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End of Project Evaluation: Support for conflict affected people through strengthening of essential primary health care and protection from gender-based violence

Since 2014, when Iraq experienced a sudden escalation in hostilities, the primary health care sector has sustained widespread destruction, looting of health facilities, reduced or inadequate health staff, and lack of supplies, especially in areas that had been severely impacted by the conflict, such as Anbar & Mosul. Sexual, reproductive and maternal health (SRMH), was severely affected, amongst other things, by poor delivery methods, lack of maternity wards, inadequate pre- and postnatal care, and a high prevalence of anaemia amongst pregnant women.

Against the backdrop of this situation, and following increasing returns of internally displaced persons (IDPs) to their places of habitual residence in retaken areas, CARE, with funding from German Federal Foreign Office (GFFO) has been implementing the project in Duhok, Anbar & Mosul to improve maternal and child health in return areas. The project implementation period was January 01, 2019 to December 31, 2019.

Purpose of the Evaluation
The purpose of this evaluation was to assess post intervention situation of the targeted area against indicators mentioned in the project document. The findings will help CARE to measure the impact of project. The findings will be used to compare the baseline situation with the end-line situation to assess the changes in knowledge, attitudes and practices, of the targeted population and impact of the interventions.

The evaluation identified, and documented lessons learnt and made recommendations for CARE-Iraq and project partners to improve future project implementation as well as strengthen the design of future related projects.

Objectives of the Evaluation
The evaluation was expected to:
1. Assess the relevance, efficiency, effectiveness, impact and sustainability of the project;
2. Generate lessons that will inform SRMH programming in Iraq and in the broader context of GFFO.

Read More...

Ukraine Rapid Gender Analysis (Primary Data) May 2022

"It is no longer very scary whether a rocket will arrive or not from the sea, but it is scary that we will die of starvation.”
The lives of people across Ukraine have been profoundly impacted by the humanitarian crisis brought on by the invasion on 24 February 2022. As of 29 April, 5.5 million refugees have already fled Ukraine,1 and the number of internally displaced people (IDPs) has reached 7.7 million. Of those who have fled the country, it is estimated that 90 per cent are women and children, while most men aged 18–60 are required to stay behind under martial law. Based on current data from the International Organization for Migration, 60 per cent of the adult internally displaced population are female, while 40 per cent are male. As the crisis quickly evolves, so do the needs and priorities of women and men across Ukraine.
This Rapid Gender Analysis (RGA), carried out by UN Women and CARE International, seeks to draw attention to the gender dynamics in the humanitarian crisis resulting from the war in Ukraine. The RGA also proposes recommendations for humanitarian leadership, actors and donors to ensure consideration of the gendered dimensions of risk, vulnerability and capabilities in response to this crisis.
The RGA is a progressive publication based on both primary and secondary data sources that compares pre-crisis data with up-to-date information as the situation evolves. This RGA builds upon the RGA Ukraine Brief (http://www.careevaluations.org/evaluation/rapid-gender-analysis-ukraine/) developed by CARE International during the first week of the war and on the UN Women and CARE RGA published 29 March6 based on an analysis of secondary data. For this report, the RGA team reviewed English, Ukrainian and Russian sources and interviewed 179
women and men from local communities across Ukraine, as well as representatives from civil society organizations (CSOs), UN agencies and government bodies. Particular effort was made to ensure that the voices of women and men in vulnerable situations and from different marginalized groups were included. Read More...

Final Evaluation of the Adaptation Learning Programme for Africa Extension Period (2015 – 2017)

The Adaptation Learning Programme (ALP) has worked to improve the capacity of vulnerable people and households in sub-Saharan Africa to adapt to climate variability and change. Since 2010, ALP has been working directly with communities in Kenya, Niger, Ghana and Mozambique (Mozambique: 2010 – 2015 only) to identify, develop and refine approaches and strategies that can help build communities adaptive capacity and resilience to climate-related risk – an area known as community-based adaptation (CBA). In total, ALP has received over £11.3 million GBP ($17M USD) since 2010 through the UK’s Department for International Development (DFID), the Ministry of Foreign Affairs of Denmark (Danida), the Ministry of Foreign Affairs of Finland, and the Austrian Development Agency (ADA). Since 2015, funds received under the 2-year costed extension are valued at approximately £3M GBP ($4.6M USD) from DFID (75%), ADA (9%) and the Danida financed association Civil Society in Development (CISU) (16%). [106 pages] Read More...

