Food and Nutrition Security

Nutrition at the Center Baseline Benin/Togo

The baseline study for the initiative « Nutrition at the Centre » in its intervention area (Bonou, Dangbo) and in the monitoring areas (Athiémé, Grand-Popo), suggests that there are many innovative actions to be implemented by CARE Benin/Togo and by Benin Government with the support of technical and financial partners. The different strategies established will strengthen the households’ means of access to basic services (e.g. water, sanitation ), women empowerment and access to health care for mothers and children. It will help the population to ensure food and nutritional security. These actions must be implemented based on the results of the study. Read More...

Rapport d’Evaluation Finale Du Projet Mahafatoky CARE Antalaha

CARE Madagascar a mis en œuvre un projet qui s’intitule MAHAFATOKY dont l’objectif est d’accroître la résilience de 50.000 ménages dans les deux districts côtiers de la Région SAVA. Généralement, les actions tournent autour des renforcements de capacités pour que la population cible, notamment les plus vulnérables, s’adapte à réduire les effets néfastes du changement climatique sur leur sécurité alimentaire. L’objectif du projet Mahafatoky est de renforcer la résilience des 50 000 ménages dans les deux districts côtiers de la Région SAVA à Madagascar, par une plus grande capacité à s’adapter aux effets du changement sur leur sécurité alimentaire et à réduire ces effets. Le projet comprend trois volets essentiels et complémentaires : i) La Gestion des risques et des catastrophes, ii) La sécurité alimentaire et iii) Le groupe d’épargne villageois. Ces trois volets se répartissent en sept (7) résultats attendus (RA) dont les analyses des valeurs actuelles de chaque indicateur sont développées dans ce rapport. Au terme du projet, les bénéficiaires finaux du projet sont de 73 032 ménages soit 365.160 personnes qui représentent 146% de l’objectif fixé. Read More...

Nutrition at the Center (N@C) Bangladesh Endline

Rates of malnutrition among women and children in Bangladesh are among the highest in the world. Malnutrition is one of the leading causes of mortality and morbidity in many countries. Considering the serious effect of malnutrition, improved nutritional outcomes are intimately tied to Sustainable Development Goals (SDGs) in improving maternal health, reducing child mortality and eradicating extreme poverty and hunger. CARE Bangladesh, in collaboration with Government of Bangladesh (GoB) implemented a Nutrition at the Center (N@C) program in Bangladesh with two-fold strategies that include integrating nutrition in existing community health system and promotion of multisectoral approaches to improve nutrition. Among others, the intervention includes, maternal and child health, infant and young child feeding, water sanitation and hygiene, household food productions, and gender and women’s empowerment. For measuring the impact/effect of this intervention, benchmarks on important nutrition related indicators were established through a baseline survey conducted in the N@C intervention and control areas in 2014. [118 pages] Read More...

Nutrition at the Center Homegrown Project (N@C:H)

Rates of under nutrition among women and children are among the highest in the world. Malnutrition is highly associated with avoidable mortality and morbidity. Improvement of maternal health, reduction of child mortality and eradication of extreme poverty and hunger received high attention in the Millennium Development Goals. The government, NGOs and development partners have come up with innovative ideas and intervention programs to address these issues. Nutrition at the Center (N@C) in collaboration with CARE Bangladesh implemented a program in two under-served upazilas under Sunamganj district, Bangladesh to address malnutrition as well as food security, improved water and sanitation practices, Infant and Young Child Feeding (IYCF) and women autonomy and empowerment in terms of their role in household decision making and attitude towards gender violence. [70 pages] Read More...

Where the Rain Falls Phase III Baseline Study

Bangladesh is frequently cited as one of the most vulnerable countries to climate change (Huq and Ayers, 2007) because of its disadvantageous geographic location; flat and low-lying topography; high population density; high levels of poverty; reliance of many livelihoods on climate sensitive sectors, particularly agriculture and fisheries; and inefficient institutional aspects (CCC, 2006). Considering the above scenarios of climate change risks and as a part of initiative to address the effect of climate change, CARE Bangladesh has started implementing the project “Where the Rain Falls (WtRF III)”generously funded by Prince Albert Foundation. The project is mainly based on Community Based Adaptation (CBA) and aims at improving the resilience of targeted vulnerable and marginalized communities to the impacts of increasing variability of rainfall patterns by promoting SuPER (Sustainable, Profitable, Equitable and Resilient) agriculture approach. CARE has been implementing the WtRF project in Kurigram district since January 2014 and WtRF Phase III which started from January 2017has built on the earlier phase of the project. The WtRF Phase III project focuses on climate resilient agriculture and targets 6,500 small and marginalized farmers in 20 villages (2,500 from previous phase in 5 villages and an additional 4,000 small and marginalized farmers from additional 15 villages in Kurigram). [101 pages] Read More...

