Gender Equality

Rapid Gender Analysis TO SUPPORT THE GOVERNMENT OF SIERRA LEONE TO STRENGTHEN ITS HEALTH SYSTEM

This Rapid Gender Analysis (RGA) report presents findings from the gender and power analysis carried out in November and December 2023 in Falaba, Kambia, Bonthe, Tonkolili, Kenema, Karene, Kailahun, and Pujehun districts of Sierra Leone. The purpose of the RGA is to understand how gender and social norms, roles, relationships, and dynamics influence health outcomes and health-seeking behavior in Sierra Leone, especially for vulnerable populations. The report will inform the development of CARE’s future health programming and proposed interventions for health funding opportunities.
The document is structured into four primary chapters – Background, Methodology, Findings: Results and Analysis, and Recommendations—each containing sub-chapters. The background section outlines the study’s purpose, objectives, and underlying rationale. The methodology section describes the research design, applied approaches, data collection methods and participant information. The study’s key findings are categorized into distinct thematic areas aligned with CARE's Good Practices Framework for Gender Analysis and includes the following Core Areas of Inquiry:
• Household decision-making, division of labor and control of productive assets
• Control over one’s body
• Access to public spaces and services
• Claiming rights and meaningful participation in public decision-making
The RGA also applies the above domains related to health outcomes, behaviors, and health-seeking behavior, including gender dynamics within the Sierra Leone health system with recognition that unequal gender dynamics gaps impact health care providers and their ability to deliver quality services. Finally, the recommendations section outlines actions or interventions CARE should consider in future programming.
Key Findings:
* Men have more influence over decisions for the household than women—including the seeking of healthcare—and women lack control over key decisions related to sex, marriage, and children, including if and when to use contraception. Women’s mobility is limited by social norms which require male permission for movement.
• Contraceptive use is low. Despite around 70% of people knowing about contraceptives and where to get them, only 50% are currently using them. Many community members believe modern forms of family planning are haram or unhealthy, with anecdotal evidence suggesting there is perception that it promotes extramarital affairs.
• Front Line Health Workers (FLHW) face major barriers to effective service delivery: almost half of FLHWs interviewed are unpaid, effectively operating as volunteers, struggle with difficult living conditions and lack of supplies, and report inequitable treatment between male and female workers.
• There is a lack of evidence-based health information for pregnant women: only 27% of pregnant women in the study reported having received any information related to sexual and reproductive health or associated risks.
• Despite generally positive health-seeking behavior, both women and men are concerned by lack of availability of medicine. Read More...

Gender Equality & Women’s Empowerment Program III (GEWEP) Midterm Study GLOBAL SYNTHESIS REPORT

Across six countries, this study examines the effect of a men’s and boys’ engagement intervention—aiming to change men’s and boys’ attitudes and behaviors around gender equality, women’s empowerment, and positive masculinities; including participants’ own masculine identity—and the state of civil society’s rights and protections, tracing improvement and erosion since 2020. Importantly, this is not an evaluation, rather this is a midterm study that comes alongside the Gender Equality & Women’s Empowerment Program III (GEWEP) implemented by CARE International. Instead of evaluating this program, this study focuses narrowly on the attitudinal and behavioral impact of this model intervention for engaging men and boys. GEWEP also sought to contribute to the civil society space, and thus we conclude this study with a discussion of the unique experiences of women’s rights and women-led organizations that did and did not partner with GEWEP teams.
To generate this global report, the Research Team both drew on the six country reports which accompany this study and engaged in entirely new analyses. Analysis for this global report pooled data from all six countries, while using analytical techniques to identify where any one country unduly influenced findings at the global level. To strike this balance between common tendencies across countries, and differences between countries, this study takes care to identify and report country-specific results alongside global findings. This is especially true where we identified countries as unique outliers.
For the section on men’s engagement, the Research Team leveraged an experimental design, advanced statistical methods, and multiple sources and types of data, including a multi-country survey with 3,226 respondents, to investigate the relationship between men’s engagement, including their level of engagement (“treatment saturation”), in program activities and associated changes in their attitudes and behaviors towards women and girls, gender equality, violence against women and girls, and masculinity. Across six countries—Afghanistan, Burundi, the Democratic Republic of the Congo (DRC), Mali, Niger, and Rwanda—the Research Team explores common factors that influence treatment effect, positively and negatively. Read More...

