Emergency|Humanitarian Aid

Rapid Gender Analysis Brief Ukrainian Refugees in Moldova

Since the escalation of the war in Ukraine on 24 February 2022, Moldova has been one of the countries in the region hosting people from Ukraine. Communities, as well as local, national and international non-governmental organisations (INGOs), have mobilised to support the refugees with basic needs and services. To date – 28 June – a total of 8,402,336 border crossings from Ukraine have been recorded, with 5,493,437 individual refugees from Ukraine recorded across Europe.1 As of 4 July, 521,549 individuals from Ukraine have arrived in Moldova; 334,903 or 64 per cent are female, of which 25 per cent are girls; and 186,646 or 36 per cent are male, of which 46 per cent are boys2. The majority (92 per cent) of those arriving are Ukrainian and 8 per cent are third country nationals (TCNs).3 No verifiable disability-disaggregated data has been identified and a Rapid Gender Analysis (RGA) by Action Aid on 27 April reported that there is no data on Roma populations or the registration of transgender people. Read More...

Rapid Gender Analysis Brief Ukrainian Refugees in Romania

Since the escalation of the war in Ukraine on 24 February 2022, there has been an outpouring of kindness, solidarity and support in the form of basic goods and services from the Government and people of Romania to Ukrainian refugees.
As of 1 June 2022, 1,098,326 Ukrainians refugees have arrived in Romania. Of these, only 84,470 (7.7 per cent) have remained in Romania.1 Of those arriving in Romania, 54 per cent are adult women, 32 per cent are children and 14 per cent are adult men. The top five counties hosting refugees are Bucharest, Constanta, Brasov, Galati and Iasi.
This Rapid Gender Analysis (RGA) brief highlights the most significant gender and protection issues for refugees from Ukraine in Romania and sets out key recommendations to address them. The RGA brief was conducted jointly by CARE/SERA, the Federation for Child Protection, the Federation for Social Services and Plan International in Romania.

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Conflict Sensitive Rapid Gender Analysis Cabo Delgado, Mozambique

The on-going armed insurgency in Cabo Delgado that started in 2017 and the mass displacement it caused have created a complex humanitarian crisis in one of Mozambique’s poorest regions, Cabo Delgado. Prior to the crisis, Cabo Delgado province already suffered from high levels of poverty and absence of services. This situation has been worsened by the crisis which depleted what little resilience the province’s population had. Host communities find themselves having to share already scarce resources. There are evident signs of solidarity fatigue and tensions between IDPs and host communities result in frequent conflicts.

IDPs in Cabo Delgado are suffering from dire living conditions, extremely limited access to basic services and struggling to meet essential needs. Widespread lack of access to cash and income generating opportunities are causing negative multi-layered gendered impacts on the lives of IDPs. IDPs living in resettlement centres are among
those most vulnerable, women and children making up the majority of residents, where access to resources or income generating opportunities is very limited. Female-headed IDP households have constrained access to land when compared to their male counterparts, making subsistence farming difficult. The combination of these factors
has led to the commodification of humanitarian aid with the sale of part of the food received through humanitarian assistance being a prevalent practice.

While humanitarian assistance has been vital in meeting IDPs’ most urgent needs, there are still immense and persistent needs. Life at resettlement centres is difficult and protection risks abound, particularly for women and girls. Water is scarce and fetching it is an arduous and often dangerous task for women and girls. Access to health care is
limited, including to maternal and sexual and reproductive health services. Reports of sexual exploitation and abuse were frequent and included cases of community leaders requesting money or sex in exchange for guaranteed access to humanitarian aid. Read More...