“FUTURE FOR YOU(TH): YOUNG PEOPLE AS LEADERS OF LIFE SKILLS EDUCATION IN THE BALKANS”

The final evaluation of the “Future for You(th): Young people as Leaders of Life Skills Education in the Balkans” was conducted between December 2023 and March 2024. This end-term evaluation has addressed the full period of the project implementation (March 2021 – February 2024). Its scope covered all four target countries (Bosnia and Herzegovina, Serbia, Kosovo and Albania) and main project beneficiaries (partner organizations, institutional representatives, teachers, youth, parents, movement leaders, etc.).
The evaluation process employed a mixed-methods approach with a non-experimental design. Its purpose was to assess the intervention's impact on advancing gender equality, examining shifts in cultural norms, behaviors and attitudes, and power dynamics, along with changes in participation, access to resources, and policy adjustments. It also aimed to summarize the main findings, conclusions and recommendations to inform the project's design and implementation phase.
The evaluation process was based on OECD-DAC evaluation criteria, but the priority was given to relevance, effectiveness, (immediate) impact and sustainability of the intervention. The rest of the criteria were not prioritized considering the given time frame, budget and purpose of the evaluation.
The project evaluation has embedded gender-responsive approaches and human rights frameworks from its inception. This approach was instrumental in establishing a holistic evaluation framework, with the aim of ensuring that these aspects were not treated as peripheral concerns but rather integral components of the project's core objectives and activities.
The data collection process comprised a desk review of relevant documents, semi-structured interviews with key informants, focus groups involving young individuals, and validation sessions to confirm clarity and authenticate key findings with project partners and other stakeholders. Data triangulation involved consolidating various methods and sources, thereby enhancing credibility through cross-referencing information from diverse origins.
Key limitations in the evaluation included a lack of representation from policymakers in some countries, restricted involvement of young individuals not engaged in BMCs and limited participation of young law offenders and professionals from youth at risk centers in the evaluation process. Related findings from the informants were cross-referenced with other information extracted from reviewed documents to mitigate potential bias.

Young men and women who participated in a greater number of project activities, including workshops or events related to campaigns, demonstrated more gender-equal attitudes towards gender roles and norms, violence, gender equality. All young people have increased their knowledge in sexual and reproductive health. Parents of BMC members have confirmed that the BMC program serves as a vehicle for continuous and holistic personal growth of their children, positively impacting diverse aspects of their lives.
School staff and professionals from juvenile correctional centers have gained qualitative content and the necessary competencies to effectively present crucial topics to youth in a non-formal manner that aligns with the needs of young people.
BMCs have progressed to comprehensive resource centers, providing safe spaces where young individuals can openly discuss their most sensitive concerns and receive professional referrals to address their diverse needs.
The project has managed to reach out to a remarkable number of people. The partners organized campaigns at the local level, resulting in the implementation of 35 school-based initiatives that reached 9,356 young individuals, and conducted 68 community-based campaigns, engaging with 20,218 citizens spanning across youth and adults alike, significantly increasing awareness on promoting peaceful masculinities, gender equality, and addressing hate speech and intolerance within the targeted demographics.
Despite challenges, such as navigating political instability, the project demonstrated resilience and effectiveness, significantly influencing community attitudes on social issues. It made a substantial impact on policy and practice regarding life skills education, underscoring its commitment to gender equality. Read More...

