Emergency|Humanitarian Aid

Fast and Fair Vaccine Update August to October 2021

CARE's Fast and Fair initiative supports countries to equitably deliver COVID-19 vaccines through four pillars: Advocate, Facilitate, Protect and Mobilize.
CARE has identified 22* countries (and counting ) with strong capacity, partnerships, and readiness to scale.
By October 2021, CARE has supported vaccines in districts where 126 million people have delivered vaccines. We have also supported mass media messages promoting vaccines to 263 million people. Read More...


By August 9, 2021, Ethiopia had reported more than 284,000 COVID-19 cases and 4,426 deaths. Since COVID-19 was first reported in Ethiopia in March of 2021, the impacts of the pandemic, the measures taken to curb COVID-19, and additional political, economic, and environmental crises have severely impacted the population.
Women and girls bear different burdens in this crisis, and emergency responses often overlook the differences
in impacts and needs for women, girls, men, and boys in humanitarian responses. To that end, this research—
with funding from the EUTF (European Union Emergency Trust Fund) provides insight into the impact of COV1D-19 on women and girls in Ethiopia. This insight informs recommendations and guide EUTF partners and other relevant stakeholders in the areas of EUTF interventions. With this objective in mind, four woredas (administrative districts), one refugee camp, and one Industrial Park (IP) were considered as sample areas. These are Sekota Zuria and Gazgibla woredas in Wag Hemra zone of Amhara region; Moyale and Miyo woredas in Borena Zone of Oromia region, Asayita Refugee Camp in Afar region, and Bole-Lemi Industrial Park in Addis Ababa.
This research surveyed 372 women and girls in April 2021. The quantitative surveys covered adult women and girls over the age of 15. It also provides insights into the differences between refugees, Internally Displaced People (IDPs), refugees, and migrants. Qualitative from focus group discussions and key informant interviews also reflects opinions from men and boys. Read More...

Supporting flood Forecast-based Action and Learning (SUFAL) Project in the 2020 Monsoon Floods

Background: ‘Supporting flood Forecast-based Action and Learning’ (SUFAL) project was designed to contribute to reducing the adverse impacts of the increasing frequency of catastrophic flooding on the vulnerable and poor communities through Forecast-based Action (FbA). The project was funded by The Directorate-General for European Civil Protection and Humanitarian Aid Operations (ECHO) and was implemented through a consortium led by CARE Bangladesh, with Concern Worldwide, Islamic Relief and Regional Integrated Multi-Hazard Early Warning System for Africa and Asia (RIMES). The project was implemented in three northern districts of Bangladesh: Jamalpur, Gaibandha, and Kurigram. FbA contributed to disseminating Flood Early Warning messages with a lead time of 10 – 15 days with timely and accurate weather forecast information, while and it also helping to identify potential flooding areas.

Methodology: The primary purpose of the study was to “Evaluate the impact of early actions” applied through the SUFAL project on household and community beneficiaries in responding to the 2020 monsoon floods. Customized OECD-DAC criteria, Quasi-experimental design (Difference-in-Difference Method), Knowledge, Attitude and Practices (KAP) framework and Value for Money (VfM) framework were used as guiding methods and tools to design study instruments and evaluate the impact of early actions at every stakeholder level. The study covered a control group in non-project areas and three treatment groups in the project areas: Treatment group 1 (EWM support), Treatment group 2 (EWM + Evacuation + Shelter + WASH support), Treatment group 3 (EWM + Evacuation + Shelter + WASH + Cash-grant support). Treatment groups were categorized in three different groups to conduct cost-effectiveness analysis. The study areas were in the districts of Kurigram (Hatia, Begumganj, Buraburi, Shaheber Alga unions), Gaibandha (Bharatkhali, Saghata, Ghuridaha, Haldia unions) and Jamalpur (Kulkandi, Chinaduli, Noarpara, Shapdhor. The survey sample consisted of 224 control respondents (of which 153 were women) and 754 treatment respondents (of which 426 were women), among which Sample for treatment group 1, 2, and 3 were 293 (100 women), 292 (192 women) and 169 (134 women), respectively. A total of 118 of the 754 treatment households interviewed through the survey were women-headed households and 38 out of 224 control group households were women headed households. The team had conducted 7 FGDs with community members in the three implementation areas, and 27 KIIs with community volunteers, project staff, government officials, and other related NGOs.

