Food and Nutrition Security

Rapid Gender Analysis: COVID-19 in the United States

The United States, one of the wealthiest countries in the world, also has the highest number of cases of COVID-19 in the world, far surpassing global hotspots like Italy and China, with cases continuing to rise at concerning rates. In this humanitarian crisis, CARE is bringing its global expertise—from more than 75 years of implementing humanitarian responses in more than 100 countries—to the context of COVID-19 in the United States. In addition to its expertise in humanitarian and crisis response, CARE developed the industry-standard Rapid Gender Analysis (RGA) that builds upon several efforts by humanitarian actors to bring gender to the forefront of programming. The standardized tool to enable humanitarian actors to quickly build crisis responses that take into account the different needs of people of all genders, as well as disenfranchised groups, the extreme poor, and other groups often overlooked by policy, crisis planning, and data.

Since the start of the COVID-19 crisis, CARE has responded in 67 countries—including the United States—and has published 27 of an anticipated 54 RGAs in contexts around the world. We hope that applying this tool to the specific American context will enable CARE and others to create better responses to the pandemic that meet the needs of all people.

This RGA relies on secondary data collected between May 25 and June 10, 2020. It specifically focuses on highlighting the historic and institutional systems of oppression, gender bias, and racism targeting Black, Indigenous, and People of Color (BIPOC). These structural realities and cultural biases put BIPOC communities, especially the women in these communities, at higher exposure to infection and higher risk of death. Simultaneously, these realities and biases exacerbate the already dire lack of access to basic services (such as health, food, housing, etc) experienced by these communities on a regular basis. This RGA offers policy and institutional recommendations for COVID-19 responses to meet the needs of the most vulnerable and affected communities in the face of systemic race, gender and class-based oppression. Without acknowledging these historic legacies around race, gender, and class in the U.S., the entire nation is at risk of perpetuating longstanding injustices and facing even more severe impacts of the COVID-19 pandemic. Read More...

USAID HAMZARI PROJECT Review of Youth Needs and Labor Market Assessment

This paper is a homebased, desktop review completed in the U.S. over 20 workdays of the Niger – Youth Needs and Labor Market Assessment draft report dated October 2019. This assessment was mainly based on the analysis of data collected in the field in the August 2019 period within three rural communes (Chadakori, Guidan Roumdji and Guidan Sori) targeted by the Hamzari Project in Niger’s Maradi Region.1 As it is possible that all the data collected is not reflected in this draft report, the author of this review attempts to complement this prior initial draft report with his own in-depth knowledge of Niger. Read More...

Labor Market Assessment of the USAID Development Food Security Activity (DFSA): “Strengthen PSNP4 Institutions and Resilience (SPIR)”

Ethiopia is among the fastest growing non-oil economies in the world. Although Ethiopia has been advancing at an impressive rate, the gains are not being equally seen across the country. The rural populations continue to rely on traditional livelihood means and have not equally benefited from the industrialization taking place primarily in and around the capital and other large cities of the country.

For the purposes of this LMA, a comprehensive desk review, together with primary surveys in six woredas across Amhara and Oromia were conducted. [51 pages]. Read More...

Final Project End-line assessment of Shelter, NFI, Hygiene, SRHR and Livelihood Support for Disaster-Affected Populations in Afghanistan 2018-2020

The Emergency Shelter, NFI, Hygiene, SRHR and Livelihood Support for Disaster-Affected Populations in Afghanistan 2018-2020 Project aims to provide emergency assistance to the identified beneficiaries settled in Kabul, Parwan, Kapisa, Balkh, Ghazni, Khost and Paktya provinces of Afghanistan. The interventions covered under this project included Shelter, NFI, WASH, Livelihoods and SRHR needs of the women, men, boys and girls affected by disasters. The sample of 352 households for this end line evaluation was structured as according to the proportion beneficiaries per the different project outputs The two main output blocks of hygiene/SRHR on the one hand and different forms of cash and NFI support on the other are well captured in the end line survey. In addition to the quantitative approach, 8 FGDs, 7 KIIs and 3 IDIs conducted were conducted with the project beneficiaries, stakeholders and the GAC project team.
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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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Baseline Report in Conducted in East and South Darfur Focused on Health, Nutrition, and WASH

