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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How Bangladesh Is Getting COVID-19 Vaccines to the Last Mile

Bangladesh has been one of the fastest countries receiving COVAX support to scale up vaccines, delivering more than 221 million vaccines by March 14, 2022. 54% of Bangladesh’s population is fully vaccinated, and another 22% have received at least one dose. Bangladesh is on track to meet its goal of 70% of the population fully vaccinated by September 2022.

Close coordination across multiple actors—from the Government of Bangladesh to INGOs like CARE to local health entrepreneurs—have been one of the keys to success. Working closely with the government-led National Vaccination and Deployment Plan and innovating when there have been gaps and challenges have helped achieve this success. These strategies continue to make sure that vaccines reach the people who need them most.
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EVALUATION FINALE DU PROJET « RENFORCEMENT DE LA RESILIENCE DES PASTEURS ET AGRO-PASTEURS POUR UNE SECURITE ALIMENTAIRE NUTRITIONNELLE DURABLE FACE AUX EFFETS DU CHANGEMENT CLIMATIQUE DANS LA PROVINCE DE BILTINE DANS WADI FIRA».

Le Tchad, de par sa situation géographique est devenu un lieu de refuge pour des milliers de réfugiés des Etats frontaliers (RCA, Libye Nigeria et Soudanais). De plus, en raison des conditions climatiques difficiles, de nombreuses régions du Tchad, parmi lesquelles celle de Wadi Fira, se retrouve confrontéé à des défis sociodémographiques et économiques. Il en résulte de cette situation des crises alimentaires récurrentes, une pression démographique, un accès très limité aux besoins de première nécessité de tous les groupes de populations, un manque de circulation de devise, une pression énorme sur les ressources naturelles, un accès limité aux surfaces arables cultivables, une réduction du niveau de production et d’auto-approvisionnement des populations, un espace de pâturage limité, etc. Face à cette problématique d’actualité, les impacts du changement climatique se font sentir dans l’agriculture, l’élevage, la santé, l’habitat et d’autres domaines quotidiennement. Les terres sont souvent sujettes à des effets ou impacts néfastes des changements climatiques comme la sécheresse, l’’inondation, l’érosion, les grands vents, la pauvreté, la chaleur atroce, la rareté des pluies, les pluies parfois abondantes, les conflits auxquels s’ajoutent l’insécurité.
C’est pourquoi, CARE International, à travers ses trois piliers programmatiques, a à son portefeuille plusieurs projets parmi lesquels le projet « Renforcement de la résilience des pasteurs et agro-pasteurs pour une sécurité alimentaire et nutritionnelle durable face aux effets du changement climatique dans la province de Biltine dans Wadi Fira ». En effet, il convient de noter que ce projet vise à contribuer à une amélioration durable des conditions de vie vulnérables de cette partie de la population en besoin d’assistance dans cette partie du Tchad. Il importe de préciser que ce projet a pris en compte la sécurité alimentaire, la nutrition, la santé, le genre, la consolidation de la paix et le WASH grâce à l’appui financier du Gouvernement Allemand.
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Rapid Gender Analysis Ukrainian Refugees in Poland

Poland has received the majority of Ukrainian refugees fleeing the conflict. At the time of writing, UNHCR reports that 1,830,711 people have crossed the Ukrainian/Polish border. There has been an outpouring of solidarity in Poland for the Ukrainian refugees. Polish authorities and citizens mobilised swiftly. For example, a law was passed to allow Ukrainians to stay in Poland for 18 months and receive an identification card that facilitates their access to cash assistance and services. Third country nationals (TCNs) have 15 days to find a way out of Poland. The sheer scale and pace of the refugee influx is already creating cracks in the response. Many of these cracks have important gender and protection consequences. This Rapid Gender Analysis (RGA) researched by CARE highlights the most significant gender and protection issues for Ukrainians in Poland and flags urgent actions required to address them. This RGA of Ukrainian Refugees in Poland builds on the RGA Brief for Ukraine published in February 2022. The RGA is based on observations from site visits to Medyka border crossing, Przemsyl train station, Korczowa Reception Centre, Krościenko border crossing as well as Warsaw train station and accommodation centres; conversations with organisers at these sites – both official and volunteers – and with refugees and Polish Non-Governmental Organisations (NGOs) and Civil Society Organisations (CSOs). The RGA also benefits from consolidating and triangulating information coming out from multiple reports and online coordination meetings. Read More...

