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.

Tackling Vaccine Hesistancy and Expanding Vaccine Access in Tanzania with Community Health Workers in the Lead

Since September 2021, CARE Tanzania has worked as a partner to the Government of Tanzania to improve vaccine access across the country. CARE’s logistical support has helped the government to cover large, underserved geographical areas. To increase vaccine uptake, CARE staff has also engaged local Community Health Workers (CHWs) to address vaccination misconceptions and developed improved health communication and data management tools. An initial training took place in November 2021 and trained 217 CHWs in the Tabora region. With these new resources, these health workers on the front lines have put in place two new strategies. First, COVID-19 vaccination is now integrated with other basic health services at local facilities. CARE supported COVID-19 vaccine distribution in 268 health facilities in Tabora Region. These facilities distributed 20,287 COVID vaccines in areas supported by CARE. Second, the CHWs are now conducting targeted outreach informed by local concerns to address vaccine hesitancy in women and children. Now, not only are vaccinations being provided, CHWs have confirmed that women have increased their acceptance of vaccination shots. Read More...

Gender Analysis of CARE Ethiopia-Resilience in Pastoral Areas Activity (RiPA) North Project

The purpose of the gender analysis is to provide information on gender-related rights in pastoral context and unpacks issues, factors and reasons on how gender relations will affect the achievement of the RiPA goals. Moreover, it also aims at identifying the key and existing discriminatory social and gender norms that are relevant to and responsible for perpetuating gender inequality in the pastoral and agro-pastoral communities in the targeted Regions and Woredas. To achieve this, CARE’s gender analysis framework called the ‘Good Practices Framework’ was used. The study was conducted in Somali, Afar and Oromia. Eight Woredas were selected from the 3 regions namely: Shabelle, Kebrebeya, Erer and Afdem from Somali region; Gewane and Afambo from the Afar region, and Babille and Meiso from the Oromia region. The survey, 40 KIIs and 56 FGDs data collection techniques were used to collect data from the targeted groups. A total of 402 (325 female and 77 male) participants took part in the survey. Read More...

Knowledge Attitude & Practice (KAP) Survey of WASH Services Project in Dadaab Refugee Camps

The European Commission Directorate General Humanitarian Aid & Civil Protection (ECHO) funded CARE to implement Water, Sanitation and Hygiene (WASH) project in Ifo, Dagahaley and Hagadera refugee camps in Dadaab. The overall objective of the project was self-reliance in the provision of essential WASH services for persons of concern in Dadaab refugee camps.
Specifically, the project focused on provision of potable water, managing solid waste disposal and delivering a comprehensive environmental sanitation program that incorporated vector control and health/hygiene promotion for refugees and COVID-19 response. The overall objective of this survey was to examine knowledge, attitudes and practices of the beneficiaries, gaps in the WASH activities in Dagahaley, Ifo and Hagadera camps and to provide information that would improve future programming.
The survey adopted a cross-sectional descriptive research design, and employed quantitative and qualitative methods of data collection which included: Literature Review, 392 Household Surveys, four Key Informant Interviews (KIIs), three Focus Group Discussions (FGDs) and direct observations.
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Information for Adaptation in Vietnam (InfoAct)

Enhanced livelihoods and increased resilience of poor ethnic minority women and men rural areas to the effects of climate change and variability.
The “Information for Adaptation in Vietnam” Project (InfoAct) is funded by the Federal Ministry of Economic Cooperation and Development, abbreviated BMZ, and jointly implemented by CARE Vietnam (CVN) and three local partners, named Center for Community Development (CCD), Lai Chau Department of Agriculture and Rural Development (DARD) and Lai Chau provincial Vietnam Women’s Union (VWU). The project sites include four communes of Dien Bien province and four communes of Lai Chau province, namely: Muong Phang and Pa Khoang communes (Dien Bien district); Ang Cang, Ang Nua communes (Muong Ang District); Than Thuoc, Trung Dong, Ho Mit and Nam So Communes of Tan Uyen district, Lai Chau province. The overall objective of the InfoAct Project is to enhance livelihoods and increase the resilience of poor ethnic minority women and men in rural areas to the effects of climate change and variability. This is to be accomplished through a specific objective (outcome) to ensure ethnic minority households in rural areas have improved access to and use of climate information, and resources to help increase their climate resilience. The InfoAct Project is focusing mainly on two target groups: (1) 5,000 ethnic minority households, especially women, in Dien Bien and Lai Chau provinces and (2) government authorities and service providers, namely Department of Hydro-Meteorology, Department of Agriculture and Rural Development (DARD) and the provincial VWU and CCD. As InfoAct was going to phase out after three years’ implementation and close all its activities by November 2021, an independent final evaluation was conducted to understand the project’s impacts/outcomes and key lessons learned.
The Final Evaluation applied a mixed-method approach by using qualitative and quantitative data from primary and secondary sources. The primary data was collected from the key informants and household survey. The household survey was implemented with 363 and 266 people in Dien Bien and Lai Chau provinces, respectively. A total of 49 In-deep Interview (IDI) was conducted with stakeholders. In addition, 34 women and 39 men in two provinces participated in Focus Group Discussion (FGD). Read More...

