Here in CARE International’s Evaluation e-Library we make all of CARE’s external evaluation reports available for public access in accordance with our Accountability Policy.

With these accumulated project evaluations CARE International hopes to share our collective knowledge not only internally but with a wider audience.

Looking for something specific? You can filter the evaluations using the dropdown menus on the right side of the screen.

If you have an evaluation or study to share, please e-mail the document to ejanoch@care.org for posting.

Fast and Fair Vaccine Update August to October 2021

CARE's Fast and Fair initiative supports countries to equitably deliver COVID-19 vaccines through four pillars: Advocate, Facilitate, Protect and Mobilize.
CARE has identified 22* countries (and counting ) with strong capacity, partnerships, and readiness to scale.
By October 2021, CARE has supported vaccines in districts where 126 million people have delivered vaccines. We have also supported mass media messages promoting vaccines to 263 million people. Read More...

Our Best Shot: Frontline Health Workers and COVID-19 Vaccines

Fully realizing the social and economic benefits of halting COVID-19 requires investing in a fast and fair global rollout of COVID-19 vaccines. CARE estimates that for every $1 a country or donor government invests in vaccine doses, they need to invest $5.00 in delivering the vaccine.

Investments in frontline health workers are a critical component in this comprehensive vaccination cost. Of the $5.00 in delivery costs, $2.50 has to go to funding, training, equipping, and supporting health workers—especially women—who administer vaccines, run education campaigns, connect communities to health services, and build the trust required for patients to get vaccines. For these investments to work, they must pay, protect and respect women frontline health workers and their rights—a cost that is largely absent from recent WHO estimates on vaccine rollout costs. No current global conversations or guidance on vaccine costs includes the full cost of community health workers or long-term personnel costs.

Investing in a fast and fair global vaccine distribution will save twice as many lives as maximizing vaccine doses for the wealthiest countries in the world. Even better, investing in vaccine equality will speed up economic recoveries in every country in the world. For every $1 invested in vaccines in less wealthy countries, wealthy countries will see $4.80 of economic benefit because economies can fully re-open sooner. Failing to make this investment could cost wealthy economies $4.5 trillion in economic losses.

Current global debates are focused so narrowly on equitable access to for vaccine doses that they largely overlook the importance of delivering vaccines—and the key role women frontline health workers play in vaccine delivery. Of 58 global policy statements on vaccines, only 10 refer to the costs of delivery at all—and these are primarily technical advisories from the World Health Organization. No government donors are discussing the importance of vaccine delivery systems that are necessary to ending COVID-19. Only one statement—from Norway—refers to the importance of women health workers as part of the solution to ending COVID-19.

As new and dangerous strains of COVID-19 emerge in countries that are struggling to access the vaccine and control the pandemic, every day we wait for fair global vaccination allows for more contagious strains that spread around the world. The more chances the virus has to mutate in non-vaccinated populations, the higher the risk for everyone. Comprehensive global vaccine delivery plans that make sure the vaccine gets to people who need it—and that those people are ready to get the vaccine when it arrives—are the only way to end this threat. No one is safe until everyone is safe.
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A STUDY ON THE IMPACT OF COV1D-19 ON WOMEN AND GIRLS IN ETHIOPIA

By August 9, 2021, Ethiopia had reported more than 284,000 COVID-19 cases and 4,426 deaths. Since COVID-19 was first reported in Ethiopia in March of 2021, the impacts of the pandemic, the measures taken to curb COVID-19, and additional political, economic, and environmental crises have severely impacted the population.
Women and girls bear different burdens in this crisis, and emergency responses often overlook the differences
in impacts and needs for women, girls, men, and boys in humanitarian responses. To that end, this research—
with funding from the EUTF (European Union Emergency Trust Fund) provides insight into the impact of COV1D-19 on women and girls in Ethiopia. This insight informs recommendations and guide EUTF partners and other relevant stakeholders in the areas of EUTF interventions. With this objective in mind, four woredas (administrative districts), one refugee camp, and one Industrial Park (IP) were considered as sample areas. These are Sekota Zuria and Gazgibla woredas in Wag Hemra zone of Amhara region; Moyale and Miyo woredas in Borena Zone of Oromia region, Asayita Refugee Camp in Afar region, and Bole-Lemi Industrial Park in Addis Ababa.
This research surveyed 372 women and girls in April 2021. The quantitative surveys covered adult women and girls over the age of 15. It also provides insights into the differences between refugees, Internally Displaced People (IDPs), refugees, and migrants. Qualitative from focus group discussions and key informant interviews also reflects opinions from men and boys. Read More...

