Here in CARE International’s Evaluation e-Library we make all of CARE’s external evaluation reports available for public access in accordance with our Accountability Policy.
With these accumulated project evaluations CARE International hopes to share our collective knowledge not only internally but with a wider audience.
Looking for something specific? You can filter the evaluations using the dropdown menus on the right side of the screen.
If you have an evaluation or study to share, please e-mail the document to ejanoch@care.org for posting.
Tabora Maternal & Newborn Health Initiative (TAMANI): Year 4 results
The Tabora Maternal and Newborn Health Initiative (TAMANI) is a five-year project led by CARE in partnership with the Government of Tanzania’s Ministry of Health, Community Development, Gender, Elderly and Children (MoHCDGEC) and the Prime Minister’s Office for Regional and Local Government (PO-RALG). Implementing partners include the Society of Obstetricians and Gynecologists of Canada (SOGC), the Association of Gynecologists and Obstetricians of Tanzania (AGOTA), the Canadian Society for International Health (CSIH), McGill University’s Institute for Health & Social Policy, and Ifakara Health Institute (IHI). The project is financially supported by the Government of Canada and is closely aligned to Government of Tanzania (GoT) health polices, strategies and guidelines.
The Annual Report covers the period of April 1, 2020, to March 31, 2021.The report provides an analysis on operations to date against the Year Four Annual Work Plan. This report also highlights how the project
pivoted to respond to the COVID-19 global pandemic and includes reporting on COVID response programming as approved by GAC in March 2020. Read More...
The Annual Report covers the period of April 1, 2020, to March 31, 2021.The report provides an analysis on operations to date against the Year Four Annual Work Plan. This report also highlights how the project
pivoted to respond to the COVID-19 global pandemic and includes reporting on COVID response programming as approved by GAC in March 2020. Read More...
COVID-19 Response in Tabora Tanzania (Bloomberg)
CARE Tanzania builds on its successful partnership with the Government of Tanzania’s Regional Health Management Team (RHMT) in Tabora Region. Leveraging funding from the Government of Canada as part of the Tabora
Maternal Newborn Health Initiative (TAMANI), CARE’s Bloomberg-funded COVID-19 activities builds on efforts to improve access of and quality of health services across health facilities and communities to challenge harmful gender norms.
In partnership with the Government of Tanzania, activities cover all 8 districts in Tabora Region. CARE provides technical support and training to Community Health Workers, who are supported by the government in their duties.With the onset of COVID-19, CARE Tanzania quickly implemented a digital survey to understand the impacts of COVID-19. The majority of female respondents reported increases in gender-based violence and harassment, with COVID-19 restricting women’s access to resources and decision-making. Read More...
Maternal Newborn Health Initiative (TAMANI), CARE’s Bloomberg-funded COVID-19 activities builds on efforts to improve access of and quality of health services across health facilities and communities to challenge harmful gender norms.
In partnership with the Government of Tanzania, activities cover all 8 districts in Tabora Region. CARE provides technical support and training to Community Health Workers, who are supported by the government in their duties.With the onset of COVID-19, CARE Tanzania quickly implemented a digital survey to understand the impacts of COVID-19. The majority of female respondents reported increases in gender-based violence and harassment, with COVID-19 restricting women’s access to resources and decision-making. Read More...
The Final Evaluation of the Opportunities for Mother and Infants Development Project
The Opportunities for Mother and Infant Development (OMID) is a three year project (from 2018 to 2021), funded by The Glaxo Smith Kline (GSK). The current phase of the project has been implemented in the two districts (16th and 17th) in Kabul city. The main purpose of the project is to improve the health and reduce the mortality among mothers, newborns and children in the most vulnerable communities through community-based interventions facilitated and delivered by Community Health Workers (CHWs) and Community Midwives (CMWs).
Overall, the project has been effective in achieving the intended outcomes. Access and utilization of Maternal and Neonatal Child Health (MNCH) services have improved as demonstrated by achievement of the project’s key performance indicators across the continuum of care.
This included increases in the %:
- of women reporting ANC utilization
- of women who undertook the first ANC visit before by the 3rd trimester of their pregnancy
- of those who knew the date that the baby was expected to arrive
- of those women who had a plan where she would deliver the baby
- of those women who believed health facility is safer to deliver there
And decreases in the %:
- of those who didn’t go for ANC and believed it is not important
- of those who didn’t go for ANC and indicated the high cost of care as reason
The community systems strengthening undertaken by the project through establishment of community based health facilities and CHWs was effective in increasing health awareness and adoption of positive MNCH behaviors and practices. Read More...
