Search Results: u 2021년DB☆（ㅌㄹSein07」∧2021년DB판매합니다х2021년DB업체┝2021년DB❉2021년디비판매사이트
MAGNIFYING INEQUALITIES AND COMPOUNDING RISKS The Impact of COVID-19 on the Health and Protection of Women and Girls on the Move
More than one year into the coronavirus disease (COVID-19) pandemic—with some countries seemingly on their way out of the crisis while others enter new waves—evidence of its impact is growing. COVID-19 is increasing short-term humanitarian needs and negatively affecting longer-term outcomes for marginalized populations and people in vulnerable situations, significantly setting back hard-won development gains, magnifying inequalities, and compounding risks. Among those worst affected are the more than 80 million people worldwide—approximately half of whom are women and girls—who have been forcibly displaced by drivers such as persecution, conflict, generalized violence or human rights violations.1
The majority of forcibly displaced people live in resource-poor countries with weak public health and social protection systems, and economies that have been hard-hit by the pandemic.2 Yet, to date, there has only been limited research around the unique ways in which women and girls on the move are affected.3 This despite predictions of significant impacts on access to, and use of, basic health services—including for sexual and reproductive health (SRH)—and the overall protection environment, including increases in prevalence and risk of gender-based violence (GBV).
Placing gender at the center of its humanitarian and development responses, CARE undertook new research in Afghanistan, Ecuador, and Turkey between April and May 2021 to better understand how COVID-19 is impacting the health and protection of women and girls on the move. The three countries represent different types of forced displacement across multiple regions: internally displaced persons (IDPs) and refugee returnees in Afghanistan; more recent migrants and refugees due to the Venezuelan crisis in Ecuador; and longer-term Syrian refugees living under temporary international protection in Turkey. The primary data collected for this research included more than 1,000 surveys with women on the move and from host communities, to allow comparison; 31 focus group discussions (FGDs) with women and adolescent girls; and 45 key informant interviews (KIIs) with government actors, health and protection service providers, humanitarian organizations, and CARE staff. Read More...
The majority of forcibly displaced people live in resource-poor countries with weak public health and social protection systems, and economies that have been hard-hit by the pandemic.2 Yet, to date, there has only been limited research around the unique ways in which women and girls on the move are affected.3 This despite predictions of significant impacts on access to, and use of, basic health services—including for sexual and reproductive health (SRH)—and the overall protection environment, including increases in prevalence and risk of gender-based violence (GBV).
Placing gender at the center of its humanitarian and development responses, CARE undertook new research in Afghanistan, Ecuador, and Turkey between April and May 2021 to better understand how COVID-19 is impacting the health and protection of women and girls on the move. The three countries represent different types of forced displacement across multiple regions: internally displaced persons (IDPs) and refugee returnees in Afghanistan; more recent migrants and refugees due to the Venezuelan crisis in Ecuador; and longer-term Syrian refugees living under temporary international protection in Turkey. The primary data collected for this research included more than 1,000 surveys with women on the move and from host communities, to allow comparison; 31 focus group discussions (FGDs) with women and adolescent girls; and 45 key informant interviews (KIIs) with government actors, health and protection service providers, humanitarian organizations, and CARE staff. Read More...
PROGRAMME QUINQUINAL MWANAMKE AMANI NA USALAMA (MAnU 2.0) RAPPORT D’EVALUATION MI-PARCOURS DU PROGRAMME EN RDC ET AU BURUNDI
Cette étude évalue le programme MAnU 2.0, contraction de Mwanamke, Amani na Usalama 2.0 (traduction de Femmes, Paix et Sécurité). Il s’agit d’un programme mis en oeuvre au Burundi et en République Démocratique du Congo, par un Consortium composé de deux organisations néerlandaises dont Mensen met een Missie (MM) (organisation lead) et CARE Nederland et d’une organisation régionale SPR (Synergie des Femmes pour la Paix et la Réconciliation des Peuples des Grands Lac), en partenariat avec des organisations nationales dans les deux pays d’intervention du programme. Il s’agit d’une évaluation à mi-parcours, puisque le programme couvre la période 2021-2025.
