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Impact, Influence, and Innovation: Reflecting on 10 Years of the CARE-GSK Frontline Health Worker Initiative
In recognition of their critical role in health linkages and systems strengthening, CARE and GSK established a decade long strategic investment in frontline health workers (FHW) and community health workers (CHW) in 2011 called the Frontline Health Worker Initiative. Following 10 years of partnership and programming, this report explores the resulting impacts, influence, and innovation. It synthesizes reach and impact data from 13 programmes across the 9 countries included in the Frontline Health Worker Initiative between 2011 and 2021. The countries included in this initiative are Afghanistan, Bangladesh, Cambodia, Cameroon, Chad, Laos, Myanmar, Nepal, and Togo.
The data presented here is specific to the communities in which CARE delivered sexual and reproductive health, maternal and child health, nutrition, and sanitation programming with GSK’s support. The analysis is designed to identify the changes in overall health outcomes that occurred at a population level. While these findings do not necessarily imply causation, CARE’s efforts have likely reasonably contributed towards these changes within the specific communities.
The Frontline Health Worker initiative has achieved these results across multiple development and humanitarian contexts – including slow-onset and sudden shocks, conflict, and most recently the COVID-19 pandemic. Many of these results were only made possible through the long-term investment from GSK and scalable actions that were implemented across all nine countries. Critically, the Frontline Health Worker Initiative established platforms, networks and health service capacity-building that served as a catalyst for CARE to pivot towards the response to the COVID-19 pandemic quickly in the communities where these projects exist.
Learnings from this programme will serve to strengthen CARE’s private sector partnership models for future programmes to build resilience and achieve health impact in communities. Read More...
The data presented here is specific to the communities in which CARE delivered sexual and reproductive health, maternal and child health, nutrition, and sanitation programming with GSK’s support. The analysis is designed to identify the changes in overall health outcomes that occurred at a population level. While these findings do not necessarily imply causation, CARE’s efforts have likely reasonably contributed towards these changes within the specific communities.
The Frontline Health Worker initiative has achieved these results across multiple development and humanitarian contexts – including slow-onset and sudden shocks, conflict, and most recently the COVID-19 pandemic. Many of these results were only made possible through the long-term investment from GSK and scalable actions that were implemented across all nine countries. Critically, the Frontline Health Worker Initiative established platforms, networks and health service capacity-building that served as a catalyst for CARE to pivot towards the response to the COVID-19 pandemic quickly in the communities where these projects exist.
Learnings from this programme will serve to strengthen CARE’s private sector partnership models for future programmes to build resilience and achieve health impact in communities. Read More...
Productive Water Technologies to enhance resilience for smallholder farming households in Chiredzi and Mberengwa Baseline Report
CARE International in Zimbabwe is implementing the Productive Water Technologies to enhance Resilience for Smallholder Farming Households initiative, within two existing CARE resilience building projects. The LDSC-funded intervention will complement the software components of two ongoing CARE projects funded by the Zimbabwe Resilience Building Fund (ZRBF), which is managed by the United Nations Development Programme (UNDP). The two CARE projects, Enhancing Community Resilience and Sustainability (ECRAS) running from July 2016 to March 2021, and Enhancing Community Resilience and Inclusive Market Systems (ECRIMS) running from September 2017 to October 2020, are being implemented in Chiredzi (and Mwenezi) and Mberengwa (and Zvishavane) districts respectively.
The current projects mainly focus on software (training, capacity-building, etc.), with limited establishment of water infrastructure. Specifically, the new initiative will support year-round access to productive water for smallholder farming households in Chiredzi and Mberengwa districts through the establishment/construction and rehabilitation of water infrastructure and related production assets. Year-round water access will address challenges relating to livestock and crop production, thus helping improve food and nutrition security for smallholder farming households, including those headed by women and youth. Some of the water points also will provide safe drinking water. In each of the two districts (Mberengwa and Chiredzi), the proposed project interventions will be layered on and integrated with the two ongoing CARE projects to enhance resilience and sustainability. Both ECRAS and ECRIMS aim to increase community capacities to sustain development gains and achieve improved well-being in the face of shocks and stresses. The projects, which enhance household and community resilience, seek to achieve five outcomes: Household and community capacities and assets are strengthened to deal with economic and climate-related shocks and stresses [54 pages]. Read More...