Rafah Governorate: Deception, Destruction & Death in the “Safe” Zone Rapid Gender Analysis

The ongoing crisis in the Gaza Strip has been described as a “human rights crisis, a human-made humanitarian disaster”1 and a “war on woman.”2 Since October 7th there has been mass scale forced displacement of over a million Palestinians from Northern Gaza to Southern Governorates. The subsequent impacts of this, compounded with pre-existing gender inequalities and multidimensional vulnerabilities, have disproportionately impacted women and girls, as well as other vulnerable groups such as persons with disabilities, children, pregnant and lactating women, elderly populations, those living with chronic and mental health conditions.
Aim and methodology: The aim of this RGA was to hear from women and men currently in Rafah, with a focus on those providing essential services to communities and Internally Displaced People (IDPs) in the Governorate. The aim was to better understand the experiences of women, men, girls and boys at this moment, and to identify how CARE and the local and international humanitarian community, including U.N. Agencies, can best respond - understanding the formidable challenges and barriers to do so.
This RGA was conducted at a time where the population of Rafah were subject to continued and threatened bombardment from land, air and sea. As such it was intentionally designed to be light and small scale in terms of primary data collection; which took place between 7th April to 17th April 2024, and is complemented by secondary data review and analysis.
This RGA is being published in the days surrounding further escalation of violence in Rafah. The Gaza side of the Rafah border crossing with Egypt is blocked 6 and an evacuation order has been issued in the Eastern parts of Rafah; the designated “safe zone” in the Gaza strip. This reinforces the voices of the men and women who told us, with no uncertainty, that nowhere in Gaza is safe.
Key findings related to each area of inquiry and recommendations are summarised below, with more details to be found in the main report.
Key findings:
1. Shifting Gender Roles: Continuous displacement has led to some traditional gender roles adapting and expanding, as well as others being reinforced. Increased and unrealistic pressure has been placed on women to meet the needs and demands of dependents in a highly stressful environment, which has led to an increase in verbal and physical violence against women.
2. Coping Mechanisms: On the verge of starvation, nearly the entire population in Rafah has reported extreme and harmful coping strategies including but not limited to bartering with other essential items, begging, gathering wild foods, scavenging under rubble or in trash or seeking food outside their shelter.8 Reports indicate some women are fasting for several days in a row,9 and boys and girls are forced to work on the street selling or begging. Female heads of household, older women and women with disabilities face security and protection obstacles seeking access to food distributions.10
3. Sustaining through Community Networks of Solidarity: Community solidarity has emerged as a lifeline for survival, such as women supporting children’s education and men distributing food parcels or organising activities for children. Religion and prayer have played a key role in the coping strategies of men, women and children. For youth, social media (when accessible) played a role to maintain connections, articulate fears and share experiences with others. For children, where possible, play and educational outlets within shelters provide a brief respite from the reality of airstrikes.
4. Maternal & Reproductive Health: With an overwhelmed and overstretched health system, people with disabilities, chronic conditions and trauma are left without the most basic care. With estimates of 155,000 women in Gaza pregnant or lactating, and 5,500 expected to deliver in the next month,11 the lack of adequate maternal, sexual and reproductive health services leave mothers, newborns and their children exposed to severe and life-threatening health risks. If women survive pregnancy and childbirth, postpartum recovery, including ability to breastfeed, also present severe challenges.12
5. Mental Health and Psychosocial Support Services (MHPSS): Of extreme concern is the severe emotional, physical and psychological distress among the displaced population, especially among children and youth. As caregivers do their best to survive and manage their own mental health, the impact on children and youth is extensive and holds intergenerational impacts.
6. Education: With formal education effectively stopped since October 7th, children have lost out on a whole academic year of education. While there were reports of some initiatives such as ‘informal learning circles’ and remote learning, these are not easily accessible. Parents, caregivers and children are focused on daily survival; there is the increasing need for adolescents and young girls to support with chores or be confined to their tents due to safety issues; and, particularly for boys, the need to help earn money or seek supplies for the family. Read More...

Call to Action Field Implementation (CAFI) II

CAFI seeks to catalyze the Call to Action on Protection from Gender-Based Violence in Emergencies (CTA) on the ground. The project works with women-led organizations (WLOs) to drive change and foster Gender-Based Violence (GBV) prevention, risk mitigation, and response in humanitarian emergencies.