L’objectif global du programme est le suivant : « Les femmes et les filles en RDC et au Burundi participent de manière significative à la prévention, à la résolution, à la médiation des conflits, à la protection et à la consolidation de la paix ». Afin d’atteindre cet objectif, le programme met en oeuvre une stratégie axée sur des activités de sensibilisation et de réflexion, le renforcement des capacités des organisations de la société civile, des leaders communautaires, autorités locales et des réseaux de base ainsi que le lobbying et le plaidoyer aux niveaux local, provincial, national et régional pour accroître la participation des femmes dans les instances de prise de décisions.
Pour vérifier l’atteinte de cet objectif, IRSAC a mis en oeuvre une méthodologie mixte, combinant méthodes quantitatives (réalisées au moyen d’un questionnaire) et méthodes qualitatives (à travers l’organisation de Focus Groupes et d’entretiens semi-structurés), complétés par la recherche documentaire.
La présente évaluation s’est concentrée sur la pertinence, la cohérence et l’efficacité aussi bien du programme lui-même (la gouvernance du programme, le partenariat et le niveau d’atteinte des résultats) que de la stratégie mise en oeuvre.
L’étude a évalué l’efficacité de la structure de gouvernance de MAnU 2.0 et le partenariat au sein de MAnU 2.0 et vérifié la mesure dans laquelle cette structure a contribué à l’atteinte des objectifs du consortium en matière de participation effective des organisations partenaires et groupes cibles dans la prise de décisions. Quant au partenariat au sein et en dehors de MAnU 2.0, l’évaluation a analysé son caractère équitable et sa valeur ajoutée en matière de promotion de la Résolution 1325 du Conseil de sécurité des Nations Unies. Ce faisant, l’étude conclut que la structure de gouvernance MAnU.2.0, composée de différentes entités couvrant le niveau local jusqu’au niveau régional (cf. infra), offre aux groupes cibles la possibilité de participer et d’influencer la prise des décisions au niveau local jusqu’au niveau régional, à travers en particulier, leur participation dans les réunions des Equipes de Coordination Locale aux niveaux des axes ( Nord Kivu, Sud Kivu et Burundi) et que leurs points de vue peuvent être ramenés au niveau du CRG à travers les points focaux des axes qui participent aux assises du CRG. Read More...
L’objectif global du programme est le suivant : « Les femmes et les filles en RDC et au Burundi participent de manière significative à la prévention, à la résolution, à la médiation des conflits, à la protection et à la consolidation de la paix ». Afin d’atteindre cet objectif, le programme met en oeuvre une stratégie axée sur des activités de sensibilisation et de réflexion, le renforcement des capacités des organisations de la société civile, des leaders communautaires, autorités locales et des réseaux de base ainsi que le lobbying et le plaidoyer aux niveaux local, provincial, national et régional pour accroître la participation des femmes dans les instances de prise de décisions.
Pour vérifier l’atteinte de cet objectif, IRSAC a mis en oeuvre une méthodologie mixte, combinant méthodes quantitatives (réalisées au moyen d’un questionnaire) et méthodes qualitatives (à travers l’organisation de Focus Groupes et d’entretiens semi-structurés), complétés par la recherche documentaire.
La présente évaluation s’est concentrée sur la pertinence, la cohérence et l’efficacité aussi bien du programme lui-même (la gouvernance du programme, le partenariat et le niveau d’atteinte des résultats) que de la stratégie mise en oeuvre.
L’étude a évalué l’efficacité de la structure de gouvernance de MAnU 2.0 et le partenariat au sein de MAnU 2.0 et vérifié la mesure dans laquelle cette structure a contribué à l’atteinte des objectifs du consortium en matière de participation effective des organisations partenaires et groupes cibles dans la prise de décisions. Quant au partenariat au sein et en dehors de MAnU 2.0, l’évaluation a analysé son caractère équitable et sa valeur ajoutée en matière de promotion de la Résolution 1325 du Conseil de sécurité des Nations Unies. Ce faisant, l’étude conclut que la structure de gouvernance MAnU.2.0, composée de différentes entités couvrant le niveau local jusqu’au niveau régional (cf. infra), offre aux groupes cibles la possibilité de participer et d’influencer la prise des décisions au niveau local jusqu’au niveau régional, à travers en particulier, leur participation dans les réunions des Equipes de Coordination Locale aux niveaux des axes ( Nord Kivu, Sud Kivu et Burundi) et que leurs points de vue peuvent être ramenés au niveau du CRG à travers les points focaux des axes qui participent aux assises du CRG. Read More...
