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Manual for Male Involvement in Maternal and Infant Nutrition

Men’s involvement in the health of women and children is considered an important avenue for addressing gender influences on maternal and newborn health. Over the past 20 years infant and under-five mortality rates have been on the rise in Kenya, with current poor infant feeding practices contributing to more than 10,000 deaths each year.

In order to improve these practices, it is essential that mothers, caregivers, and family members have accurate information, as well as support to overcome barriers. For instance, engaging male partners in breastfeeding promotion and education, as well as providing fathers with knowledge and skills for optimal nutrition practices, including breastfeeding, has been shown to positively impact exclusive breastfeeding rates.

This training manual is highly participatory and relies on modelling activities, integration of critical assessment of activities throughout the training, called “Stepping Out,” and ultimately application and practice (Teach Backs). Read More...

N utrition Knowledge Attitude and Practice (KAP) Survey for DINU Program in North and North-Eastern Uganda

Background: The Development Initiative for Northern Uganda (DINU) is a Government of Uganda integrated programme. It is implemented in districts that include the 11 of Kitgum (Acholi), Nakapiripirit, Amudat, Nabilatuk, Napak, Moroto, Kotido, Kaabong, Karenga and Abim (Karamoja), and Katakwi (Teso) sub-regions for three years from 2020 – 2022. The overall supervision is with the Office of the Prime Minister through local governments in partnership with a wide range of stakeholders. DINU supports interventions in three specific interlinked programs: (1) Food Security, Nutrition and Livelihoods (2) Transport Infrastructures and (3) Good Governance. The CARE consortium focusses on the sector of food security, nutrition and livelihoods with specific emphasis on community-based interventions. A survey was launched by the CARE Consortium partners with the overall objective of generating comprehensive gender sensitive Nutrition Knowledge, Attitude and Practices (KAP) information in the targeted 11 CARE consortium districts. It is intended to help inform the implementation of the nutrition component of the DINU project.
Methodology: The KAP survey was conducted from 17th November to 8th December 2020 in the 11 districts. The study populations were mothers and/or caregivers in household with children aged 0-23 months, adolescent girls aged 10 to 19 years with or without children 0-23months. Key district, subcounty and community leaders who played crucial role in programming for MIYCAN related interventions were reached. A cross-sectional survey utilising both quantitative and qualitative data collection methods was used. Sample size estimation was based on WHO Vaccination Coverage Cluster Survey guidance, July 2015. Household questionnaire comprising of 5 modules was adapted from the FAO manual for assessing nutrition related KAP. Semi-structured interview guides were used to facilitate the Key Informants Interviews and Focus Group Discussions. Quantitative data collection was done using mobile phones through Computer Assisted Personal Interviewing (CAPI) working on the Open Data Kit (ODK) platform and hosted on the ONA platform. Quantitative Data analysis was done using SPSS 26. Qualitative data analysis was done based on the interpretative approach that involved eliciting meanings from the collected information. A total of 164 clusters were reached, 1,139 households, 1,158 children aged 0 to 23months, 1,112 women and 452 adolescents from all the 11 districts. Meanwhile, 22 FGDs and 44 key informant interviews were conducted. Read More...

CARE Rapid Gender Analysis Latin America & the Caribbean – Ciudad Juárez, Mexico

Asylum seekers and migrants traveling through Central America and Mexico to the U.S. border face a range of risks, but women, girls, and other vulnerable groups—such as members of the LGBTQIA community—are confronted with additional threats to their health, safety, and well-being in their countries of origin, countries of transit, and in the U.S. As a result, asylum seekers and migrants who arrive at the U.S.–Mexico border often carry a heavy burden of trauma from experiences with violence. The lack of a system to appropriately support people on the move deepens pre-existing inequalities and exposes already vulnerable groups to additional, unnecessary, risks.
The U.S. Government’s Migrant Protection Protocols (MPP), also known as the “Remain in Mexico” policy, returns asylum seekers and migrants from U.S. custody to Mexican territory, compelling them to face months of risk and uncertainty as they wait to complete their asylum processes. The asylum process itself is challenging and unclear, liable to change without warning, and largely opaque to affected populations. The asylum seekers and migrants waiting in Mexico’s Ciudad Juárez city, along the Mexico–U.S. border, face ever-present threats of extortion, gender-based violence (GBV), and kidnappings, which compound their trauma and restrict their freedom of movement and access to critical resources and services. Trauma and fear were the norm of the population that CARE surveyed, not the
exception.
The female asylum-seekers and migrants in Ciudad Juárez that CARE spoke with reported feeling profoundly vulnerable and isolated. They consistently relayed a lack of trust in authorities and an increasing level of anti-migrant sentiment in the city. The lack of either confidential GBV screenings or formal complaint mechanisms left survivors with almost no one to turn to for support and services. Asylum seeking and migrant women, girls, and LGBTQIA individuals who feared for their safety reported remaining inside shelters as much as possible, leaving only when absolutely necessary. In Ciudad Juárez, some asylum seekers and migrants have found refuge in overwhelmed and
underfunded informal shelters. These shelters are largely run by local faith-based organizations, and could meet only a fraction of the need. Despite these efforts, the humanitarian response to the migration crisis is characterized by a haphazard and uncoordinated approach that is devoid of reference to the humanitarian standards that would be the norm in other emergencies. The shelters did not have appropriate intake procedures, such as vulnerability screenings. Few had sufficient water and sanitation facilities for the number of residents, and many shelters housed residents together in common spaces regardless of age or gender, amplifying the risk of harm to vulnerable persons. Asylum seekers and migrants in the shelters frequently lacked information about available health and legal services. Read More...