Ecological Assessment and Detailed Scoping Study in the Sundarbans and Hakaluki Haor Ecologically Critical Areas (ECA) for Nature-based Solutions (NbS) and Locally Led Adaptation (LLA)

The Ecologically Critical Areas (ECAs) in Bangladesh, notably the Sundarbans and Hakaluki Haor are vital for biodiversity and livelihoods. The UK government’s Adaptation in Ecologically Critical Areas known locally as NABAPALLAB- (Nature Based Adaptation towards Prosperous and Adept Lives & Livelihoods in Bangladesh) project aims to enhance resilience of the ecosystem and livelihoods through Nature-based Solutions (NbS) and Locally Led Adaptation (LLA). The project has conducted three separate assessments (Ecological Assessment and Detailed Scoping study; Stakeholder Mapping and Political Economy Analysis; and Baseline Study) simultaneously during its inception stage. This report synthesizes findings from the ecological assessment and detailed scoping study. Insights were gathered to understand ecological status, community needs, and intervention opportunities in the Sundarbans and Hakaluki Haor. The report further highlights current and emerging threats, drivers and complexities in both ECAs. The status of the natural resource base, degradation pattern and ecosystem health were also analysed and documented using physical data and recent satellite imagery.
In the Sundarbans, the study found different ecosystems, including wetlands, low-lying lands, riverside areas, homesteads, croplands, and coastal embankments. All of these ecosystems are affected by various climatic stressors such as salinity, tidal inundation, erratic rainfall, and cyclones. They are also impacted by anthropogenic drivers such as shrimp farming, water logging, overharvesting, illegal fishing, deforestation, poaching. For example, the study shows that shrimp cultivation has a profound effect on agriculture with changes in land use and intrusion of saline water, which lead to decreased soil fertility, crop failure and lower productivity. Shrimp cultivation also contributes to surface water pollution, leading to scarcity of drinking water and negative impacts on WASH. The study also highlights significant threats to important endangered wildlife species in the Sundarbans ECA, including the Masked Finfoot and White-Rumped Vulture. In addition to the anthropogenic threats, the study has identified other problems such as fishing with poison, bird hunting, use of illegal fishing equipment, canal siltation, and intrusion of saline water into freshwater wetlands. These issues result in decreased fish population, depletion of wildlife and reduced agricultural productivity.
The Hakaluki Haor, encompassing 276 interconnected beels (wetland lakes) over an area of 18,000 hectares, faces significant threats from both anthropogenic and climate change stressors. Extensive sedimentation and agricultural expansion have led to the conversion of over 20 beels to agricultural production, impacting wetland productivity, aquatic vegetation, fish populations, and local livelihoods. Degradation of rivers, canals, and hill streams within the Haor has further exacerbated these problems and challenges, affecting crop production, fish yields, and biodiversity. Encroachment on protected swamp forest areas after phase-out of previous projects, wide-ranging deforestation, and conversion of raised land (Kandas) for agriculture have negatively impacted the habitats of fish and birds, and other wetland-dependent wildlife as well as waterfowl migratory routes. Furthermore, elite capture excludes poor fisher folk and landless individuals from fishing and accessing natural resources, while agricultural expansion in Kanda areas raises concerns about increased use of chemical pesticides and fertilizers that pollute wetlands. 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...

Political Consciousness, Leadership and Collective Action in the Mata Masu Dubara Structures in Niger

This research study is part of a broader learning agenda contributing to CARE’s Impact Growth Strategy (IGS) in West Africa - “Women on the Move” (WOM). The purpose of this study is to learn from CARE Niger’s more than 25 years of experience with the Mata Masu Dubara (MMD) which has a proven track record of women's leadership and empowerment. It is also about informing efforts to scale up the MMD model and its impact in the region. The goal of the WOM strategy is to reach a critical mass that can serve as a lever for a vibrant social movement with potential for real transformation of social norms and laws in favor of the rights of women and girls. The overall premise of this direction is that social movements are essential for creating and sustaining long-term social change, and published research has shown that feminist activism is the most important and consistent driver behind progressive policy change. [22 pages] Read More...

