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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...

Schools Promoting Learning Achievement through Sanitation and Hygiene (SPLASH)

SPLASH is a five-year USAID-funded project that is targeting to reach over 240,000 primary school pupils in four districts of Eastern Province, Zambia, (Mambwe, Chipata, Lundazi, and Chadiza). This 5-year project (2011-2015), funded through USAID’s Bureau for Global Health and led by FHI 360 in partnership with CARE and Winrock International, uses at-scale programming approaches to reduce diarrheal diseases and acute respiratory infections, the two top killers of children under age five globally. The project works with the Ministry of Education, Science, Vocational Training, and Early Education (MESVTEE) and other line ministries such as the Ministry of Local Government and Housing (MLGH) and the Ministry of Health (MOH). SPLASH’s overall objective is to sustainably improve access to safe water, adequate sanitation, hygiene information, and health practices to improve learning environments and educational performance in primary schools. You can also find the final technical report: https://www.fhi360.org/sites/default/files/media/documents/resource-splash-endofproject-report-2016.pdf Read More...

Stop TB and AIDS through RTTR (STAR): Program Report

The program goal is to end AIDS in Thailand by 2030 (reducing annual new infections to below 1,000 cases (from the current 8,134 estimated new infections annually)) and to reduce the prevalence of TB from 159 per 100,000 to 120 per 100,000 between 2015 and 2019. From 1 October 2016 to 30 September 2017, the program performed outstandingly over the target in three indicators of MSW, FSW and MW reached with HIV prevention program. The percentage of result over target reported at 115.58%, 120.40%, and 119.83% consecutively. Overachieving results of these indicators described as following:

i) For MSW, the program could exceed the reach target because SRs conducting BCC workshop in
bar. At the workshop, SR introduced knowledge and information of HIV prevention including HIV,
VCCT, STIs, TB, PrEP, and PEP. Condom and lubricant were made available for MSWs. SR MPLUS
targeted non-venue based MSW who work around the public park in Chiang Mai. The online
application was also used as a channel to reach non venue-based MSWs. The SRs conducted
face-to-face individual talk for the online-reached MSWs. HIV Testing Center (HTC) operated by
SRs could offer additional service of syphilis testing to MSWs.

ii) For FSW, the outstanding performance of resulting from the high season for tourism in Thailand.
SR SWING engaged with employers and organized outreach session in bar before FSWs started
working. The SR reached out to new FSW area in Surawong.

iii) For MW, SRs reached performance were access the target resulting from combination HIV-TB
service provided to migrants in community and at workplace. SR STM started engaging
employers of FSWs at the border of Songkhla. [20 pages] Read More...

Combining GBV and Reproductive Health Services in Cox’s Bazar

Since 2018, CARE has implemented static health services at four health posts in CxB, GBV case management at 12 women and girls’ safe spaces, household and sub-block level sensitization for awareness on service availability through 14 outreach teams, and provision of basic health services at mobile outreach spots at the sub-block level. These comprehensive service and demand-side components addressing individual, household, and community barriers to accessing services have enabled a gender-responsive, integrated approach to reach women and girls. See the learning brief here: https://www.care.org/sites/default/files/cxb_srh_gbv_integration_learning_brief_final.pdf Read More...

Executive summary Palestine West Bank/Gaza Rapid Gender Assessment Early Gender Impacts of the COVID-19 Pandemic

This is the executive summary. For the full report, check here: http://www.careevaluations.org/evaluation/palestine-west-bank-gaza-rapid-gender-assessment-early-gender-impacts-of-the-covid-19-pandemic-full-report/

Among those most impacted by COVID-19 are women and girls. Across every sphere, from health to the economy, security to social protection, the impacts of COVID-19 are exacerbated for women and girls simply by virtue of their sex. All of these impacts are further amplified in contexts of fragility, conflict, refuge, displacement and emergencies where social cohesion is already undermined and institutional capacity and services are limited.

CARE Palestine West Bank/Gaza has carried out a Rapid Gender Assessment in order to highlight for policymakers the importance of addressing the gender impacts of this pandemic and social prejudices and gender norms that discriminate against women in the public and private spheres.

This report is intended for policymakers, the Palestinian Authority, civil society organizations—local and international—community members, donors, and the international community at large. It is organized around broad themes and areas of focus of particular importance to those whose programming advances gender equality and reduces gender inequalities. It seeks to deepen the current gender analysis available by encompassing learning from global gender data available for the COVID-19 public health emergency. Among those most impacted by COVID-19 are women and girls. Across every sphere, from health to the economy, security to social protection, the impacts of COVID-19 are exacerbated for women and girls simply by virtue of their sex. All of these impacts are further amplified in contexts of fragility, conflict, refuge, displacement and emergencies where social cohesion is already undermined and institutional capacity and services are limited.

