Sexual|Reproductive Health
Improving Adolescent Reproductive Health and Nutrition through Structural Solutions in West Hararghe Zone, Oromia, Ethiopia Abdiboru Project Final
The final evaluation is divided into three parts, qualitative, quantitative and triangulation final reports.
Triangulation: this project objective was to empower girls through improved reproductive health, nutrition, and education in rural West Hararghe, Ethiopia. It examines the effectiveness of two different set of interventions- a combination of structural and induvial interventions Vs structural, individual, and community level interventions against a control group. Ethiopia is one of the countries in the world characterized by high level of early marriage. In most cases, when girls marry, they move to their husband’s household and are socially isolated, work long hours, and have very little say in decisions that affect them. Keeping girls in schools is essential to their future wellbeing, and Ethiopia has made significant progress on its commitments. But in rural areas, it has been difficult to achieve high levels of secondary schooling for girls. Nutrition is deeply interconnected with reproductive, maternal, newborn, and child health. Household gender dynamics often mean that girls are more food-insecure than their male counterparts. Female adolescents, those living in a household with food insecurity and high dependency ratio are more likely to suffer from household food allocation. Schooling, early marriage and nutritional status and overall girls’ empowerment are interrelated maters. They have a complex relationship one affecting the other significantly.
Addressing the issues in package is believed to bring the maximum benefit in improving the social, health and development of adolescent girls and thus empowering them in multiple dimensions. Yet programs that focus sectorally, targeting health indicators of women and girls while ignoring the broader context that radically constricts their choices, have not generated significant or sustained impact over the long term. The structural context in which girls live is the main driver of their reproductive, maternal, and nutritional health and educational opportunities. Read More...
Triangulation: this project objective was to empower girls through improved reproductive health, nutrition, and education in rural West Hararghe, Ethiopia. It examines the effectiveness of two different set of interventions- a combination of structural and induvial interventions Vs structural, individual, and community level interventions against a control group. Ethiopia is one of the countries in the world characterized by high level of early marriage. In most cases, when girls marry, they move to their husband’s household and are socially isolated, work long hours, and have very little say in decisions that affect them. Keeping girls in schools is essential to their future wellbeing, and Ethiopia has made significant progress on its commitments. But in rural areas, it has been difficult to achieve high levels of secondary schooling for girls. Nutrition is deeply interconnected with reproductive, maternal, newborn, and child health. Household gender dynamics often mean that girls are more food-insecure than their male counterparts. Female adolescents, those living in a household with food insecurity and high dependency ratio are more likely to suffer from household food allocation. Schooling, early marriage and nutritional status and overall girls’ empowerment are interrelated maters. They have a complex relationship one affecting the other significantly.
Addressing the issues in package is believed to bring the maximum benefit in improving the social, health and development of adolescent girls and thus empowering them in multiple dimensions. Yet programs that focus sectorally, targeting health indicators of women and girls while ignoring the broader context that radically constricts their choices, have not generated significant or sustained impact over the long term. The structural context in which girls live is the main driver of their reproductive, maternal, and nutritional health and educational opportunities. Read More...
RAPPORT DEFINITIF BASELINE PROSPER II Thriving Cocoa Community Cargill
Cette étude dont l’objectif était de déterminer la situation actuelle des ménages producteurs de cacao dans les treize (13) nouvelles communautés sélectionnées du Projet PROSPER II sur les quatre (04) axes d’intervention du projet : (i) la gouvernance communautaire ; (ii) l’inclusion financière et des compétences entrepreneuriales des femmes ; (iii) la diversification des sources de revenus des ménages agricoles incluant la nutriton ; (iv) les solutions alternatives communautaires au travail des enfants ; afin que puissent être mesurés les changements qui interviendront après les trois (03) prochaines années de mise en œuvre, en utilisant la même approche, a démontré que la situation actuelle desdits ménages n’est guère réluisante. C’est ce que l’analyse des résultats combinés aux sources sécondaires et primaires notamment la collecte de terrain et les discussions de groupe nous permet d’indiquer. [97 pages]. Read More...