Recipe for Response: What We Know About the Next Global Food Crisis, and How to Fight it

The genesis of the present hunger crisis goes back farther than February 2022 and is due to a combination of global and localized factors. Globally, climate change has compromised agricultural livelihoods and led to displacement, especially in regions like the Horn of Africa and Central America’s Dry Corridor, where famers struggle to produce yields that meet the needs of local markets. The global economic fallouts associated with COVID-19, and inadequate social safety nets, have led to record unemployment and growing poverty—especially for women and women-led households (UN Women 2021)—so that even where food is available, high prices put basic items out of reach for many. Armed conflict is also driving food insecurity, for example by making it difficult for farmers to cultivate their lands, or damaging or disrupting vital agricultural infrastructure—such as transportation, storage and distribution sites—and reducing access to markets and assistance.
Women and girls are disproportionately impacted by food insecurity and related shocks. Gender norms and roles mean that women are often responsible for their households’ food security, including shopping for and preparing food, yet they might also be the ones to eat “last and least” in their household. Women are also more likely to be excluded from decision-making when it comes
to addressing hunger in their communities (CARE 2020). These types of gendered imbalances hurt entire communities: in a 2021 assessment in Sudan, CARE found that 82% of people living in female-headed households reported recently skipping a meal, compared with 56% of people living in male-headed households. Read More...

EVALUATION FINALE DU PROJET COOPERER II – APPROCHE INTERCOMMUNALE POUR UNE STABILISATION TERRITORIALE A L’EXTREME-NORD CAMEROUN : AXE KAELE – TOULOUM – YAGOUA RAPPORT FINALE

Malgré son potentiel économique et naturel indéniable, le Cameroun affiche un taux de pauvreté élevé qui décroit très faiblement (40,2% en 2001 ; 39,9% en 2007 et 37,5% en 2014). Dans le souci d’apporter sa contribution à la stabilité de la région de l’Extrême-Nord meurtrie par des crises multiformes, CARE International à travers son programme Résilience et inclusion des jeunes et des femmes, a développé l’initiative « Communes et Organisation de la société Civile Performantes pour des populations Engagées et Résilientes - COOPERER II », mise en œuvre dans les communes de Touloum, Yagoua et Kaélé de la région de l’Extrême-Nord. Le projet a couvert la période s’étendant d’avril 2019 à juin 2020, avec comme objectif global de contribuer à l’accès durable des femmes et des jeunes touchés par les effets de la crise sécuritaire à des opportunités agro-pastorales, sociales et économiques stables afin
de renforcer leur résilience face aux aléas environnementaux et climatiques Read More...

COOPERER III Relèvement et renforcement Financier des populations vulnérables affectées par la COVID 19 RAPPORT DE L’ÉTUDE DE BASE