Multi-Purpose Cash Assistance (MPCA) Post-Distribution Monitoring Report

CARE implement an emergency funding funded by Humanitarian Response in Afghanistan ERPF –CARE International to respond to urgent humanitarian crisis including drought, displacement, conflict and COVID through provision of MPCA and NFI. CARE distributed cash to 522 households of which 75% were female-headed, in Kabul and in Kandahar. The activity directly assisted around 3660 people in the two provinces of Kabul and Kandahar. The distribution was done directly to the registered beneficiaries from CARE’s team female and male staff. The distribution went on smoothly without any interruptions.
CARE conducted a need assessment prior to provide cash assistance in the target areas to identify most vulnerable female headed households and disabled male headed household for this assistance.
In second week of November 2021, CARE’s Program Quality Unit (PQ) conducted a Post Distribution Monitoring (PDM) – on a randomly selected beneficiary to ascertain area including but limited to cash receipt, cash utilization, decision level for cash expenditure and assess monitoring and accountability measures – satisfaction levels from the response. Read More...

CARE Afghanistan Multi-Sectoral Needs Assessment MULTI SECTOR NEEDS ASSESSMENT – KEY FINDINGS February 2022

The purpose of this MSNA was to identify key gaps and needs where CARE operates, with the view to inform future programming priorities and better understand the impacts of the current situation on humanitarian needs.
A total of 364 households were interviewed from 20 districts across 8 provinces (Herat, Kandahar, Ghazni, Khost, Paktia, Parwan, Kapisa, and Balkh) in December 2021. An average of 18 interviews were collected per district. The survey administered a household questionnaire and a focus group discussion (2 per community –female and male) in each district.

Key Findings on Education, Gender, Humanitarian Access, and Food Insecurity are presented here. For more data and information, please refer to the full MSNA report.

The top 5 concerns raised by the communities were all related to the consequences of Afghanistan’s current economic and humanitarian crisis:
1. food security (72% of respondents),
2. lack of employment opportunities (66%),
3. livelihood and economic empowerment (56%),
4. lack of access to humanitarian aid (36%), and
5. lack of access to shelter/ housing options (36%). Read More...

Women for Change: Rapport d’étude sur l’utilisation des bénéfices générés des AGRs

En 2017, Mars Inc. a lancé une stratégie de développement durable ambitieuse. Reconnaissant la nécessité d'un effort collaboratif accéléré pour relever les défis environnementaux et sociaux, Mars a développé des objectifs étayés par la science et une détermination à générer un impact tout au long de sa chaîne d'approvisionnement et au-delà. La stratégie « Durable dans une génération » s'engage à atteindre des objectifs centrés sur une planète saine, des personnes prospères et un bien-être nourrissant.

Près d'un an après le lancement de la stratégie, Mars a annoncé Cocoa for Générations, ce qui représente une refonte fondamentale de l'approche de durabilité du cacao de l'entreprise. Avec un engagement envers Responsable Cocoa Today (pilier 1) et Sustainable Cocoa Tomorrow (pilier 2), Cocoa for générations engage Mars à accélérer le rythme des progrès dans l'amélioration de la vie de ceux qui font partie de sa chaîne d'approvisionnement en cacao. CARE s’inspire de l’engagement de Mars dans le cadre de la stratégie Cocoa for Generations à étendre les programmes « d’Associations Villageoises d’Epargne et de Crédit » (AVEC) dans leurs communautés cacaoyères, en renforçant l’épargne des ménages et les activités génératrices de revenus des femmes. Les AVEC sont considérées comme efficaces pour autonomiser les femmes et leur donner accès aux ressources financières dont les familles ont besoin. Par extension, Mars considère donc le programme VSLA comme une pierre angulaire pour réduire le risque de travail dangereux des enfants dans la chaîne d'approvisionnement du cacao. En aidant les familles de producteurs de cacao à améliorer leurs revenus, Mars et CARE contribuent à réduire les risques pour les droits humains dans la chaîne d'approvisionnement, tout en contribuant également à l'autonomisation sociale et économique des femmes.