CONEX Balkan Project Rapid Gender Analysis Report Western Balkan Region – Albania, Bosnia & Herzegovina, Kosovo, Montenegro, North Macedonia, and Serbia
CONEX is a regional project implemented in six Balkan countries designed to support the marginalized groups of people in the targeted communities that have suffered the most during the Covid-19 crisis, namely the elderly, unemployed women, minorities, refugees, internally displaced persons (IDPs) and persons with disabilities to transition from relief to recovery and onwards to development.
The Rapid Gender Analysis (RGA) has been conducted to provide essential information about gender issues and concerns that should be addressed and will not only be used to define concrete action points and possible adaptations of project design but also as a learning tool and advocacy platform with national NGO networks and local/national authorities. The RGA objectives are to:
Assess the ways and the extent to which women and other vulnerable groups are affected by social and economic deprivation due to consequences of the COVID-19 crisis;
Explore how the prevailing gender norms and roles relate to the project activities and objectives, in particular with regard to the access to information, ability to access services, employment and effects of gender based violence (GBV) and
Increase the gender analysis and integration related capacities of project staff (gender-sensitization, RGA data collection training).
The RGA was conducted in the period May-October 2021 and consisted of three main segments facilitated by the CARE team: 1. Capacity building of partners on gender and how to conduct the RGA; 2. Coordination of data collection, analysis, and validation 3. RGA report writing.
In total, 28 implementing partners’ staff members from nine organizations in 21 locations in six target countries organized and facilitated 53 events (focus group discussions - FGDs and key informant interviews -KIIs) during which they directly talked to 195 persons (66% female), 21% ethnic minority (Roma and Ashkali), over 29% persons from rural areas and 11% persons with disabilities – PWD. Read More...
The Rapid Gender Analysis (RGA) has been conducted to provide essential information about gender issues and concerns that should be addressed and will not only be used to define concrete action points and possible adaptations of project design but also as a learning tool and advocacy platform with national NGO networks and local/national authorities. The RGA objectives are to:
Assess the ways and the extent to which women and other vulnerable groups are affected by social and economic deprivation due to consequences of the COVID-19 crisis;
Explore how the prevailing gender norms and roles relate to the project activities and objectives, in particular with regard to the access to information, ability to access services, employment and effects of gender based violence (GBV) and
Increase the gender analysis and integration related capacities of project staff (gender-sensitization, RGA data collection training).
The RGA was conducted in the period May-October 2021 and consisted of three main segments facilitated by the CARE team: 1. Capacity building of partners on gender and how to conduct the RGA; 2. Coordination of data collection, analysis, and validation 3. RGA report writing.
In total, 28 implementing partners’ staff members from nine organizations in 21 locations in six target countries organized and facilitated 53 events (focus group discussions - FGDs and key informant interviews -KIIs) during which they directly talked to 195 persons (66% female), 21% ethnic minority (Roma and Ashkali), over 29% persons from rural areas and 11% persons with disabilities – PWD. Read More...
Somali Girls Education Promotion Program Transition (SOMGEP-T) Midline
Despite ongoing efforts, learning outcomes in Somalia remain among the lowest in the region, particularly for girls. Boys and girls contend with different gender and social norms that tend to undermine their ability to stay in school, study and advance from grade to grade. Girls in Somalia are living in an environment undergoing deep transitions in social and gender norms, where traditional norms expecting women to primarily care for children in the home and assume responsibility for household tasks, and placing little value or emphasis on education for women coexist with new roles for women as entrepreneurs, heads of household and main breadwinners at home, thus increasing demand on girls’ education. Since the time of the baseline, rural-rural migration has increased, predominantly as a result of economic hardship that has persisted among households that have been most heavily affected by drought. At the level of national government, MoE personnel tend to change frequently, leading to lack of continuity over time, but there is also increased funding for educational initiatives. It is in this context that CARE International launched SOMGEP and, following its successful completion, continued its programming through Somali Girls’ Education Promotion Project – Transition (SOMGEP-T). The project, which began on May 1 2017 and is expected to close on October 31 2021, builds on evidence from SOMGEP and seeks to further address barriers and challenges Somali girls face related to attendance and learning outcomes. At proposal stage, the project was expected to reach a total of 27,146 marginalised girls; calculations based on up to date enrolment data indicate that the project is estimated to reach 27,722 in-school girls across 148 primary schools and 53 secondary schools in 22 target districts in Somaliland, Puntland, and Galmudug, as well as 5,140 out-of-school girls in the same locations.