In 2013, governments, donors, and humanitarian organizations launched the CTA, to fundamentally transform how GBV prevention, risk mitigation, and response are addressed. The CTA aims to strengthen accountability in policies, systems, and mechanisms.
The partnership has grown to more than 100 members, but consolidating CTA implementation in the field is a key gap that needs to be addressed. As a result, CAFI was launched to advance the Call to Action 2021- 2025 Road Map on the ground.
What are the main objectives of CAFI?
● Catalyze increased representation and leadership of women and girls, specifically WLOs, in decision making structures and humanitarian assistance
● Amplify GBV expertise: scaling existing capacity of WLOs
● Address GBV root causes and coordinate effective response and risk mitigation
How does CAFI work?
CAFI aims at contributing to WLO strengthening through capacity-sharing approaches between partners. WLOs are engaged from the beginning, allowing them to co-create and adapt the project according to their needs and contexts and ensuring
accountability and women’s voice and leadership throughout the whole project cycle.

CAFI works through a consortium of 10 WLOs across Latin America and the Caribbean, West and Central Africa, the Middle East/North Africa, and Europe, who coordinate national networks of WLOs: Arab Women Organization (AWO) of Jordan, Baghdad Women Association (BWA) in Iraq, Center Women’s Perspectives (CWP) in Ukraine, Comité des Jeunes Filles Leaders (COJEFIL) in Niger, Dynamique des Femmes Juristes (DFJ) in the Democratic Republic of the Congo, Fundación
para el Desarrollo en Género y Familia (GENFAMI) in Colombia, Global Media Campaign (GMC) in Mali, Himaya Daeem Aataa (HDA) in Lebanon, and Tinta Violeta in Venezuela. In Iraq, Lebanon, and Venezuela, project activities are co-led by WEO, Sama for Development, and Uniandes, respectively. Read More...

Systems-Level Change in Niger: Women and Girls Are Better Off Today Than in 1991

Few development programs have a decades-long lifespan and impact. CARE’s Mata Masu Dubara model (MMD) has been rolled out since 1991, championing women's leadership and economic empowerment in Niger. Originally conceived as savings and credit groups, the model has evolved over the years to address women’s groups demands to have better access to public health services, improve nutrition, receive technical training and participate in civic and electoral processes, among others.

In 2023, CARE initiated a ground-breaking systems evaluation of MMD groups in Niger to explore the actual influence the groups have on women’s and girl’s voice, leadership, economic autonomy and climate justice, published in a May 2023 report. A complementary mixed-methods evaluation conducted from July to December 2023 explores the influence of MMD on women and girls’ maternal health, early and forced marriage, education and nutrition, in partnership with the Government of Niger.

Using CARE’s pathways of systems-level change, combined with qualitative and quantitative data, the study explored four dimensions of change for each one of the topics mentioned above: 1. Advocacy to influence policies and programs; 2. Changes in social norms; 3. Supporting social movements; 4. Strengthening systems and social responsibility. Today, CARE Niger serves 33,795 groups with 865,000 women and girl members. In Maradi, Zinder, Dosso and Tahoua 1,378 women and men answered a survey; 314 women and men participated in focus group discussions and individual interviews.

Are women and girls of Niger better off in 2023 than they were in 1991? Yes. While the review noted progress made towards more gender equity for girls’ education, access and use of sexual and reproductive health services and more attention paid to the welfare of pregnant and breastfeeding women, early and forced marriage still persists. Leveraging the power of MMD groups and other trusted community leaders (teachers, principals, MMD female leaders, religious leaders) to design interventions to curb early marriage would yield tremendous benefits. Indeed, early marriage robs girls of 9% of their future income.

Through MMD, women of Niger have found their voice, been elected to parliament in record numbers (over 30% in 2021), and participate in local decision making processes as town councilors and local representatives. Acting both at the program, local level and the national, influencing one, CARE, its partners and networks of MMD groups will continue to create a better, safer, more prosperous environment for Nigerien girls. (86 pages) Read More...

Variations in Village Savings and Loan Association (VSLA) Practices: An Assessment of Dynamics and Impacts in Zomba and Mangochi Districts – Titukulane Project

This assessment investigates variations in the practices of Village Savings and Loan Associations (VSLAs) in Zomba and Mangochi districts. While the VSLA model has been transformative in promoting financial inclusion and community empowerment in rural areas, there have been noticeable deviations from the CARE VSL methodology, commonly referred to as the standard methodology. With Titukulane's support for these VSLAs, it becomes imperative to comprehend the reasons and implications behind these changes.