Evaluation finale du Project Sahel COVID-19 Response in Mali dans la Region de Mopti
Le projet « Sahel COVID-19 Response in Mali » a été mis en œuvre par l’ONG CARE International au Mali pour une durée de 6 mois allant du 1er Mai au 31 Octobre 2020 dans les cercles de Mopti, Bandiagara, Bankass, Douentza et Koro, dont 5 sites de déplacés. Il a ciblé 815 ménages directement pour les activités d’assistance et des dizaines de milliers pour celles de la sensibilisation. Les secteurs de réponse du projet comprennent le WASH, la Sécurité alimentaires, l’accès aux services de santé reproductive et le Genre & Violence basée sur le genre.
Cette évaluation finale a été commanditée afin d’établir le niveau d’atteint des indicateurs du cadre logique du projet en référence à l’étude de base et de disposer des caractéristiques des marchés [69 pages]. Read More...
Cette évaluation finale a été commanditée afin d’établir le niveau d’atteint des indicateurs du cadre logique du projet en référence à l’étude de base et de disposer des caractéristiques des marchés [69 pages]. Read More...
THE EMERGENCY MOBILE HEALTH, NUTRITION & PROTECTION PROJECT IN EASTERN EQUATORIA, SOUTH SUDAN Final Evaluation
This report is presented by Adroit Consult International following a successful evaluation of the Emergency Mobile Health, Nutrition & Protection Project in Eastern Equatoria, South Sudan. This main objective of the endline evaluation was to provide information on the impact of the 3 year integrated Health, Nutrition and Gender Based Violence (GBV) project and also measure results at the outcome and impact levels. The evaluation was conducted with project stakeholders such as; Community leaders, Households of beneficiaries, Individual women and men, Children under five, Health workers, Government officials, CSO/NGO partners among others, and covered the areas of Lopa Lafon and Ikotos. The evaluation reached a total of 287 respondents in project implementation areas [27 pages]. Read More...
Multi-sectoral life-saving project Sexual reproductive maternal health, WASH and protection services for the crisis affected population in Iraq Baseline
With funding support from the German Federal Foreign Office(GFFO), CARE implements a 21 months multisectoral live-saving project: sexual reproductive maternal health, WASH and protection services to crisis affected population in Iraq: Anbar governorate (Districts of Fallujah and Khalidiya), Ninewa governorate (West Mosul) and Duhok governorate (Mamrashan IDP camp) with 21,386 direct beneficiaries aiming at:1) Quality essential SRMH services will be provided in areas of origin (Fallujah, Khalidiya and West Mosul) through strengthened health facilities, enhanced awareness and mobilization of communities and reinforced referral mechanisms. 2) WASH needs of crisis affected IDPs in Mamrashan camp will be met through care and maintenance of WASH facilities, water quality tests, hygiene promotion, solid waste management and establishment of gender balanced WASH committees. 3) Protection response services including, psycho-social support (PSS), dignity kit support will be provided to vulnerable women, girls, men and boys in Fallujah, Khalidiya, West Mosul and Mamrashan IDP camp. [35 pages]. Read More...
WASH, PROTECTION AND SRHR SUPPORT TO IDPS AND RETURNEES IN IRAQ 2020-2021 Baseline
With funding support from the Global Affairs Canada (GAC), CARE implements a 24 months multi-sectoral livesaving project: WASH, Protection and SRMH support to IDPs and Returnees in Iraq 2020-2021 in Duhok governorate (Chamishko and Essyan IDP camps) and Ninewa governorate (Sinjar district) with 64,434 individuals (18,169 women, 14,701 girls, 16,924 men, 14,640 boys) direct beneficiaries aiming at WASH, Protection Intervention, and SMRH. The methodology for baseline survey is based on using mixed-method participatory approach as baseline team believes that participation improves quality and enhances ownership.
The CARE baseline survey data collection for the camps took place from May 21, 2020 to May 31, 2020, and in Sinjar district from September 1, 2020 to September 10, 2020. The purpose of the baseline study is to better understand the situation and current needs of the population in order to ensure more effective and responsive project implementation as well as improved living conditions for IDPs, returnees and host communities in the project areas [45 pages]. Read More...
The CARE baseline survey data collection for the camps took place from May 21, 2020 to May 31, 2020, and in Sinjar district from September 1, 2020 to September 10, 2020. The purpose of the baseline study is to better understand the situation and current needs of the population in order to ensure more effective and responsive project implementation as well as improved living conditions for IDPs, returnees and host communities in the project areas [45 pages]. Read More...