The current projects mainly focus on software (training, capacity-building, etc.), with limited establishment of water infrastructure. Specifically, the new initiative will support year-round access to productive water for smallholder farming households in Chiredzi and Mberengwa districts through the establishment/construction and rehabilitation of water infrastructure and related production assets. Year-round water access will address challenges relating to livestock and crop production, thus helping improve food and nutrition security for smallholder farming households, including those headed by women and youth. Some of the water points also will provide safe drinking water. In each of the two districts (Mberengwa and Chiredzi), the proposed project interventions will be layered on and integrated with the two ongoing CARE projects to enhance resilience and sustainability. Both ECRAS and ECRIMS aim to increase community capacities to sustain development gains and achieve improved well-being in the face of shocks and stresses. The projects, which enhance household and community resilience, seek to achieve five outcomes: Household and community capacities and assets are strengthened to deal with economic and climate-related shocks and stresses [54 pages]. Read More...
Water for Food Security, Women’s Empowerment and Environmental Protection Project (SWEEP) Gender Assessment II
East and West Belesa woredas (districts) are located in the central Gondar zone of Amhara Regional State, Ethiopia. The people of East and West Belesa woredas are dependent on subsistence farming and rain fed agriculture in a context of recurrent drought and severe land degradation. The overwhelming majority live in extreme poverty and face food shortages as a result of the frequent shocks these conditions expose them to. The condition is more devastating for women, girls and marginalized households – for example, female-headed households and households including persons with disability who are often excluded from social and economic entitlements.
CARE, with the financial support from the Austrian Development Agency (ADA) and funds from Austrian Development Cooperation (ADC) has implemented a three years' (October 2017 to September 2020 – then extended to February 2021) project titled "Water for Food Security, Women's Empowerment and Environmental Protection (SWEEP)" to address the socio-economic and environmental problems causing food insecurity in 20 kebeles of east and west Belesa woredas. The project was implemented by CARE in collaboration with local government, communities and universities. To increase the resilience of households, the SWEEP project followed an integrated and holistic project implementation approach, which put marginalized people at the center.
At the end of the project period, a gender assessment was conducted to see and capture the changes in the lives of women; especially the results of the women empowerment and the social norms change components of the project. Findings from the Rapid Gender Assessment (May 2017) and In-depth gender Assessment (May 2018) were used as a baseline to compare the before and after situation of women in the community. This report is prepared to share the findings of the end line gender assessment II, which was conducted between December 14 and 23, 2020. Read More...
CARE, with the financial support from the Austrian Development Agency (ADA) and funds from Austrian Development Cooperation (ADC) has implemented a three years' (October 2017 to September 2020 – then extended to February 2021) project titled "Water for Food Security, Women's Empowerment and Environmental Protection (SWEEP)" to address the socio-economic and environmental problems causing food insecurity in 20 kebeles of east and west Belesa woredas. The project was implemented by CARE in collaboration with local government, communities and universities. To increase the resilience of households, the SWEEP project followed an integrated and holistic project implementation approach, which put marginalized people at the center.
At the end of the project period, a gender assessment was conducted to see and capture the changes in the lives of women; especially the results of the women empowerment and the social norms change components of the project. Findings from the Rapid Gender Assessment (May 2017) and In-depth gender Assessment (May 2018) were used as a baseline to compare the before and after situation of women in the community. This report is prepared to share the findings of the end line gender assessment II, which was conducted between December 14 and 23, 2020. Read More...
My Forest, My Livelihood, My Family program (FUTURES) Baseline report
The FUTURES—My Forest, My Livelihood, My Family program (FUTURES) serves communities in the Yayu Coffee Forest Biosphere Reserve (YCFBR) located in Southwestern Ethiopia, in Oromia Regional State. The YCFBR encompasses the Hurumu, Yayo, Bilo Nopa, Alge-Sachi, and Doreni woredas of Illu-Abba Bora zone and Chora woreda of Buno Bedele zone and includes protected forest area as well as designated areas for economic activities like coffee and spice production, commercial forest plantations and eco-tourism, and areas where many traditional and modern agricultural practices take place.