The rapid assessment was instrumental in understanding the VSLA practices across selected districts. Qualitative data on the VSLA methodology variations were randomly drawn from 8 out of the 19 Traditional Authorities (TAs) where Titukulane is implementing interventions. Within this sample, the assessment encompassed diverse voices from VSLA members, Community Development Agents, Village Agents, and Titukulane staff. The research utilized a rapid assessment approach to gain a comprehensive overview of the VSLA practices in Zomba and Mangochi in a time-efficient manner. This methodology was chosen for its ability to capture immediate, relevant insights without necessitating the extended time frame typical of more intensive research methods. The rapid assessment prioritized direct interactions with participants, ensuring their experiences and perspectives were central to the data collected. This direct engagement proved invaluable, especially when exploring sensitive topics related to financial practices and internal group dynamics. Through this approach, the assessment aimed to offer a nuanced understanding of current VSLA practices and the motivations underpinning their variations. In the context of this study, variations refer to the distinct differences in approaches, outcomes, or practices observed among the groups, while deviations denote departures from the expected or standard methods prescribed by Titukulane, potentially indicating unique adaptations or challenges faced by certain groups.
Key Findings: VSLAs in both districts have adopted varied practices. Some VSLAs, for example, emphasize equal shares for every member, while others note disparities in contributions. Lending strategies, such as offering loans to non-members, also emerged, aiming to bolster financial inclusivity. However, such innovative strategies sometimes come with their own set of challenges, like difficulties in accurate record-keeping or financial strains from settling older debts using newer contributions. External influences, cultural beliefs, and regional dynamics also play key roles in these variations. Below is a complete list of the variations and deviations noted in the two districts:

• Shares and Savings: While some VSLAs continue to advocate for standardized shares per member to ensure equality, others experience disparities due to inconsistent contributions. For instance, in some groups members are allowed to purchase more than 5 shares at a time, with some purchasing up to 100 shares.
• Loan Practices: Innovative loan practices, including lending to non-members, aim to enhance financial inclusivity.
• Documentation and Record-Keeping: Challenges in maintaining accurate records are pervasive, with different approaches to record-keeping observed.
• Emergence of Digital Financing Platforms replacing cashboxes: In younger VSLA demographics, there's a rising adoption of digital financing platforms, such as Airtel Money and TNM Mpamba. However, this shift poses challenges for older members, who are less familiar with digital technologies.
• Religious and Cultural Adjustments: Deep-seated religious beliefs influence some VSLAs to refrain from charging interest.
• Influence of External Entities: VSLAs display adaptability and responsiveness to external influences, including NGOs and community initiatives.
• Group Dynamics: Many VSLAs have larger membership counts than recommended, possibly reflecting community resource pooling. Read More...

Community-led Resource Mobilization & Early Warning Systems Process Assessment: Titukulane Project

This report examines the motivation and willingness of Village Civil Protection Committees (VCPCs) and communities to mobilize resources at community level for Disaster Risk Management (DRM). To do this, a participatory action research (PAR) approach was utilized, facilitated by SWOT analyses, in combination with focus group discussions (FGDs) and key informant interviews (KIIs). The findings revealed that communities had prepositioned resources to prepare for disaster response as part of risk reduction. Participants identified their ability to mobilize themselves as a community; to mobilize funds and food; well trained and knowledgeable structures, good agricultural practices, and good governance as major strengths. Opportunities for resource mobilization included enterprise, piece work (ganyu), irrigation farming, access to safety net programs, and youth participation. Weaknesses included the disorganization of some community structures, lack of support or political will from community leaders and the government, lack of accountability from VCPC members, and reluctance to adopt improved agricultural practices. Community-based early warning systems, although available, are insufficient to provide effective risk reduction for natural disasters. There is a lack of documentation concerning indigenous early warning systems, which impedes the development of effective and contextual strategies for risk reduction. The recommendations include increasing awareness among traditional leaders, defining resource mobilization structures, documenting guidelines and transactions for transparency, investing in early warning infrastructure and capacity building, documenting indigenous early warning signs, and intensifying watershed restoration and conservation to increase disaster preparedness. Read More...

