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.
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If you have an evaluation or study to share, please e-mail the document to ejanoch@care.org for posting.
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...
ON THE FRONTLINE: Lessons on health worker empowerment through the COVID-19 pandemic response
Around the world,frontline and community health workers serve to connecthealth services, commodities, and informationwiththose who need them. Equippedwith the relevant skills and community trust, theycanstrengthen health systems by bridginggeographic and financial accessibility gaps for rural, hard-to-reach, and vulnerable populations through last-mile health delivery. When integrated into national and local healthcare systems, community health workers can additionally help patients navigate complex systems of care and ensure care continuity across services. Historically during times of health crises, global governments and organizations have often relied on community health workforces as frontline responders to deliver life-saving care to disproportionate l y affected populations. The 2020 COVID-19 pandemic was no exception, with many countries mobilizing their existing community health worker programs or initiating new ones to assist with pandemic response . Leveraging lessons learned through its decades long support and implementation of frontline and community health worker initiatives across 60 countries, CARE developed guidelines for community-level pandemic response and disease prevention during this time. In June 2020, CARE partnered with Abbott to launch a one-year in-depth primary care response to the COVID-19 pandemic Read More...
Ukraine Rapid Gender Analysis (Primary Data) May 2022
"It is no longer very scary whether a rocket will arrive or not from the sea, but it is scary that we will die of starvation.”
The lives of people across Ukraine have been profoundly impacted by the humanitarian crisis brought on by the invasion on 24 February 2022. As of 29 April, 5.5 million refugees have already fled Ukraine,1 and the number of internally displaced people (IDPs) has reached 7.7 million. Of those who have fled the country, it is estimated that 90 per cent are women and children, while most men aged 18–60 are required to stay behind under martial law. Based on current data from the International Organization for Migration, 60 per cent of the adult internally displaced population are female, while 40 per cent are male. As the crisis quickly evolves, so do the needs and priorities of women and men across Ukraine.
This Rapid Gender Analysis (RGA), carried out by UN Women and CARE International, seeks to draw attention to the gender dynamics in the humanitarian crisis resulting from the war in Ukraine. The RGA also proposes recommendations for humanitarian leadership, actors and donors to ensure consideration of the gendered dimensions of risk, vulnerability and capabilities in response to this crisis.
The RGA is a progressive publication based on both primary and secondary data sources that compares pre-crisis data with up-to-date information as the situation evolves. This RGA builds upon the RGA Ukraine Brief (http://www.careevaluations.org/evaluation/rapid-gender-analysis-ukraine/) developed by CARE International during the first week of the war and on the UN Women and CARE RGA published 29 March6 based on an analysis of secondary data. For this report, the RGA team reviewed English, Ukrainian and Russian sources and interviewed 179
women and men from local communities across Ukraine, as well as representatives from civil society organizations (CSOs), UN agencies and government bodies. Particular effort was made to ensure that the voices of women and men in vulnerable situations and from different marginalized groups were included. Read More...
The lives of people across Ukraine have been profoundly impacted by the humanitarian crisis brought on by the invasion on 24 February 2022. As of 29 April, 5.5 million refugees have already fled Ukraine,1 and the number of internally displaced people (IDPs) has reached 7.7 million. Of those who have fled the country, it is estimated that 90 per cent are women and children, while most men aged 18–60 are required to stay behind under martial law. Based on current data from the International Organization for Migration, 60 per cent of the adult internally displaced population are female, while 40 per cent are male. As the crisis quickly evolves, so do the needs and priorities of women and men across Ukraine.
This Rapid Gender Analysis (RGA), carried out by UN Women and CARE International, seeks to draw attention to the gender dynamics in the humanitarian crisis resulting from the war in Ukraine. The RGA also proposes recommendations for humanitarian leadership, actors and donors to ensure consideration of the gendered dimensions of risk, vulnerability and capabilities in response to this crisis.