Households in the area depend on a combination of small-scale agricultural and forest management systems dominated by traditional agronomic practices and characterized by a lack of crop diversity and low productivity. Deforestation, degradation, and increased loss of biodiversity are major concerns for sustainable agricultural and livelihood practice in the region. Social, gender, and cultural barriers have historically limited women’s and youth’s engagement in agricultural and economic sectors. High rates of early and forced marriage, and limited availability of reproductive health and family planning services, especially youth-friendly services, may further limit women and youth from participating meaningfully in agricultural practice and livelihood generation. Government services and local civil society organizations in the area operate at a limited capacity, and their offices are male-dominated and do not meaningfully incorporate a gendered approach to their work (Gebrehanna and Seyoum, 2020).
The three-year FUTURES project was launched in April 2021 to address many of the health, environment, and livelihood concerns of the YCFBR region. The project is implemented by CARE Ethiopia and its three local partners, Oromia Development Association (ODA), Environment and Coffee Forest Forum (ECFF), and Kulich Youth Reproductive Health and Development Organization (KYRHDO). The FUTURES project evaluation, funded by USAID, and led by Data for Impact (D4I), aims to understand the impact of the FUTURES project on key health, agricultural, and livelihood and conservation behavioral outcomes, and to contribute to knowledge about the implementation of cross-sectoral programs, including monitoring, evaluations, and learning (MEL) of such programs. Read More...
Households in the area depend on a combination of small-scale agricultural and forest management systems dominated by traditional agronomic practices and characterized by a lack of crop diversity and low productivity. Deforestation, degradation, and increased loss of biodiversity are major concerns for sustainable agricultural and livelihood practice in the region. Social, gender, and cultural barriers have historically limited women’s and youth’s engagement in agricultural and economic sectors. High rates of early and forced marriage, and limited availability of reproductive health and family planning services, especially youth-friendly services, may further limit women and youth from participating meaningfully in agricultural practice and livelihood generation. Government services and local civil society organizations in the area operate at a limited capacity, and their offices are male-dominated and do not meaningfully incorporate a gendered approach to their work (Gebrehanna and Seyoum, 2020).
The three-year FUTURES project was launched in April 2021 to address many of the health, environment, and livelihood concerns of the YCFBR region. The project is implemented by CARE Ethiopia and its three local partners, Oromia Development Association (ODA), Environment and Coffee Forest Forum (ECFF), and Kulich Youth Reproductive Health and Development Organization (KYRHDO). The FUTURES project evaluation, funded by USAID, and led by Data for Impact (D4I), aims to understand the impact of the FUTURES project on key health, agricultural, and livelihood and conservation behavioral outcomes, and to contribute to knowledge about the implementation of cross-sectoral programs, including monitoring, evaluations, and learning (MEL) of such programs. Read More...
Savings and Credit Groups for Food Security and Ecosystem Sustainability in Tanzania: Endline Evaluation
The "Savings and Credit Group for Food Security and Ecosystem Sustainability (SGFSES) in Tanzania" was a CARE-WWF Alliance’s project implemented in Southern Agricultural Growth Corridor of Tanzania (SAGCOT), focusing on the Great Ruaha River region. The initiative aimed to address climate vulnerabilities, improve livelihoods, and enhance ecosystem services. Among other interventions, the project promoted sustainable production of Irish potatoes and common beans, crucial for community livelihoods, but vulnerable to climate shocks. Challenges such as water and land shortages, deforestation, and weak governance had affected productivity and adaptation options.
Implemented from June 2021 to December 2023 in Iringa and Mufindi Districts, the project targeted 21 villages. Its primary goal was to enhance the household income of 5,000 farming families, particularly empowering women, directly impacting 22,500 individuals and indirectly benefiting at least 50,000 individuals within the Great Ruaha watershed.
The project employed traditional approaches like Village Savings and Loan Associations (VSLA), Farmer Field and Business Schools (FFBS), and Community-Based Natural Resource Management (CBNRM), along with Integrated Land and Water Resource Management (ILWM) integrating income-generating and market-engagement strategies with natural resource management and sustainable agriculture practices so that both communities and ecosystems thrive.
The endline evaluation utilizing OECD criteria to assess the relevance, coherence, effectiveness, efficiency, impact, and sustainability of the project. It measured the achievements of this integrated conservation and development compared to the baseline three years earlier.
The endline evaluation found that the project surpassed its targets, reaching 7,029 households (51% female-headed) with a total of 10,961 direct beneficiaries (55% women, 34% youth) across all 21 project villages. In another words, the project impacted directly 33,739 individuals from 7,029 households. This represents 141% of the target set by the project at its beginning. Findings from FGDs and KIIs, showed that the project improved well-being of these communities by enhancing equal opportunities for men, women, and youth. The project enhanced meeting of basic needs such as food, housing, clothing, health services, and education expenses.