CARE Palestine West Bank/Gaza has carried out a Rapid Gender Assessment in order to highlight for policymakers the importance of addressing the gender impacts of this pandemic and social prejudices and gender norms that discriminate against women in the public and private spheres.

This report is intended for policymakers, the Palestinian Authority, civil society organizations—local and international—community members, donors, and the international community at large. It is organized around broad themes and areas of focus of particular importance to those whose programming advances gender equality and reduces gender inequalities. It seeks to deepen the current gender analysis available by encompassing learning from global gender data available for the COVID-19 public health emergency. Read More...

Umeed-e-Nau Project Health and WASH Support project for drought affect people of Umerkot, Sindh

This report present the external evaluation of Umeed-e-Nau project - Health and WASH Support project for drought affect people of Umerkot, Sindh. The project was implemented by CARE International in Pakistan (CIP) through its partner CWSA under UNOCHA’s PHPF-III from February – December 2019.

The evaluation of the CIP’s Umeed-e-Nau project has been carried out as per the DAC criteria such as Relevance/appropriateness, Effectiveness, Efficiency, Impact and Sustainability. However, CIP has included an additional criteria i.e. Project Management.

Findings of the final evaluation indicate that CIP rightly identified the needs in holistic manner, as the people in the target area were struggling for water and vulnerable to different health related hazards. The community appreciated all the project activities particularly the MMCs due to quality services, equipment and medicines. Innovations introduced by CIP and donor’s flexibility to understand and approve required changes was also an important factor for paving a smooth path towards achieving successful results of the project. The capacity building and awareness raising activities like health & hygiene training, nutrition awareness has inbuilt sustainability. In both WASH and Health interventions, the impact on behaviors and practice can be observed with passage of time. The trend of use of latrines, water filtrations, consultation with qualified health practitioners, realization of importance of health care especially maternal health and last but not the least hygiene awareness are likely to impact positively on beneficiaries’ individual and communal lives for many years.

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PROGRAMME QUINQUINAL MWANAMKE AMANI NA USALAMA (MAnU 2.0) RAPPORT D’EVALUATION MI-PARCOURS DU PROGRAMME EN RDC ET AU BURUNDI

Cette étude évalue le programme MAnU 2.0, contraction de Mwanamke, Amani na Usalama 2.0 (traduction de Femmes, Paix et Sécurité). Il s’agit d’un programme mis en oeuvre au Burundi et en République Démocratique du Congo, par un Consortium composé de deux organisations néerlandaises dont Mensen met een Missie (MM) (organisation lead) et CARE Nederland et d’une organisation régionale SPR (Synergie des Femmes pour la Paix et la Réconciliation des Peuples des Grands Lac), en partenariat avec des organisations nationales dans les deux pays d’intervention du programme. Il s’agit d’une évaluation à mi-parcours, puisque le programme couvre la période 2021-2025.
L’objectif global du programme est le suivant : « Les femmes et les filles en RDC et au Burundi participent de manière significative à la prévention, à la résolution, à la médiation des conflits, à la protection et à la consolidation de la paix ». Afin d’atteindre cet objectif, le programme met en oeuvre une stratégie axée sur des activités de sensibilisation et de réflexion, le renforcement des capacités des organisations de la société civile, des leaders communautaires, autorités locales et des réseaux de base ainsi que le lobbying et le plaidoyer aux niveaux local, provincial, national et régional pour accroître la participation des femmes dans les instances de prise de décisions.
Pour vérifier l’atteinte de cet objectif, IRSAC a mis en oeuvre une méthodologie mixte, combinant méthodes quantitatives (réalisées au moyen d’un questionnaire) et méthodes qualitatives (à travers l’organisation de Focus Groupes et d’entretiens semi-structurés), complétés par la recherche documentaire.
La présente évaluation s’est concentrée sur la pertinence, la cohérence et l’efficacité aussi bien du programme lui-même (la gouvernance du programme, le partenariat et le niveau d’atteinte des résultats) que de la stratégie mise en oeuvre.
L’étude a évalué l’efficacité de la structure de gouvernance de MAnU 2.0 et le partenariat au sein de MAnU 2.0 et vérifié la mesure dans laquelle cette structure a contribué à l’atteinte des objectifs du consortium en matière de participation effective des organisations partenaires et groupes cibles dans la prise de décisions. Quant au partenariat au sein et en dehors de MAnU 2.0, l’évaluation a analysé son caractère équitable et sa valeur ajoutée en matière de promotion de la Résolution 1325 du Conseil de sécurité des Nations Unies. Ce faisant, l’étude conclut que la structure de gouvernance MAnU.2.0, composée de différentes entités couvrant le niveau local jusqu’au niveau régional (cf. infra), offre aux groupes cibles la possibilité de participer et d’influencer la prise des décisions au niveau local jusqu’au niveau régional, à travers en particulier, leur participation dans les réunions des Equipes de Coordination Locale aux niveaux des axes ( Nord Kivu, Sud Kivu et Burundi) et que leurs points de vue peuvent être ramenés au niveau du CRG à travers les points focaux des axes qui participent aux assises du CRG. Read More...

