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COVID-19 Vaccination Uptake: A study of Knowledge, Attitudes and Practices of Marginalized Communities in Iraq

CARE Iraq conducted a study to better understand community acceptance of COVID-19 vaccination and existing barriers to vaccine uptake. The objectives of the study were to create an understanding of people’s knowledge, attitudes and perceptions about COVID-19 and the vaccines, establish what reasons undermine the COVID-19 vaccination campaign and inform about the status of vaccine uptake among marginalized communities. The results of the study can inform policy makers and health actors to design awareness campaigns and address barriers to vaccine uptake to increase the vaccination rate.

CARE found that:
• Vaccine hesitancy is high.
• Women have less access to, knowledge of, and willingness to accept the COVID-19 vaccine then men.
• Barriers to access are still high, and higher for women than for men.
• Fear of side effects is the biggest obstacle.
• There is little trust in the vaccination process.
• Many people do not believe vaccines are important.
• People are not confident they have enough accurate information.

Key recommendations
• Social media can be a primary channel for vaccine messaging.
• It’s critical to counteract misinformation.
• Multiple sources of information are critical.
• Focus messaging for women and religious leaders.
• Develop different messages in different areas.
• Build on people’s willingness to be convinced with good information. Read More...

RESI Final Evaluation

The Rural Economic Sustainability Initiative (RESI) aimed to support inclusive and sustainable rural economic
development in four target municipalities in Kosovo: Prishtinë/Priština, Novo Brdo/Novobrdë, Kamenicë/a and
Ranil(l)ug. The approach utilised built on a very successful previous project and featured grants to MSME in agriculture,
capacity development of municipality agriculture departments and a special focus on empowerment of women and
socio-economically vulnerable groups.

Relevance. RESI was found to be highly relevant to the four chosen municipalities and filled critical gaps that were
impeding rural economic development at farmer, processor and local government levels.

Effectiveness. RESI has delivered its outputs which is a massive achievement in such a short 3 year period. The
project met or exceeded each of its targets as per the output indicators. In terms of outcomes, specific targets were
not set but increased income and job creation has occurred and can be linked to RESI.

Efficiency. RESI was highly efficient. As compared to the previous (IRDS) project the RESI team scaled up all aspects
of the project across 4 municipalities and dispersed twice as many grants in only 3 year (as compared with 5).

Impact. Data gathered by the RESI team shows that 285 new full-time jobs and 490 seasonal jobs have been created
so far. Income of grant recipients has increased by 53% on average.

Sustainability. Overall signs are good, but it is too soon to concretely assess sustainability.



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Impact Assessment of Savings Groups

Researchers from IPA, along with CARE staff and their implementing partners, conducted a randomized evaluation of Village Savings and Loans Association (VSLA) programs in Ghana, Malawi, and Uganda to examine two questions: Who joins savings groups? And, what is the impact on households from programs that promote savings groups? The evaluation used a randomized control trial (RCT) design, in which eligible communities were randomly divided into two sets: a set of villages with access to a VSLA program (the treatment group) and a set of villages where the program was not implemented during the study (the control group). The study started in Ghana in 2008 and in Malawi and Uganda in 2009, and the final data collection took place in 2011 in the three countries. Each site included a panel survey in which households were surveyed before the start of the program implementation and again two or three years later. Over 15,000 households in almost 950 communities were surveyed. The surveys covered a large variety of topics, including health, education, income-generating activities, asset holdings, food consumption, non-food expenditure, intra-household decision making and community involvement. At the time of the endline survey, after an average of two years of program implementation in the three sites, one third of respondents had joined a VSLA group. On average, members had been part of a group for 15 months and 61% of members had gone through a full savings cycle, normally lasting between 8 and 12 months. The evaluation should thus be thought of as assessing the relatively short-term impacts of the intervention. [62 pages] Read More...

Building Sustainable Livelihoods for Refugees and the Poor, especially Women

The project “Building Sustainable Livelihoods for Refugees and the Poor, especially Women” is a sixteen-month’s project that was implemented by CARE Jordan between April 2019 and July 2020 and funded by Rotary International. The project focused on building the capacity of 175 Jordanian and Syrians entrepreneurs in order to create and accelerate local businesses through conducting small business building and mentoring sessions and distributing toolkits.
The project was implemented in East Amman area which is classified as one of the less fortunate areas in Jordan.
The overall goal of this project was building the capacity of entrepreneurs, community leaders, local organizations, and community networks to support economic development in impoverished communities; developing opportunities for productive work; and reducing poverty in underserved communities. [53 pages]
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Rafah Governorate: Deception, Destruction & Death in the “Safe” Zone Rapid Gender Analysis

