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.

Evaluation intermédiaire du projet « Féministes en Action » 2021-2023

Description of the document:
L’évaluation intermédiaire du projet « Féministes en Action » intervient près de trois ans après le début du projet et deux après le démarrage effectif des financements aux organisations féministes. Couvrant la période 2021-2023, elle poursuit plusieurs objectifs :
∇ Un objectif d’apprentissage et de capitalisation, alors que Féministes en Action est le premier consortium financé au titre du FSOF, l’un de ceux cherchant à atteindre directement les OSC féministes les plus fragiles et celui ayant le périmètre thématique le plus large (les autres sont construits en général autour d’une thématique d’intervention). Le consortium constitué, avec la présence d’ONG internationales et de fonds des « Suds » est lui aussi inédit.
∇ Un objectif stratégique et prospectif, avec une réflexion portant à la fois sur les changements visés et l’architecture globale du projet alors que le projet devrait disposer de nouveaux fonds à mettre en oeuvre après 2023. L’évaluation doit notamment permettre d’accompagner une réflexion sur les objectifs du cadre logique du Projet dans l’optique d’une redéfinition afin d’assurer la cohérence avec les objectifs réellement visés par le Projet et les indicateurs prévus difficilement renseignables.
∇ Un objectif de redevabilité, tourné avant tout vers les sociétés civiles féministes que Féministes en Action cherche à renforcer. Il s’agit de s’assurer que l’action menée apporte une valeur ajoutée (« do not harm ») et que les conditions de mise en oeuvre sont cohérentes avec les valeurs féministes promues tout en tenant compte des exigences d’un bailleur de fonds publics.
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Línea de Base: Proyecto “Higiene, Agua y Saneamiento en La Habana y Pinar del Rio”(Spanish)

This Baseline Report provides an overview of the "Hygiene, Water, and Sanitation in Havana and Pinar del Rio" project, implemented by CARE Cuba in collaboration with local partners. The project focuses on improving access to safe water for two isolated rural communities (El Vallecito and Valle San Juan) that rely on contaminated local wells and inadequate water storage systems. It addresses water-related health risks and promotes menstrual health by introducing menstrual cups to women and menstruating individuals. The baseline data will serve as a reference for measuring project outcomes aimed at reaching 256 people and 250 women.

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Women Empowerment for Climate Resilience (WECR) in Laos

The CARE International in Laos’ project entitled: “Women Empowerment for Climate Resilience” (WECR) aims to enhance the capacity of women, particularly in ethnic minorities, to become more resilient to climate change. The project plan defines three pathways to empowerment; increased locally led adaption, increased food and nutrition security, and defining a village-level action plan to increase women’s participation in improving climate resiliency at the local level.

Project Background:
The project takes place in 20 ethnic minority, rural agricultural communities of Khoua, Samphan and Mia Districts in the province of Phongsaly and involved 1,800 ethnic minority women, 1,400 children and their families. Most of the target populations’ livelihoods primarily depend on upland agriculture of cash crops, livestock, and non-timber forest products (NTFPs) for export. Many villages have limited or no access to basic services such as electricity, running water, phone service, healthcare, and education.

The purpose of the evaluation is to determine the system changes achieved by WERC. The evaluation aims to assess the project’s effect and potential effect on the lives of the target population.
Evaluation questions:
• What impact did the WERC activities have on system level pathways to improve livelihoods?
Systems and structural effects:
• What system changes in social norms pathways were successful in improving livelihood?
• What system changes through social accountability pathways were successful?
Impact:
• What level of impact has been achieved in the empowerment of women in decision-making of improving their livelihoods through climate resilience? Read More...

EJERCICIO DE REVISIÓN DESPUES DE LA ACCIÓN

The evaluation report outlines the efforts of the Climate Change and Resilience Program, which focuses on enhancing the capacities of vulnerable populations to manage extreme climate events and other natural disasters. One significant project aims to conserve and restore forest landscapes in the municipalities of La Reforma, El Quetzal, and Colomba Costa Cuca. This initiative seeks to build on previous conservation efforts by strengthening local governance through the establishment of Environmental Management Units. Key activities include the formulation of municipal environmental policies and the reactivation of stakeholder dialogue to ensure community participation. Additionally, the project supports community-level training for volunteer promoters and the implementation of biocultural productive projects that diversify agroforestry systems. Running from December 1, 2022, to May 31, 2024, the project covers 33 communities and is funded by the Tropical Forest Conservation Fund (FCA).