Impact: It was found through the study that less people in treatment group experienced damages compared to control households, treatment households saved more resources in 2020 than control households, and the average monetary values of assets saved by treatment group in 2020 were higher compared to the control group households. Due to the drawn-out duration and intensity of the flood in 2020, respondents reported that they were not able to prevent more damages although they took more early actions. Besides, treatment areas were the most flood affected areas. The early messages had helped the community to prevent damage to their assets and livelihoods. The percentage of damage prevented in agricultural sector for the treatment group had increased to 28% since the flood of 2019. The damage prevented in fisheries had increased significantly by 18 percent in 2020 in compared to that of 2019. The death of family members from waterborne diseases had decreased (except female members) in comparison to the previous flood in 2019. It is quite evident that the early warning message had enabled the males to take early actions regarding relocation of the vulnerable
family members to higher grounds, relative’s houses, or to the shelters. The cash for work modality had also helped the community people to obtain a source of income by working for the embankment, roads, bamboo bridges, etc. Shelter renovations and upgradations reportedly encouraged the community people to evacuate faster. The average amount of loan taken by a treatment respondent and control respondent was found to have been Taka 20,194 and Taka 18,335 respectively. However, post flood loan burden was significantly less for the cash grant recipients (only 32% took loan after flood) as compared to other treatment groups (more than 50% took loan). The
cash grants are said to have helped the recipients address their basic needs during the flood and also helped them to some extent to repair their house and pay for livestock treatment after the flood. [70 pages] Read More...

Gender Gaps in Vaccines November 2021

COVID-19 vaccinations are quickly becoming a story of inequality. Gender inequality is a critical part of this story. In 22 of 24 countries where CARE has data, women are less likely to be vaccinated and less likely to feel vaccines are safe.

There are massive local and global gaps in who can get vaccinated. Only 4.5% of people in low-income countries are vaccinated, and 79% of vaccinations have been in wealth countries. Tragically, wealth and geography are just two factors that skew access to vaccines. Another is gender. In many low and middle-income countries, women are less likely to get COVID-19 vaccines than men are. This compounds gender inequality women are already facing in health and decision-making Read More...

Who pays to deliver vaccines? An Analysis of World Bank Funding for COVID-19 Vaccination and Recovery

The World Bank is one key source of funding in the global push to vaccinate 70% of the world’s population against COVID-19. Many actors point to this as the funding that will cover any additional delivery needs for COVID-19 vaccines that national governments cannot meet. With $5.8 billion in funding already approved out of a $20 billion commitment, the World Bank funding is an important part of the picture, but the World Bank alone cannot cover the full gap in vaccine delivery needs.

Reviewing 60 funding agreements from the World Bank on COVID-19 vaccination and recovery shows the following insights.

• There is still a gap in delivery funding. The World Bank is currently funding $1.2 billion in vaccine delivery—10% of the total funding allocated for COVID-19 recovery. If that trend applies to the rest of the $20 billion commitment, World Bank funding will cover a between $2 and $4 billion—well below the $9 billion that ACT-A estimates as the lowest possible investment to vaccinate 70% of the world’s population. In contrast, $3.1 billion is going to purchase vaccines.
• Health workers remain underfunded. Only 15 of 60 agreements, just 25% detail provisions to pay health workers. Of those, 7 explicitly fund surge capacity, 3 provide for ongoing salaries, and 4 allow for hazard pay to health workers.
• Countries are taking on debt to rollout COVID-19 vaccinations. 86% of the funding in this analysis is in the form of loans. That gives countries debt that may weaken future pandemic preparedness rather than reinforcing health systems.
• All funders should adopt the World Bank’s commitments to investments in gender equality. 90% of the agreements in this analysis refer to gender inequality and many make corresponding investments—like requiring that 60% of vaccine leadership positions are women—to overcome these barriers. Earmarking exact funds going to advance gender equality would provide further transparency. Nevertheless, this consistent and concrete commitment is commendable, and all actors should strive to replicate it.

Final Report for the Final Evaluation of OFDA Response program

This report presents the final evaluation of the United States’ Agency for International Development (Office of Foreign Disaster Assistance ( Response Program implemented by CARE Turkey and its partners in Aleppo and Idleb governorates of Northwest Syria. The evaluation aimed to assess the program’s relevance, efficiency, effectiveness, impact, sustainability and coordination using the Organization for Economic Co operation and Development's Development Assistance Committee (OECD DAC) evaluation criteria and was carried out from July to October 2021.

“I am very satisfied with this assistance in terms of gravelling the road, providing the camp with water and upgrading the tents for the entire camp. All of those interventions were desperately needed. People are satisfied because the situation has improved within the camp.”
-Camp Manager
“I can say that this service is very important in all aspects because it is securing clean and safe water for the neighborhood (…). Everyone in the neighborhood is satisfied with the services.”
-FGD participant


La población hondureña, multiétnica y esencialmente femenina (51.7%), cohabita en un país que ha sido catalogado como uno de los países del área latinoamericana con mayor desigualdad en cuanto al desarrollo (Índice de desigualdad de género de 0.479 versus un IDH 0.611), y con una brecha de género de 27.8 %, según el Foro Económico Mundial. Esta condición de desigualdad afecta especialmente a las mujeres y niñas, pero también a la población viviendo en situación de pobreza, y a la población que está expuesta a alguna condición de vulnerabilidad ya sea física, psicológica, social, ambiental, económica o estructural.
Como resultado, esta población vive en condiciones de pobreza y desigualdad que influyen directamente en la profundización de aspectos relacionados con la feminización de la pobreza; las limitaciones en el acceso a servicios básicos, recursos, oportunidades económicas y empleo digno (medios de vida); la vulnerabilidad ante la violencia, especialmente la Violencia Basada en Género (VBG); y la continuidad en la brecha de género que existe en cuanto a la participación a nivel organizativo o político.
Esta situación ha sido agravada por las circunstancias generadas en Honduras por la pandemia de la COVID_19, que ha registrado 164,495 casos a nivel nacional, y por la devastación causada por Eta e Iota —que afectó a más de 4 millones de personas—, y que han dejado al descubierto las condiciones de violencia y vulnerabilidad a las que están expuestas las mujeres y niñas en Honduras.
Entre los efectos adversos provocados por ambas crisis, preocupa especialmente aquellos que afectarán a indicadores o condiciones estructurales relacionados con la feminización de la pobreza o que inciden directamente en los factores de riesgo o protectores para la violencia basada en género. Read More...