The RGA is a progressive publication based on both primary and secondary data sources that compares pre-crisis data with up-to-date information as the situation evolves. This RGA builds upon the RGA Ukraine Brief (http://www.careevaluations.org/evaluation/rapid-gender-analysis-ukraine/) developed by CARE International during the first week of the war and on the UN Women and CARE RGA published 29 March6 based on an analysis of secondary data. For this report, the RGA team reviewed English, Ukrainian and Russian sources and interviewed 179
women and men from local communities across Ukraine, as well as representatives from civil society organizations (CSOs), UN agencies and government bodies. Particular effort was made to ensure that the voices of women and men in vulnerable situations and from different marginalized groups were included. Read More...
End line assessment of GSK supported Community Health workers (CHW) initiative in Sunamganj district, Bangladesh
In spite of improvement in maternal and child health, the Sylhet division continues to have the poorest indicators in Bangladesh. Higher mortality for both mother and child and poor utilization of healthcare services still exist in the Sylhet division. Sunamganj is one of the remotest areas in Bangladesh and belongs to the Sylhet division having the poorest maternal and child health status. Since December 2012, CARE Bangladesh together with GSK and other key stakeholders has been implementing a Community Health Workers (CHWs) Initiative, which aims to address the lack of skilled human resources in remote and underserved unions of Sunamganj district. The overall goal of the CHW initiative is to improve maternal and child health outcomes in underserved/remote and poor communities of Bangladesh by increasing their access to quality health care services. Through a unique model of Public-Private Partnership (PPP), the project developed 319 Private CSBAs who are providing maternal and child health services including primary treatment of Non-Communicable Diseases (NCDs) like diabetes and hypertension in the entire Sunamganj district. To do a robust measurement in terms of assessing maternal, neonatal and child health (MNCH) related knowledge and practices as well as documentation of learning of these innovative initiatives, icddr,b conducted a baseline study in 2012 and end-line assessment in 2018. Read More...
ÉVALUATION FINALE ET LA CAPITALISATION DU PROJET « RELÈVEMENT ET RENFORCEMENT FINANCIER DES POPULATIONS VULNÉRABLES AFFECTÉES PAR LA COVID-19 (COOPERER III) »
Pour contribuer à la lutte contre la pandémie Covid-19 initiée par le gouvernement camerounais, l’ONG de développement CARE International au Cameroun a mis en place le projet « Relèvement et renforcement Financier des populations vulnérables affectées par la COVID-19 », en abrégé « ResCOV-19 » ; soit COOPERER III avec l’appui financier du Centre de crise et de Soutien du Ministère de l’Europe et des Affaires Etrangères. Le projet est exécuté dans les communes de Kaélé et Touloum du département de mayo kani et la Commune de Yagoua du département de Maayo Danay, et avait pour objectif de contribuer à l’accès aux services sociaux de base en matière d’eau et aux opportunités économiques des femmes et des jeunes touchés par la pandémie de la COVID-19, sur la période allant du 1er janvier 2021 au 31 Mars 2022 soit une durée globale de 15 mois.
Arrivé à son terme, une mission d’évaluation externe a été réalisée pour renseigner les critères usuels d’évaluation que sont la pertinence, la cohérence, l’efficacité, l’efficience, la durabilité et l’impact.
Cette mission a utilisé une approche mixte qui combine les techniques qualitatives et quantitative pour obtenir les données aussi bien primaires que secondaires. A la suite de la première phase de revue documentaire, une collecte des données primaires a été réalisée auprès des personnes ressources pour ce qui concerne les entretiens et focus-group et dans les ménages et auprès des membres des AVEC d’une part et l’inventaire des points d’eau d’autre part avec les outils d’enquête par questionnaires. Ces outils ont été déployés dans les 03 communes du projet Kaélé, Touloum et Yagoua. Une répartition de 70% et 30% respectivement pour les bénéficiaires, membres des AVEC et les ménages non bénéficiaires a été observée. Pour la constitution de l’échantillon des membres des AVEC, 70% des femmes et 30% des hommes ont été définis. La méthodologie mise en place a permis de réaliser 29 personnes (05 femmes et 24 hommes) lors des entretiens avec les personnes ressources, 18 focus group (07 Comités de gestion des points d’eau, 08 AVEC et 03 micro-assurances) avec 88 femmes et 87 hommes et d’administrer 576 questionnaires (Membres des AVEC, Ménages) soit 435 femmes et 141 hommes. Après la collecte par questionnaires grâce à l’application de collecte numérique (Kobocollect), s’en est suivi la phase d’apurement et traitement dans Excel.