CARE International au Cameroun a obtenu à travers CARE France un soutien financier du Centre de Crise et de Soutien (CDCS) du Ministère français de l'Europe et des Affaires Etrangères, pour implémenter le projet : « Relèvement et renforcement Financier des populations vulnérables affectées par la Covid-19 », en abrégé « COOPERER III » ou encore « ResCOV-19 », sur le corridor Kaélé-Touloum-Yagoua dans la région de l’Extrême-Nord du Cameroun, sur la période du 1er Avril 2021 au 31 Mars 2022. S’inscrivant dans la continuité de ses actions entrepris à travers les projets COOPERER I et COOPERER II dans ces localités (Kaélé, Touloum et Yagoua), CARE se propose de poursuivre le soutien de la résilience économique et de protéger les moyens de subsistance des femmes et des jeunes touchés directement ou indirectement par la Covid-19, en valorisant les acquis des précédents projets.
L’action de CARE Cameroun dans ces Communes est de : « Contribuer à l’accès aux services sociaux de base en matière d’accès à l’eau et aux opportunités économiques des femmes et des jeunes touchés par la pandémie de la COVID-19 dans la Région de l’Extrême-Nord du Cameroun, Axe Kaélé-Touloum-Yagoua ». De manière spécifique il sera question de : (1) Renforcer et sensibiliser le personnel des communes et les communautés sur la protection Covid et la gouvernance autour des infrastructures sociales de base (point d’eau, hygiène), dans les communes de Kaélé, Touloum et de Yagoua, (2) Améliorer l’accès des femmes et les jeunes dans les zones Kaélé, Touloum et Yagoua, aux opportunités économiques via une approche de sensibilisation et développement économique.
Les principales recommandations issues de cette étude vont dans le sens de :
▪ Poursuivre la sensibilisation des CGPE sur l’importance de leur adhésion à la micro-assurance ;
▪ Organiser un recyclage/formation des membres des CGPE et de la micro-assurance sur leurs rôles et responsabilités ;
▪ Accompagner les bureaux de micro-assurance à l’élaboration des statuts et règlements intérieurs (pour celles qui n’en disposent pas) ;
▪ Définir clairement les responsabilités des communes vis-à-vis de la micro-assurances des forages ;
▪ Faire un plaidoyer auprès de l’exécutif municipal pour qu’ils apportent un appui au fonctionnement de la micro-assurance notamment en ce qui concerne l’acquisition d’un bureau ;
▪ Renforcer la dynamique associative à travers la redynamisation/création des réseaux d’AVEC fortes et interconnectées ;
▪ Poursuivre le processus d’autonomisation des femmes via le renforcement des capacités en matière de leadership, d’entrepreneuriat y compris le pouvoir de négociation. Read More...

Post Distribution Monitoring/Evaluation finale du projet « COVID-19 : Prévention, protection et relèvement économique »

Les premiers cas de COVID-19 ont été enregistrés au Cameroun en début mars 2020. Au 18 avril 2020 le Cameroun est le 2e pays le plus touché en Afrique subsaharienne et le premier pays de la CEMAC avec 7860 cas confirmés au 08 juin 20201. Afin de limiter la propagation du virus COVID19, le gouvernement a mis en place des mesures de prévention strictes, dont la suspension des
vols commerciaux, la fermeture des frontières, la fermeture des écoles, la fermeture dès 18h des bars, restaurants et lieux de loisirs, l’interdiction de rassemblements de plus de 50 personnes, ou encore l’obligation du port du masque en public à partir du 13 avril 2020.
Pour apporter sa contribution à cet effort de solidarité, CARE International au Cameroun, a mis en œuvre le « Projet COVID-19 : Prévention, protection et relèvement économique » dans le District de santé de Biyem-Assi (Yaoundé) de juin à septembre 2020 en ciblant spécifiquement 150 femmes et filles IDPs et TS. Mis en œuvre en collaboration avec Horizons Femmes, ce projet a fait l’objet d’une évaluation finale interne afin de mesurer et apprécier les changements (éventuels) dus à l’intervention du projet sur les bénéficiaires par rapport à la période concernée.
En ce qui concerne la qualité de l’intervention, l’évaluation établit : (i) la pertinence du projet qui est aligné sur les besoins prioritaires des cibles, les objectifs de développement durable et les politiques nationales, y compris les stratégies de réponse face au COVID-19 ; (ii) une efficacité et une efficience satisfaisantes, les activités réalisées ayant permis d’atteindre les objectifs visés à des coûts et des délais raisonnables ; (iii) une pérennité envisagée, malgré la courte durée du projet, notamment par la continuité de certaines activités dans le cadre du projet CHAMP ; une prise en compte du genre acceptable, ce qui a permis d’adresser les besoins différenciés à chaque groupe ciblé par le projet.
Les recommandations formulées vont dans le sens de : (i) élargir l’intervention dans d’autres zones accueillant la même cible ; (ii) clarifier au lancement du projet les différents niveaux de diffusion de l’information ainsi que le type d’information à communiquer ; (iii) déployer le transfert monétaire inconditionnel dans davantage de projets du programme de redressement et relèvement post-crise ; (iv) accompagner les bénéficiaires ayant développé/redynamisé des AGR à la maturation de leurs activités ; (v) penser à une composante qui permettent aux IDPs qui le souhaitent de retourner vers leurs localités d’origine dans la mesure ou la situation sécuritaire évoluerait dans le sens de l’apaisement ; (vi) revoir la stratégie de sensibilisation sur la Hotline en insistant sur la signification du terme « Hotline » ou trouvant une appellation plus accrocheuse ; (vii) conserver la dynamique du code unique et l’implication des bénéficiaires dans les différentes étapes du projet pour une meilleure redevabilité. Read More...

