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PROTECCIÓN Y ATENCIÓN EN SALUD SEXUAL Y REPRODUCTIVA A REFUGIADOS VENEZOLANOS VULNERABLES EN ECUADOR
El proyecto se ejecutó en un contexto simultáneo de crisis económica y sanitaria provocada por el COVID 19, y de reforma de la Ley de Movilidad Humana propuesta por el gobierno ecuatoriano hacia finales del 2020 y aprobada en febrero de 2021. Las estrategias empleadas para enfrentar la emergencia sanitaria y reducir el retraso de actividades se orientaron a: (a) establecimiento de alianzas y trabajo en asocio con organizaciones sociales locales de las ciudades de Ibarra y Huaquillas con el propósito de dinamizar las entregas de las diferentes modalidades de asistencia (b) organización de brigadas de atención legal y acompañamiento psicosocial y visitas in situ a lugares estratégicos de concentración de población migrante y refugiada (alberges y espacios públicos); (c) fortalecimiento de relaciones con plataformas de coordinación local y nacional y con el Ministerio de Salud Pública para apoyar y complementar acciones desempeñadas por el sistema de salud (CARE, 2021); (d) el abordaje a través de medios digitales y adaptación del SOP a esta modalidad (CARE, 2019). Read More...
Bangladeshi Sailors Vulnerability to HIV and AIDs
Enhancing Mobile Populations’ Access to HIV and AIDS Services, Information, and Support (EMPHASIS) is a 5-year initiative funded by the UK’s Big Lottery Fund. The project has been implemented by CARE in three countries,
Bangladesh, India and Nepal. This study was initiated to generate evidence around the vulnerabilities faced by migrant populations traveling to India. Both qualitative and quantitative methods were used to explore the vulnerability of sailors and a standard BCC questionnaire was used to assess knowledge around HIV and AIDS. Qualitative methods were used to compliment quantitative findings to reveal other socio-economic dynamics that can contribute HIV and AIDS related vulnerabilities. Data collection was carried out in both Bangladesh and India. Both qualitative and quantitative data collection was done in Bangladesh,. As entry into the ports in India was restricted, only qualitative methods were used there. A total of 154 were interviewed with a quantitative questionnaire and 24 sailors participated in in-depth interviews. Focus group discussions (FGD) and Key Informant Interviews were conducted with selected community members such as doctors, Noujan Srameek Union members, and vendors. [46 Pages] Read More...
Bangladesh, India and Nepal. This study was initiated to generate evidence around the vulnerabilities faced by migrant populations traveling to India. Both qualitative and quantitative methods were used to explore the vulnerability of sailors and a standard BCC questionnaire was used to assess knowledge around HIV and AIDS. Qualitative methods were used to compliment quantitative findings to reveal other socio-economic dynamics that can contribute HIV and AIDS related vulnerabilities. Data collection was carried out in both Bangladesh and India. Both qualitative and quantitative data collection was done in Bangladesh,. As entry into the ports in India was restricted, only qualitative methods were used there. A total of 154 were interviewed with a quantitative questionnaire and 24 sailors participated in in-depth interviews. Focus group discussions (FGD) and Key Informant Interviews were conducted with selected community members such as doctors, Noujan Srameek Union members, and vendors. [46 Pages] Read More...
Línea de base del programa de intervención en movilidad humana del eje programático de gestión de riesgos y respuesta a emergencias
El Eje Programático de Gestión de Riesgos y Respuesta a Emergencias, está implementando, desde el 2018, proyectos orientados a la atención de las necesidades humanitarias de población refugiada y migrante, -especialmente venezolana- que está en territorio nacional, alineándose a una estrategia de implementación coordinada y articulada dentro de un Programa de intervención e implementación conjunta, dado que existen acciones complementarias y contribuyentes entre ellas. Por tal motivo, se ha determinado la realización de una línea de base que permita el abordaje integral y lectura del estado situacional de los indicadores al inicio de la intervención desde las diferentes aristas que los afectan. 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...
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...
Evaluation of Enhancing Mobile Populations’ Access to HIV and AIDS Services (EMPHASIS)
EMPHASIS is a 5 year project funded by Big Lottery Fund, UK, which was initiated in August 2009 and is due to conclude in July 2014. It has been implemented in Nepal, India and Bangladesh to address both HIV and AIDS vulnerability and safe mobility issues of cross border migrant populations. Its overall goal has been to contribute to reduction of vulnerability of mobile populations (particularly women) to HIV infection across selected cross border regions within India, Bangladesh and Nepal. There has however, appropriately, been an increased focus on safe mobility issues within the last two years of the project. The three main outcomes of the project focus on: 1) the development of an effective and integrated cross border model of HIV prevention, care, treatment and support to benefit mobile populations and their families and target groups at source, transit and destination locations who are vulnerable to acquiring and spreading HIV and AIDS, 2) building the capacity of partner organizations (including regional authorities, government agencies, border police, customs officials, research institutions, NGO, Community Based Organizations [CBO] and key stakeholders) to deliver improved and integrated services to mobile populations vulnerable to HIV, 3) Increasing recognition of the vulnerabilities of mobile populations and demonstration of ways to address them in source and destination communities that will inform policies and produce evidence based advocacy messages with which to lobby government stakeholders. The aim of this evaluation is to assess the project according to its three outcomes areas and to assess the effectiveness and relevance of different interventions. One week visits to India, Nepal and Bangladesh were conducted at the end of January/ early February 2014 by a team of three people, during which interviews and focus group discussion were conducted, and a Lickert Scale tool administered. These visits were then supplemented by some additional meetings in Bangladesh in April, following the production of the first draft report. An endline study was conducted in parallel to the evaluation, and its conclusions are also drawn upon in this report. [88 Pages] Read More...