They participants increased productivity of staple crops like maize, common beans, sunflower, and Irish potatoes which notably contributed to reliable food sources and increased income for the communities. These crops served for both food and income. The endline survey found that the average productivity of the common bean increased from 331.3 kg acre-1 to 633 kg acre-1 which is an increase of 91% compared to the baseline. This achievement surpasses the LOP target of 30% increment by 61%. Furthermore, the average productivity of Irish potato increased from 1,435.5 kg acre-1 to 7,500 kg acre-1, which is 423% of the baseline or 393% of the LOP target of 30% increase.
The average number of months that surveyed households were able to provide sufficient food to their families was 7.4 at endline, up from 4.0 months at baseline. This is an increase of 85% from the baseline. The achievement surpasses the Life of Project goal of a 20% increase by 65%. On average, 83% of households experience adequate food provisioning during the crop-harvesting period (May to November), 42% experience hunger during the planting and crop growing season (December to April). 83% of the surveyed households report consuming three meals a day for most of the year, 86% of respondents were not worried about facing food shortages throughout the year. For those households that do not have adequate food provisions throughout the year, they tend to reduce their meals to two a day between December and April. Communities regard having two meals a day during the lean period as an improvement, as food was sometimes insufficient for one meal among some families in the past.
The endline evaluation drawn lessons learned that emerged from the data are:
- The implementation of VSLAs have helped the village land use committee, village environmental committee members and village council leaders to get into engagement with conservation activities.
- The Alliance-promoted VSLA-based AMCOS model has several benefits: in addition to attracting farmers with its core collective marketing promise, the requirement that all AMCOS members should also be VSLA members both accelerated VSLA group formation and enhances trust in leaders, a critical component of successful AMCOS.
- The planting to avocado trees, being one of potential trees for income generation and conservation of natural resources comes with a number of challenges. The first is it high water usage especially at the early stages of growth. The fruit tree have attracted large investors, who have been seen to open up large farms in forested lands. This has the risk of causing deforestation and drought in the near future, as the virgin land is turned into production land.
- The Alliance-piloted CSI model holds significant promise: Collective Investment trainings have not only supported VSLA groups in investing together but also have supported the individual members in starting their enterprises.
- VSLA members are confident to speak out on the enterprises which are destructive to environment in front of other members compared to period before the CSI training.
- VSLA members can see the benefits of individual and group investments that are made.
- Women have been in front line in undertaking collective investments activities at a group and individual level, which has resulted into family stability and reduced GBV issues as they also have something to contribute to their families. Read More...
Implemented from June 2021 to December 2023 in Iringa and Mufindi Districts, the project targeted 21 villages. Its primary goal was to enhance the household income of 5,000 farming families, particularly empowering women, directly impacting 22,500 individuals and indirectly benefiting at least 50,000 individuals within the Great Ruaha watershed.
The project employed traditional approaches like Village Savings and Loan Associations (VSLA), Farmer Field and Business Schools (FFBS), and Community-Based Natural Resource Management (CBNRM), along with Integrated Land and Water Resource Management (ILWM) integrating income-generating and market-engagement strategies with natural resource management and sustainable agriculture practices so that both communities and ecosystems thrive.
The endline evaluation utilizing OECD criteria to assess the relevance, coherence, effectiveness, efficiency, impact, and sustainability of the project. It measured the achievements of this integrated conservation and development compared to the baseline three years earlier.
The endline evaluation found that the project surpassed its targets, reaching 7,029 households (51% female-headed) with a total of 10,961 direct beneficiaries (55% women, 34% youth) across all 21 project villages. In another words, the project impacted directly 33,739 individuals from 7,029 households. This represents 141% of the target set by the project at its beginning. Findings from FGDs and KIIs, showed that the project improved well-being of these communities by enhancing equal opportunities for men, women, and youth. The project enhanced meeting of basic needs such as food, housing, clothing, health services, and education expenses.
They participants increased productivity of staple crops like maize, common beans, sunflower, and Irish potatoes which notably contributed to reliable food sources and increased income for the communities. These crops served for both food and income. The endline survey found that the average productivity of the common bean increased from 331.3 kg acre-1 to 633 kg acre-1 which is an increase of 91% compared to the baseline. This achievement surpasses the LOP target of 30% increment by 61%. Furthermore, the average productivity of Irish potato increased from 1,435.5 kg acre-1 to 7,500 kg acre-1, which is 423% of the baseline or 393% of the LOP target of 30% increase.