The ongoing crisis in the Gaza Strip has been described as a “human rights crisis, a human-made humanitarian disaster”1 and a “war on woman.”2 Since October 7th there has been mass scale forced displacement of over a million Palestinians from Northern Gaza to Southern Governorates. The subsequent impacts of this, compounded with pre-existing gender inequalities and multidimensional vulnerabilities, have disproportionately impacted women and girls, as well as other vulnerable groups such as persons with disabilities, children, pregnant and lactating women, elderly populations, those living with chronic and mental health conditions.
Aim and methodology: The aim of this RGA was to hear from women and men currently in Rafah, with a focus on those providing essential services to communities and Internally Displaced People (IDPs) in the Governorate. The aim was to better understand the experiences of women, men, girls and boys at this moment, and to identify how CARE and the local and international humanitarian community, including U.N. Agencies, can best respond - understanding the formidable challenges and barriers to do so.
This RGA was conducted at a time where the population of Rafah were subject to continued and threatened bombardment from land, air and sea. As such it was intentionally designed to be light and small scale in terms of primary data collection; which took place between 7th April to 17th April 2024, and is complemented by secondary data review and analysis.
This RGA is being published in the days surrounding further escalation of violence in Rafah. The Gaza side of the Rafah border crossing with Egypt is blocked 6 and an evacuation order has been issued in the Eastern parts of Rafah; the designated “safe zone” in the Gaza strip. This reinforces the voices of the men and women who told us, with no uncertainty, that nowhere in Gaza is safe.
Key findings related to each area of inquiry and recommendations are summarised below, with more details to be found in the main report.
Key findings:
1. Shifting Gender Roles: Continuous displacement has led to some traditional gender roles adapting and expanding, as well as others being reinforced. Increased and unrealistic pressure has been placed on women to meet the needs and demands of dependents in a highly stressful environment, which has led to an increase in verbal and physical violence against women.
2. Coping Mechanisms: On the verge of starvation, nearly the entire population in Rafah has reported extreme and harmful coping strategies including but not limited to bartering with other essential items, begging, gathering wild foods, scavenging under rubble or in trash or seeking food outside their shelter.8 Reports indicate some women are fasting for several days in a row,9 and boys and girls are forced to work on the street selling or begging. Female heads of household, older women and women with disabilities face security and protection obstacles seeking access to food distributions.10
3. Sustaining through Community Networks of Solidarity: Community solidarity has emerged as a lifeline for survival, such as women supporting children’s education and men distributing food parcels or organising activities for children. Religion and prayer have played a key role in the coping strategies of men, women and children. For youth, social media (when accessible) played a role to maintain connections, articulate fears and share experiences with others. For children, where possible, play and educational outlets within shelters provide a brief respite from the reality of airstrikes.
4. Maternal & Reproductive Health: With an overwhelmed and overstretched health system, people with disabilities, chronic conditions and trauma are left without the most basic care. With estimates of 155,000 women in Gaza pregnant or lactating, and 5,500 expected to deliver in the next month,11 the lack of adequate maternal, sexual and reproductive health services leave mothers, newborns and their children exposed to severe and life-threatening health risks. If women survive pregnancy and childbirth, postpartum recovery, including ability to breastfeed, also present severe challenges.12
5. Mental Health and Psychosocial Support Services (MHPSS): Of extreme concern is the severe emotional, physical and psychological distress among the displaced population, especially among children and youth. As caregivers do their best to survive and manage their own mental health, the impact on children and youth is extensive and holds intergenerational impacts.
6. Education: With formal education effectively stopped since October 7th, children have lost out on a whole academic year of education. While there were reports of some initiatives such as ‘informal learning circles’ and remote learning, these are not easily accessible. Parents, caregivers and children are focused on daily survival; there is the increasing need for adolescents and young girls to support with chores or be confined to their tents due to safety issues; and, particularly for boys, the need to help earn money or seek supplies for the family. Read More...

Bringing Agroforestry to Scale for Improved Livelihood in Care-Harande resilience zones (BrASIL)

The BrASIL project is a collaboration between the World Agroforestry Centre (ICRAF) and CARE Mali (HARANDE Program) for maximizing synergies. The Goal of the Harande program, which means ‘food security’ in Peulh, is “Sustainable food, nutrition and income security for vulnerable household members in Youwarou, Tenenkou, Bandiagara and Douentza in Mopti region. The collaboration under BrASIL aim at ensuring a better intervention that takes full account of adaptation to climate change, optimal natural resource management and reduction of target communities’ vulnerability to climate change. This partnership will put high emphasis on the bottom up and community led, cascading training of trainers and farmer-to-farmers learning approaches. [19 pages] Read More...