Cambodia COVID-19 Rapid Gender Analysis
The number of COVID-19 cases in Cambodia is quite low (141) however the impact on global supply chains and the livelihood of thousands of factory and migrant workers, who are mostly women, is immense. The loss of income could potentially push families back into poverty and the value of unpaid care work which will increase during the pandemic, is not measured in financial terms, nor seen as a valuable contribution. Additionally, the growth of women’s empowerment which is strongly linked to financial contributions to the household, will decline.
Women and girls in Cambodia face inequalities in many areas such as in employment and payment, division of domestic labour, decision making and participation. Those are likely to further increase in the course of the COVID-19 pandemic. An area of specific concern is in the education of girls and boys, from poor families, who do not have the technical infrastructure and capacity to support online home schooling.
The current health system does not have the capacity to deal with an increasing number of COVID-19 cases. Sub- national health facilities are considered low quality and previous health crisis showed that patients will directly consult provincial and national facilities which is going to exceed their capacity.
There is still uncertainty about transmission of COVID-19 which causes fear and creates potential for rumours causing
stigmatisation and discrimination of certain population groups such as foreigners, women working with foreigners as in bar work and Muslim groups.
Gender based violence is common and widely accepted in Cambodia. Globally, intimate partner violence (IPV) may be the most common type of violence women and girls experience during emergencies. In the context of COVID-19 quarantine and isolation measures, IPV has the potential to dramatically increase for women and girls. Life-saving care and support to GBV survivors may be disrupted when front-line service providers and systems such as health, policing and social welfare are overburdened and preoccupied with handling COVID- 19 cases. Restrictions on mobility also mean that women are particularly exposed to intimate-partner violence at home with limited options for accessing support services. Read More...
Women and girls in Cambodia face inequalities in many areas such as in employment and payment, division of domestic labour, decision making and participation. Those are likely to further increase in the course of the COVID-19 pandemic. An area of specific concern is in the education of girls and boys, from poor families, who do not have the technical infrastructure and capacity to support online home schooling.
The current health system does not have the capacity to deal with an increasing number of COVID-19 cases. Sub- national health facilities are considered low quality and previous health crisis showed that patients will directly consult provincial and national facilities which is going to exceed their capacity.
There is still uncertainty about transmission of COVID-19 which causes fear and creates potential for rumours causing
stigmatisation and discrimination of certain population groups such as foreigners, women working with foreigners as in bar work and Muslim groups.
Gender based violence is common and widely accepted in Cambodia. Globally, intimate partner violence (IPV) may be the most common type of violence women and girls experience during emergencies. In the context of COVID-19 quarantine and isolation measures, IPV has the potential to dramatically increase for women and girls. Life-saving care and support to GBV survivors may be disrupted when front-line service providers and systems such as health, policing and social welfare are overburdened and preoccupied with handling COVID- 19 cases. Restrictions on mobility also mean that women are particularly exposed to intimate-partner violence at home with limited options for accessing support services. Read More...
Endline evaluation of WASH project in West Mosul, Iraq
This is an endline evaluation for the "Improving Sanitation, Hygiene, Renovation of Sewage Systems" project, funded by the Ministry of Foreign Affairs of the Czech Republic.
This project addressed critical needs for sanitation services in West Mosul, as a direct contribution to enable the affected populations to return home. The project aimed to repair two vital sanitation resources/infrastructure in West Mosul and to support the municipal authorities to build their capacity to eventually recover their costs, once the situation allows. Finally, the project intended to mobilize local communities towards greater ownership for their local environment, to avoid the recurrence of such sanitation risks and maintain a cleaner, more habitable environment. In addition to mitigate a number of health risks related to poor sanitation in urban areas, CARE’s engagement aimed to promote social cohesion and community participation among vulnerable populations affected by the conflict.
The End-line project Evaluation is intended to assess the relevance, performance, management arrangements and success of the project. It looks at signs of potential impact of project activities on men,
women, girls and boys identified as vulnerable and the sustainability of results, including the contribution to capacity development. The Evaluation also identifies, and documents lessons learnt and makes recommendations that project staff and the stakeholders might use to improve the design and implementation of other related projects and programs. Read More...