SOMGEP-T aims to bring about sustainable improvements to the learning and transition outcomes of marginalised Somali girls. To address barriers and the causes of marginalisation, the SOMGEP-T Theory of Change (ToC) focuses on four key outputs: (1) Improved access to post-primary options, (2) Supportive school practices and conditions for marginalised girls, (3) Positive shifts on gender and social norms at community and individual girl level, and (4) Enhanced MoEs’ capacity to deliver quality and relevant formal and informal education. Outputs are expected to contribute to the achievement of the project’s four intermediate outcomes of attendance, retention, improved quality of teaching, and life skills development, which will in turn contribute to the long-term goals of improving learning outcomes, boosting transition rates, and ensuring the sustainability of changes brought about by the project.
The SOMGEP-T evaluation uses a mixed-methods, quasi-experimental design, involving a longitudinal panel of girls with a non-randomly assigned comparison group. The present study describes the results after four months of exposure to the intervention for in-school girls and presents the baseline findings for girls attending an alternative learning program (ALP). The midline sample comprises 63 schools, with 32 intervention schools and 31 comparison schools, plus 32 ALP sites (17 shared with the midline sample, 15 unique to the ALP sample). The primary findings from the evaluation are summarised below. Read More...
SOMGEP-T aims to bring about sustainable improvements to the learning and transition outcomes of marginalised Somali girls. To address barriers and the causes of marginalisation, the SOMGEP-T Theory of Change (ToC) focuses on four key outputs: (1) Improved access to post-primary options, (2) Supportive school practices and conditions for marginalised girls, (3) Positive shifts on gender and social norms at community and individual girl level, and (4) Enhanced MoEs’ capacity to deliver quality and relevant formal and informal education. Outputs are expected to contribute to the achievement of the project’s four intermediate outcomes of attendance, retention, improved quality of teaching, and life skills development, which will in turn contribute to the long-term goals of improving learning outcomes, boosting transition rates, and ensuring the sustainability of changes brought about by the project.
The SOMGEP-T evaluation uses a mixed-methods, quasi-experimental design, involving a longitudinal panel of girls with a non-randomly assigned comparison group. The present study describes the results after four months of exposure to the intervention for in-school girls and presents the baseline findings for girls attending an alternative learning program (ALP). The midline sample comprises 63 schools, with 32 intervention schools and 31 comparison schools, plus 32 ALP sites (17 shared with the midline sample, 15 unique to the ALP sample). The primary findings from the evaluation are summarised below. Read More...
Final: Servicio de Diagnóstico sobre las Necesidades de Financiamiento y de Servicios de Desarrollo Empresarial en contexto Post-COVID 19 de los Empresarios de la Microempresa y Pequeña Empresa – MYPE
CARE Peru. El presente informe tiene como objetivo presentar los resultados del primer y segundo levantamiento de información y el diagnóstico para la identificación de las Necesidades de Financiamiento y de Servicios de Desarrollo Empresarial en contexto Post-COVID 19 de los Empresarios de la Microempresa y Pequeña Empresa – MYPE, durante el periodo de diciembre del 2020 a marzo del 2021. Para ello, se realizó una revisión del enfoque metodológico empleado, proceso y herramientas de recojo de información, en donde se detalló los elementos que permitieron y dificultaron dicho proceso. El diagnóstico consitió en el análisis de la información recogida en donde se tomará en cuenta la revisión de los hallazgos por variables del estudio, diferencias percibidas por grupo de participación (strivers y pre-strivers), así como de la diferenciación por género y resiliencia. Por otro lado, se presentan conclusiones enfatizando temas relacionados a su gestión empresarial como formas de financiamiento, conocimiento de plataformas y medios virtuales, conocimientos sobre estructuración de costos, demanda de microcréditos de los y las micro-empresario/as [63 pgs.] Read More...