COVID-19 Vaccine Acceptance among People in Kailali, Nepal

COVID-19 has caused massive disruption and destruction worldwide, with millions of deaths since 2019. Vaccination plays a vital role in ending COVID-19. The objective of the study was to assess
the acceptance of the COVID-19 vaccine and its determinants among the general population aged 18 years and above. A total of 506 participants were interviewed in the study. A quantitative questionnaire covered socio-demographic characteristics of the respondent's knowledge related to the vaccine, misconceptions related to the vaccine, perceived reliable sources, and acceptability of the vaccine. The COVID-19 vaccine acceptance rate was 76% in the study area. The vaccine acceptance rate was slightly lower among female participants (74%) in comparison to their male counterparts (78%). The Bivariate analysis showed a significant association of acceptance of the COVID-19 vaccine with the municipality, caste/ethnicity, and family type. Similarly, in the multivariate analysis, religion, caste/ethnicity, and disability statuses were found to be significantly associated with vaccine acceptance. Concluding that the COVID-19 pandemic cannot be curbed if people do not accept the vaccine. The findings of the study showed that a considerable proportion of the respondents did not accept the vaccine due to fear of the side effects and doubt about vaccine efficacy. Therefore there is a need to increase advocacy and awareness of the COVID-19 vaccine to increase people's trust in it. Read More...

Localization in Practice: Realities from Women’s Rights and Women-Led Organizations in Poland

During the invasion of eastern Ukraine in 2014, violence against women and girls, especially intimate partner violence and sexual violence, increased rapidly. Since February 2022, the situation has deteriorated to alarming new levels. Exacerbated and pervasive violence against Ukrainian women and girls is a consequence of war, with women and girls continuing to be abused, exploited, and raped in Ukraine and while they flee to other countries. An increasing number of survivors are coming forward, buttressed by additional reports from women’s rights activists, service providers, humanitarian organizations, and UN agencies. As conflict in Ukraine pushes millions of women to seek refuge abroad, those leaving remain highly vulnerable to risks like trafficking, or may face sexual exploitation and abuse when seeking access to accommodation, transportation, or financial resources.

Women’s organizations in Poland, particularly those providing services to survivors of violence and working on women’s rights, are reporting more and more requests for assistance from sexual violence survivors inside Ukraine. Polish civil society has demonstrated their commitment and fitness to respond to the growing humanitarian needs, but the international community must step up with financial and technical support to ensure that a sustainable, localized approach can continue. Read More...

ON THE FRONTLINE: Lessons on health worker empowerment through the COVID-19 pandemic response

Around the world,frontline and community health workers serve to connecthealth services, commodities, and informationwiththose who need them. Equippedwith the relevant skills and community trust, theycanstrengthen health systems by bridginggeographic and financial accessibility gaps for rural, hard-to-reach, and vulnerable populations through last-mile health delivery. When integrated into national and local healthcare systems, community health workers can additionally help patients navigate complex systems of care and ensure care continuity across services. Historically during times of health crises, global governments and organizations have often relied on community health workforces as frontline responders to deliver life-saving care to disproportionate l y affected populations. The 2020 COVID-19 pandemic was no exception, with many countries mobilizing their existing community health worker programs or initiating new ones to assist with pandemic response . Leveraging lessons learned through its decades long support and implementation of frontline and community health worker initiatives across 60 countries, CARE developed guidelines for community-level pandemic response and disease prevention during this time. In June 2020, CARE partnered with Abbott to launch a one-year in-depth primary care response to the COVID-19 pandemic Read More...