Malgré le retard constaté dans la mise en oeuvre de certaines activités du fait du Covid – 19, 39 649 personnes dont 22 655 femmes (soit 57 %) (Sans double comptage) ont été sensibilisées directement dans les communautés, par porte à porte et séance en groupe de 15 à 30 personnes, sur les thématiques tels que la prévention de la COVID-19 et le respect des règles d’hygiène et de salubrité, le civisme, le genre, le planning familiale, etc. le projet a également couvert environ 150 000 habitants suite à la diffusion des messages radiophoniques de sensibilisation.
L’analyse des différentes questions d’évaluation montre que le projet COOPERER III est cohérent car il s’inscrit dans le cadre de la Stratégie Nationale de Développement 2020-2030 et dans le plan riposte contre la Covid-19 du Cameroun. Le projet s’aligne également aux lois et aux directives nationales et sectorielles et à la mission de Care qui vise à sauver des vies, vaincre la pauvreté et parvenir à la justice sociale. Du point de vue de sa pertinence, le projet apporte une réponse aux besoins spécifiques des différentes catégories de cibles (femmes, hommes et jeunes hommes, jeunes femmes) et des populations et a mis en place des approches et mécanismes de suivi-évaluation des activités du projet adaptées pour la mesure des résultats.
Le projet dans sa globalité a contribué aux changements des comportements au sein des AVEC, au sein de leurs ménages et leur statut social au sein de leurs communautés ; à l’équipement des AVEC ; au renforcement des capacités des membres des associations. En terme de changement, il a été constaté que : (i) les membres de comités de gestion des points d’eau formés nettoient et entretiennent leur point d’eau, (ii) les membres des AVEC tiennent des AGR et organisent régulièrement des réunions et sont engagés à réaliser une activité propre à leur AVEC ; (iii) que les personnes sensibilisées sur les bonne pratiques d’hygiènes font plus attention dans la manipulation des denrées alimentaires ; etc. Outre ces changements, le respect des règles d’hygiène (lavage des mains, des toilettes et récipients d’eau, etc.) et des mesures anti Covid-19 (port des masques facials, distanciation sociale, etc.) par les bénéficiaires s’est accru grâce aux activités du projet. Le projet a également permis aux bénéficiaires directs et indirects d’améliorer leurs connaissances, attitudes et pratiques sur plusieurs aspects. Il s’agit notamment des mesures de prévention et de protection contre le COVID-19, l’hygiène autour des points d’eau, mais également les connaissances des membres des AVEC sur des thématiques telles que la comptabilité simplifiée pratique, l’entrepreneuriat, le marketing, les techniques d’animation et de sensibilisation des groupes, etc… Read More...
Arrivé à son terme, une mission d’évaluation externe a été réalisée pour renseigner les critères usuels d’évaluation que sont la pertinence, la cohérence, l’efficacité, l’efficience, la durabilité et l’impact.
Cette mission a utilisé une approche mixte qui combine les techniques qualitatives et quantitative pour obtenir les données aussi bien primaires que secondaires. A la suite de la première phase de revue documentaire, une collecte des données primaires a été réalisée auprès des personnes ressources pour ce qui concerne les entretiens et focus-group et dans les ménages et auprès des membres des AVEC d’une part et l’inventaire des points d’eau d’autre part avec les outils d’enquête par questionnaires. Ces outils ont été déployés dans les 03 communes du projet Kaélé, Touloum et Yagoua. Une répartition de 70% et 30% respectivement pour les bénéficiaires, membres des AVEC et les ménages non bénéficiaires a été observée. Pour la constitution de l’échantillon des membres des AVEC, 70% des femmes et 30% des hommes ont été définis. La méthodologie mise en place a permis de réaliser 29 personnes (05 femmes et 24 hommes) lors des entretiens avec les personnes ressources, 18 focus group (07 Comités de gestion des points d’eau, 08 AVEC et 03 micro-assurances) avec 88 femmes et 87 hommes et d’administrer 576 questionnaires (Membres des AVEC, Ménages) soit 435 femmes et 141 hommes. Après la collecte par questionnaires grâce à l’application de collecte numérique (Kobocollect), s’en est suivi la phase d’apurement et traitement dans Excel.