EMERGENCY FOOD SECURITY PROGRAM-EFSP II
This end-of-project evaluation study was carried out between August and September 2021. The overall purpose of the evaluation was to assess the extent to which the program had achieved its strategic objective of improved food security for drought-affected households in the target locations. This included the use of the OECD- DAC criteria, more specifically Relevance and Appropriateness, Efficiency and Effectiveness as well as the project’s impact on the community. Read More...
Somali Girls Education Promotion Project Transition (SOMGEP-T) Endline Evaluation
The Somali Girls’ Education Promotion Project – Transition (SOMGEP-T), funded by UK’s Foreign and Commonwealth Development Office (FCDO) and USAID, was implemented from 2017-2022 in rural and remote areas of Somaliland, Puntland, and Galmudug, reaching an estimated 20,000 girls and 10,000 boys directly and another 20,000 students through indirect benefits. The implementation of SOMGEP-T followed on the successes of SOMGEP (2013-17, funded by FCDO), with a particular focus on enhancing learning outcomes and transition rates for marginalised adolescent girls. SOMGEP-T was implemented by a consortium formed by CARE International, ADRA, local women’s rights network NAGAAD, and local non-governmental organisations HAVOYOCO (a youth-led committee) and TASS. The project’s activities were conducted in close collaboration with state- and national-level Ministries of Education, responding to priority areas identified in state and Federal-level sector development plans.
SOMGEP-T used a mixed-methods, quasi-experimental design for impact measurement. The endline evaluation sample included 69 primary schools, split between 37 intervention and 32 comparison schools. Additionally, a pre-post evaluation design was used to assess progress on accelerated education programming. Data collection took place in an additional 32 Alternative Learning Programme (ALP) centres and 35 Accelerated Basic Education (ABE) centres, which are located in the same communities as SOMGEP-T intervention schools. In total, the endline sample included 1,802 girls and their households, 965 of whom were re-contacted from the baseline and interviewed successfully. The endline data collection took place in December 2021.
Learning
A few key findings emerged from the learning analysis. Firstly, although improvements were observed in numeracy, Somali literacy, English literacy, and financial literacy amongst girls in intervention schools, these improvements were also simultaneously observed in girls in comparison schools. Secondly, learning improvements occurred largely within the first two years of the programme, prior to the ML2 evaluation – a finding which can largely be attributed to the COVID-19 pandemic and the resulting long-running school closures that occurred between the ML2 and endline evaluations.
At the endline, it became evident that SOMGEP-T had a much larger impact on learning among a few specific groups of ultra-marginalised girls, especially those marginalised along multiple overlapping axes, such as girls from relatively poor or pastoralist households who were out-of-school at the baseline, girls with physical disabilities, and the lowest-performing students at the baseline. For instance, girls from pastoralist households who were out-of-school at baseline gained an average of 10.8 percentage points in Somali literacy, over and above the comparison group. A similar, but less stark, pattern was observed in average numeracy scores (3.9 percentage points over and above the comparison group). In both cases gains among this subgroup were larger than among other out-of-school girls or pastoralist girls who were already in school when the programme started. Read More...
SOMGEP-T used a mixed-methods, quasi-experimental design for impact measurement. The endline evaluation sample included 69 primary schools, split between 37 intervention and 32 comparison schools. Additionally, a pre-post evaluation design was used to assess progress on accelerated education programming. Data collection took place in an additional 32 Alternative Learning Programme (ALP) centres and 35 Accelerated Basic Education (ABE) centres, which are located in the same communities as SOMGEP-T intervention schools. In total, the endline sample included 1,802 girls and their households, 965 of whom were re-contacted from the baseline and interviewed successfully. The endline data collection took place in December 2021.
Learning
A few key findings emerged from the learning analysis. Firstly, although improvements were observed in numeracy, Somali literacy, English literacy, and financial literacy amongst girls in intervention schools, these improvements were also simultaneously observed in girls in comparison schools. Secondly, learning improvements occurred largely within the first two years of the programme, prior to the ML2 evaluation – a finding which can largely be attributed to the COVID-19 pandemic and the resulting long-running school closures that occurred between the ML2 and endline evaluations.