Northern Uplands Promoting Climate Resilience (NU PCR)

The objective of the Northern Uplands – Promoting Climate Resilience (NU-PCR) project is to support vulnerable households in remote areas in three districts in Phongsaly to better understand the current trends and changes in climate and adapt their agricultural livelihoods to these changes. The project is funded by the European Union and was jointly and successfully implemented by CARE, CCL and SAEDA, in close collaboration with local communities (in Mai, Samphan and Gnot Ou districts of the Phongsaly province), the Ministry of Natural Resources and Environment, the Ministry of Agriculture and Forestry and the Lao Women’s Union (among others).
The current report summarises the achievements accomplished during the four years of its implementation (2014-2018).
The greatest achievements (see resilience graphic on page 15) refer to improvement on women’s agency (not least through the establishment of VSLAs), farmers’ long term planning, division of labour through gender equitable shared workload, access to agro-climate information services and livelihood recovery rate. Interestingly, the project could not influence livelihood diversification. This is rooted in the fact, that livelihood of remote ethnic communities in the Northern Uplands of Lao PDR is already highly diversified. Further diversification may rather result economically risky (too much time and resources to be invested dispersive in large variety of farming options, at the cost of investment in value addition of existing livelihood priorities). Therefore, the support provided rather focused on the expansion and value addition to already existing practices (e.g. cultivation, processing and marketing of Cardamom, Tea, Honey, Galangal, Mushroom, Rice, Fish, etc.). (54 pages) Read More...

CROSS-BORDER MIGRATION INTO INDIA AND DEVELOPMENT – Advocacy Paper

The migration discourse has not remained confined to focusing upon the mobility of people from low income countries to high income countries. There has been growing attention to migration from higher-income countries to lower-income countries. The current literature, however, is increasingly taking note of human movements within any of the two regions – the higher income countries and the lower income countries, also described as the global north and the global south respectively. Based on the level of development of the countries of origin and destination, the United Nations has therefore identified a typology of two inter-regional and two intra-regional streams of contemporary international migration: south-north and north-south, south-south and north-north (United Nations 2013). This typology also subsumes the category of a transit country in its roles of being an origin and a destination country at the same time. [26 Pages] Read More...

EDUCATION SECTOR PROGRAM IMPLEMENTATION GRANT (ESPIG) Endline Report

Global evidence has shown that the type and quality of education can either fuel marginalization, alienation, poverty and vulnerability of children and young people or strengthen societal resilience. After the fall of the state in 1991 and the outbreak of conflict, the education system in Somalia remains fragmented and underfunded – with only 0.25 percent of Somalia’s GDP invested in the education system. Significant barriers to accessing quality education in Somalia include minimal capacity to provide in-teacher training; insufficient salaries for educators; high student to teacher ratio; low ratio of textbooks to students; inadequate school infrastructure (e.g., gender appropriate WASH facilities or access to electricity); marginalization of pastoralist communities and minority clans; and an inability to appropriately accommodate students with disabilities.
In response the Ministry of Education, Culture and Higher Education (MOECHE) of the Government of Somalia and CARE have implemented the Education Sector Program Implementation Grant (ESPIG) funded by the Global Partnership for Education (GPE). Aligned with the Federal Government of Somalia’s Education Sector Plan 2018-2020 (ESSP), the overall objective of ESPIG is to increase access to quality education for out of school children; enhance the quality of primary education; and improve the capacity of the Ministries of Education (MOEs) at the Federal Member State (FMS) and district level to regulate and better manage the education sector.
This endline evaluation aimed to assess the extent to which the stated objectives and ESPIG components were achieved (or not) during the course of the project. This study also aimed to identify and explore the factors affecting the achievement of the ESPIG outcomes. For instance, it sought to identify factors affecting access to primary education, as well as the quality of teaching. The findings and recommendations aim to inform adaptations to future GPE investments in system strengthening in Somalia as well as the proposed methodology for their implementation. Read More...

Baseline Survey Report for a WASH project in West Mosul

This is a baseline survey report for the "Improving Sanitation, Hygiene, Renovation of Sewage System" project, funded by the Ministry of Foreign Affairs of the Czech Republic.
There are two priority issues to be addressed by this project: a) significant health risks posed by accumulation of solid waste in key arteries of West Mosul (Cree stream), precluding the effective flow of gray water towards the river as well as damaged pipes which serve to remove black water from residential areas (Al-Thawra neighborhood), and b) limited civic engagement and ownership of residential environment, resulting in poor communal hygiene practices and a high burden on local authorities, which are operating under severely reduced capacity to address needs.
A base-line survey was conducted to identify the current water, hygiene and sanitation conditions in the neighborhood, beneficiaries’ specific needs (disaggregated by men, women, boys and girls) and overall awareness towards water, hygiene and sanitation measures. In order to measure the impact of this projects base line data will be evaluated against end line data collected after project closure. Read More...

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