Ukraine Rapid Gender Analysis (Primary Data) May 2022

"It is no longer very scary whether a rocket will arrive or not from the sea, but it is scary that we will die of starvation.”
The lives of people across Ukraine have been profoundly impacted by the humanitarian crisis brought on by the invasion on 24 February 2022. As of 29 April, 5.5 million refugees have already fled Ukraine,1 and the number of internally displaced people (IDPs) has reached 7.7 million. Of those who have fled the country, it is estimated that 90 per cent are women and children, while most men aged 18–60 are required to stay behind under martial law. Based on current data from the International Organization for Migration, 60 per cent of the adult internally displaced population are female, while 40 per cent are male. As the crisis quickly evolves, so do the needs and priorities of women and men across Ukraine.
This Rapid Gender Analysis (RGA), carried out by UN Women and CARE International, seeks to draw attention to the gender dynamics in the humanitarian crisis resulting from the war in Ukraine. The RGA also proposes recommendations for humanitarian leadership, actors and donors to ensure consideration of the gendered dimensions of risk, vulnerability and capabilities in response to this crisis.
The RGA is a progressive publication based on both primary and secondary data sources that compares pre-crisis data with up-to-date information as the situation evolves. This RGA builds upon the RGA Ukraine Brief (http://www.careevaluations.org/evaluation/rapid-gender-analysis-ukraine/) developed by CARE International during the first week of the war and on the UN Women and CARE RGA published 29 March6 based on an analysis of secondary data. For this report, the RGA team reviewed English, Ukrainian and Russian sources and interviewed 179
women and men from local communities across Ukraine, as well as representatives from civil society organizations (CSOs), UN agencies and government bodies. Particular effort was made to ensure that the voices of women and men in vulnerable situations and from different marginalized groups were included. Read More...

Improved WASH Services to the Myanmar Refugees Population in camps 15 (Jamtoli) and 16 (Potibonia), Ukhiya Upazila, Cox’s Bazar

Applying both quantitative and qualitative tools and approaches, the end-line assessment was conducted in February 2022. It covers 415 respondents' households from camps 15 and 16—data collection done with tablets in KoBo. The samples were drawn systematically. First, the sample size was determined following the most common statistical formula. The objectives of the study are as follows: 1) To know the present situation context on WASH; 2) To identify the targeted respondent's current Knowledge, Attitude and Practice (KAP).

The study findings reveal the following:
Water
- The most commonly reported primary sources for drinking water were Piped water tap/Tap Stand, reported by 66% of households.
- In terms of water collection, male engagement has been increased. Overall, 86% of households reported women, followed by adult males (55%) and Children (6%). However, the male also helps them when they cook and cloth wash.
- Overall, only 2% of households reported a combined travel and waiting time of more than 30 Water containers.
- Females preferred to get 'Kolsi' (a pitcher) instead of Bucket or Jerrycan for carrying water. On the other hand, male and adolescent children preferred Jerrycan for carrying the water.
- 76% of respondents feel safe collecting enough water to meet their households' needs, such as drinking, cooking, laundry, bathing etc. However, women also reported that they feel unsafe because men go to water points to collect water.
- A significant proportion of households (88%) do not treat drinking water. Because they believe the drinking water source is safe—12% of households use the aqua tab to treat their water.
Sanitation
- The most-reported defecation (sanitation options) for household members five and above was communal latrines 86%, followed by shared latrines 14%, and single-household latrines 7%. Others places (2 %), bucket and open defecation was seldom reported 1%.
- The accessible latrine is one of the beauties of this project. This latrine is included: The railing on the way, The handle inside, The tap, The commode, The single-use.
- The community also thinks that these latrines will be equally helpful for elderlies.
- A significant 79% responded to the affirmative of privacy of latrine use. A significant number of
- 18% of the households' female members use the designated bathing facilities. However, this figure is low because of privacy concerns.
Hygiene
- All (100%) respondents mentioned that they cleaned every time they filled with fresh/clean water. While at the time of hurriedness, that type of cleaning activity has disrupted.
- 100% of households owned soap at the time of the interview. The study further explored other hand washing options/solutions households use when they do not have soap; because of CoVID-19, all respondents, even children, are aware of handwashing. They can recall the critical time of handwashing.
- Regarding the best way to receive health and hygiene messages, 45% stated Home visits by volunteers, and 2nd choice is by the local leaders. However, the study findings also revealed that only 7% of households said they do not know how to prevent diarrhea.
- 69% of females used reusable clothes, 16% used disposable pads. The reusable cloth is the most preferred for use during the menses.
- Most female respondents said they wash and reuse the MHM materials and dispose of way is Household/Trash bin, Throw in the open waste area/communal bins, In the latrine, Bury in the soil, and, Burn them
RECOMMENDATION
- Consideration of men, women and girls carrying water and provide water container that these particular groups prefer;
- The child-to-chid session needs to discuss the importance of Gender Marker because children remove the gender markers frequently, which causes a problem for the women;
- Need to keep attention to the elderly person in terms of WASH facilities along with Persons with Disabilities;
- Video documentaries for hygiene promotion may be more effective together; in this connection, CARE can collaborate with "shongjog" which is the open platform of CwC in Rohingya Camp. Read More...