At the endline, it became evident that SOMGEP-T had a much larger impact on learning among a few specific groups of ultra-marginalised girls, especially those marginalised along multiple overlapping axes, such as girls from relatively poor or pastoralist households who were out-of-school at the baseline, girls with physical disabilities, and the lowest-performing students at the baseline. For instance, girls from pastoralist households who were out-of-school at baseline gained an average of 10.8 percentage points in Somali literacy, over and above the comparison group. A similar, but less stark, pattern was observed in average numeracy scores (3.9 percentage points over and above the comparison group). In both cases gains among this subgroup were larger than among other out-of-school girls or pastoralist girls who were already in school when the programme started. Read More...
Final Evaluation of Climate Change Adaptation of Women Smallholders and Cotton Producers from Vidarbha Region, Maharashtra
CARE India’s project on “Environmentally Sound and Climate Resilient Cotton Production Practices (ESCRCPP)”, supported by Group Galeries Lafayette, was implemented from 2018 to 2021 in 10 villages of Jalgaon Jamod block of Buldhana district in Vidarbha region of Maharashtra, aimed to promote environmentally sound, climate-resilient and inclusive cotton production. The location of the project was guided by the fact that Vidarbha accounts for half of the cotton area of Maharashtra, which has one third of cotton growing area in India and Buldhana district is the major cotton producing area in Vidarbha. The cotton based agricultural economy of the region faces challenges like water stress, climate variability and issues related to farming practices and technology. These result in low productivity, frequent crop failure, poor management of water resources, and high indebtedness of farmers.
The project had three purposes (sub-objectives or outcomes) and six expected results (outputs). The outcomes were: women small holders have the capacity to engage in environmentally sound and climate-resilient cotton production; strengthened collectives for building solidarity, promoting gender equity, and facilitating access of women smallholders from poor and vulnerable households to resilience building resources, services, and opportunities; and enabling environment in the form of supportive cotton value chain actors.
This report is 82 pages long. Read More...
The project had three purposes (sub-objectives or outcomes) and six expected results (outputs). The outcomes were: women small holders have the capacity to engage in environmentally sound and climate-resilient cotton production; strengthened collectives for building solidarity, promoting gender equity, and facilitating access of women smallholders from poor and vulnerable households to resilience building resources, services, and opportunities; and enabling environment in the form of supportive cotton value chain actors.
This report is 82 pages long. Read More...
Lafiyayyan Yara (Healthy Child) – Reducing Infections Disease Among Children Under Five (RIDCU) Bade LGA, Yobe State
The Lafiyayyan Yara (Healthy Child): Reducing Infectious Disease among Children under Five (RIDCU-5) project was a 27-month private donor funded project implemented from October 2021 through December 2023. The project strengthened health systems in Bade Local Government Area (LGA) of Yobe state by providing required equipment and medication for health facilities, increasing capacity of health personnel to use approved diagnostic methods, and engaging the community to improve uptake of health services.
The primary objective of the evaluation was to assess the project's performance and document its achievements, challenges, and best practices to guide future similar programming; and provide recommendations to CARE Nigeria and its partners to make informed decisions and enhance the effectiveness and efficiency of future initiatives.
Effectiveness
Evidence from the desk review showed that the project made remarkable progress towards reducing mortality in under-5 children through a community-based health systems strengthening approach that ensures that communities receive a core package of services. The major factors that influenced the effectiveness and achievement of the project results were the use of community structures (community health volunteers, model mothers, and community-based surveillance focal points), capacity building, the referral system and the Social Analysis and Action (SAA) approach through community dialogues, supportive supervision, routine monitoring visits and facility health promotion session. The SAA approach also helped to shift practices related to family planning, immunization and poor health seeking behavior, as evidenced from the qualitative findings.
Efficiency
In both the design and implementation of the project activities, CARE International RIDCU5 team ensured that the project was efficient. The project design allowed the RIDCU5 project to train and work with community members as volunteers and adequately build their capacity and work collaboratively with local partners and relevant stakeholders. The use of community structures and local partners made the project implementation cost effective and created the opportunity for sustainability.
7
The project’s design engaged community volunteers1 to serve as model mothers, community-based surveillance focal points, feedback and accountability volunteers, and community health volunteers, has enabled the project to increase community mobilization through a cost-effective approach. Through the community referral system, and health promotion sessions, many women were reached through the activities of the community volunteers.