Overall, the project has been effective in achieving the intended outcomes. Access and utilization of Maternal and Neonatal Child Health (MNCH) services have improved as demonstrated by achievement of the project’s key performance indicators across the continuum of care.
This included increases in the %:
- of women reporting ANC utilization
- of women who undertook the first ANC visit before by the 3rd trimester of their pregnancy
- of those who knew the date that the baby was expected to arrive
- of those women who had a plan where she would deliver the baby
- of those women who believed health facility is safer to deliver there
And decreases in the %:
- of those who didn’t go for ANC and believed it is not important
- of those who didn’t go for ANC and indicated the high cost of care as reason
The community systems strengthening undertaken by the project through establishment of community based health facilities and CHWs was effective in increasing health awareness and adoption of positive MNCH behaviors and practices. Read More...
Línea de base del proyecto “IGNITE: Liberando el poder de las empresarias”
El objetivo general de la evaluación es implementar la Línea de Base del Proyecto IGNITE, a través de la medición de los valores de 20 indicadores de desempeño del Proyecto (de impacto, de resultados intermedios e inmediatos), como de factores contextuales y externos asociados. La estimación del valor de los indicadores se ha realizado a partir de los resultados obtenidos de aplicar una Encuesta en mayo del 2021 a 315 personas beneficiarias del Proyecto. Estas personas integran las Bases de Datos facilitadas por CARE para la presente evaluación, que a su vez han sido proporcionadas por socios institucionales de CARE para la implementación del
Proyecto: (a) Financiera Confianza, (b) PROMUC, y (c) Proyecto Mujeres Emprendedoras. Adicionalmente, estas 315 personas cumplían con las siguientes características: contaban con celulares operativos (requisito indispensable ya que la encuesta se realizó exclusivamente por vía telefónica); no se dedicaban a la agricultura o ganadería como único negocio; y tenían personas laborando en su negocio desde antes del inicio de la pandemia. Una limitación ha sido la tasa de no aplicación de la Encuesta debido a que no contestaron el celular o a que desistieron de participar en la Encuesta (aproximadamente el 40% del universo inicialmente previsto). [89 Pages] Read More...
Proyecto: (a) Financiera Confianza, (b) PROMUC, y (c) Proyecto Mujeres Emprendedoras. Adicionalmente, estas 315 personas cumplían con las siguientes características: contaban con celulares operativos (requisito indispensable ya que la encuesta se realizó exclusivamente por vía telefónica); no se dedicaban a la agricultura o ganadería como único negocio; y tenían personas laborando en su negocio desde antes del inicio de la pandemia. Una limitación ha sido la tasa de no aplicación de la Encuesta debido a que no contestaron el celular o a que desistieron de participar en la Encuesta (aproximadamente el 40% del universo inicialmente previsto). [89 Pages] Read More...