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Women, Youth and Resilience Project Final Evaluation Outcome Harvesting: Understanding Changes in livelihoods, Gender Based Violence (GBV) and Government Accountability for Gender Equality.

The project was implemented by CARE International in Austria, Care International in Uganda, and two local partners, the Community Empowerment for Rural Development (CEFORD) and THRIVEGulu between 2021 and 2024 and is being followed up by a similar five-year project called the Gender Equality and Resilience Project (GEAR) to be implemented in Uganda and Rwanda. This is important to note as the findings from this final evaluation have implications for the programming of GEAR.
The main objective of this final evaluation is to assess effectiveness, impact and sustainability of the WAYREP project. It offers an understanding of the extent to which WAYREP achieved its stated objectives and it answers the five evaluation questions set out in the Evaluation Matrix (see Annex 2). The evaluation results will inform the programming of GEAR, WAYREP’s follow on program in Uganda and Rwanda.
The project successfully met its planned objectives, expected results, and indicators, demonstrated through the results below.
1.1: Enhanced Sustainable and Dignified Livelihood for Women and Youth
Over the five years, WAYREP significantly increased the average weekly income (49.6%) and by the end of the project, income gains surpassed the national average (Finding A). The increase in income was closely tied to an increase in confidence and self-reliance. While various groups of beneficiaries (e.g., refugees, youth, older beneficiaries, GBV survivors) experienced increases in their confidence, it was young women who experienced more significant gains in their self-confidence. These wins stemmed from their membership to savings groups and their newfound ability to earn an income (Finding H).
Although income gains were seen across beneficiary groups, gender and youth disparities were observed; men reported higher average earnings across Income Generating Activities (IGAs) compared to women
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(Finding C) and younger beneficiaries in the 15-19 age group reported heightened engagement in income generation activities, compared to beneficiaries in the 20-30 age bracket (Finding B). While young people appear to have experienced more significant wins in participation, their average weekly income was lower than older beneficiaries (Finding D). Younger adults (20-30) were also less likely to develop business plans compared to older participants (31-45) (Finding E).
Specific differences were observed in Omugo Settlement in terms of income earning opportunities. Overall, in Omugo Settlement beneficiaries participated less in savings groups (Finding F) and were able to save less money compared to their peers in Arua City, Gulu City and Omugo Sub County. This is important, as the lower savings values have the risk of limiting refugees' ability to access capital to grow their businesses (Finding I). That said, South Sudanese refugees in Omugo settlement experienced unique wins from their increased economic status and improved their relationships with the host community. This is significant as it highlights the project's positive impact on social cohesion, particularly in locations where relationships between the refugee and host community relationships were strained (Finding F).
The final evaluation found that financial management practices and savings habits improved across all four locations. While most savings groups still preferred traditional savings systems that included a locked box kept in a member’s house, in Gulu and Arua City savers were experimenting with mobile savings that offered increased security, flexibility and accountability (Finding G). This points to the potential for greater exploration of mobile savings systems in GEAR, WAYREP’s follow on program, especially in locations which have already started to adopt this practice.
1.2: Evidence of WAYREP Achieving Reduced Acceptance for Gender Based Violence in Communities
The final evaluation found a decrease in experience of GBV from 28% at baseline (2021) to 20.7% at endline (2024) and a similar rejection of intimate partner violence (IPV), from 71.6% at baseline, to 77.1% at endline (Finding J). The project's strong focus on economic empowerment (Section 1.1 above) had a positive effect on the confidence and self-resilience of women and young (Finding H) which intern contributed to a positive shift in social norms and facilitated a reduction in the acceptability of violence (Finding K).
1.3: Evidence of WAYREP Providing Enhanced Support to GBV Survivors
The increase in GBV reporting (Finding L) suggests that survivors felt more comfortable coming forward, due to the project's efforts to raise awareness and improve survivors access to support. Beneficiaries reported there was now more support available for survivors of violence (Finding L) and improved access to mechanisms for expressing dissatisfaction with inappropriate treatment by local authorities or service providers (Finding M). The findings suggest that the project empowered survivors to seek help and enabled them to hold service providers to account (Finding L, M).
1.4: Evidence of WAYREP Achieving Increased Accountability by the Government of Uganda to Implement Relevant Frameworks for Women and Girls’ Protection and Rights
Women and girls across all four locations reported increased capacity to advocate for their rights (Finding N). The project had a strong contribution to this result and motivated and supported the Government of Ugandan (GoU) and key religious and cultural leaders to implement or strengthen frameworks to protect women's and girls' rights (Finding O). These changes intern created a more enabling environment for women and girls in Uganda and provided a supportive legal framework for them to advocate for their rights Read More...

