Maternal|Child Health

Strengthening Access to Emergency Primary Health and Protection Services for Most- affected Vulnerable Returnees and Host Families in Ninewa Governorate, Zummar sub-district

With the objective of Increasing access to quality and equitable health care and protection services for vulnerable women, men, boys and girls conflict-affected populations in Zummar primary health care centre (PHCC), underserved and epidemic-prone communities and improving civic participation of local residents, CARE’s interventions targeted highly prioritized areas of Zummar surrounded villages and Zummar PHCC in need of rehabilitation as well as continuing to provide a variety of essential medicine and laboratory supplies for NCD treatment. The SRMH service package included medication (such as oxytocin ampoule, methergine vaginal tablet and suppositories) and medical consumables including suture materials, sterile and non-sterile gauze, gloves to meet needs of patients visiting Zummar PHCC through close collaboration with the Ninawa Directorate of Health (DoH) as the local authorities are currently overwhelmed by the scale of needs to enable affected populations to return home. The project also distributed dignity kits packages to GBV survivors, mainly, vulnerable women and adolescent girls based on pre identified criteria and continued to avail safe space for women and children. The provision of safe space allowed the female patients to concentrate on their medical consultations with the doctors at the PHCC and meaningfully participate in awareness sessions delivered by CARE at the free space within the PHCC without worrying about the safety of their children.
The endline evaluation seeks to analyze the endline values for key SRMH and protection indicators as stated in the project documents in the targeted areas and to assess, impact and effectiveness of programming to successfully track accomplishments of the project, relevance and sustainability of the project after the implementation through the usage of quantitative and qualitative data. The evaluation also looked into areas of success as well as challenges faced implementing activities in Zummar sub-district. [28 pages]. Read More...

Durable Solutions for Returnees and IDPs in Somalia (DSRIS) Project Final Report

The Durable Solutions for Refugees and IDPs in Somalia (DSRIS) was a three-year that was implemented in Somalia between 10 January 2017 to 9 January 2020 under the consortium of CARE International (Lead agency), Save the Children (SCI), Agency for Technical Cooperation and Development (ACTED), IMPACT Initiatives and Save Somali Women and Children (SSWC). The project was funded by the European Union (EU). The aim of the project was to contribute to the integration of internally displaced persons, returnees and refugees in Somalia by improving access to basic quality services such as education, health, hygiene and sanitation, Child Protection and Gender-Based Violence (GBV) intervention. Additionally, the project aimed at enhancing relevant and sustainable livelihood opportunities for youth at risk of illegal migrations, radicalization, as well as other vulnerable displaced people, returnees and host communities to enhance integration and social cohesion. The project was being implemented in Puntland, Bari, and Mudug (Bossaso and Galkacyo north districts), Galmudug, Mudug, and Galgaduud (Dhusamareb, Adaado, and Galkacyo south). The sectors targeted by the project include Education, Health, WASH, Child Protection/GBV, women and youth empowerment and integration. Read More...

Projet Nutrition at Center (N@C)

CARE implemented an innovative, comprehensive five-year approach (2013-2017) with the goal of reducing anemia in women of childbearing age, and anemia and stunting in children under two years old. The approach integrated i) maternal and child health (MCH), infant and young child feeding (IYCF); ii) Water, hygiene and sanitation (WASH); and iii) food security (FS) and women's empowerment. Conducted in four (04) developing countries (Bangladesh, Benin, Ethiopia and Zambia), nutrition at the Center (N@C) aims to develop, document and disseminate the effectiveness and efficiency of an integrated approach that will improve sustainable nutritional status of mothers and children. Read More...

P4PII to P4PIII Final Report

In order to prevent malnutrition among children from 0 to 23 months and women of childbearing age, CARE International Benin/Togo has initiated an integrated nutrition program called “Nutrition at the Center”. This program is the starting point for the implementation of the P4P project which has just completed its third phase. The main goal of P4P III is to help reduce stunting and anemia in children under 2 years of age, and anemia in women of childbearing age, by increasing availability and equitable access foods of animal and vegetable origin with high nutritional value. The present study aims to assess the results of P4P II in the communes of Adjohoun and Dangbo and of P4P III in the 4 beneficiary communes: Adjohoun, Dangbo, Covè and Djakotomey. Information was collected from 475 mother-child couples aged 6 to 23 months using individual interviews and questionnaires, and from 114 P4P beneficiary groups using an interview guide. Read More...