Urban Socio-Economic and Vulnerability Study of Gazipur City Corporation

Between March 2014 and June 2014, CARE Bangladesh undertook a qualitative study to understand the risks and vulnerabilities for residents of two unplanned settlements or slums1 within the newly formed Gazipur City Corporation. The exercise mapped risks, identified areas of vulnerability, and worked to understand mechanisms being used by communities to cope with adverse events. A survey was also designed for the two studied communities, identifying service shortfalls that reduced resilience to cope with both seasonal and unexpected manmade and natural disasters. [49 pages]
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Nutrition at the Center Endline Report Bangladesh


Rates of malnutrition among women and children in Bangladesh are among the highest in the world. Malnutrition is one of the leading causes of mortality and morbidity in many countries. Considering the serious effect of malnutrition, improved nutritional outcomes are intimately tied to Millennium Development Goals in improving maternal health, reducing child mortality and eradicating extreme poverty and hunger. CARE Bangladesh, in collaboration with Government of Bangladesh (GoB) implemented a Nutrition at the Center (N@C) program in Bangladesh with two-fold strategies that include integrating nutrition in existing community health system and promotion of multisectoral approaches to improve nutrition. Among others, the intervention includes, household food productions, water sanitation and hygiene, maternal and child health, infant and young child feeding, gender and women’s empowerment. For measuring the impact/effect of this intervention, benchmarks on important nutrition related indicators were established through a baseline survey conducted in the N@C intervention and control areas in 2014. [117 pages]
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Nutrition at the Center Endline Report Zambia

From 2013 to 2017 CARE International in Zambia implemented the Nutrition at the Center (N@C) Project in 22 health facilities of Lundazi and Chadiza Districts of Eastern Zambia (15 in Lundazi and 7 in Chadiza district). The impact indicator of the N@C Project was pegged at improving the nutritional status of women (15-49 years) and children whose age was below 3 years old with a focus on reducing stunting generally. During the 4 years of project implementation, a number of activities were successfully implemented; as a result, CARE Zambia decided to institute an endline evaluation whose focus was to assess achievements on several nutrition and general indicators including infant and young child feeding (IYCF), maternal health and nutrition, food security, women empowerment, water, sanitation and hygiene (WASH), and program participation. The current evaluation also aimed at determining perceived or actual weaknesses and strengths of the N@C project as well as document lessons learned to inform future nutrition programming.
Data was collected from 41 health facilities out of the 46 targeted in Chadiza and Lundazi districts. A structured household questionnaire was used to collect data from women who had children below the age of 3 years in both intervention and non-intervention areas. Of the targeted 1266 women, 1195 were successfully interviewed representing a response rate of 94.4 percent. Four focus group discussions and 12 key informant interviews were also conducted. [58 pages]
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Nutrition at the Center Endline Report Benin/Togo

CARE has implemented an innovative, comprehensive five-year program (2013 – 2017) that aims to reduce anemia in women (age 15-49 years) and stunting and anemia in children (age 0-24 months) by integrating: i) Maternal, Infant and Young Child Nutrition and Health (MIYCNH); ii) Water, Sanitation and Hygiene (WASH), iii) Food Security (FS), and iv) women’s empowerment. Nutrition at the Center (N@C) were implemented in 4 developing countries (Bangladesh, Benin, Ethiopia and Zambia). It aimed to develop, document and disseminate highly effective and efficient integrated approaches that substantially improve nutritional outcomes for mothers and children. The program’s objectives were: (i) improved nutrition-related behaviors, (ii) improved use of maternal and child health and nutrition services; (iii) increased household adoption of appropriate water and sanitation practices; and (iv) increased availability and equitable access to quality food. An additional P4P program has been experimented at household level in order to supply communities in animal protein source especially for children feeding.
In Benin, N@C has intervened in two communes of the Oueme department (Dangbo and Bonou) and in 32 villages. By engaging with communities, other partners, the Ministry of Health, the Ministry of Family and the Ministry of Agriculture, N@C will build upon this commitment to improve nutritional status. In 2014, INSAE and CARE International conducted the baseline study, which served as guidelines for actions to be taken up to 2017.
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Scaling up Inclusive Resilience Amongst Water Logged Communities in South Western Bangladesh

Final narrative report for Scaling up Inclusive Resilience Amongst Water Logged Communities in South Western Bangladesh. [33 pages] Read More...

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