The average number of months that surveyed households were able to provide sufficient food to their families was 7.4 at endline, up from 4.0 months at baseline. This is an increase of 85% from the baseline. The achievement surpasses the Life of Project goal of a 20% increase by 65%. On average, 83% of households experience adequate food provisioning during the crop-harvesting period (May to November), 42% experience hunger during the planting and crop growing season (December to April). 83% of the surveyed households report consuming three meals a day for most of the year, 86% of respondents were not worried about facing food shortages throughout the year. For those households that do not have adequate food provisions throughout the year, they tend to reduce their meals to two a day between December and April. Communities regard having two meals a day during the lean period as an improvement, as food was sometimes insufficient for one meal among some families in the past.
The endline evaluation drawn lessons learned that emerged from the data are:
- The implementation of VSLAs have helped the village land use committee, village environmental committee members and village council leaders to get into engagement with conservation activities.
- The Alliance-promoted VSLA-based AMCOS model has several benefits: in addition to attracting farmers with its core collective marketing promise, the requirement that all AMCOS members should also be VSLA members both accelerated VSLA group formation and enhances trust in leaders, a critical component of successful AMCOS.
- The planting to avocado trees, being one of potential trees for income generation and conservation of natural resources comes with a number of challenges. The first is it high water usage especially at the early stages of growth. The fruit tree have attracted large investors, who have been seen to open up large farms in forested lands. This has the risk of causing deforestation and drought in the near future, as the virgin land is turned into production land.
- The Alliance-piloted CSI model holds significant promise: Collective Investment trainings have not only supported VSLA groups in investing together but also have supported the individual members in starting their enterprises.
- VSLA members are confident to speak out on the enterprises which are destructive to environment in front of other members compared to period before the CSI training.
- VSLA members can see the benefits of individual and group investments that are made.
- Women have been in front line in undertaking collective investments activities at a group and individual level, which has resulted into family stability and reduced GBV issues as they also have something to contribute to their families. Read More...
Her Voice 2024
About this report
Increases in global conflict, the economic impact of COVID-19, market inflation, and the growing effects of climate change are compounding global crises. Those crises disproportionately affect the most vulnerable communities, especially women and girls. Addressing the unprecedented and overwhelming humanitarian crisis requires response and recovery efforts to listen to and address the needs of those affected the most, especially women and girls.
What are women telling us?
1. Crises are compounding: Women are reporting climate change, food insecurity, and conflict as the top three crises that drive impact on livelihood, food security, and safety.
2. Impact on livelihood and food security continue to be the top two reported impacts: 78% of women and 67% of men reported an impact on their livelihood. 74% of women and 72% of men reported an impact on food security. Women are more likely to eat less and sell their assets than men. Soaring food prices and inflation on essential commodities are significant factors that also affect access and availability of food.
3. Safety has overtaken mental health as one of the biggest impact areas: 47% of women and 62% of men reported an impact on their safety. In 2020 and 2021, mental health was the third prioritized impact area; in 2023, however, more women and men prioritized safety.
In the face of unimaginable and compounded crises and impacts, women still show leadership and take action to support their households and communities – 59% of women and 62% of men are trying to restore their livelihood. Women are also supporting to lead community response and are leading at the grassroots level, however, the space for their participation and leadership is shrinking.
The best way to understand what is happening to crises affected population is to listen to their voices and experiences and understand the support they need. This year, we asked women what we should recommend, and their top four asks are: livelihood recovery; addressing food insecurity; strengthening health services and addressing safety concerns.
This report represents 9,517 respondents (7,208 women) from twelve countries and provides quantitative and qualitative insights from countries that CARE conducted assessments in 2023. Read More...
Increases in global conflict, the economic impact of COVID-19, market inflation, and the growing effects of climate change are compounding global crises. Those crises disproportionately affect the most vulnerable communities, especially women and girls. Addressing the unprecedented and overwhelming humanitarian crisis requires response and recovery efforts to listen to and address the needs of those affected the most, especially women and girls.
What are women telling us?
1. Crises are compounding: Women are reporting climate change, food insecurity, and conflict as the top three crises that drive impact on livelihood, food security, and safety.
