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.

MALAWI COVID-19 RAPID GENDER ANALYSIS

Coronavirus disease (COVID-19), an infectious disease caused by a newly discovered coronavirus has had a devastating impact globally. While WHO declared COVID-19 as a world pandemic on 30th January 2020, Malawi declared a state of disaster on 20th March 2020 and this was followed with some restrictions including closure of schools. While countries in Southern Africa have imposed lockdowns and other restrictions, as of 7th May Malawi was yet to go on lockdown, which was stopped through a court decision. Malawi is in an election period for fresh presidential elections and with the campaign period officially opened, observance of COVID-19 safety and preventive measures will be a challenge.

Global research findings have shown that COVID-19 has significant social and economic impact on people, especially those living in poverty-stricken countries. Malawi is at more risk due to other significant health challenges that would exacerbate the severity of COVID-19, such as high levels of malnutrition, malaria, anemia, HIV/AIDS, and tuberculosis.

For women and girls, the impacts can be much higher due to their social responsibilities as primary caregivers, coupled with childcare and nutrition and farm work. Further a majority of health care workers are female (especially nurses). In Malawi, the nursing profession is dominated by female nurses of which 91.5% are professional and 84.7% are associates . With the Covid 19 response, there is also an increased risk of exposure to the infection for health care workers, particularly if health care services are not provided with adequate Personal Protection Equipment (PPE).
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West Africa COVID-19 RGA May 2020

As of mid-April 2020, the number of confirmed COVID-19 cases in Africa is relatively low. That said, there has only been limited testing in Africa, leading many experts to be concerned that Africa could still experience outbreaks on, or beyond, the scale experienced in other regions. Governments are imposing restrictions on movement to reduce the risk of potential outbreaks, and this is directly impacting the ability of humanitarian actors to provide necessary assistance. At the same time, some governments, notably the governments of Mali and Niger, are also expanding their safety nets to help people respond to COVID-19 and its impacts.
CARE’s Rapid Gender Analysis draws from CARE’s deep experience in the region, and from interviews with 266 people across 12 countries. It points to serious ongoing economic, health, and financial impacts that will be especially severe for women. It also paints a mixed picture of impact on women’s rights. Special concern is paid to encroaching limitations to women’s access to resources, as well as to their representation and participation in formal decision-making; increased incidents of gender-based violence. These worrying
observations are accompanied by hopeful examples of women leading the response to the COVID-19 crisis and finding ways to negotiate equitable relationships with men in their communities, as well as with their husbands/male partners at home. Read More...

Gender Equality and Women’s Empowerment Program II 2016-2019

The Women-Girls Empowerment and Civil Society Governance Project (PEF-GS) called MAAYA DANBE in the local language, is funded by the Norwegian government through CARE Norway for a period of four (04) years (2016-2019) and aims to empower women and girls facing poverty, inequality, violence and social exclusion to claim and realize their human rights. The report is 82 pages long. Read More...

Evaluation Finale du Projet Washplus de Care Mali Dans la Region de Mopti

The centrally managed USAID / Washington WASHPlus project, led by FHI 360 with CARE USA as a lead partner, creates and supports interventions that lead to improvements in water, sanitation and hygiene, explores and promotes the innovation in WASH, including mainstreaming WASH into related areas such as nutrition. The report is 68 pages long. Read More...

Cambodia COVID-19 Rapid Gender Analysis

The number of COVID-19 cases in Cambodia is quite low (141) however the impact on global supply chains and the livelihood of thousands of factory and migrant workers, who are mostly women, is immense. The loss of income could potentially push families back into poverty and the value of unpaid care work which will increase during the pandemic, is not measured in financial terms, nor seen as a valuable contribution. Additionally, the growth of women’s empowerment which is strongly linked to financial contributions to the household, will decline.

Women and girls in Cambodia face inequalities in many areas such as in employment and payment, division of domestic labour, decision making and participation. Those are likely to further increase in the course of the COVID-19 pandemic. An area of specific concern is in the education of girls and boys, from poor families, who do not have the technical infrastructure and capacity to support online home schooling.

The current health system does not have the capacity to deal with an increasing number of COVID-19 cases. Sub- national health facilities are considered low quality and previous health crisis showed that patients will directly consult provincial and national facilities which is going to exceed their capacity.

There is still uncertainty about transmission of COVID-19 which causes fear and creates potential for rumours causing
stigmatisation and discrimination of certain population groups such as foreigners, women working with foreigners as in bar work and Muslim groups.