Developing Local Extension Capacity (DLEC) Project

The Developing Local Extension Capacity (DLEC) project’s planned engagement in Malawi leverages CARE’s existing Pathways to Secure Livelihoods Program (Pathways) already operating in the country. Pathways aims to empower poor women smallholder farmers to overcome the gender-based constraints that hinder women’s productive and equitable engagement in agriculture by achieving three inter-related objectives: 1) Increase the productive engagement of 65,000 poor women in sustainable agriculture and contribute to their empowerment; 2) Enhance the scale of high-quality, women-responsive agriculture programming at CARE; and 3) Contribute to the global discourse that surrounds women and agriculture. The cornerstone of Pathways is the Farmer Field and Business School (FFBS) model of integrated extension and advisory services (EAS). Designed as a common program intervention model, the FFBS aims to go beyond demonstrating agricultural practices that can increase yields, to build capacity and essential skills around market engagement, gender equity and empowerment issues, and nutrition practices. The engagement will create and disseminate digital content across these four domains based on existing FFBS modules, and provide evidence for the relative efficacy of two different content platforms, measured by adoption of practices. Read More...

Programme de Renforcement des Capacites D’Action des Femmes (RECAFEM)

The Capacity Building Program for Women's Action (RECAFEM), also known as “Swiss Support for the Empowerment of Women (ASAF)” of the Swiss Cooperation in Benin, started in 2003, aims to support national efforts to reduce gender inequalities at the social, cultural, legal and economic levels. This program, which ended in 2019, has been carried out for 16 years, in 4 successive phases and without interruption. The 4th and final phase, hereinafter referred to as RECAFEM 4, runs from June 1, 2015 to December 31, 2019. This program supported the development of the legislative, regulatory and institutional frameworks of Benin with regard to the promotion of women and gender equality. Apart from the education and health sectors, where the implementation of these national policies and strategies relating to the reduction of discrimination and gender inequalities has led to significant changes and impacts, the acceleration of the implementation is a high necessity in other sectors of socio-economic development. Read More...

Evaluating Systems-level change and impact Findings from the evaluation of the National Policy Regulatory Program Support (NPRPS) program in Uganda

CARE’s ten-year strategy, Vision 2030, seeks to deepen the organizational focus on systems-level change and impact, recognizing that this is essential to expanding CARE’s reach and fulfilling our mission to save lives, defeat poverty and achieve social justice. To support this, CARE launched a systems-level impact initiative to measure the effect of our programs that have influenced or changed systems, and the impact of this systems-change on people’s lives. The initiative also increased capacity across the CARE confederation to design, finance, and implement high-quality systems change programs, and to strengthen the focus on systems-level change within our Country Office organizational frameworks and strategies. Four CARE Country Offices were selected to evaluate a project or program and to synthesize the results for national and global learning. Read More...

Siaya Maternal and Child Nutrition Nawiri Project: Midterm Evaluation

The Siaya Maternal and Child Nutrition Nawiri Project is a 36-months intervention on maternal and child nutrition. The project is executed in partnership between CARE (the coordinator), Family Health Options Kenya (FHOK) and the Kisumu Medical and Education Trust (KMET) in Siaya County with funding support from the European Commission (EC), the Austrian Development Agency (ADA) and CARE. The overall objective of the project is to contribute to improving maternal, infant and young child nutrition (MIYCN), including nutrition of women of reproductive age, in Siaya County.

The specific objectives of the mid-term evaluation of the Nawiri Project were to (1) assess the process and progress in project implementation and achievement of expected results, (2) provide an opportunity for an in-depth analysis and understanding on any unintended or intended outcomes, (3) as well as provide an opportunity for learning by project teams, partners and other stakeholders. Read More...