Rapid Gender Analysis TO SUPPORT THE GOVERNMENT OF SIERRA LEONE TO STRENGTHEN ITS HEALTH SYSTEM

This Rapid Gender Analysis (RGA) report presents findings from the gender and power analysis carried out in November and December 2023 in Falaba, Kambia, Bonthe, Tonkolili, Kenema, Karene, Kailahun, and Pujehun districts of Sierra Leone. The purpose of the RGA is to understand how gender and social norms, roles, relationships, and dynamics influence health outcomes and health-seeking behavior in Sierra Leone, especially for vulnerable populations. The report will inform the development of CARE’s future health programming and proposed interventions for health funding opportunities.
The document is structured into four primary chapters – Background, Methodology, Findings: Results and Analysis, and Recommendations—each containing sub-chapters. The background section outlines the study’s purpose, objectives, and underlying rationale. The methodology section describes the research design, applied approaches, data collection methods and participant information. The study’s key findings are categorized into distinct thematic areas aligned with CARE's Good Practices Framework for Gender Analysis and includes the following Core Areas of Inquiry:
• Household decision-making, division of labor and control of productive assets
• Control over one’s body
• Access to public spaces and services
• Claiming rights and meaningful participation in public decision-making
The RGA also applies the above domains related to health outcomes, behaviors, and health-seeking behavior, including gender dynamics within the Sierra Leone health system with recognition that unequal gender dynamics gaps impact health care providers and their ability to deliver quality services. Finally, the recommendations section outlines actions or interventions CARE should consider in future programming.
Key Findings:
* Men have more influence over decisions for the household than women—including the seeking of healthcare—and women lack control over key decisions related to sex, marriage, and children, including if and when to use contraception. Women’s mobility is limited by social norms which require male permission for movement.
• Contraceptive use is low. Despite around 70% of people knowing about contraceptives and where to get them, only 50% are currently using them. Many community members believe modern forms of family planning are haram or unhealthy, with anecdotal evidence suggesting there is perception that it promotes extramarital affairs.
• Front Line Health Workers (FLHW) face major barriers to effective service delivery: almost half of FLHWs interviewed are unpaid, effectively operating as volunteers, struggle with difficult living conditions and lack of supplies, and report inequitable treatment between male and female workers.
• There is a lack of evidence-based health information for pregnant women: only 27% of pregnant women in the study reported having received any information related to sexual and reproductive health or associated risks.
• Despite generally positive health-seeking behavior, both women and men are concerned by lack of availability of medicine. Read More...

End Phase Evaluation: Epidemic Control and Reinforcement of Health Services (ECRHS) Phase II Project in Sierra Leone

The Epidemic Control and Reinforcement of Health System Services (ECRHS) project is funded under the German Financial Cooperation (BMZ) with Sierra Leone through KfW. Two phases have been successfully completed during the project implementation. The first phase of the project was launched in November 2015 and ended in 2018. The first phase was originally designed to respond to the Ebola outbreak. The second phase of the ECRHS project was considered an extended phase of the ECRHS I; and started in January 2019. Whereas the primary focus of ECRHSI was on public health emergency response, the aim of phase II of ECRHS is the sustainable establishment of an epidemiological control system, whilst also strengthening the performance of the health system with a focus on reproductive health / self-determined family planning. The purpose of this report therefore is to present findings of the final evaluation of the ECRHS II programme evaluation which was carried out with the general objective of ‘assessing the result and impact of the project goal and outcomes in targeted northern region of Sierra Leone’. Read More...