Malgré le retard constaté dans la mise en oeuvre de certaines activités du fait du Covid – 19, 39 649 personnes dont 22 655 femmes (soit 57 %) (Sans double comptage) ont été sensibilisées directement dans les communautés, par porte à porte et séance en groupe de 15 à 30 personnes, sur les thématiques tels que la prévention de la COVID-19 et le respect des règles d’hygiène et de salubrité, le civisme, le genre, le planning familiale, etc. le projet a également couvert environ 150 000 habitants suite à la diffusion des messages radiophoniques de sensibilisation.
L’analyse des différentes questions d’évaluation montre que le projet COOPERER III est cohérent car il s’inscrit dans le cadre de la Stratégie Nationale de Développement 2020-2030 et dans le plan riposte contre la Covid-19 du Cameroun. Le projet s’aligne également aux lois et aux directives nationales et sectorielles et à la mission de Care qui vise à sauver des vies, vaincre la pauvreté et parvenir à la justice sociale. Du point de vue de sa pertinence, le projet apporte une réponse aux besoins spécifiques des différentes catégories de cibles (femmes, hommes et jeunes hommes, jeunes femmes) et des populations et a mis en place des approches et mécanismes de suivi-évaluation des activités du projet adaptées pour la mesure des résultats.
Le projet dans sa globalité a contribué aux changements des comportements au sein des AVEC, au sein de leurs ménages et leur statut social au sein de leurs communautés ; à l’équipement des AVEC ; au renforcement des capacités des membres des associations. En terme de changement, il a été constaté que : (i) les membres de comités de gestion des points d’eau formés nettoient et entretiennent leur point d’eau, (ii) les membres des AVEC tiennent des AGR et organisent régulièrement des réunions et sont engagés à réaliser une activité propre à leur AVEC ; (iii) que les personnes sensibilisées sur les bonne pratiques d’hygiènes font plus attention dans la manipulation des denrées alimentaires ; etc. Outre ces changements, le respect des règles d’hygiène (lavage des mains, des toilettes et récipients d’eau, etc.) et des mesures anti Covid-19 (port des masques facials, distanciation sociale, etc.) par les bénéficiaires s’est accru grâce aux activités du projet. Le projet a également permis aux bénéficiaires directs et indirects d’améliorer leurs connaissances, attitudes et pratiques sur plusieurs aspects. Il s’agit notamment des mesures de prévention et de protection contre le COVID-19, l’hygiène autour des points d’eau, mais également les connaissances des membres des AVEC sur des thématiques telles que la comptabilité simplifiée pratique, l’entrepreneuriat, le marketing, les techniques d’animation et de sensibilisation des groupes, etc… Read More...
Improved WASH Services to the Myanmar Refugees Population in camps 15 (Jamtoli) and 16 (Potibonia), Ukhiya Upazila, Cox’s Bazar
Applying both quantitative and qualitative tools and approaches, the end-line assessment was conducted in February 2022. It covers 415 respondents' households from camps 15 and 16—data collection done with tablets in KoBo. The samples were drawn systematically. First, the sample size was determined following the most common statistical formula. The objectives of the study are as follows: 1) To know the present situation context on WASH; 2) To identify the targeted respondent's current Knowledge, Attitude and Practice (KAP).
The study findings reveal the following:
Water
- The most commonly reported primary sources for drinking water were Piped water tap/Tap Stand, reported by 66% of households.
- In terms of water collection, male engagement has been increased. Overall, 86% of households reported women, followed by adult males (55%) and Children (6%). However, the male also helps them when they cook and cloth wash.