FINAL EVALUATION “Support to Development of Agricultural Cooperatives”

The Final Evaluation Report consists of a project background, methodology, main findings (including analysis of in-depth interviews and focus group results), conclusions, recommendations and lessons learnt. The methodology used triangulation, combining desk research (qualitative and quantitative secondary data) and primary data collected during the mission in North Macedonia via interviews and focus groups in Skopje and other locations.
Relevance: The project was clearly relevant to the context of North Macedonia and the Western Balkans region. The interventions were timely and focused on addressing the priority needs of farmers, important for enhancing sustainability of North Macedonian agriculture. Its design was based on the in-depth needs assessment, which was a collaborative effort carried out by the partners, stakeholders and project beneficiaries. In the course of its implementation, the identified needs farmers and stakeholders were also met by the project to a great extent.
Effectiveness: The effectiveness of the project was visible in several areas. However in some areas more time is needed – likely until the completion of the project - to unveil the project outcomes and impacts. The project greatly succeeded in creating a significant number of new ACs and increasing the involvement of farmers into this kind of business model. Yet, their membership size is often small. Despite the efforts to consolidate representation of the AC’s, there were mixed results regarding the umbrella organization. On the one hand, it visibly improved the planning, management, and provision of services while ensuring the continuation of the funding until the end of 2020. On the other hand, it split into two entities, which hampered the consolidation process. There is limited progress that is visible in terms improved business performance of the ACs. However, the project lifespan was too short to detect a major shift in economic terms.
Efficiency: The implementation of the project was smooth and largely in line with its budget and timeline. The project encountered minor delays and budget issues from the beginning. Yet, the project was complemented with in-kind resources of the partners and thus was cost-efficient. Due to the Covid-19 pandemic, the project duration had to be extended. The management of the project was very efficient and responsive against this force majeure. The project lifetime was extended and this allowed for an adequate adaptation to those unusual circumstances.
Sustainability: Despite the relatively successful establishment of the ACs, the sustainability of the project has been called into question due to the fact that related legal frameworks have not been adopted and the challenges ACs face in accessing the markets. The cooperatives benefitted from investments to upgrade farm facilities (machinery, post-harvest storage), yet they were not clearly embedded into functioning value chains. The pandemic proved to be challenging for enhancing the links between the farmers and other value chain actors. Participation in face-to-face meetings and business events was seriously constrained. Yet, the project succeeded in facilitating contacts between business partners, especially for the AC Prespansko Jabolche. Read More...

Assessment 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”

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.

Indicator 1: %of targeted refugee and host community report an improved environment for women and girls following the implementation of SRH and GBV prevention measures
i. 93% respondents have good and very good understanding on available SRH service
ii. Proportion of women who make their own informed decisions regarding sexual relations, contraceptive use and reproductive health care. 17% of interviewed women can make their own informed decisions regarding sexual relations, contraceptive use and reproductive health care.
iii. 32% of interviewed female from both host community and refugee community received both Anti-natal Care (ANC) and Post Natal Care (PNC).
So, we can say that, 47% (average of result of three proxy indicator) of targeted refugee and host community report an improved environment for women and girls following the implementation of SRH prevention measures.
iv. 49% of women and girls reporting feeling safe following the implementation of GBV prevention measures
v. 63% respondents (male 21`% and female 42%) go to community leaders for seeking help when they face any form of violence both in their home and also outside of their home
Here, “56% of targeted refugee and host community report an improved environment for women and girls following the implementation of GBV prevention”
Considering the average result of above GBV and SRH indicators, we can say that, 51.5% of targeted refugee and host community reported an improved environment for women and girls on SRH and GBV prevention measures at the baseline of the project.
Indicator 2: # of people (m/f) accessing services and information on SRH services and GBV prevention and response
Indicator 3: % of refugees and host population who report satisfaction with GBV and SRH assistance
i. 70% respondents from refugee and host community reported full satisfaction with GBV assistance
ii. 87% female and 65% male from refugee and host community reported full satisfaction with SRH assistance. (Among them 67% female from refugee and 20% female from host community, 45% male from refugee community and 20% male from host community)
Indicator 4: % of staff members with improved knowledge on SHR and GBV
Inicator 5: 45% of men and boys who report rejecting intimate partner violence and domestic violence
80% of staff members with improved knowledge on SHR and GBV
Indicator 5: # of women and adolescent girls having received MHM kit
i. Most of the respondents (85%) use reusable clothes
ii. 90% respondents wash and use the cloth again
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