Nutrition

Uganda: Food insecurity a pressing concern

The Development Initiative for Northern Uganda (DINU) was a 38-month long project (January 2020 to February 2023) with an aim to improve food security, maternal and child nutrition, and household incomes for smallholder farmers in 11 districts of Uganda. The project has three major outcomes: increased production of diversified food by both men and women smallholder farmers, enhanced market accessibility for these farmers, and improved nutrition and family planning services through gender responsive community-based approaches. As a result, here was a significant 16.3% increase in adoption and production of diverse food crops and animal products, as well as 23.8% increase in the adoption of climate-smart technologies among the project participants. Read More...

She Feeds the World Peru Final Evaluation

From April 2019 to December 2022, CARE PERU implements the project "She Feeds the World" - SFtW (SFtW - She Feeds the World), a program launched by the PepsiCo Foundation through CARE USA in several countries. The purpose of the project has been to reduce chronic malnutrition and anemia in children under 5 years old and increase the income of 4,000 poor families residing in 4 prioritized districts, corresponding to the provinces of Lima, Ica and Sullana with a gender approach. The target group are children under 5 years old and pregnant women.
The project considered as areas of change, to achieve its results, to work on the economic empowerment of women, improvement of nutrition and feeding practices, increase in access and control of productive resources, and increase in access to market opportunities. The project was organized into three components; Promotion of healthy practices and environments for maternal and child care in prioritized districts of the regions of Lima, Ica and Piura, Increased income of 4,000 households (16,000 beneficiaries) in poor communities in prioritized districts of the regions of Lima, Ica and Piura in a sustainable and inclusive manner, and Development of Strategic Alliances and Political Advocacy to improve maternal and child nutrition and local economic development with a gender approach. It should be noted that the project had a goal at the end of the action (December 2022) of directly reaching 54,000 women, men and children and indirectly benefiting 358,450 people, in this case through advocacy and scaling strategies, with a full scope estimated of 412,450 people.
At the end of the implementation, CARE PERÚ entrusts ESTRATEGIA, a consulting company, to conduct the final evaluation assessment of the project "She Feeds the World - Peru", to measure the level of achievement of the planned objectives and implemented strategies; as well as the status of the project indicators. Read More...

Development Initiative for Northern Uganda (DINU) Mid Term Evaluation

This Assignment was commissioned by CARE DENMARK – the Lead Partner of the Consortium of five (5) Partner Institutions (namely, CARE; Catholic Relief Services (CRS); Gulu Agricultural Development Company (GADC); Dynamic Agro-Pastoral Development Organization (DADO); and SORUDA) – to carry out the Mid-term Evaluation (MTE) of the “Inclusive Market-based Development for Smallholder Farmers in Karamoja, Teso and Acholi Sub-regions” Project – implemented by the Consortium. The Project is supported by the European Union (EU) – under the Supervision of the Office of the Prime Minister (OPM), through the 11 Project Area District Local Governments of: Abim, Kotido, Karenga, Kaabong, Moroto, Amudat, Nakapiripirit, Nabilatuk, Napak; as well as Katakwi and Kitgum – in partnership with other stakeholders – on behalf of the Government of Uganda.
The Overall Objective of the Mid-term Evaluation (MTE), was to: “review the implementation of the project, since its inception – with the aim of generating evidence towards promoting project performance improvement, accountability, learning and evidence-based decision-making and management”. In particular, the Evaluation was intended to: “assess results achieved to date in comparison with the outcome indicators outlined in the Project Monitoring, Evaluation, Accountability and Learning framework”. Accordingly, the MTE report documents: the background to the Assignment; the general approach to work and methodology employed; Project design (including relevance and coherence); as well as Project management systems, processes and operational environments. It also documents: Project performance and effectiveness during the period under review – up to its mid-term point; as well as the identified major achievements; challenges; constraints; risks; weaknesses and threats that characterized the Project. Lastly, it, further, documents resource management and efficiency in Project implementation; project “impact”; sustainability of Project Interventions and outcomes; the major conclusions; recommendations for the way forward; as well as lessons learnt – over the period under review. Read More...