At the last mile: Lessons from Vaccine Distributions in DR Congo

The Democratic Republic of the Congo (DRC) has one of the lowest COVID-19 vaccination rates in the world, with just 0.87% of people in DRC having received even one dose. While the country has received 8.2 million doses of COVID-19 vaccine, it has managed to administer 528,000 of them—just under 11% of vaccines available. In April of 2021, DRC became one of the first countries to return 1.3 million COVID-19 doses to COVAX because they could not deliver them to people before the vaccines expired.

The challenges that risked more than a million doses expiring are still in play for most of the country. In both January and February 2022, 114,705 vaccines expired in country because there was not enough investment in systems and health workers to deliver vaccines. To reach 70% of the population—62.7 million people—DRC will need to drastically scale up and accelerate COVID-19 vaccination.

CARE is working with 4 vaccination sites—2 in Butembo and 2 in Goma—to support with community mobilization in partnership with local leaders, health center operations, and training. With joint action and communication plans developed with chiefs, religious leaders, and local authorities, and additional equipment to protect health workers, those sites had vaccinated 1,132 people. In those 4 sites, we have also conducted several rounds of research and problem-solving using community dialogues between health workers and clients using the Community Scorecard, as well as the Social Analysis and Action tools, which provides the insights for this case study. The team has also supported local vaccination teams with IT infrastructure, personnel costs, and creating locally adapted COVID-19 communications plans.

Version Francaise
La République démocratique du Congo (RDC) possède un des taux de vaccination les plus bas dans le monde avec la lutte contre COVID-19. Seulement 0,87% des personnes en RDC ont reçu même une seule dose du vaccin. Alors que le pays a reçu 8,2 millions de doses de vaccin contre la COVID-19, il n’a réussi qu’à en administrer 881,204, soit un peu moins de 11% des vaccins disponibles administrés. En avril 2021, la RDC est devenue l’un des premiers pays à restituer 1,3 million de doses de COVID-19 à COVAX parce qu’elle ne pouvait pas les administrer aux personnes avant l’expiration des vaccins.

Les défis qui risquaient d’expirer plus d’un million de doses sont toujours en jeu pour la majeure partie du pays. En janvier et février, 114,705 doses ont expiré dans le pays parce qu’il n’y avait pas assez d’investissements dans les systèmes et les agents de santé pour livrer des vaccins. Pour atteindre 70 % de la population, soit 62,7 millions de personnes, la RDC devra considérablement intensifier et accélérer la vaccination contre la COVID-19.

CARE travaille avec 4 sites de vaccination – 2 à Butembo et 2 à Goma – pour soutenir la mobilisation communautaire en partenariat avec les leaders et structures locaux, les opérations des centres de santé et la formation. Ces sites avaient vacciné 1 132 personnes. Dans ces 4 sites, nous avons également mené plusieurs séries de recherches et de résolution de problèmes à travers des dialogues communautaires entre les prestataires des services et les clients avec la Carte Communautaire et l’analyse et l’action sociale, à l’aide de la carte de pointage communautaire, qui fournit les informations nécessaires à cette étude de cas. On a aussi appuyé les missions de supervisions avec l’infrastructure pour la connexion internet, la motivation des prestataires, et l’élaboration des plans de communication adaptes aux contextes.
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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...

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