Impact
Findings showed that the objectives and activities of the CARE RIDCU5 project were relevant in addressing the humanitarian needs of Bade Local Government communities. The weekly dialogue session with model mothers helped to address social norms and practices that negatively impact maternal and child health and the strengthened detection and referral of infectious disease (acute respiratory illness, malaria, diarrhea, and measles) through community-based surveillance (CBS) that included door-to-door visits and referrals for care. Also, health promotion sessions and supportive supervision in the 22 health facilities of the implementation contributed to quality of services. The project was able to respond largely to the needs of the target groups, including Community Health Workers (licensed and volunteers); children under five and their caregivers; pregnant and postpartum women and adolescent girls through support to strengthen referral systems, community engagement approaches to improve health behaviors and accountability of the health system as well as capacity building and provision of supplies and equipment to improve health service delivery.
Sustainability
The involvement of community volunteers assisted in the community ownership of the project. At present, community volunteers and community leaders, who benefited from the training conducted by CARE International, are engaged in community mobilization and awareness creation among community members on various aspects of the project. Respondents reported that that through the knowledge gained from CARE international, they were able to strengthen their cooperation among each other. The project has also built the capacity of the local partners and community members in a sustainable way through supportive supervision and training for health care workers and volunteers to improve and enhance their capacity to diagnose and detect infectious diseases. Read More...
The primary objective of the evaluation was to assess the project's performance and document its achievements, challenges, and best practices to guide future similar programming; and provide recommendations to CARE Nigeria and its partners to make informed decisions and enhance the effectiveness and efficiency of future initiatives.
Effectiveness
Evidence from the desk review showed that the project made remarkable progress towards reducing mortality in under-5 children through a community-based health systems strengthening approach that ensures that communities receive a core package of services. The major factors that influenced the effectiveness and achievement of the project results were the use of community structures (community health volunteers, model mothers, and community-based surveillance focal points), capacity building, the referral system and the Social Analysis and Action (SAA) approach through community dialogues, supportive supervision, routine monitoring visits and facility health promotion session. The SAA approach also helped to shift practices related to family planning, immunization and poor health seeking behavior, as evidenced from the qualitative findings.
Efficiency
In both the design and implementation of the project activities, CARE International RIDCU5 team ensured that the project was efficient. The project design allowed the RIDCU5 project to train and work with community members as volunteers and adequately build their capacity and work collaboratively with local partners and relevant stakeholders. The use of community structures and local partners made the project implementation cost effective and created the opportunity for sustainability.
7
The project’s design engaged community volunteers1 to serve as model mothers, community-based surveillance focal points, feedback and accountability volunteers, and community health volunteers, has enabled the project to increase community mobilization through a cost-effective approach. Through the community referral system, and health promotion sessions, many women were reached through the activities of the community volunteers.
Impact
Findings showed that the objectives and activities of the CARE RIDCU5 project were relevant in addressing the humanitarian needs of Bade Local Government communities. The weekly dialogue session with model mothers helped to address social norms and practices that negatively impact maternal and child health and the strengthened detection and referral of infectious disease (acute respiratory illness, malaria, diarrhea, and measles) through community-based surveillance (CBS) that included door-to-door visits and referrals for care. Also, health promotion sessions and supportive supervision in the 22 health facilities of the implementation contributed to quality of services. The project was able to respond largely to the needs of the target groups, including Community Health Workers (licensed and volunteers); children under five and their caregivers; pregnant and postpartum women and adolescent girls through support to strengthen referral systems, community engagement approaches to improve health behaviors and accountability of the health system as well as capacity building and provision of supplies and equipment to improve health service delivery.
Sustainability
The involvement of community volunteers assisted in the community ownership of the project. At present, community volunteers and community leaders, who benefited from the training conducted by CARE International, are engaged in community mobilization and awareness creation among community members on various aspects of the project. Respondents reported that that through the knowledge gained from CARE international, they were able to strengthen their cooperation among each other. The project has also built the capacity of the local partners and community members in a sustainable way through supportive supervision and training for health care workers and volunteers to improve and enhance their capacity to diagnose and detect infectious diseases. Read More...