PCTFI Baseline Study Report 2015

PCTFI baseline study explored the existing barriers and opportunities for increased girls` participation, leadership and continuation of girls` education. It also investigated the existing and possible roles and responsibilities of different stakeholders who are important to improve the situation. Baseline data has been categorized under 27 key queries which have been summarized here into three parts; barriers and opportunities of girls` participation, underneath reasons behind not transforming into secondary education, an exploration of social and gender norms among the parents, SMCs, teachers and boys. It has also examined the attendance, dropout, promotion and progression rate of the students to explore the present scenario of girls` education both in primary education and transition to secondary level. According the PCTFI baseline study most of the girl students informed that they do not have adequate opportunities to participate in the school activities. Baseline data also shows very low participation of the girls in the extracurricular activities in school and lack of social environment for girls. Lack of encouraging environment and poor leadership capacity are pushing back the girls’ from school. Data shows the average score regarding participation and leadership is 1.7 out of 4 which depicts low participation and leadership of the girl students. In addition, a conducive environment at home to study is one of the hindrances that the study revealed. Distance from home and shortage of secondary school in the community is another significant barrier for the continuation of girl education. During the baseline study (2015) most of the parents and SMC members informed that while primary school is available almost in every village, secondary school is far from home. It has been also noted that the unsafe way to school aggravated by long distance from home thus parents are not interested to send their daughters to the secondary school. Baseline data also shows high score among boys and girls including parents regarding aspiration for higher study however, school data shows low attendance of both boys and girls especially of the fourth and fifth graders. Having 22.33 school days girls and boys attended an average of 14 and 11 days respectively which indicates lack of enthusiasm of the parents regarding their children`s education. On the other hands, Government’s limitation in attracting good teaching staffs, there is an evident inadequacy in the teaching capacities in general as well as specific to incorporating gender parity in teaching methods. Social norms continue to socialize teachers who are yet to believe in the concept of girls’ emancipation and leadership. Most of the girls do not enjoy fearless environment and usually hesitate to speak out in front of teacher. Teacher involved girl students in the gender stereotype activities which indicated poor understanding of gender parity among teachers. [31 pages] Read More...

Mid-term Review/Evaluation REPORT – Support to Development of Agricultural Cooperatives

The project Support to Development of Agricultural Cooperatives is funded by the European Union and implemented by CARE and Macedonian Enterprise Development Foundation (MEDF). The project started in December 2017 and will run until February 2021.

As overall goal, the proposed Action aims at contributing to higher productivity and competitiveness of agriculture sector, as one of the most important sectors of the Macedonian economy. In order to improve the current situation, predominantly in the segment of agricultural production of individual farmers, the project intends to utilize recommendations of the latest assessments of the efficiency of domestic agriculture and work on the specific objective: to increase market competitiveness and cooperation among farmers in Macedonia, through creating favorable conditions for the development of the existing and creation of new agricultural cooperatives.

As agreed by the project team and described in the ToR, the mid-term review/evaluation was conducted in November and December 2019 by CARE Balkans Gender Programme Coordinator for the first 21 month of the project implementation with an aim to provide an answer on what has proved to be successful so far, what should be addressed and improved until the end of the project and which segments in particular have the highest sustainability potential. Read More...

Inter-agency Rapid Gender Analysis and GBV Assessment – DRC Refugee Influx, Uganda

Overstretched and underfunded, the humanitarian response for the influx of DRC refugees into Uganda is struggling to meet the large basic needs. This Inter-Agency Rapid Gender Analysis and Gender-Based Violence (GBV) assessment was conducted with the objective of understanding the gender dimensions of the crisis, and needs and vulnerabilities of the refugees in order to inform a more gender responsive humanitarian response. In particular, it aimed to identify the specific GBV risks and vulnerabilities facing the affected population, and provide targeted recommendations to both CARE and other humanitarian actors on how to address these gaps and vulnerabilities.
GBV is a daily reality in Eastern DRC – both within and outside of the ongoing conflicts. Sexual violence has been a longstanding weapon of war used by parties to the conflicts and, increasingly, this sexual violence has extended through to every-day perpetration by civilians. This violence is situated within a society with deeply rooted discriminatory gender norms, in which women suffer entrenched inequality in all spheres of life and where a man’s worth is largely based on his capacity to provide for and protect his family. The sustained conflicts within the country have resulted in decreasing opportunities for men to perform this role, similarly so in displacement in Uganda, where livelihood opportunities are severely diminished.
This assessment found that in conflict, in transit, and in displacement in Uganda, the Congolese refugee population is facing numerous highly traumatic forms of human rights abuses, including various forms of GBV. In the conflict in DRC, sexual violence is systematically perpetrated against women and girls; and kidnapping, physical assault, torture and massacres are used against men and boys. Women and girls often face a compounded risk of additional sexual violence during flight. Read More...

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