years of seasonal floods, which is its main source of irrigation by torrents.

In this project, five villages (Al-Dergag, Al-Komblyah, Maykalan, Kadmat Al-Saeed qasem and Obar Otman) that are inter-connected as a sub-district were targeted and benefited from the floodwater that came through the Hussein Canal. Based on the community leaders and irrigation office’s request, a 1800m3 capacity Gabion (360 inter-connected sub-gabions each with size 5m length X 1m depth X 1m breadth) covering a distance of 105 meters was constructed in Wadi Hassan to bring water from the valley to Hussein main channel for irrigation for villager’s lands by floods and torrents water. [5 Pages]
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Host Community Situation Analysis Impact of Rohingya Influx on Host Communities in Ukhia and Teknaf

Bangladesh became host to what is now the biggest refugee camp in the whole world. By November 2017 836,487 FDMN (Forcefully Displaced Myanmar Nationals) fled across the Myanmar-Bangladesh border to settle here mostly in two Upazilas:Ukhia and Teknaf of Cox's Bazar district. By January 2018, it became clear that this would be a prolonged crisis lasting years as the Myanmar government continued dithering about taking them back, and as also the FDMN expressed their unwillingness to go back fearing persecution. As a result of this huge and sudden influx, lives and livelihoods of the host communities have been affected in many ways. Therefore, this Situational Assessment aims to assess both the visible economic and the subtle social impacts of the recent influx on the host communities. Using Oxford’s integration conceptual framework, this assessment has been conducted to chalk out CARE Bangladesh’s future response to the refugee crisis by involving the host communities in the process and addressing their concerns so that the tension between the two communities is defused rather than intensified.
Presence of the refugees has brought about many social and economic changes creating massive pressure on the host communities. Economic activities in the two upazilas have gone through transitions, leading to the emergence of a new market system and reducing employment opportunities for the host communities.
On one hand prices of essentials have shot up almost twice as much, and on the other, due to an unpredictably large number of refugees entering the local labor market wages for day laborers have gone down. Though refugees are living in highly congested camps, they are getting aid materials as well as economic opportunity in the local market. On the contrary, the host communities are finding themselves pitted against the refugees as either their work have been taken away or their earnings significantly reduced. It is true that a few locally influential people owning large tracts of land and businesses are benefitting from the availability of cheap labor, but the poor and the ultra-poor from the host communities are bearing the brunt of these changes. Access to administrative, educational and healthcare needs has diminished. Reduced access and availability of CPR-resultant scarcity of timber, bamboo for shelter, food & cooking fuel created insecurity of accessing resources. Due to security risk of woman and girls mobility has goes down, women income earning opportunity getting reduced; all of this has evidently created tension between the host and the refugee communities and within host community households. If left unaddressed, this tension is likely to rise to the extent of creating potential threats of ethnic conflicts.
In response to these findings of the situational analysis possible types of interventions could be Gender specific livelihoods strengthening initiatives based on diversification of off/on farm activities, Transformative approach to build life free from GBV, Promoting youth leadership and Strengthening service delivery and demand side functions through Inclusive governance.
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