The humanitarian situation in Sudan has continued to deteriorate since 2018, where the number of people in need of humanitarian assistance steadily rose from an estimated 700,000 to a total of 5.5M individuals. Across Sudan, 3.8 million people are urgently in need of WASH assistance, 5.2 million people are in urgent need of access to basic primary health care services, and a total of 2.8 million
children and Pregnant and Lactating Women (PLW) suffering from acute malnutrition. Darfur remains an epicenter of large-scale protracted displacement.
There have been limited baseline assessments conducted in CARE’s project areas due to the recent political uncertainties, insecurity, staff capacity and funding constraints. This baseline assessment was conducted internally by staff of CARE International Switzerland in Sudan with support from an RRT member deployed for a few days in country. The RRT worked with M&E team in Khartoum to plan
and train volunteers and CARE staff on baseline survey. The volunteers under the supervision of CARE staff undertook data collection and cleaning; and the RRT member performed the analysis and the report writing.
The assessment interviewed 277 sampling units and each unit represented a household using a household questionnaires tool. Of the respondents interviewed 71% were women and 29% men. The age groups interviewed included adolescent (1%), adults aged 18-49 years (83%) and the elderly aged 50+ years (16%). Read More...

End line Survey Report: Meeting Basic Needs livelihood, Enhancing Access to WASH and Improving Reproductive Health Services in Yemen, 2018-2020

CARE Yemen has been implementing the “Meeting basic needs livelihood, Enhancing Access to WASH and Improving Reproductive Health Services in Yemen” project from 01 April 2018 to 31 March 2020. The project aimed to address the WASH, Health and food security needs of the most vulnerable and conflict affected communities living in the targeted areas. The key results of the project were: (1) increased capacity for vulnerable and conflict affected households, especially women, to meet livelihoods and basic needs; (2) improved access to safe water, sanitation and hygiene services for vulnerable households in conflict affected areas; (3) increased equitable access to Sexual Reproductive Health and Right (SRHR) services for targeted communities. Read More...

Northern Shan Food Security Project End-of-Project Evaluation

This report presents the findings, conclusions and recommendations of the Final Evaluation for the project: “Northern Shan Food Security Project (NSFSP)”. Implemented by CARE International in Myanmar, launched on January 2017 for three years, and ending on the 30th of December 2019.

The project is designed to accomplish with it specific objective : Increasing capacities of poor and vulnerable households in remote rural areas to strengthen their food and water security through a) income generating activities, b) access to new technological agricultural innovations and products, and c) better access to market opportunities.

The main purpose of the final evaluation was a) To determine the project achievement of its objectives and outputs and b) To identify intended and unintended outcomes, best practices, lessons learned and recommendations to improve future programming in terms of sustainability. Read More...

Mid-term Review/Evaluation REPORT – Support to Development of Agricultural Cooperatives

The project Support to Development of Agricultural Cooperatives is funded by the European Union and implemented by CARE and Macedonian Enterprise Development Foundation (MEDF). The project started in December 2017 and will run until February 2021.

As overall goal, the proposed Action aims at contributing to higher productivity and competitiveness of agriculture sector, as one of the most important sectors of the Macedonian economy. In order to improve the current situation, predominantly in the segment of agricultural production of individual farmers, the project intends to utilize recommendations of the latest assessments of the efficiency of domestic agriculture and work on the specific objective: to increase market competitiveness and cooperation among farmers in Macedonia, through creating favorable conditions for the development of the existing and creation of new agricultural cooperatives.

As agreed by the project team and described in the ToR, the mid-term review/evaluation was conducted in November and December 2019 by CARE Balkans Gender Programme Coordinator for the first 21 month of the project implementation with an aim to provide an answer on what has proved to be successful so far, what should be addressed and improved until the end of the project and which segments in particular have the highest sustainability potential. Read More...

Baseline Survey in East and South Darfur Focused on Health, Nutrition and WASH

The humanitarian situation in Sudan has continued to deteriorate since 2018, where the number of people in need of humanitarian assistance steadily rose from an estimated 700,000 to a total of 5.5M individuals. Across Sudan, 3.8 million people are urgently in need of WASH assistance, 5.2 million people are in urgent need of access to basic primary health care services, and a total of 2.8 million children and Pregnant and Lactating Women (PLW) suffering from acute malnutrition. Darfur remains an epicenter of large-scale protracted displacement.

There have been limited baseline assessments conducted in CARE’s project areas due to the recent political uncertainties, insecurity, staff capacity and funding constraints. The assessment interviewed 277 households.
* 53% of people (46%m, 56%f) have good knowledge on positive nutrition practices.
* The survey found out that of the women interviewed, 62% were aware and had good knowledge of exclusive breastfeeding
* disease incidence averaged at 44% across the study area.
* 66% of the respondents still use unsafe drinking water sources;
* 34% of the respondents having access to adequate sanitation but still about 28% of respondents confirmed that at least one member of their HH practiced open defecation.
* 65% of the respondents being able to mention at least 3 critical times to perform hand washing.
* 21% of the respondents said women were actively involved as members of WASH committees within their communities.
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