Cet engagement représente une extension du programme Women for Change que CARE met en oeuvre en partenariat avec Mars depuis 2015, une collaboration en Côte d’Ivoire qui a déjà :
• Bénéficié à plus de 10 000 familles, représentant au moins 50 000 personnes, dans les régions productrices de cacao.
• Inscrit 12 134 membres de ménages dans des groupes d'épargne, générant 720 042 $ en épargne et en prêts.
• Doublement influencé des femmes sur les Santés du ménage.
• Réduit de 60% la proportion de parents incapables de payer les frais de scolarité.
• Augmenté de 86% la proportion de ménages de cacao qui consomment plus de deux repas par jour.

À une époque où le secteur du cacao est confronté à des menaces sur plusieurs fronts et à un besoin urgent de solutions évolutives qui apportent un changement significatif et durable pour les agriculteurs et leurs ménages, le modèle Women for Change représente une opportunité puissante. Cette proposition dénote la vision de CARE et MARS d'élargir le modèle Women for Change au cours des cinq prochaines années (2020-2025). CARE est inspiré par l’ambition de Mars d’atteindre au moins 50 000 ménages producteurs de cacao supplémentaires avec cette approche, élargissant la portée du programme en Côte d’Ivoire tout en s’étendant au Ghana.

Suite à la formation des promoteurs de groupe sur les AGRs, il eut une réplication de cette formation aux membres des groupements mis en place par le projet. Cela a permis aux membres des AVEC de mettre en place des AGRs au sein de leur communauté. A cet effet, l’équipe MEAL prévoit une étude qui vise à mesurer les bénéfices générés par les AGRs et leurs propension d’utilisation dans le quotidien des ménages des communautés cacaoyères.

MARS WRIGLEY (15 pages) Read More...

Advancing gender equality in coral reef social-ecological systems

Gender equity is considered to be a foundation for the resilience and wellbeing of people dependent on coral reef social-ecological systems. Nonetheless, gender inequality persists, and many interventions are still struggling to meet in practice the commitments they make on paper. Gender transformative approaches (GTAs) are considered the frontier of gender research and development because they challenge and shift the invisible social constructs that underpin and perpetuate inequities. A collaboration between the ARC Centre of Excellence for Coral Reef Studies at James Cook University, WorldFish, and CARE International sought to determine the extent to which GTAs have been applied alongside or within the management and conservation of coral reefs. The intent of our work is to increase awareness of and knowledge about GTAs among funders, researchers, development agencies, and fisheries and conservation stakeholders who seek to advance gender equality in coral reef-social ecological systems. Read More...

She Told Us So (Again)

COVID-19’s impacts around the world are worse than they were in September 2020. Far from a return to “normal,” women and girls CARE works with around the world are saying that their situation continues to get worse as COVID-19 drags on amid other crises. Fati Musa in Nigeria says, “Women have suffered a lot during the pandemic, and we are not yet recovering from this hardship.” 55% of women were reporting gaps in their livelihoods as a priority in 2020. Now that number is 71%. For food insecurity, the number has jumped from 41% to 66%.
Since March of 2020, CARE—and more importantly, the women CARE works with—have been warning that COVID-19 would create special challenges for women and girls, above and beyond what men and boys would face. Tragically, these women were exactly right. What they predicted even before the WHO declared a pandemic has come true. In September 2020, CARE published She Told Us So, which showed women's and men's experiences in the pandemic so far. In March 2022, updated data shows that the cost of ignoring women continues to grow. For more than 22,000 people CARE has spoken to, COVID-19 is far from over. In fact, the COVID-19 situation has gotten worse, not just for women, but for men, too.
Ignoring the voices of women, girls, and other historically marginalized groups has worsened the situation for everyone—not just for women. Men are more than twice as likely to report challenges around livelihoods, food insecurity, and access to health care as they were in 2020, and are three times more likely to report mental health challenges—although they are still only two-thirds as likely as women to report mental health as a priority. As women burn through their coping strategies and reserves, men are also facing bigger impacts over time.