Gender based violence is common and widely accepted in Cambodia. Globally, intimate partner violence (IPV) may be the most common type of violence women and girls experience during emergencies. In the context of COVID-19 quarantine and isolation measures, IPV has the potential to dramatically increase for women and girls. Life-saving care and support to GBV survivors may be disrupted when front-line service providers and systems such as health, policing and social welfare are overburdened and preoccupied with handling COVID- 19 cases. Restrictions on mobility also mean that women are particularly exposed to intimate-partner violence at home with limited options for accessing support services. Read More...

Evaluation finale du Programme d’Amenagement du Delta Interieur du Niger (PADIN-II)

The Inner Niger Delta Development Program (PADIN-II) in the Mopti Region has been implemented in 24 Communes classified as vulnerable in four Circles of the Mopti Region in Mali. The program, lasting more than five years (Sept. 2013-June 2019), was implemented by a number of stakeholders: technical services and governorate, municipal authorities, NGOs and farmers' organizations. The NGO CARE-Mali was the main operator of the program, which was funded by the Embassy of the Netherlands in Bamako to the amount of 7.87 billion FCFA. The goal was to improve the living conditions of 20,000 households (or 120,000 people) of agro-pastoralists and fishermen in the Inner Niger Delta (DIN) and Sourou. The report is 104 pages long. Read More...

Evaluation Finale du Project USAID/Nutrition WASH

The Mission of the United States Agency for International Development in Mali (USAID / Mali) through the NGO Care Internationale entrusted Kurugan Fuga Consulting with the final evaluation of the USAID / Nutrition and Hygiene project in the regions of Koulikoro, Ségou and Mopti in Mali. At the end of this program, which spanned a 5-year implementation period from October 2014 to September 2018 extended in 2019, its final evaluation was required. This study aims to assess the effectiveness of the IRP's integrated nutritional strategy combining nutrition, agriculture, water, sanitation and hygiene (WASH) to improve the nutritional status of pregnant and breastfeeding women and children of less than 2 years. The report is 80 pages long. Read More...

Programme Sante USAID/Kenya Ciwara Rappor D’Analyse de L’Enquete D’Evaluation Finale

The program is part of Strategic Objective 6 (SO 6) which aims to increase the use of high impact services and improve health behaviors / practices. These services relate to the survival of the child (vaccination, malaria, diarrheal diseases, acute respiratory infections, nutrition and vitamin A). The final evaluation takes place two years after the mid-term evaluation and four years after the baseline evaluation. The report is 55 pages long. Read More...

A Glimpse on Poor and Extreme Poor Pregnant and Lactating Women’s Situation in Sunamganj, amidst COVID-19

The global pandemic COVID19 outbreak has crippled the economy after the nationwide lockdown imposed by the Bangladesh government since the end of March 2020 and has thrown millions of its population into poverty and food insecurity. Sunamganj, district is highly susceptible to natural hazards such as heavy rain, storm, thunderstorm, flash flood, which severely affect their livelihood and food and nutrition security where the COVID19 crisis has speeded up the devastation of daily livelihood. While writing this report the total number of infected corona patients in Sunamganj was 1162 and nine died. To better understand how pregnant and lactating women in the poor and the extremely poor household of Sunamganj district, are experiencing and adapting during this COVID 19 crisis, Collective Impact for Nutrition (CI4N), CARE Bangladesh conducted a rapid mobile-based survey from May 14 to 23, 2020. This report represents unofficial survey findings to keep a finger on the pulse of the food and nutrition security situation in rural Bangladesh. Read More...

Rapid Needs Assessment COVID-19 impacts on Urban Health in Bangladesh

Since the initial outbreak of COVID-19 in Bangladesh earlier this March, Bangladesh is at an economic and social standstill due to the government imposed nation-wide lockdown. Although every sector of the country is facing problems, the health sector is currently among the most affected sectors.
The Health Access and Linkage Opportunities for Workers Plus (HALOW+) is directly related to the health sector and is responsible for maintaining the overall health and safety of the people/areas under its intervention. To assess the current situation of the RMG workers of 17 factories and their respective communities under HALOW+ in this pandemic crisis, a small-scale survey study was conducted from 23rd-26th April, 2020. A total of 141 participants from both Community Support Groups (CSG), Urban Low income
people including RMG Workers, Ward Health Development Committee and GO – NGO Coordination Forum, District Managers of Public, Private and NGO health and Family Planning department, Public Health Specialist from UN bodies, INGO and Academic institutes and RMG Factory owner and senior management were interviewed with a standardized questionnaire. The study revealed that COVID-19 had a significant impact on the overall health system as a total of 322 health workers out of 516 in Gazipur are currently in home/institutional quarantine, telemedicine facilities have dropped to 80% and there’s a 50% reduction in total patient reported in Upazila Health Complexes (UHC)-reasons being absence of doctors and proper medical facilities. Read More...

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