- Overall, only 2% of households reported a combined travel and waiting time of more than 30 Water containers.
- Females preferred to get 'Kolsi' (a pitcher) instead of Bucket or Jerrycan for carrying water. On the other hand, male and adolescent children preferred Jerrycan for carrying the water.
- 76% of respondents feel safe collecting enough water to meet their households' needs, such as drinking, cooking, laundry, bathing etc. However, women also reported that they feel unsafe because men go to water points to collect water.
- A significant proportion of households (88%) do not treat drinking water. Because they believe the drinking water source is safe—12% of households use the aqua tab to treat their water.
Sanitation
- The most-reported defecation (sanitation options) for household members five and above was communal latrines 86%, followed by shared latrines 14%, and single-household latrines 7%. Others places (2 %), bucket and open defecation was seldom reported 1%.
- The accessible latrine is one of the beauties of this project. This latrine is included: The railing on the way, The handle inside, The tap, The commode, The single-use.
- The community also thinks that these latrines will be equally helpful for elderlies.
- A significant 79% responded to the affirmative of privacy of latrine use. A significant number of
- 18% of the households' female members use the designated bathing facilities. However, this figure is low because of privacy concerns.
Hygiene
- All (100%) respondents mentioned that they cleaned every time they filled with fresh/clean water. While at the time of hurriedness, that type of cleaning activity has disrupted.
- 100% of households owned soap at the time of the interview. The study further explored other hand washing options/solutions households use when they do not have soap; because of CoVID-19, all respondents, even children, are aware of handwashing. They can recall the critical time of handwashing.
- Regarding the best way to receive health and hygiene messages, 45% stated Home visits by volunteers, and 2nd choice is by the local leaders. However, the study findings also revealed that only 7% of households said they do not know how to prevent diarrhea.
- 69% of females used reusable clothes, 16% used disposable pads. The reusable cloth is the most preferred for use during the menses.
- Most female respondents said they wash and reuse the MHM materials and dispose of way is Household/Trash bin, Throw in the open waste area/communal bins, In the latrine, Bury in the soil, and, Burn them
RECOMMENDATION
- Consideration of men, women and girls carrying water and provide water container that these particular groups prefer;
- The child-to-chid session needs to discuss the importance of Gender Marker because children remove the gender markers frequently, which causes a problem for the women;
- Need to keep attention to the elderly person in terms of WASH facilities along with Persons with Disabilities;
- Video documentaries for hygiene promotion may be more effective together; in this connection, CARE can collaborate with "shongjog" which is the open platform of CwC in Rohingya Camp. Read More...
The study findings reveal the following:
Water
- The most commonly reported primary sources for drinking water were Piped water tap/Tap Stand, reported by 66% of households.
- In terms of water collection, male engagement has been increased. Overall, 86% of households reported women, followed by adult males (55%) and Children (6%). However, the male also helps them when they cook and cloth wash.
- Overall, only 2% of households reported a combined travel and waiting time of more than 30 Water containers.
- Females preferred to get 'Kolsi' (a pitcher) instead of Bucket or Jerrycan for carrying water. On the other hand, male and adolescent children preferred Jerrycan for carrying the water.
- 76% of respondents feel safe collecting enough water to meet their households' needs, such as drinking, cooking, laundry, bathing etc. However, women also reported that they feel unsafe because men go to water points to collect water.
- A significant proportion of households (88%) do not treat drinking water. Because they believe the drinking water source is safe—12% of households use the aqua tab to treat their water.
Sanitation
- The most-reported defecation (sanitation options) for household members five and above was communal latrines 86%, followed by shared latrines 14%, and single-household latrines 7%. Others places (2 %), bucket and open defecation was seldom reported 1%.
- The accessible latrine is one of the beauties of this project. This latrine is included: The railing on the way, The handle inside, The tap, The commode, The single-use.
- The community also thinks that these latrines will be equally helpful for elderlies.
- A significant 79% responded to the affirmative of privacy of latrine use. A significant number of
- 18% of the households' female members use the designated bathing facilities. However, this figure is low because of privacy concerns.
