Emergency|Humanitarian Aid

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.
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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 Read More...

DE GÉNERO EN HONDURAS ANÁLISIS RÁPIDO Un panorama ante COVID-19 y Eta / Iota

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...

Final evaluation of the FFP III program 2021

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...

IMPACT OF COV1D-19 ON WOMEN AND GIRLS IN ETHIOPIA

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. [75 pages] Read More...

HYGIENE AND BEHAVIOUR CHANGE COALITION (HBCC)

CARE International in UK secured funding from Unilever-DFID to implement a Hygiene and Behavior Change Coalition (HBCC) project. The project aimed to support communities respond to the Covid-19 pandemic through a multi pronged approach. CARE International implemented an extensive mass media, digital and interpersonal hygiene promotion information and messaging campaign in communities and institutions supported by the provision of water supply and handwashing kits and infrastructure as well as relevant PPE, as per context.

In Zimbabwe, the project was implemented in four provinces of Manicaland (Buhera & Mutare districts), Masvingo (Zaka & Chivi districts), Midlands (Zvishavane & Mberengwa districts) and Mashonaland West (Norton district) over a period of one year. The aim of the project was to minimize the transmission of and harmful impact of COVID-19 by delivering inclusive and interactive gender responsive mass media and digital communications, supported by product availability and community interventions that improve personal and environmental hygiene practices, and reduce stigma and discrimination. As a culmination of the project led to this independent endline review of the outcomes and impacts of the project. Read More...

Cost-efficiency analysis Conditional Cash for Education and Protection

This case study summarizes an analysis conducted by CARE using the Dioptra tool to generate cost-efficiency estimates for Conditional Cash for Education and Protection in Jordan. The analysis revealed that:
● Conditional Cash for Education and Protection cost $1,474 per child on average, across nine projects within the program portfolio.
● Tweaking the transfer size and frequency can affect cost-efficiency by more than 30 percent. It can free up funds to reach at least 40 percent more children with conditional cash, or allow existing recipient households to benefit from other economic resilience interventions.
● Providing awareness sessions on the importance of education is a small cost component of conditional cash that could be cost-effective.
● Different interventions are required for different groups of children. At minimum, the children receiving conditional cash should be differentiated by age: young (6-11) and old (12-16).
● Providing conditional cash for the full school year of at least 10 months is believed to be more effective and protective for children in need.
● Despite its effectiveness, cash incentives are unlikely to be a sustainable intervention to ensure children’s school attendance. It could benefit from other supporting interventions that address social barriers preventing children from attending school.
● Based on further assessments on different approaches and best practices, the program team intends to test a gradual reduction in transfer amounts for 10 months per year over 3 years, differentiated by age group, including livelihoods support for all recipient households, and referrals to Emergency Cash Assistance for highly vulnerable households.
Cost-efficiency estimates are cited for learning purposes only, and should not be used as the sole basis for future budgeting or benchmarking. All cost-efficiency estimates include Direct Project Costs, Direct Shared Costs, and Indirect Costs. Read More...

WADAANA (Prosperity) TDP returnee families in NWTD have access to improve WASH agriculture and food security. Tehsil Mir Ali & Miran shah North Waziristan Tribal District

Since 2008, the tribal districts of Khyber Pakhtunkhwa have experienced large population displacements causing instability and exacerbating vulnerabilities of the local communities. In order to improve resilience, critical humanitarian assistance provided to the returnee Temporarily Displaced Persons (TDP) in NWTD. The project was implemented by CARE international in Pakistan (CIP) with the funding from the Office of U.S. Foreign Disaster Assistance (OFDA) under the title “WADAANA” through its local partner, Peace and Development Organization (PADO).

CIP through its local partner rehabilitated (03) drinking water supply schemes, construction of 140 transitional latrines in the target communities, distribution of 250 hygiene kits to most vulnerable women beneficiaries, 200 awareness sessions and radio campaign for hygiene promotion coupled with PHAST (Participatory Hygiene and Sanitation Transformation) approach, rehabilitation of 5 irrigation channels to improve access to water of the farmers in the target area, provided 550 poultry package and 500 kitchen gardening kits to improve livelihood of the female in targeted communities.

Upon successful implementation, CIP conducted Post Distribution Monitoring (PDM) study in both Tehsils of Miran Shah & Mir Ali for poultry, kitchen gardening and hygiene kits. The study was conducted to get beneficiaries feedback about the utilization of poultry, kitchen gardening and hygiene kits distribution process, beneficiaries’ selection criteria, relevance, satisfaction with quality and quantity of Packages items, feedback and complaint response mechanism. A total of 66 recipients of Poultry Packages, Kitchen Gardening and hygiene kits were interviewed taking 5% as sample of the total distribution.
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