Gender Gaps in Vaccines November 2021

COVID-19 vaccinations are quickly becoming a story of inequality. Gender inequality is a critical part of this story. In 22 of 24 countries where CARE has data, women are less likely to be vaccinated and less likely to feel vaccines are safe.

There are massive local and global gaps in who can get vaccinated. Only 4.5% of people in low-income countries are vaccinated, and 79% of vaccinations have been in wealth countries. Tragically, wealth and geography are just two factors that skew access to vaccines. Another is gender. In many low and middle-income countries, women are less likely to get COVID-19 vaccines than men are. This compounds gender inequality women are already facing in health and decision-making Read More...

Collective Impact for Nutrition (CI4N)

The objective of the Collective Impact for Nutrition (CI4N) initiative has been to improve the nutritional status of women aged 15 to 49 and children under 2, through a multisectoral approach and initiatives based on two strategic axes: (1) Alliances for learning and advocacy and (2) community nutrition. [34 pages] 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...

Analyse Rapide Genre : Tremblement de terre du 14 août en Haïti

Haïti est enclin à des catastrophes naturelles de plusieurs sortes : cyclones, tempêtes tropicales, éboulements, inondations et tremblement de terre. En moins de douze ans, deux terribles tremblements de terre ont secoué le pays, entrainant des dommages énormes en vie humaine et en perte de toute sorte. Alors que le pays ne s’était pas encore remis des séquelles du premier séisme de magnitude 7.0 en 2010, un deuxième de magnitude 7.2 vient s’abattre le 14 août 2021 au sud du pays dont la plupart des sections communales affectées sont enclavées et difficiles d’accès. Selon le Gouvernement d’Haiti, on peut à date dénombrer 2 248 morts, 12 763 blessés et 329 personnes portées disparues.
Cette catastrophe vient augmenter le lot des préoccupations auxquelles est confrontée la société haïtienne en pleine crise politique, suite à la mort du président de la République en juillet 2021 et au cœur de toute sorte d’insécurité dont le kidnapping. Le pays continue à faire face à la COVID-19 qui a entrainé 588 morts sur un total de 21 124 cas, craignant jusqu’à présent des conséquences qui seraient dues aux éventuelles variantes. Ce désastre qui frappe sévèrement tous les secteurs d’activités de la vie nationale est également survenu en pleine saison cyclonique et à la veille de la rentrée scolaire. Il vient instaurer une situation humanitaire que les leçons tirées des crises antérieures permettront de mieux gérer.
C’est dans ce contexte particulièrement complexe qu’ONU Femmes et CARE, sous le leadership du Ministère à la Condition féminine et aux Droits des femmes (MCFDF) et en coordination avec la Direction Générale de la Protection Civile (DGPC), ont lancé l’Analyse Rapide Genre qui se veut une évaluation rapide de l’impact du tremblement de terre d’août 2021 sur les femmes, les hommes, les filles et les garçons, incluant les personnes en situation de vulnérabilité, afin d’éclairer la réponse humanitaire en cours en Haïti dans l’immédiat, ainsi que les efforts de redressement à moyen et à long terme. Cette étude est faite en partenariat avec l’Equipe spéciale genre de l’équipe humanitaire en Haiti et a obtenu le soutien financier, technique et logistique des partenaires suivantes : Fondation Toya, IDEJEN, UNFPA, OCHA, OMS/OPS, ONUSIDA, PAM, PNUD, et UNICEF.
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Baseline Study on “Improving lives of Rohingya refugees and host community members in Bangladesh through sexual and reproductive healthcare integrated with gender-based violence prevention and response” Project