N utrition Knowledge Attitude and Practice (KAP) Survey for DINU Program in North and North-Eastern Uganda

Background: The Development Initiative for Northern Uganda (DINU) is a Government of Uganda integrated programme. It is implemented in districts that include the 11 of Kitgum (Acholi), Nakapiripirit, Amudat, Nabilatuk, Napak, Moroto, Kotido, Kaabong, Karenga and Abim (Karamoja), and Katakwi (Teso) sub-regions for three years from 2020 – 2022. The overall supervision is with the Office of the Prime Minister through local governments in partnership with a wide range of stakeholders. DINU supports interventions in three specific interlinked programs: (1) Food Security, Nutrition and Livelihoods (2) Transport Infrastructures and (3) Good Governance. The CARE consortium focusses on the sector of food security, nutrition and livelihoods with specific emphasis on community-based interventions. A survey was launched by the CARE Consortium partners with the overall objective of generating comprehensive gender sensitive Nutrition Knowledge, Attitude and Practices (KAP) information in the targeted 11 CARE consortium districts. It is intended to help inform the implementation of the nutrition component of the DINU project.
Methodology: The KAP survey was conducted from 17th November to 8th December 2020 in the 11 districts. The study populations were mothers and/or caregivers in household with children aged 0-23 months, adolescent girls aged 10 to 19 years with or without children 0-23months. Key district, subcounty and community leaders who played crucial role in programming for MIYCAN related interventions were reached. A cross-sectional survey utilising both quantitative and qualitative data collection methods was used. Sample size estimation was based on WHO Vaccination Coverage Cluster Survey guidance, July 2015. Household questionnaire comprising of 5 modules was adapted from the FAO manual for assessing nutrition related KAP. Semi-structured interview guides were used to facilitate the Key Informants Interviews and Focus Group Discussions. Quantitative data collection was done using mobile phones through Computer Assisted Personal Interviewing (CAPI) working on the Open Data Kit (ODK) platform and hosted on the ONA platform. Quantitative Data analysis was done using SPSS 26. Qualitative data analysis was done based on the interpretative approach that involved eliciting meanings from the collected information. A total of 164 clusters were reached, 1,139 households, 1,158 children aged 0 to 23months, 1,112 women and 452 adolescents from all the 11 districts. Meanwhile, 22 FGDs and 44 key informant interviews were conducted. Read More...

Development Initiative for Northern Uganda (DINU) Value Chains and Market Assessment report

The CARE consortium comprising of partner organisations such as Catholic Relief Services (CRS), Gulu Agricultural Development Company (GADC), Dynamic Agro Pastoral Development Organization (DADO) and SORUDA are currently implementing a three-year project titled “Inclusive Market Based Development for Small Holder farmers in Northern Uganda. This project contributes to the Development Initiative for Northern Uganda (DINU) – A Government of Uganda program aimed at consolidating stability in Northern Uganda, eradicating poverty and under nutrition and strengthening the foundations for sustainable and inclusive socio-economic development. Specifically, the project under the CARE consortium contributes to DINU’s specific Objective one on: ‘Improving livelihoods through increased production of diversified food, enhanced market opportunities and better maternal and child nutrition.’ The CARE consortium currently targets 11 districts including: Abim, Kotido, Karenga, Kaabong, Moroto, Amudat, Nakapiripirit, Napak, Katakwi and Kitgum. Given this background, the study sought to:
• Map out existing and new Agricultural and non-Agricultural value chains and assess their potential to promote women and youth economic empowerment, and community-based nutrition and household incomes.
• Identify challenges, specific entry barriers for women and youth into the VC and opportunities along the Value chains of; 1) crops such as Soybean, groundnuts, nutritious potato, vegetable, etc.); 2) Honey; and 3) livestock (small ruminants, and other non-Agricultural value chain) and propose ways of addressing these challenges.
• Develop an individual VCs, including mapping of actors, actions, supporting functions, institutions, policy issues, along each chain and propose recommendations for specific gender sensitive value chain activities that promote women and Youth participation and economic empowerment (employment opportunities as well as increasing their incomes along the chain).
• Assess the market structure (players, channels, sourcing), demand and supply (product specifications, prices, volumes, preferences), trends, market opportunities and challenges for the different value enterprises above Read More...