Final Report: Enhanced Humanitarian Response in Choma, Kalomo and Monze Districts in the Southern Province of Zambia

The water and sanitation activities benefited 7,859 people (2579 people, more than planned target) who use safe water in greater quantities and reduce the incidence of disease including awareness about better protection from gender-based violence. Of these people, 5654 people benefited from cash assistance to meet some basic needs. Some beneficiaries invested the money in purchasing agricultural inputs, small livestock and upgrading shelter to increase crop yields and improve food and nutrition security as well as decent shelter. In total, 14,574 people were reached and accessed information thereby contributing to disease prevention and improved hygiene practices. CARE assigned 3 staff and supported 4 DMMU enumerators who participated in conducting the vulnerability assessment and producing the 2023 national contingency plan. The plan informs the design of government and NGO interventions in response to disasters. Read More...

BEYOND THE LINE: Connecting Trust in Ho Chi Minh City

In the heart of District 12, Ho Chi Minh City, a remarkable journey has unfolded over the past year, of a group named Connecting Trust, consisting of women garment workers at Nobland factory. Through this process, workers came together, identified issues, collected data from their peers, analyzed it, and developed initiatives to address the challenges they were facing. This project is a testament to the power of collective action, hence, the name of the worker’s group – Connecting Trust. Milestones were achieved, including a groundbreaking dialogue with factory managers where workers courageously presented their findings and proposed solutions. Furthermore, the Family Day event, organized by the workers themselves, celebrated the bond between workers and their children, promoting not just well-being but also creating lasting memories of unity and togetherness.

It is a journey that resonates with strength, leadership, confidence, and collective voice, a testament to the transformative power of unity and empowerment. These women have embarked on a path to improve their well-being and, in doing so, have inspired us all. Their journey began in October 2022, and concludes in October 2023, but its impact will be everlasting.

The project, developed and managed by CARE International in Vietnam, funded by Lululemon and executed by the Centre for Community Empowerment (CECEM), at its core, is about amplifying the voices and building leadership of female factory workers. It is about nurturing their strength, to become stronger, more capable, and equipped to embark on new endeavors. It is about fostering leadership and collective action, motivating them to lead their own initiatives to bring about positive changes. It is about instilling confidence, enabling them to engage in dialogue with factory managers, and advocate for their rights and needs.

The stories within this photobook are about courage, resilience, and hope, told by the women workers. Each photograph tells a story of growth and empowerment, of women behind the “Made in Vietnam” clothes tag, who once were unheard; yet, are now leading the change they wish to see. This photo book serves as a tribute to their unwavering strength, their journey from vulnerability to empowerment, and their newfound capabilities to embrace change.

With profound appreciation, we acknowledge the pivotal role played by Nobland factory, where this remarkable transformation happened, and their continuous collaboration throughout the project implementation. We also extend heartfelt gratitude to Lululemon, the project donor, whose vision intensively focuses on creating a meaningful impact on worker’s well-being and support with essential resources for this long-term intervention. Lastly, to the women workers who have trusted this process and chosen to join with CARE and CECEM, your story is evidence of the extraordinary potential within us all, and together, we can create a brighter and more equitable future.

As we peruse through these pages, we invite you to witness this exceptional journey. Let it serve as a beacon of inspiration, reminding all of us that when voices unite, when leadership flourishes, when confidence soars, and when connections are strengthened, transformation is not just possible — it’s inevitable.
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Rapid Gender Analysis on Power and Participation Shafiullah Khata, Ukhiya, Cox’s Bazar Bangladesh

The current Rohingya refugee crisis is regarded as one of the world's worst humanitarian crises of the twenty-first century. Myanmar's Rohingya Muslims are a stateless Muslim community that have faced systematic discrimination and targeted persecution in Myanmar’s Rakhine State for decades. As the Myanmar government refuses to give Rohingya any citizenship rights, the vast majority of Rohingya have no legal documentation which is effectively making them stateless and trying to escape from the military’s campaign of violence, killing, rape, arson, and other grave abuses.

Bangladesh has taken in the greatest number of refugees thus far. Since 25th August 2017 a large number of Rohingya people has fled into Bangladesh from Myanmar after facing statelessness, targeted violence and discrimination. As of February 2022, there are 923,179 people and 194,091 households in 33 camps in Kutupalong and Nayapara area of Cox’s Bazar District.

There is limited to no participation and/or influence of Rohingya women in decision making or leadership roles within the humanitarian response in Cox’s Bazar Refugee Camp. Societal and religious norms of the Rohingya are patriarchal and tend to favor men’s participation and leadership over that of women; however, there are opportunities identified to support greater participation and leadership of women in public life.
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