Women have stepped up to the challenge—especially when they get support from each other and opportunities to lead. They are sharing information, preventing COVID-19, and using their resources to support other members of their communities. 89% of women in savings groups in Yemen are putting some of their savings to help others. Women are stepping into leadership roles, "We are women leaders in emergency . . . we have the capacity to say: I have a voice and a vote, I am not going to stay stagnant . . . (participant, Colombia). In Niger, women are saying, “Now we women are not afraid to defend ourselves when a decision does not suit us. We will say it out loud because our rights are known and we know the ways and means to claim our rights.”

Those accomplishments are impressive, but they come at a cost. The constant struggle for their rights, and for even the most basic necessities, is taking its toll. Women are almost twice as likely to report mental health challenges as they were in 2020. As one woman in Iraq describes, “If any opportunity appeared, the man would be the favorite . . . This psychologically affected many women, as they turned to household work which included preparing food and cleaning only.”

To understand these challenges and create more equitable solutions, CARE invests in listening to women, men, and people from marginalized groups to understand the challenges they face, what they need, and the ways in which they lead through crisis. This report represents the voices of more than 22,000 people in 23 countries since September of 2020.
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The Cost of Delivering COVID-19 Vaccines in Zambia

While Zambia aims to deliver COVID-19 vaccines to 70% of its people by June 30, 2022, the road to getting there is uncertain. The Zambian Ministry of Health reports that, as of February 21, 2022, 21.6% of people were fully
vaccinated. Vaccine doses available in the country are slowly rising, with 6.2 million doses arrived as of February 11, but less than half of those doses have made it into people’s arms. By February 23, only 2.77 million doses had gotten to people. By December 31, 2021, only 7.2% of people had gotten a vaccine, compared to a goal of 40%. Without significant investments in last mile delivery, especially for people at highest risk, Zambia risks missing its next COVID-19 vaccine targets.
CARE estimates that in Zambia, vaccine delivery costs a minimum of $17.18 per fully vaccinated person, or $7.30 per dose delivered. That is 7.2 times more than current global estimates. Even with its robust childhood vaccination system—93% of Zambian children got their first measles vaccine in 2019—Zambia has not been able to get enough COVID-19 vaccines to the last mile. Read More...

Rapid Gender Analysis Ukraine

Like all military operations, this one will take its toll on many communities within Ukraine, with distinct effects on women, men, children and marginalised groups. The starkest example is the current contrast between the requirement that Ukrainian men aged 18 to 60 years stay and join the fighting, and media images of mostly women, children and the elderly fleeing the country.
Ukraine has made modest gains on women’s rights in recent years and has a developing state-level ‘gender machinery’. These gains were already under threat from deeply entrenched and persistent gender and discrimination-based inequalities, eight years of conflict in the east of the country, and the gendered social and economic stress wrought by the COVID-19 pandemic. This current crisis, with mass displacement inside and outside Ukraine, will add to that complex situation and put pressure on any gains that have been made.
Humanitarian actors need to build on the advances in gender equality and women’s empowerment by Ukrainian women’s rights, women-led and civil society organisations, and work with them to identify and respond to the different humanitarian needs of women, men, boys, girls and people of all genders. This Rapid Gender Analysis Brief for Ukraine and the Gender in Crisis Ukraine infographic are a first attempt to identify the gender, age, and diversity issues so that humanitarian responses can better meet people’s different needs as the crisis evolves. Read More...

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