REPORT END PHASE EVALUATION (Epidemic Control and Reinforcement of Health Services (ECRHS) Phase 1 Programme in Sierra Leone) Ebola Emergency Response April

This report presents findings from the end phase evaluation of the Epidemic Control and Reinforcement of Health Services (ECRHS) Phase 1 Programme in Sierra Leone, which was implemented from November 2015 to December 2018. The aim of the Programme is to ‘Improve the health status of the population of Sierra Leone’. The Programme was originally designed to provide response to the Ebola outbreak in Sierra Leone, but also considered a longer-term view and worked towards putting in place preparations putting in place preparations for the transition of an extended health system strengthening (HSS) effort. Read More...

USAID’s CNHA Health Facility Readiness and Functionality Assessment, 2024

The Community Nutrition and Health Activity (CNHA), funded by the United States Agency for International Development (USAID), is dedicated to enhancing the nutritional status of women and children within vulnerable 1000-day households in Bangladesh—those with pregnant and lactating women and/or children under two years. This assessment, conducted between March and June 2024, evaluated the readiness and functionality of 1,336 community clinics (CCs) and 354 Union Health and Family Welfare Centers (UH&FWCs) across 14 districts. It aimed to identify strengths and weaknesses in key operational areas, including governance and management, health workforce presence, service delivery, logistics, and information systems. The findings revealed a significant presence of community groups in CCs but highlighted operational gaps in regular meetings and management practices. While the availability of maternal and child health services was generally high, discrepancies existed in the provision of family planning methods and comprehensive nutritional services. The assessment serves as a foundational tool for CNHA to target interventions, enhance health systems, and improve overall community health outcomes by integrating these findings into local government improvement plans.

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Gender Equality & Women’s Empowerment Program III (GEWEP III) Midterm Study GLOBAL SYNTHESIS REPORT (PROMEESS III)

Across six countries, this study examines the effect of a men’s and boys’ engagement intervention—aiming to change men’s and boys’ attitudes and behaviors around gender equality, women’s empowerment, and positive masculinities; including participants’ own masculine identity—and the state of civil society’s rights and protections, tracing improvement and erosion since 2020. Importantly, this is not an evaluation, rather this is a midterm study that comes alongside the Gender Equality & Women’s Empowerment Program III (GEWEP) implemented by CARE International. Instead of evaluating this program, this study focuses narrowly on the attitudinal and behavioral impact of this model intervention for engaging men and boys. GEWEP also sought to contribute to the civil society space, and thus we conclude this study with a discussion of the unique experiences of women’s rights and women-led organizations that did and did not partner with GEWEP teams.
To generate this global report, the Research Team both drew on the six country reports which accompany this study and engaged in entirely new analyses. Analysis for this global report pooled data from all six countries, while using analytical techniques to identify where any one country unduly influenced findings at the global level. To strike this balance between common tendencies across countries, and differences between countries, this study takes care to identify and report country-specific results alongside global findings. This is especially true where we identified countries as unique outliers.
For the section on men’s engagement, the Research Team leveraged an experimental design, advanced statistical methods, and multiple sources and types of data, including a multi-country survey with 3,226 respondents, to investigate the relationship between men’s engagement, including their level of engagement (“treatment saturation”), in program activities and associated changes in their attitudes and behaviors towards women and girls, gender equality, violence against women and girls, and masculinity. Across six countries—Afghanistan, Burundi, the Democratic Republic of the Congo (DRC), Mali, Niger, and Rwanda—the Research Team explores common factors that influence treatment effect, positively and negatively.
Donor: NORAD Read More...

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