Estudio de Base del Proyecto “MUJERES RESILIENTES: NUEVAS OPORTUNIDADES PARA SU REACTIVACIÓN ECONÓMICA E INCLUSIÓN FINANCIERA EN RESPUESTA AL IMPACTO DE LA CRISIS DEL COVID-19”
El presente estudio de base es elaborado con el objetivo de medir la situación inicial PROYECTO “MUJERES RESILIENTES: NUEVAS OPORTUNIDADES PARA SU REACTIVACIÓN ECONÓMICA E INCLUSIÓN FINANCIERA EN RESPUESTA AL IMPACTO DE LA CRISIS DEL COVID-19”, el cual viene siendo ejecutado por CARE Perú. Para el desarrollo del estudio se implementó una metodología predominantemente cuantitativa que emplea principalmente fuente y técnica de recojo de información de naturaleza cuantitativa. El ámbito geográfico del estudio de base comprende las zonas donde actualmente interviene el proyecto, las cuales involucra 38 distritos en los departamentos de Arequipa, La Libertad y Lima. Las principales variables analizadas se corresponden con el contexto local distrital en el que opera el proyecto, con características básicas del público objetivo (características personales de las beneficiarias, de sus hogares, acceso a servicios y afectación por el COVID-19), los cambios esperados por el proyecto como estrategia de intervención (capacidades técnicas, estrategias de mercado, servicios financieros) y la transversalización de género. Estas variables se analizaron en la población objetivo del proyecto. Los informantes que proporcionaron la información requerida para el estudio fueron principalmente las mujeres emprendedoras inscritas en el Proyecto. En este grupo de informantes se aplicaron 302 encuestas a mujeres emprendedoras y se complementó con siete entrevistas a funcionarios públicos de Municipios y Programas Públicos. Para el recojo de información, se diseñó un total de 3 formatos de recojo de información primaria, los cuales fueron aplicados durante los meses de mayo y junio del 2021, con algunas limitaciones propias de una aplicación por teléfono (llamadas no contestadas, servicios suspendidos, números equivocados) y otras referentes a la disponibilidad del informante (rechazo directo, falta de tiempo). [90 Pages]
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Informe Final de evaluación del Proyecto “Conéctate: Finanzas al alcance de tus manos – Escalamiento”
El escalamiento del proyecto “Conéctate: finanzas al alcance de tus manos” tuvo como objetivo capacitar a 3500 emprendedoras de zonas rurales y periurbanas de los departamentos de Lima, Ica y Piura, brindándoles capacitación práctica y motivadora para desarrollar sus conocimientos, actitudes y capacidades financieras y conectarlas al sistema financiero. En este sentido, el presente informe de evaluación final considera una metodología múltiple compuesta por el análisis de la data telemétrica de LISTA Perú, el análisis cualitativo, y el cuantitativo de los resultados de la línea de base y de salida. La metodología del estudio llevó a variaciones, debido al contexto de emergencia por COVID-19, por un lado, se modificó de una modalidad presencial a una virtual y por el otro se redujo el número de muestra comparativa en la línea de salida. Este último conllevó a
realizar un análisis de desgaste por el cual se concluyó que la diferencia sería marginal e inconsistente en cuanto a la magnitud en comparación de las variables, por lo que a pesar del 35% del desgaste en la línea de salida, no es posible demostrar que existiría un desbalance generalizado, puede si, restar el poder estadístico al estudio si se requiere detectar cambios de manera precisa en los resultados. En este sentido, se encuestó a 360 participantes y se entrevistó a 23 participantes y lideresas de las tres regiones que complementariamente a información telemétrica de la app LISTA Perú permitió dar lectura a los resultados. Entre las conclusiones más saltantes de la evaluación que puede indicar que en cerca del 80% de las (los) participantes se identificaron mejoras en relación a la confianza en el uso de medios digitales financieros, así como, cerca del 70% de las (los) participantes presentaron mejoras en relación a las prácticas financieras y vinculadas al ahorro en el hogar y por otro lado más de las mitad de las (los) participantes mostraron mejoras en relación a sus prácticas en gestión financiera del negocio, principalmente en lo relacionado al manejo de los ingresos y gastos separados a las cuentas del hogar. Un aspecto relevante por resaltar es que fueron las mujeres quienes tuvieron una mayor variación positiva estadísticamente significativa al finalizar la implementación del programa respecto a los hombres. [95 pages]
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realizar un análisis de desgaste por el cual se concluyó que la diferencia sería marginal e inconsistente en cuanto a la magnitud en comparación de las variables, por lo que a pesar del 35% del desgaste en la línea de salida, no es posible demostrar que existiría un desbalance generalizado, puede si, restar el poder estadístico al estudio si se requiere detectar cambios de manera precisa en los resultados. En este sentido, se encuestó a 360 participantes y se entrevistó a 23 participantes y lideresas de las tres regiones que complementariamente a información telemétrica de la app LISTA Perú permitió dar lectura a los resultados. Entre las conclusiones más saltantes de la evaluación que puede indicar que en cerca del 80% de las (los) participantes se identificaron mejoras en relación a la confianza en el uso de medios digitales financieros, así como, cerca del 70% de las (los) participantes presentaron mejoras en relación a las prácticas financieras y vinculadas al ahorro en el hogar y por otro lado más de las mitad de las (los) participantes mostraron mejoras en relación a sus prácticas en gestión financiera del negocio, principalmente en lo relacionado al manejo de los ingresos y gastos separados a las cuentas del hogar. Un aspecto relevante por resaltar es que fueron las mujeres quienes tuvieron una mayor variación positiva estadísticamente significativa al finalizar la implementación del programa respecto a los hombres. [95 pages]