Integrated GBV prevention and response to the emergency needs of newly displaced women, men, girls, and boys in Borno State, North-East Nigeria Midterm
Currently, 41 sites across 11 LGAs in Borno are in ‘high congestion’ status with 285,000 individuals above camp capacity resulting in the majority of individuals having no access to shelter and being forced to sleep in overcrowded shelters or outside. The provision of life-saving assistance to the most vulnerable persons of concern is hampered by a continuous unfavorable environment marked by conflict-induced insecurity and protracted displacement. Limited access to adequate services, particularly in newly accessible areas, continues to exacerbate protection risks to the affected population. The ECHO-GBV project is an 18 months’ project funded by ECHO being implemented in Bama and Ngala LGAs of Borno state to provide lifesaving GBV prevention and response services to newly displaced women, girls, boys and men and vulnerable host community members. The intended use of this evaluation is to: assess the performance of project indicators against set objectives, goals and targets, review Programme strategy and methods and inform learning; hence, the primary target of this report is the ECHO participants as well as staff [24 pages]. Read More...
Integrated GBV prevention and response to the emergency needs of newly displaced women, men, girls, and boys in Borno State, North-East Nigeria Baseline
To ensure the efficiency and effectiveness of the project, CARE pays specific attention to the changes to be made, effects and impacts of the intervention for displaced populations, and hosts affected within Borno State. It therefore appears necessary to define the baseline situation in order to have information that can provide precise indicators on the sector concerned by the assistance, and to develop a monitoring and evaluation system for the continuous updating of the changes and facilitate the analysis of the transformations induced at the end of the project. A total of 3 IDP camps (Arabic camp and International Secondary School of in Ngala and Government Secondary School GSS camp in Bama LGA) and 4 host communities (Ngala, Gambaru A and B in Ngala and Bama town in Bama LGA) were covered by the baseline, within the two targeted LGAs. Taking 5% of each population, 5,009 respondents in Bama and 2,054 respondents in Ngala were surveyed [23 pages]. Read More...
Integrated GBV Prevention and Response to the Emergency Needs of Newly Displaced Women, Men, Girls, and Boys in Borno State, North-East Nigeria Final Report
Under the European Commission Civil Protection and Humanitarian Aid (ECHO) funding with support of CARE France, CARE Nigeria to implement a Gender Based Violence in Emergencies project. The project was implemented in Bama and Ngala Local Government Areas (LGAs) – Northeast, the goal of the project was to contribute to the protection of the lives of vulnerable women, men, girls, and boys most affected by the crisis in North-eastern Nigeria. The evaluation survey showed that beneficiaries in both intervention LGAs were aware of GBV issues and referral pathways facilitated by the project. There was an increase in the awareness of beneficiaries from the mid-term evaluation; as more respondents were more likely to make a report on GBV related incidences (i.e. sexual violence, sexual exploitation, domestic violence, sexual harassment, and forced marriages). Based on analyzed evaluation data, of the total number of beneficiaries interviewed, the following project activities were most effective in increasing beneficiary GBV knowledge e.g. Use of GBV champions - 87.5% (Ngala 32.9% and Bama 54.6%), Sensitization activities – 91.5% (55.5% in Bama and 36% in Ngala) and provision of livelihood assistance – 66.8% (43.5% in Bama and 23.3% in Ngala).
At the final evaluation, awareness amongst beneficiaries was greater in Bama than Ngala; as project-driven sensitization activities emerged as the predominant means by which beneficiaries were informed of GBV issues and accompanying referral pathways by the project. In spite of CARE Nigeria not having an on the ground presence in Ngala at the time of the final evaluation study (i.e. due to the lack of funding for GBV interventions since August 2020); interviewed beneficiaries remained knowledgeable of GBV issues and referral pathways. [122 pages] Read More...
At the final evaluation, awareness amongst beneficiaries was greater in Bama than Ngala; as project-driven sensitization activities emerged as the predominant means by which beneficiaries were informed of GBV issues and accompanying referral pathways by the project. In spite of CARE Nigeria not having an on the ground presence in Ngala at the time of the final evaluation study (i.e. due to the lack of funding for GBV interventions since August 2020); interviewed beneficiaries remained knowledgeable of GBV issues and referral pathways. [122 pages] Read More...
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...
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...