2. Impact on livelihood and food security continue to be the top two reported impacts: 78% of women and 67% of men reported an impact on their livelihood. 74% of women and 72% of men reported an impact on food security. Women are more likely to eat less and sell their assets than men. Soaring food prices and inflation on essential commodities are significant factors that also affect access and availability of food.
3. Safety has overtaken mental health as one of the biggest impact areas: 47% of women and 62% of men reported an impact on their safety. In 2020 and 2021, mental health was the third prioritized impact area; in 2023, however, more women and men prioritized safety.
In the face of unimaginable and compounded crises and impacts, women still show leadership and take action to support their households and communities – 59% of women and 62% of men are trying to restore their livelihood. Women are also supporting to lead community response and are leading at the grassroots level, however, the space for their participation and leadership is shrinking.
The best way to understand what is happening to crises affected population is to listen to their voices and experiences and understand the support they need. This year, we asked women what we should recommend, and their top four asks are: livelihood recovery; addressing food insecurity; strengthening health services and addressing safety concerns.
This report represents 9,517 respondents (7,208 women) from twelve countries and provides quantitative and qualitative insights from countries that CARE conducted assessments in 2023. Read More...
Climate Learning and Advocacy for Resilience (CLAR) Programme
Climate Learning and Advocacy for Resilience (CLAR) was a CARE Denmark global programme that during the years 2018-2021 provided technical support to CARE country programmes. The overall objective of CLAR was “Adaptive capacity and resilience of vulnerable communities to climate change impacts, risks and uncertainties has increased.” The programme had three interrelated specific objectives, focusing on (1) demonstrating good practice, innovation and impact in climate resilience, and generating new evidence and learning, (2) improving capacity and influence among CSOs and networks on global and national policies, plans and projects on climate change adaptation and finance, and (3) strengthening of climate knowledge brokering for multi-stakeholder, cross-discipline and South-South learning and coordination.
The intention with CLAR was to link practical approaches and outcomes in climate change adaptation work with influencing policy and planning processes, in particular national adaptation plans (NAPs) and finance. CLAR was to add value to CARE country programmes through the provision of technical support for integration of climate change adaptation implementation as well as cross-country learning and knowledge sharing. CLAR targeted both local, national, and global policy spaces to promote pro-poor, equitable and effective adaptation policies, and mechanisms. Through the Southern Voices on Adaptation (SVA) advocacy community of practice, CLAR supported the sharing of experiences and best practices in different contexts on how to influence adaptation policies and adaptation finance. Read More...
The intention with CLAR was to link practical approaches and outcomes in climate change adaptation work with influencing policy and planning processes, in particular national adaptation plans (NAPs) and finance. CLAR was to add value to CARE country programmes through the provision of technical support for integration of climate change adaptation implementation as well as cross-country learning and knowledge sharing. CLAR targeted both local, national, and global policy spaces to promote pro-poor, equitable and effective adaptation policies, and mechanisms. Through the Southern Voices on Adaptation (SVA) advocacy community of practice, CLAR supported the sharing of experiences and best practices in different contexts on how to influence adaptation policies and adaptation finance. Read More...
McGovern-Dole Food Fore Education Program HATUTAN – Midline Evaluation
The HATUTAN program (Hahán ne’ebé Atu fó Tulun ho Nutrisaun no Edukasaun or Food to Support Nutrition and Education) is a five-year initiative to build a partnership between schools and communities in order to improve literacy, learning, healthy, and nutrition for children and adults in Timor-Leste. The program works in partnership with the Government of Timor-Leste and development stakeholders to address two strategic objectives: improved literacy of school-aged children and increased use of health, nutrition, and dietary practices. The HATUTAN program is funded by the U.S. government through the Foreign Agricultural Service of the United States Department of Agriculture under the McGovern-Dole International Food for Education and Child Nutrition Program. The program is implemented by a consortium led by CARE International with Mercy Corps and WaterAid. The lead Timorese government partner is the Ministry of Education, Youth, and Sports, in collaboration with the Ministry of Health, Ministry of State Administration, and Ministry of Agriculture and Fisheries.
To achieve these objectives, the program supports, among a variety of activities, the Government of Timor-Leste’s school feeding program (SFP) to fully operate in all basic education and preschools throughout the school year. Key project activities include strengthening and supplementing the government-sponsored SFP and building school capacity through trainings for teachers and administrators and provision of resource materials. Additionally, the HATUTAN program seeks to support farmers to boost the production of local produce to increase yields and help create sustainable sources of nutritious food for local schools. In addition to activities related to literacy and SFPs, HATUTAN seeks to conduct trainings related to nutrition, health, and other topics, and to promote gender equality and the reduction of gender-based violence.