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DIAGNÓSTICO SITUACIONAL SOBRE EL TRÁFICO Y LA TRATA DE PERSONAS EN EL CONTEXTO DE LA CRISIS HUMANITARIA EN LA ZONA TRANSFRONTERIZA DE PERÚ Y ECUADOR
En el año 2000 se aprobó el Protocolo para prevenir, reprimir y sancionar la trata de personas, especialmente mujeres y niños, que complementa la Convención de las Naciones Unidas contra la Delincuencia Organizada Transnacional que entró en vigor el 25 de diciembre de 2003. Desde esa fecha el desarrollo normativo de la trata de personas es permanente tanto en el Perú como en el Ecuador, países que comparten una amplia frontera común. Paralelamente se han creado nuevos servicios para la protección y asistencia a las víctimas, así como para la persecución y sanción del delito. En ese contexto, diversos fenómenos han ocurrido con particular intensidad, sobre todo en la zona fronteriza entre Perú y Ecuador. Dos en particular han marcado el desarrollo de la trata de personas en esa zona. La crisis humanitaria producto de la migración masiva de ciudadanos venezolanos y el contexto actual de emergencia sanitaria por el COVID-19, que obligó a ambos países a cerrar sus fronteras, abriéndose más de un circuito clandestino por el cual el flujo migratorio ha continuado discurriendo sin solución de continuidad a pesar del control militar implementado por el Perú desde el 26 de enero del 2021, lo que ha merecido un pronunciamiento conjunto de las Defensorías del Pueblo de Ecuador, Colombia y Perú exhortando a sus autoridades a tener como premisa la dignidad humana de las personas migrantes con necesidad de protección internacional, observar las normas universales y regionales de derechos humanos en este campo, así como evitar actos que promuevan el rechazo por parte de las comunidades de acogida. En ese contexto, las vulnerabilidades propias de las personas migrantes, así como de adolescentes y jóvenes de las regiones contiguas a la zona de frontera, se vieron potenciadas por la crisis económica generada a causa de la pandemia, así como por la pauperización de las condiciones del empleo marcadamente informal. Esas circunstancias que han agravado las necesidades de las personas han sido aprovechadas para la comisión de diversos delitos de explotación de seres humanos. Paralelamente la respuesta pública se ha visto impactada por la crisis sanitaria que ha reducido su capacidad para enfrentar el problema, además de las limitaciones que ya presentaba. En ese escenario, la sociedad civil y las organizaciones de cooperación han jugado un papel importante para paliar las necesidades. Por otra parte, el panorama de la trata de personas en la zona de frontera presenta varios desafíos que están descritos a lo largo del presente estudio y que sugieren un modelo de
gestión más eficiente para poder enfrentarla de manera eficaz, así como para atender el creciente número de personas vulnerables producto de la crisis humanitaria y de la realidad resultante como consecuencia de la emergencia sanitaria. El cierre de la frontera y su permeabilidad hacen evidente la necesidad de implementar una estrategia migratoria integralen cada país, así como en conjunto. Para la elaboración del presente informe se ha recogido información de fuentes documentales, así como de las instituciones públicas y privadas de ambos lados de la frontera, incluyendo a personas migrantes. Dicha información ha permitido describir las conductas, medios y finalidades del delito de trata; las características de los autores del delito de trata y tráfico de personas, las características de las víctimas; las principales rutas de la trata y tráfico de personas, así como las actividades en las que podría estar presente; los servicios de protección para víctimas; el estado de los mecanismos de sanción del delito de trata y tráfico de personas, así como la relación entre la migración, la trata y tráfico de personas. [46 Pages] Read More...
gestión más eficiente para poder enfrentarla de manera eficaz, así como para atender el creciente número de personas vulnerables producto de la crisis humanitaria y de la realidad resultante como consecuencia de la emergencia sanitaria. El cierre de la frontera y su permeabilidad hacen evidente la necesidad de implementar una estrategia migratoria integralen cada país, así como en conjunto. Para la elaboración del presente informe se ha recogido información de fuentes documentales, así como de las instituciones públicas y privadas de ambos lados de la frontera, incluyendo a personas migrantes. Dicha información ha permitido describir las conductas, medios y finalidades del delito de trata; las características de los autores del delito de trata y tráfico de personas, las características de las víctimas; las principales rutas de la trata y tráfico de personas, así como las actividades en las que podría estar presente; los servicios de protección para víctimas; el estado de los mecanismos de sanción del delito de trata y tráfico de personas, así como la relación entre la migración, la trata y tráfico de personas. [46 Pages] Read More...