Hygiene
- All (100%) respondents mentioned that they cleaned every time they filled with fresh/clean water. While at the time of hurriedness, that type of cleaning activity has disrupted.
- 100% of households owned soap at the time of the interview. The study further explored other hand washing options/solutions households use when they do not have soap; because of CoVID-19, all respondents, even children, are aware of handwashing. They can recall the critical time of handwashing.
- Regarding the best way to receive health and hygiene messages, 45% stated Home visits by volunteers, and 2nd choice is by the local leaders. However, the study findings also revealed that only 7% of households said they do not know how to prevent diarrhea.
- 69% of females used reusable clothes, 16% used disposable pads. The reusable cloth is the most preferred for use during the menses.
- Most female respondents said they wash and reuse the MHM materials and dispose of way is Household/Trash bin, Throw in the open waste area/communal bins, In the latrine, Bury in the soil, and, Burn them
RECOMMENDATION
- Consideration of men, women and girls carrying water and provide water container that these particular groups prefer;
- The child-to-chid session needs to discuss the importance of Gender Marker because children remove the gender markers frequently, which causes a problem for the women;
- Need to keep attention to the elderly person in terms of WASH facilities along with Persons with Disabilities;
- Video documentaries for hygiene promotion may be more effective together; in this connection, CARE can collaborate with "shongjog" which is the open platform of CwC in Rohingya Camp. Read More...
Endline Report: An interim analysis of baseline and endline data for key indicators
TAMANI is a complex intervention for improving maternal and newborn health in Tabora, Tanzania. The overarching objective of this intervention is to address the challenges linked to (1) the decision to seek care, (2) the barriers to accessing care, and (3) the provision of the highest possible quality of care, collectively known as the “three delays”. Addressing these delays requires a complex set of changes in behaviors, attitudes, access to and use of resources, skills, and knowledge of clients and service providers. The intervention targeted the supply side by improving the quality of care at health facilities, and the demand side through programs to increase utilization of care through community engagement and addressing gender barriers to accessing care by women and their families. 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...
At the last mile: Lessons from Vaccine Distributions in DR Congo
The Democratic Republic of the Congo (DRC) has one of the lowest COVID-19 vaccination rates in the world, with just 0.87% of people in DRC having received even one dose. While the country has received 8.2 million doses of COVID-19 vaccine, it has managed to administer 528,000 of them—just under 11% of vaccines available. In April of 2021, DRC became one of the first countries to return 1.3 million COVID-19 doses to COVAX because they could not deliver them to people before the vaccines expired.
The challenges that risked more than a million doses expiring are still in play for most of the country. In both January and February 2022, 114,705 vaccines expired in country because there was not enough investment in systems and health workers to deliver vaccines. To reach 70% of the population—62.7 million people—DRC will need to drastically scale up and accelerate COVID-19 vaccination.
CARE is working with 4 vaccination sites—2 in Butembo and 2 in Goma—to support with community mobilization in partnership with local leaders, health center operations, and training. With joint action and communication plans developed with chiefs, religious leaders, and local authorities, and additional equipment to protect health workers, those sites had vaccinated 1,132 people. In those 4 sites, we have also conducted several rounds of research and problem-solving using community dialogues between health workers and clients using the Community Scorecard, as well as the Social Analysis and Action tools, which provides the insights for this case study. The team has also supported local vaccination teams with IT infrastructure, personnel costs, and creating locally adapted COVID-19 communications plans.
Version Francaise
La République démocratique du Congo (RDC) possède un des taux de vaccination les plus bas dans le monde avec la lutte contre COVID-19. Seulement 0,87% des personnes en RDC ont reçu même une seule dose du vaccin. Alors que le pays a reçu 8,2 millions de doses de vaccin contre la COVID-19, il n’a réussi qu’à en administrer 881,204, soit un peu moins de 11% des vaccins disponibles administrés. En avril 2021, la RDC est devenue l’un des premiers pays à restituer 1,3 million de doses de COVID-19 à COVAX parce qu’elle ne pouvait pas les administrer aux personnes avant l’expiration des vaccins.