Hinnou Vivo Final Evaluation

The project HINNOU VIVO, which kicked off in January 2015, drew to its close on 20 December 2019 following the implementation of its phase II. The purpose of this final evaluation is to measure the progress made and the results obtained following its implementation, in terms of improving family planning and immunization services with regard to the evolution of the contraceptive prevalence rate within the Adjohoun-Bonou-Dangbo healthcare zone (ABD/HZ) and across the healthcare areas (health centres and beneficiary communities) within the said healthcare zone. The evaluation also aims to determine the factors of the project which proved to be determining factors in this improvement of the contraceptive prevalence rate, to assess the effectiveness of the project implementation strategy (i.e. the immunization/FP activities’ integration strategy) and to assess the attitudes of healthcare providers in relation to the project results obtained. Read More...

Hamenus Mortalidade no Risku ba Inan (HAMORIS – 2017-2021) Midterm Report and Summary CI Timor-Leste

The Hamenus Mortalidade no Risku ba Inan Sira (HAMORIS) project is funded by the Australian Government and implemented by CARE International Timor-Leste. Focused on the municipalities of Ermera and Covalima, the project aims to address the high number of women who die during childbirth in Timor-Leste, which has one of the highest rates of maternal death in the world, by improving their access to and use of quality maternal health services. The HAMORIS project was launched in July 2017 and has been extended until June 2022. This is the midterm report and findings. Please also find a summary in English as well as Tetum. Read More...

Rapid Needs Assessment COVID-19 impacts on Urban Health in Bangladesh

Since the initial outbreak of COVID-19 in Bangladesh earlier this March, Bangladesh is at an economic and social standstill due to the government imposed nation-wide lockdown. Although every sector of the country is facing problems, the health sector is currently among the most affected sectors.
The Health Access and Linkage Opportunities for Workers Plus (HALOW+) is directly related to the health sector and is responsible for maintaining the overall health and safety of the people/areas under its intervention. To assess the current situation of the RMG workers of 17 factories and their respective communities under HALOW+ in this pandemic crisis, a small-scale survey study was conducted from 23rd-26th April, 2020. A total of 141 participants from both Community Support Groups (CSG), Urban Low income
people including RMG Workers, Ward Health Development Committee and GO – NGO Coordination Forum, District Managers of Public, Private and NGO health and Family Planning department, Public Health Specialist from UN bodies, INGO and Academic institutes and RMG Factory owner and senior management were interviewed with a standardized questionnaire. The study revealed that COVID-19 had a significant impact on the overall health system as a total of 322 health workers out of 516 in Gazipur are currently in home/institutional quarantine, telemedicine facilities have dropped to 80% and there’s a 50% reduction in total patient reported in Upazila Health Complexes (UHC)-reasons being absence of doctors and proper medical facilities. Read More...

Final Performance Evaluation of the Kore Lavi Development Food Assistance Project in Haiti

In FY 2013, the US Agency for International Development’s (USAID) Office of Food for Peace (FFP) issued an award to a consortium of three organizations, CARE, Action Contre La Faim (ACF), and the United Nations World Food Programme (WFP) to implement a Development Food Assistance Project (DFAP). World Vision (WV) later joined the consortium. The four-year project, titled ‘Kore Lavi’ (‘supporting life’ in Haitian Creole) started in August 2013. Following a two-year extension granted in 2017, the projected ended in September 2019.

The overall purpose of Kore Lavi was to support the Haitian Government in creating a social safety net for food and nutrition security that prioritizes consumption of locally grown quality products. The overall goal was to contribute to reducing food insecurity and vulnerability in targeted communities by establishing a replicable safety net system and expanding government capacities to prevent child under nutrition.

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Barriers and supports to reducing early child bearing among newly married adolescent girls in Zinder region: A qualitative study

CARE carried out formative research to understand the underlying gender and social norms, barriers to and facilitators for delaying early child birth among married/soon-to-be-married adolescent girls in Zinder region, from the perspective of multiple gatekeepers in the lives of married/soon-to-be-married adolescent girls. Read More...

Adolescent Motherhood: Understanding Individual and Community Perspectives to Delay First Birth in Rural Bangladesh

Globally, more than one third of girls marry before the age of 15. In Bangladesh, like in other developing countries, adolescent marriage is still very common. Early marriage leads to early pregnancy, as young wives are not allowed to make their own decisions about contraceptive use and timing of childbirth, deferring instead to their husbands and extended family. The major objectives of this formative research were to explore the intentions, desires, perspectives, motivators, and de‐motivators around the first pregnancy among married adolescent girls (MAGs). The study also explored ways to delay first pregnancies among MAGs, focusing on influential people in their lives, health providers, and positive deviants. Additionally, we examined alternative opportunities and barriers to delay first pregnancy through pursuit of an alternative life course and the use of modern contraceptives. The findings will be used to design an appropriate intervention for rural Bangladesh. Read More...

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