This project addressed critical needs for sanitation services in West Mosul, as a direct contribution to enable the affected populations to return home. The project aimed to repair two vital sanitation resources/infrastructure in West Mosul and to support the municipal authorities to build their capacity to eventually recover their costs, once the situation allows. Finally, the project intended to mobilize local communities towards greater ownership for their local environment, to avoid the recurrence of such sanitation risks and maintain a cleaner, more habitable environment. In addition to mitigate a number of health risks related to poor sanitation in urban areas, CARE’s engagement aimed to promote social cohesion and community participation among vulnerable populations affected by the conflict.
The End-line project Evaluation is intended to assess the relevance, performance, management arrangements and success of the project. It looks at signs of potential impact of project activities on men,
women, girls and boys identified as vulnerable and the sustainability of results, including the contribution to capacity development. The Evaluation also identifies, and documents lessons learnt and makes recommendations that project staff and the stakeholders might use to improve the design and implementation of other related projects and programs. Read More...
SISTEMATIZACION DE ESTRATEGIA DE PROMOTORES DE LA INTEGRACIÓN Y VOLUNTARIOS Y AGENTES COMUNITARIOS DE SALUD
El proyecto Alma Llanera ejecutado por CARE Perú en coordinación con las DIRESAS de Tumbes y Piura, y la GERESA de La Libertad, ha representado una importante estrategia para brindar asistencia humanitaria a población refugiada y migrante venezolana. El proyecto se ha centrado en cuatro objetivos, dentro de los cuales se ha sistematizado y se presenta en este documento, corresponde a la estrategia de Promotores de la Integración y ACS. Read More...
Making Advocacy Count: GBV Advocacy in Rwanda
Over the past 9 years CARE Rwanda has implemented a series of programming interventions designed to promote women’s empowerment and to address Gender-Based Violence (GBV) in Rwanda. Learning from these programmes informed the development of a holistic approach for community based GBV prevention, which is now being scaled up by the Government of Rwanda’s Ministry for Gender Equality and Family Promotion (MIGEPROF) with the intention of reaching national coverage within the next 3-4 years. Read More...
Empowering Women to Claim their Inheritance Rights: Post-Project Impact Analysis
Between January 2013 to June 2016, CARE International Egypt implemented a project addressing “Empowering women to claim Inheritance Rights (WIN)”. This project was funded by the European Commission under the Gender Equality Programme and aimed to strengthen the access of women particularly those in Upper Egypt to gain access and control over their economic rights, resources and opportunities through their lawful inheritance.
The objectives of this impact evaluation was to:
1. Quantify the Impact achieved as the result of the Amended Inheritance Law in terms of people whose rights to a life free from (economic) violence is being fulfilled to a greater degree than before the amended Inheritance law.
2. Assess and analyse if/how the introduction of criminalization and penalties in the Inheritance Law have enhanced the application of the amended Inheritance Law to date and provide recommendations on how its application can be further improved/strengthened.
3. Identify and analyse non intended effects both positive or negative, of the Amended Inheritance Law with regards to women property rights through inheritance.
Extrapolating the model to the published data on vital statistics, agricultural statistics and income expenditure published by the Central Agency for Public Mobilization and Statistics of 2016 through 2019 reveals that the application of the new amendment of the law potentially results in nearly 34,000 more women who can have access to their inheritance annually.
Based on feedback from women’s’ activists interviewed, the effect of COVID-19 and the closure of courts on the number of women affected was believed to be negligible. Many of these cases are extremely complex and usually take many years in courts and hence would not be significantly affected by this delay.
As inferred from the feedback of key informants, it is too early to to identify positive impacts of the law amendment, however, they highlighted some threats that might hinder the achievement of the desired impact of the law amendment.
- The long duration of the legal dispute and associated legal costs
- Procedural pitfalls
- Socio cultural barriers Read More...
The objectives of this impact evaluation was to:
1. Quantify the Impact achieved as the result of the Amended Inheritance Law in terms of people whose rights to a life free from (economic) violence is being fulfilled to a greater degree than before the amended Inheritance law.
2. Assess and analyse if/how the introduction of criminalization and penalties in the Inheritance Law have enhanced the application of the amended Inheritance Law to date and provide recommendations on how its application can be further improved/strengthened.
3. Identify and analyse non intended effects both positive or negative, of the Amended Inheritance Law with regards to women property rights through inheritance.
Extrapolating the model to the published data on vital statistics, agricultural statistics and income expenditure published by the Central Agency for Public Mobilization and Statistics of 2016 through 2019 reveals that the application of the new amendment of the law potentially results in nearly 34,000 more women who can have access to their inheritance annually.
Based on feedback from women’s’ activists interviewed, the effect of COVID-19 and the closure of courts on the number of women affected was believed to be negligible. Many of these cases are extremely complex and usually take many years in courts and hence would not be significantly affected by this delay.
As inferred from the feedback of key informants, it is too early to to identify positive impacts of the law amendment, however, they highlighted some threats that might hinder the achievement of the desired impact of the law amendment.
- The long duration of the legal dispute and associated legal costs
- Procedural pitfalls
- Socio cultural barriers Read More...