FEASIBILITY STUDY FOR THE PROJECT “NEW ECONOMIC OPPORTUNITIES FOR RETURNEES AND LOCAL PEOPLE IN SOUTH-EAST SERBIA”
This study has been elaborated in order to respond to the needs of CARE International Balkans for the design of the project “New economic opportunities for returnees and local marginalised local people in South-East Serbia”. The research is comprised of several approaches with the aim to deliver sufficient information and data on prospects for the successful implementation of the planned action: information on possibilities for socio-economic inclusion of returnees (in Serbia) and prospects of economic improvement for other groups of citizens vulnerable to migration to western countries.
Purpose of this study is to provide a sound basis for developing a project concept and proposal, by identifying project preconditions, opportunities and risks for its implementation. This study provides relevant information on the socio-economic status of returnees and vulnerable local population, their capacity for economic engagement and employment, access to the labour market, as well as economic potential of local business environment.
CARE International Balkans as the lead organization has selected two partners from civil society organizations, ENECA and NEXUS, as project partners which are situated in the regions in which the project would be implemented. The initial project idea has defined geographical coverage which would include 6 administrative districts in Serbia, concentrated in South East Serbia (districts of Pcinj, Jablanica, Nis, Pirot, Bor and Timok). According to the Population Census conducted in 2011 in Serbia, the population of 6 identified districts totals to 1 089 142 inhabitants of which 481 576 are females. These 6 districts make up 15.15% of the overall population of Serbia according to the 2011 Census. Of the 32 local self governments, 21 are classified in the 4th category of development, 5 are in the 3rd category of development, 4 are in the 2nd category and only 2 (Nis and Bor) are in the 1st category of economic development defined by the Regional Development Agency of Serbia. Additionally, a large number of the LSGs in the 4th category are additionally classified into the group of devastated areas/LSGs.
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Purpose of this study is to provide a sound basis for developing a project concept and proposal, by identifying project preconditions, opportunities and risks for its implementation. This study provides relevant information on the socio-economic status of returnees and vulnerable local population, their capacity for economic engagement and employment, access to the labour market, as well as economic potential of local business environment.
CARE International Balkans as the lead organization has selected two partners from civil society organizations, ENECA and NEXUS, as project partners which are situated in the regions in which the project would be implemented. The initial project idea has defined geographical coverage which would include 6 administrative districts in Serbia, concentrated in South East Serbia (districts of Pcinj, Jablanica, Nis, Pirot, Bor and Timok). According to the Population Census conducted in 2011 in Serbia, the population of 6 identified districts totals to 1 089 142 inhabitants of which 481 576 are females. These 6 districts make up 15.15% of the overall population of Serbia according to the 2011 Census. Of the 32 local self governments, 21 are classified in the 4th category of development, 5 are in the 3rd category of development, 4 are in the 2nd category and only 2 (Nis and Bor) are in the 1st category of economic development defined by the Regional Development Agency of Serbia. Additionally, a large number of the LSGs in the 4th category are additionally classified into the group of devastated areas/LSGs.
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South Sudan: The True Cost of COVID-19 Vaccines
By July 18, South Sudan was able to administer the nearly all of the 60,000 doses of COVID-19 vaccine they had in stock through a series of smart investments in delivery, training, and social mobilization coordinated with several different partners. As new doses are projected to arrive in country in August, South Sudan continues to reinforce gaps in the health systems to make COVID-19 vaccinations possible without disrupting existing health services.
CARE’s estimated delivery costs from “tarmac to arm”1 for vaccines in these areas are $9.97 per dose of vaccine administered, or $22.22 per person fully vaccinated.