Análisis Rápido de Género ETA e IOTA Guatemala, diciembre 2020

La situación que enfrenta Guatemala en la actualidad es de una complejidad enorme. Aparte de las condiciones de desigualdad histórica y altos niveles de pobreza que marcan la realidad del país, desde marzo de 2020 se ha tenido que enfrentar los impactos de la pandemia de COVID, y recientemente las emergencias generadas por las tormentas ETA e IOTA, que han azotado a gran parte del territorio nacional. El país se encuentra en una situación excepcional de emergencia sobre emergencia y en donde las acciones de prevención y respuesta han resultado insuficientes para la magnitud de la tragedia.
ONU Mujeres y CARE Guatemala, como parte del Grupo de Trabajo de Género en la Acción Humanitaria del Equipo Humanitario País (EHP), consideran esencial aportar información que permita entender la situación que enfrentan las poblaciones afectadas, y en especial, información con análisis de género, que permita reconocer el impacto diferenciado en las mujeres y niñas, identificando sus necesidades específicas para fortalecer los esfuerzos de mitigación y recuperación, así como para asegurar una respuesta efectiva que garantice sus derechos. Es por ello que realizan este Análisis Rápido de Género (RGA por sus sigla en inglés), como una herramienta para la orientación de la respuesta humanitaria a las tormentas ETA e IOTA, y en el marco de la pandemia de COVID 19.
Objetivo: Identificar y analizar las afectaciones, necesidades e impactos de la emergencia generada por la tormenta ETA en la situación de las mujeres y niñas en Guatemala, y proporcionar recomendaciones prácticas para el trabajo de respuesta y recuperación; cubriendo las áreas más afectadas por la tormenta y priorizadas por CARE y ONU Mujeres, que son los departamentos de Alta Verapaz, Baja Verapaz, Izabal, Chiquimula, Quiché, Huehuetenango, Jalapa, Zacapa y Petén. Read More...

Page | 0 Final evaluation of the FFP III program 2021 Final evaluation of the FFP III program 2021 Final Report for the Final Evaluation of Food for Peace III program

Jouri for Research and Consulting was commissioned by CARE International (CARE) to undertake a final evaluation of the Food for Peace project, “Emergency and Regular Food Assistance in Syria” implemented in Aleppo and Idleb in Northwest Syria (NWS), funded by USAID’s Food for Peace (FFP) program. The project is implemented through four local partner organizations as well as CARE’S area office in Jarablus.
The project consisted of cash distribution (both one-off as well as multi-round cash for food (MRCFF) support and livelihoods activities, which included wheat value chain support (wheat purchase from selected farmers, milling into flour, distribution to bakeries for subsidized bread and infrastructure rehabilitation) and cash for work (CFW) activities. The project was implemented through the local partners Shafak, Ihsan, Syria Relief (SR) and Insani Yardımlaşma Derneği (IYD), as well as CARE’s area office (AO) in Jarablus.
The evaluation addressed the key evaluation questions organized under the Organization for Economic Co-operation and Development's Development Assistance Committee (OECD DAC )evaluation criteria, including Relevance, Efficiency, Effectiveness, Impact and Sustainability. The impacts of coordination among other actors and between partners was also investigated. In total, Jouri conducted 587 surveys, nine focus group discussions (FGDs) and 40 key informant interviews (KIIs). Data was collected face to face and in some cases, remotely due to COVID-19. The evaluation was conducted between July and September 2021. Data was collected in August and September 2021. Read More...

Lesson Learned from the use of Cash plus in the support of Agricultural and Fishery inputs in Khanfar, Sarar and Rusad districts in Abyan Governorate

The seed security and fishery sector production inputs are largely affected in Yemen as a result of prolonged conflict in the country. The lack of access to these critical agricultural inputs has been attributed to the heavily weakened purchasing power. In response, CARE Yemen through Yemen Humanitarian Fund provided support to 2500 most vulnerable and food in-secured farming and fishing households with cluster-approved cereal/vegetable seeds, farm tools and fishing kits in Khanfar, Sarar and Rusad districts in Abyan Governorate. The same households receiving the production inputs were also provided with cash aid of 50$ per month for 3 months. The cash aid also known as Cash plus was utilized by the farmers and the fisherfolk to bridge the food gap faced before a harvest. Read More...

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