Development Initiative for Northern Uganda (DINU) End of Project Report

The Development Initiative for Northern Uganda (DINU) was a 38-month project implemented between January 2020 and February 2023, with an aim to improve food security, maternal and child nutrition, and household incomes for smallholder farmers in 11 districts of Kitgum, Katakwi, Kaabong, Karenga, Kotido, Moroto, Napak, Nabilatuk, Nakapiriprit, Amudat, and Abim. The project was implemented by a consortium led by CARE Denmark, alongside partners such as Catholic Relief Services (CRS), Gulu Agricultural Development Company (GADC), Dynamic Agro-Pastoral Development Organization (DADO), and Soroti Rural Development Agency (SORUDA). The project had three major outcomes: increased production of diversified food by both men and women smallholder farmers, enhanced market accessibility for these farmers, and improved nutrition and Family Planning services through gender-responsive community-based approaches.

The Project employed an Inclusive Market Development-Based approach, emphasizing economic gender equality, women empowerment, youth engagement, and community-based nutrition, while also focusing on the value chain. This strategy involved multi-stakeholder engagement and synergizing with existing government and development partner initiatives like DADO, CRS, and SORUDA. By implementing this approach, the project provided smallholder farmers with opportunities to enhance their incomes through the cultivation of high-value crops, such as sesame, cotton, soybean, and iron-rich beans. Additionally, measures were taken to ensure sustainability, including integrating activities into the government's PDM approach, building capacity among extension staff, and linking VSLA/SILC/YSLA/PMGs groups to financial institutions and agro input service providers.
A crucial aspect of the project was empowering women and youth, often marginalized in agriculture and rural development. Women were trained in Climate-Smart Agriculture and offered access to markets and finance through VSLA/SILC groups. Furthermore, Role Model Men were involved in raising awareness on gender-responsive actions, family planning, and women empowerment within smallholder farmers' households, fostering attitudinal changes towards gender equality and encouraging women to play an active role in agricultural production.

To achieve success, the project effectively engaged both public and private extension workers, disseminating information on Climate-Smart Agriculture practices to smallholder farmers and boosting production and income. Additionally, collaboration with Tillage Service Providers promoted entrepreneurship among youth and reduced manual labor burdens for smallholder farmers.
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GAP ANALYSIS AND LINKAGE READINESS ASSESSMENT FOR YOUTH/VILLAGE SAVINGS AND LOANS ASSOCIATIONS (Y/VSLAs)

The Development Initiative for Northern Uganda (DINU), a Government of Uganda initiative with support from European Union, supervised by the Office of the Prime Minister is being implemented by a consortium led by CARE Denmark. The program is being implemented in the Karamoja sub region (covering 11 districts) as well as Kitgum and Katakwi districts. CARE Denmark commissioned gap analysis for Y/VSLA linkage to identify interventions aimed at contributing to improved access to credit through community saving and credit schemes.