BASELINE SURVEY REPORT FOR ACCESS PROTECTION EMPOWERMENT ACCOUNTABILITY AND LEADERSHIP (APEAL) PROJECT

APEAL Project Overview: APEAL project was designed to deliver a comprehensive, evidence-based and people-centred Protection & Gender-Based Violence (GBV) sector response for recent and newly-arrived refugees from DRC settling in Western Uganda. The one year project is implementing a harmonized intervention package of targeted protection and GBV life-saving assistance with a particular focus on extremely vulnerable individuals.

APEAL Project Baseline Survey: The APEAL project baseline survey was commissioned with the overall objective of collecting values against all outcome level indicators as per the approved project Log Frame. This baseline survey report was compiled based on a cross-sectional survey of individual new DRC arriving refugees and host community members in the project area. 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...

Final Evaluation: MACP Project – Disaster Ready Communities in Vulnerable Rural Areas of Guatemala

CARE Guatemala implemented during 2020 to 2023 the “Disaster Ready Communities in vulnerable rural areas of Guatemala MACP” project financed by the Margaret A. Cargill Philanthropies Foundation, donating US$2,300,000.00 (Two million three hundred thousand dollars) for its execution. The initiative was executed in municipalities of Joyabaj, San Bartolomé Jocotenango and Sacapulas in the Department of Quiché; Aguacatán and Chiantla in the Department of Huehuetenango and Salamá, in the Department of Baja Verapaz.

Its general objective was increased empowerment and leadership of vulnerable communities, to provide an efficient, gender-sensitive emergency response, in a context of natural disasters and health crises at the end of the project.

Specific objectives were:

a) Communities after the first year of the project implement social measures to reduce vulnerability and risks. b) Communities execute social actions together with municipal governments to address the COVID-19 pandemic.

Additionally, the project defined five results:

1. During the first year of the project, communities have a well-informed and adequately trained, inclusive, and self-organized group responsible of leading disaster preparedness. 2. Communities have greater capacities for disaster response with the respective plans and inclusive systems implemented and updated, incorporating what they learned at the end of the project. 3. Communities are connected, for a second year, with the project, to municipal governments and have access to technical and financial assistance. 4. The project contributes to increase the capacity of nearby communities and local government units in disaster preparedness. 5. Communities respond efficiently to health crises and coordinate with health services for appropriate use of the respective protocols.

The team hired for this purpose carried out a series of capacity-building activities, investment in infrastructure, providing support and technical training to leaders. The project was executed by a multidisciplinary staff and some activities were implemented by hiring temporary, external consultants with expertise on related topics.

Upon completion, CARE Guatemala requested a final evaluation. This process has allowed us to identify a series of important findings related to the project cycle. Among them, a design and execution with a high level of pertinence, coherence, relevance, efficiency/effectiveness, impact and sustainability. A process to strengthen the capabilities of the Local Coordinators for Disaster Reduction COLRED was successfully carried out in 60 communities from 6 municipalities benefited.

As an immediate result of the strengthening process, 60 COLRED have the capabilities to identify, monitor and act during emergencies caused by disasters and have higher levels of cohesion compared to the beginning of the project. They have also complied with all the steps to obtain CONRED accreditation and have prepared and received approval of its Local Response Plans. They are articulated to community and municipal processes through the Municipal Instances of

Comprehensive Disaster Risk Management IMGIRD, spaces that have different levels of development based on their management and formalization, starting as units to Municipal Directorates. This municipal space was strengthened by COMRED whose members were trained and strengthened. Participating communities received support to renovate facilities that could potentially become shelters, School Committees were trained and organizational support that will allow them to adequately manage disaster risks in the context of their educational process.

Since its formulation, the project had a solid approach and was committed to promoting equity in participation processes including women and men. However, disaggregated analysis tools and specific gender action plans were prepared after the project had begun. This caused, in part, that gender implementation suffered some limitations during activities. However, it has been satisfying to note that, despite these limitations, the women involved in the process are empowered, have an understanding, defend the importance of their participation and identify the basic actions related to community management and mobilization for disaster reduction and emergency action.

The findings documented in this report were verified by implementing a comprehensive work methodology that reviewed documents produced by the project, analyzed the activity cycle, reviewed the financial and administrative aspects of the project, as well as documents and systematizations prepared, carried out interviews with three levels of execution involved in the project (senior management, middle management and operational team), with focus group, and made field visits to execute direct observation and interviews with participants. At the end of the document, there are pertinent conclusions and recommendations. Read More...

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