Youth Empowerment Project Baseline Survey Report

In June 2014, Care International embarked on a baseline study for the Sida- funded Youth Empowerment Programme (YEP) in Zimbabwe. The study was done by a team comprising CARE International in Zimbabwe, its partners and an external consultant in nine of the eleven districts covered by YEP. The purpose of the study was to establish comprehensive baseline information that will be used to measure programme outcomes and impacts. The study would also serve as a benchmark for future measurement of the performance of the programme in contributing towards its overall goal of ‘increased economic and social participation of male and female youths in Zimbabwe.’ [90 pages] Read More...

SERVE Rwanda Value Chain Analysis 1 – Agricultural value chain analysis for SERVE

As of November 2023, agriculture employs 48 percent of the total labor force in Rwanda (NISR, 2024). Within this sector, the gender gap in productivity persists, with female-man-aged farms 11.7 percent less productive that male farms. The SERVE project identified four key factors behind this productivity gap: namely; poor business practices, difficulties in accessing agricultural lending, heavy reliance on informal sector lending, and cultural and social norms preventing women and youth from entering and succeeding in the agriculture sector. Addressing these challenges, the SERVE project, aligned with the Mastercard Foundation Young Africa Works strategy, is led by CARE International in collaboration with partners such as DUHAMIC-ADRI, PFTH, AMIR, and Urwego Bank. Over five years, SERVE aims to establish a resilient, sustainable, and gender-equitable entrepreneurial environment in the agricultural sector across ten districts in Rwanda.
With a focus on fostering inclusive growth for youth-led agricultural Micro and Small Enterprises (MSEs), SERVE aims to enhance productivity, access to finance, entrepreneurship, and market linkages in selected value chains. Simultaneously, the project aims to influence policies and social norms to reduce barriers and enhance equity, particularly for female youth. Collaborating with government ministries, civil society organizations, and the private sector, SERVE leverages strategic alliances to develop tailored financial products, bridge the gendered digital divide, and connect female youth with mentors and potential buyers.
Targeting approximately 45,500 female youth, including refugees and those with disabilities, SERVE emphasizes strengthening existing employment opportunities and generating new ones within the agricultural sector for individuals aged 18 to 35. Entry points include existing Village Savings and Loans Associations (VSLAs) and Farmer Groups (FG), primarily comprising young people, as well as exploring youth cooperatives and collective agribusi-nesses outside the VSLA network.
The aim of this report is to provide a comprehensive market analysis of the targeted value chains of tomatoes, chili, green beans, and poultry, as well as four additional potential value chains. This includes evaluating the current status of gender mainstreaming, and climate adaptation and mitigation efforts across all nodes of the prioritized value chains, as well as a critical examination of existing and projected agricultural financing and environmental policies and climate adaptation plans for National Determined Contributions to be able to set a strategic transformational plan for the prioritized value chains. The report provides information on existing opportunities and constraints across the targeted value chains and about current advantages and challenges within the chosen value chains. The report recommends solutions to overcome obstacles and provide information for practical implementation strategies. Read More...

Improving Agricultural Production and Access to Water, Sanitation and Hygiene

OFDA funded Masvingo Eli Nino Recovery project (MERP) Has reached direct beneficiaries 7163(5082F;2021M) beneficiaries by March 2017.The project beneficiaries have been registered under project ‘s three main broad sectors. 6860(4557F;2303M) against a target of 6200 farmers across, Zaka Bikita and Chivi districts in October 2016. The registration was conducted after consultation with different stakeholders and the targeted communities.686 lead farmers were trained in climate smart agriculture and supported to cascade trainings to their 6,174 peer farmers through collaborative efforts with Government Extension workers. An aggregate of 260.68 metric tonnes comprising of sorghum, cow peas, velvet beans and top dressing fertiliser were distributed to 6,860 farmers. Thirty (30) agro-dealers (11F;19M) received training and subsequently distributed agricultural inputs through closed vouchers. 30 (23M;7F) para-veterinarians were trained with support from government Veterinary department.294 (126 F& 176 M) DRR champions were trained. [12 pages] Read More...

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