This report presents the midline evaluation of the HATUTAN program, which began in early 2019. It is important to note that restrictions due to the COVID-19 pandemic have had a substantial impact on program activities and target outputs and outcomes. In March 2020, HATUTAN field activities were halted, field offices were temporarily closed, and staff began to work from home due to a State of Emergency issued by the Government of Timor-Leste. This State of Emergency remains in effect to date, with varying levels of restriction on school activities, movement, and group gatherings. As a result, the HATUTAN program is behind schedule in terms of some major deliverables due to COVID-19. Read More...
To achieve these objectives, the program supports, among a variety of activities, the Government of Timor-Leste’s school feeding program (SFP) to fully operate in all basic education and preschools throughout the school year. Key project activities include strengthening and supplementing the government-sponsored SFP and building school capacity through trainings for teachers and administrators and provision of resource materials. Additionally, the HATUTAN program seeks to support farmers to boost the production of local produce to increase yields and help create sustainable sources of nutritious food for local schools. In addition to activities related to literacy and SFPs, HATUTAN seeks to conduct trainings related to nutrition, health, and other topics, and to promote gender equality and the reduction of gender-based violence.
This report presents the midline evaluation of the HATUTAN program, which began in early 2019. It is important to note that restrictions due to the COVID-19 pandemic have had a substantial impact on program activities and target outputs and outcomes. In March 2020, HATUTAN field activities were halted, field offices were temporarily closed, and staff began to work from home due to a State of Emergency issued by the Government of Timor-Leste. This State of Emergency remains in effect to date, with varying levels of restriction on school activities, movement, and group gatherings. As a result, the HATUTAN program is behind schedule in terms of some major deliverables due to COVID-19. Read More...
TAMANI (Tabora Maternal and Newborn Health Initiative) Impact Evaluation
According to the 2015-2016 DHS survey, Tabora region has the highest percentage population (45.8%) in the lowest wealth quintile in the country, which reflects high levels of structural inequality that have a direct bearing on reproductive, maternal, newborn, child, and adolescent health outcomes.(2) Polygamy is most prevalent in the Western zone with approximately one-third of marriages polygamous, contributing to high fertility rates. Tabora has a low contraceptive prevalence rate of 21.9%, and the Western Zone has the highest levels of teenage childbearing in Tanzania (38%). The latest DHS survey (2015-2016) indicated that 44.3% of women in Tabora deliver at home.
Given this context, the international aid organization CARE began reproductive health programming in Tabora in 2012 with the aim of improving maternal and reproductive health. This paper presents an impact evaluation of CARE’s second stage of reproductive, maternal and newborn health programming in Tabora, the Tabora Maternal and Newborn Health Initiative (TAMANI), which builds on the experience of CARE in the region and spans from 2017-2021. Read More...
Given this context, the international aid organization CARE began reproductive health programming in Tabora in 2012 with the aim of improving maternal and reproductive health. This paper presents an impact evaluation of CARE’s second stage of reproductive, maternal and newborn health programming in Tabora, the Tabora Maternal and Newborn Health Initiative (TAMANI), which builds on the experience of CARE in the region and spans from 2017-2021. Read More...
Takunda Resilience Food Security Activity (RFSA) Outcome Mapping Baseline report
The main objective of Progress Marker Monitoring/Outcome Mapping is to assess, the extent to which gender transformative changes are taking place in Takunda Program areas among men, women, and youth based on age, life stage, socio-cultural norms, and religious practices. Takunda acknowledges that gender inequality is both a cause and consequence of food insecurity; hence gender equality is at the heart of the Takunda Program. To challenge gender norms that fuel food insecurity, the Program implements Social Analysis and Action (SAA), a key gender transformative approach that triggers shifts in gender norms at the individual, household, community, and policy level. This progress marker assessment specifically measured behaviors and practices at play for the different study participants before Takunda’s Social Analysis and Action (SAA) interventions and it confirmed some of the findings of the Takunda gender Analysis study held in December 2021. The progress marker assessment measured gender outcomes/behaviors as defined by the communities, whereas the gender analysis assessed program-wide challenges experienced by different groups as defined by the program. Read More...