The objectives of the study included gap analysis of Y/VSLAs, linkage readiness assessment for mature Y/VSLAs and evaluation “digital readiness” of group members. A representative sample of 773 Y/VSLAs from drawn from all the project districts were covered the study. The sample was classified in three categories: Mature groups totalling 350 (45.3%) Mature and ready for Linkage groups, 390 (50.5%) and Watch Category/Maturing groups and 33 (4.3%)

The analysis revealed that the gaps identified in Mature and Ready-for-linkage Y/VSLAs were closely similar to those in Watch Category (Maturing Groups) category and required more or less similar interventions.
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Rapport d’évaluation rapide du marché dans le cadre des opérations de transferts sociaux (Intrants agricoles et produits enrichis)

Ce rapport rend compte des résultats de l’étude d’évaluation rapide du marché réalisée dans les cercles d’intervention (Mopti et Tombouctou) de Sugu Yiriwa. Initiée dans le cadre des opérations de transferts sociaux destinés à l’achat des intrants agricoles et des produits locaux nutritifs, l’étude a pour but de faire un diagnostic rapide des marchés d’intrants et des produits alimentaires transformés, en vue d’identifier les tendances et dégager une stratégie d’intervention adaptée. Les travaux ont été réalisés par une équipe constituée d’agents recrutés, mobilisés et formés sous la supervision de l’équipe MEL de Sugu Yiriwa. Le rapport est structuré en plusieurs parties dont le contexte, les objectifs et l’approche méthodologique utilisée lors de l’étude, suivi des résultats obtenus. Read More...

Multi-sectoral and integrated humanitarian assistance for the conflict displaced and most vulnerable populations Sudan

This baseline survey was conducted for the USAID/BHA funded project “Multi-sectoral and integrated humanitarian assistance for the conflict displaced and most vulnerable populations in South and East Darfur” implemented by CARE International in Sudan. The baseline was designed to collect data in selected communities in southern and eastern Darfur State to assess the situation before the start of the project and determine baseline values for project indicators. The baseline used multiple methods for data collection, including desk review of project documents, individual interviews with household leaders using a structured questionnaire, Focus Group Discussions (FGD) with representatives of different groups in the communities, Key Informant Interviews (KII) with the respective institutions.

When asked how much water they collect per day for all uses, it was discovered that households collect a mean of 5.6 Jeri Can per day (1 Jerrican=20 liters) which gives 17 litters/day/person from all sources including unsafe ones, keeping in mind that this water is collected from all sources including unsafe ones and for all types of uses.

Access to latrine: From the total surveyed families, 39% do not have access to latrines (48.3% M, 31.9% F). Lack of access to latrines is common in SD, with the majority of HH (55.9%) without access compared to ED (21.4%). And from the total families;23.3% of the HH surveyed acknowledged that their family members usually practice open defecation (26.4%M, 20.8%F), 23.5% use community latrines, and 3.8% share latrines with their neighbors. 51.8% of those who have latrines are inaccessible to people with disabilities (61.5%M, 44.2%F).
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SISTEMATIZACIÓN DE EXPERIENCIA “COMEDORES PARA LA PREVENCIÓN DE LA ANEMIA EN NIÑOS Y NIÑAS DE 6 A 36 MESES DE EDAD

El proyecto de ayuda humanitaria “Alimenta su Fuerza” en su segunda etapa, fue ejecutado por CARE Perú y financiado por el Banco de Crédito del Perú (BCP); su continuidad nació de la iniciativa para dar respuesta a la crisis alimentaria generada como consecuencia de la emergencia sanitaria por COVID-19 debido a medidas restrictivas que afectaron el ingreso económico de muchas familias y con ello la posibilidad de cubrir necesidades básicas. El proyecto tuvo como finalidad mejorar la seguridad alimentaria de la población en situación de vulnerabilidad, brindando apoyo alimentario con raciones nutritivas a través de espacios estratégicos como los comedores auto gestionados adscritos al Programa de Complementación Alimentaria de los gobiernos locales, a su vez de forma complementaria se incorporó un piloto para la prevención de la anemia en niños y niñas de 6 a 36 meses, que consistió en la entrega de preparaciones que incluyeron alimentos fuente de hierro, para ello se articuló acciones con establecimientos de salud y agentes comunitarios de la zona, así mismo se brindó acompañamiento a las madres o cuidadoras de los niños y niñas para que mejoren las prácticas de alimentación y accedan a los servicios de salud para la prevención y reducción de la anemia. Read More...

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