This is six times more expensive than current global estimate for delivery costs. For some actors providing vaccinations in South Sudan, the cost has been as high as $20 per dose administered when they include all costs. That’s because the health system in South Sudan is fragile, and it was already struggling to deliver even routine services. South Sudan is one of many health systems around the world that will need additional personnel, resources, and infrastructure to effectively deliver COVID-19 vaccines to at-risk populations, especially in hard-to-reach areas. The exact cost will continue to evolve as new vaccines arrive in country and the country vaccinates new groups of people. Read More...
CARE’s estimated delivery costs from “tarmac to arm”1 for vaccines in these areas are $9.97 per dose of vaccine administered, or $22.22 per person fully vaccinated.
This is six times more expensive than current global estimate for delivery costs. For some actors providing vaccinations in South Sudan, the cost has been as high as $20 per dose administered when they include all costs. That’s because the health system in South Sudan is fragile, and it was already struggling to deliver even routine services. South Sudan is one of many health systems around the world that will need additional personnel, resources, and infrastructure to effectively deliver COVID-19 vaccines to at-risk populations, especially in hard-to-reach areas. The exact cost will continue to evolve as new vaccines arrive in country and the country vaccinates new groups of people. Read More...
McGovern-Dole Food Fore Education Program HATUTAN – Midline Evaluation
The HATUTAN program (Hahán ne’ebé Atu fó Tulun ho Nutrisaun no Edukasaun or Food to Support Nutrition and Education) is a five-year initiative to build a partnership between schools and communities in order to improve literacy, learning, healthy, and nutrition for children and adults in Timor-Leste. The program works in partnership with the Government of Timor-Leste and development stakeholders to address two strategic objectives: improved literacy of school-aged children and increased use of health, nutrition, and dietary practices. The HATUTAN program is funded by the U.S. government through the Foreign Agricultural Service of the United States Department of Agriculture under the McGovern-Dole International Food for Education and Child Nutrition Program. The program is implemented by a consortium led by CARE International with Mercy Corps and WaterAid. The lead Timorese government partner is the Ministry of Education, Youth, and Sports, in collaboration with the Ministry of Health, Ministry of State Administration, and Ministry of Agriculture and Fisheries.
To achieve these objectives, the program supports, among a variety of activities, the Government of Timor-Leste’s school feeding program (SFP) to fully operate in all basic education and preschools throughout the school year. Key project activities include strengthening and supplementing the government-sponsored SFP and building school capacity through trainings for teachers and administrators and provision of resource materials. Additionally, the HATUTAN program seeks to support farmers to boost the production of local produce to increase yields and help create sustainable sources of nutritious food for local schools. In addition to activities related to literacy and SFPs, HATUTAN seeks to conduct trainings related to nutrition, health, and other topics, and to promote gender equality and the reduction of gender-based violence.
This report presents the midline evaluation of the HATUTAN program, which began in early 2019. It is important to note that restrictions due to the COVID-19 pandemic have had a substantial impact on program activities and target outputs and outcomes. In March 2020, HATUTAN field activities were halted, field offices were temporarily closed, and staff began to work from home due to a State of Emergency issued by the Government of Timor-Leste. This State of Emergency remains in effect to date, with varying levels of restriction on school activities, movement, and group gatherings. As a result, the HATUTAN program is behind schedule in terms of some major deliverables due to COVID-19. Read More...
To achieve these objectives, the program supports, among a variety of activities, the Government of Timor-Leste’s school feeding program (SFP) to fully operate in all basic education and preschools throughout the school year. Key project activities include strengthening and supplementing the government-sponsored SFP and building school capacity through trainings for teachers and administrators and provision of resource materials. Additionally, the HATUTAN program seeks to support farmers to boost the production of local produce to increase yields and help create sustainable sources of nutritious food for local schools. In addition to activities related to literacy and SFPs, HATUTAN seeks to conduct trainings related to nutrition, health, and other topics, and to promote gender equality and the reduction of gender-based violence.
This report presents the midline evaluation of the HATUTAN program, which began in early 2019. It is important to note that restrictions due to the COVID-19 pandemic have had a substantial impact on program activities and target outputs and outcomes. In March 2020, HATUTAN field activities were halted, field offices were temporarily closed, and staff began to work from home due to a State of Emergency issued by the Government of Timor-Leste. This State of Emergency remains in effect to date, with varying levels of restriction on school activities, movement, and group gatherings. As a result, the HATUTAN program is behind schedule in terms of some major deliverables due to COVID-19. Read More...
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