Les défis qui risquaient d’expirer plus d’un million de doses sont toujours en jeu pour la majeure partie du pays. En janvier et février, 114,705 doses ont expiré dans le pays parce qu’il n’y avait pas assez d’investissements dans les systèmes et les agents de santé pour livrer des vaccins. Pour atteindre 70 % de la population, soit 62,7 millions de personnes, la RDC devra considérablement intensifier et accélérer la vaccination contre la COVID-19.
CARE travaille avec 4 sites de vaccination – 2 à Butembo et 2 à Goma – pour soutenir la mobilisation communautaire en partenariat avec les leaders et structures locaux, les opérations des centres de santé et la formation. Ces sites avaient vacciné 1 132 personnes. Dans ces 4 sites, nous avons également mené plusieurs séries de recherches et de résolution de problèmes à travers des dialogues communautaires entre les prestataires des services et les clients avec la Carte Communautaire et l’analyse et l’action sociale, à l’aide de la carte de pointage communautaire, qui fournit les informations nécessaires à cette étude de cas. On a aussi appuyé les missions de supervisions avec l’infrastructure pour la connexion internet, la motivation des prestataires, et l’élaboration des plans de communication adaptes aux contextes.
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The challenges that risked more than a million doses expiring are still in play for most of the country. In both January and February 2022, 114,705 vaccines expired in country because there was not enough investment in systems and health workers to deliver vaccines. To reach 70% of the population—62.7 million people—DRC will need to drastically scale up and accelerate COVID-19 vaccination.
CARE is working with 4 vaccination sites—2 in Butembo and 2 in Goma—to support with community mobilization in partnership with local leaders, health center operations, and training. With joint action and communication plans developed with chiefs, religious leaders, and local authorities, and additional equipment to protect health workers, those sites had vaccinated 1,132 people. In those 4 sites, we have also conducted several rounds of research and problem-solving using community dialogues between health workers and clients using the Community Scorecard, as well as the Social Analysis and Action tools, which provides the insights for this case study. The team has also supported local vaccination teams with IT infrastructure, personnel costs, and creating locally adapted COVID-19 communications plans.
Version Francaise
La République démocratique du Congo (RDC) possède un des taux de vaccination les plus bas dans le monde avec la lutte contre COVID-19. Seulement 0,87% des personnes en RDC ont reçu même une seule dose du vaccin. Alors que le pays a reçu 8,2 millions de doses de vaccin contre la COVID-19, il n’a réussi qu’à en administrer 881,204, soit un peu moins de 11% des vaccins disponibles administrés. En avril 2021, la RDC est devenue l’un des premiers pays à restituer 1,3 million de doses de COVID-19 à COVAX parce qu’elle ne pouvait pas les administrer aux personnes avant l’expiration des vaccins.
Les défis qui risquaient d’expirer plus d’un million de doses sont toujours en jeu pour la majeure partie du pays. En janvier et février, 114,705 doses ont expiré dans le pays parce qu’il n’y avait pas assez d’investissements dans les systèmes et les agents de santé pour livrer des vaccins. Pour atteindre 70 % de la population, soit 62,7 millions de personnes, la RDC devra considérablement intensifier et accélérer la vaccination contre la COVID-19.
CARE travaille avec 4 sites de vaccination – 2 à Butembo et 2 à Goma – pour soutenir la mobilisation communautaire en partenariat avec les leaders et structures locaux, les opérations des centres de santé et la formation. Ces sites avaient vacciné 1 132 personnes. Dans ces 4 sites, nous avons également mené plusieurs séries de recherches et de résolution de problèmes à travers des dialogues communautaires entre les prestataires des services et les clients avec la Carte Communautaire et l’analyse et l’action sociale, à l’aide de la carte de pointage communautaire, qui fournit les informations nécessaires à cette étude de cas. On a aussi appuyé les missions de supervisions avec l’infrastructure pour la connexion internet, la motivation des prestataires, et l’élaboration des plans de communication adaptes aux contextes.
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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...
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