In response to the health and protection needs of the Rohingya refugees and the host communities in Cox ́s Bazar, CARE is implementing the project “Improving lives of Rohingya refugees and host community members in Bangladesh through sexual and reproductive healthcare integrated with gender-based violence prevention and response” with funding support by German Federal Foreign Office. This is a two year project targeting Rohingya refuges of camp 11, 12, 15 and 16 and vulnerable host communities of Jaliapalong union for GBV and SRH services.
To achieve improved sexual and reproductive health, GBV survivor support and protection from GBV of Rohingya Refugees in Cox ́s Bazar in Bangladesh, this project works across three outcomes. Firstly general and sexual and reproductive (SRH) health services will be provided through decetralised health centers which will rove around the target areas to provide services to people at their doorsteps. Improved Menstrual Hygiene management (MHM) is the second outcome of this project. There is an absence of space for washing and drying menstrual hyiene materials, leading women and girls to risk their health by drying their materials indoors. Through this project, therefore, two MHM spaces will be constructed next to CARE’s existing women and girls’ safe spaces (WGSS) in camps 12 and 16. The construction will be accompanied with training to ensure that the spaces are used appropriate. The third project outcome focuses on prevention of and response to gender-based violence. Services include psychosocial counselling, referral of GBV survivors, life-skills training, information and awareness-raising and recreational activities. These activities are complemented by community outreach activities, conducted through Rohingya volunteers, to ensure that the communities know about and can access the WGSS, and challenging harmful social norms associated with GBV. Community outreach will take place in camps 12 and 16 amongst refugee populations.
This report is 22 pages long. Read More...

AN INTERSECTIONAL ANALYSIS OF GENDER AMONGST ROHINGYA REFUGEES AND HOST COMMUNITIES IN COX’S BAZAR

The Rohingya ethnic minority population in Myanmar have been persecuted over generations and are denied of their fundamental human rights. Violence, discrimination and persecution in Myanmar have eventually led the stateless Rohingya people to flee
to Bangladesh from Rakhine State in successive waves over the last four decades. Since August 2017, an estimated 745,000 Rohingya refugees arrived in Cox’s Bazar, Bangladesh, reaching the total number of 914,998 people and constituting the largest refugee camp
in the world. The rapid and sizable influx of Rohingya refugees now outnumbers locals nearly three to one in the two sub-districts, Ukhiya and Teknaf, where refugees and the subsequent humanitarian response have had an impact on the host community.
This inter-agency research is commissioned by ActionAid in collaboration with UNHCR and CARE Bangladesh to investigate how age, gender and diversity issues are addressed in the humanitarian response amongst Rohingya refugees and the host communities. The
quantitative and qualitative data were collected from 03 December 2019 to 07 January 2020. This transdisciplinary research aims to fill a significant gap by providing a critical analysis of the present status of gender relations addressed in humanitarian response, taking into consideration the intersectionality among specific needs based on age, gender and other diversity factors contributing to a person or group’s vulnerability.
This study was conducted prior to the COVID-19 pandemic. Due to the change in context, it has now become even more imperative to adapt existing mechanisms within the ongoing response, especially the need for increased Age, Gender and Diversity (AGD) analysis and monitoring of vulnerabilities. While COVID-19 was not a factor in this report, the recommendations of this report need to be addressed and implemented with the changing context in mind. Read More...

Final Project End-line assessment of Shelter, NFI, Hygiene, SRHR and Livelihood Support for Disaster-Affected Populations in Afghanistan 2018-2020

The Emergency Shelter, NFI, Hygiene, SRHR and Livelihood Support for Disaster-Affected Populations in Afghanistan 2018-2020 Project aims to provide emergency assistance to the identified beneficiaries settled in Kabul, Parwan, Kapisa, Balkh, Ghazni, Khost and Paktya provinces of Afghanistan. The interventions covered under this project included Shelter, NFI, WASH, Livelihoods and SRHR needs of the women, men, boys and girls affected by disasters. The sample of 352 households for this end line evaluation was structured as according to the proportion beneficiaries per the different project outputs The two main output blocks of hygiene/SRHR on the one hand and different forms of cash and NFI support on the other are well captured in the end line survey. In addition to the quantitative approach, 8 FGDs, 7 KIIs and 3 IDIs conducted were conducted with the project beneficiaries, stakeholders and the GAC project team.
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