Sexual|Reproductive Health

The NGO Health Service Delivery Project 2012 – 2018 – Final Report

From 2012 to 2017, USAID supported the Surjer Hashi (SH), or Smiling Sun, network through the NGO Health Service Delivery Project (NHSDP). The UK Department for International Development (DfID) provided additional funding beginning in the second project year. A consortium led by Pathfinder International, NHSDP provided material and technical support to 25 NGOs, who served a catchment area of 26.3 million people through a network of 399 static and 10,872 satellite clinics and 11,842 community service providers (CSPs). In its five years of implementation, the SH network made 251,490,942 services contacts, 8,237,567 of which were for antenatal care (ANC) and 42,577,833 were adolescents or youth. More than three million visits to SH clinics for children under five years of age integrated activities to monitor children’s growth and promote healthy nutrition. By providing 7,839,430 Couple Years' Protection, the SH network averted 2,000 maternal and 10,000 child deaths and 1.9 million unwanted pregnancies. Read More...

Evaluation finale de l’Initiative Maman Lumière II de CARE Niger

Dans le cadre de son projet Initiative Maman Lumière II, CARE International en partenariat avec l'Institut National de la Statistique (INS) a organisé une enquête d'évaluation de fin de projet du 4 au 15 janvier 2020.

En 2016, une enquête de base a été réalisée dans l'ensemble des villages d'intervention du projet. Cette enquête avait pour objectif de doter le projet d'indicateurs de référence qui serviront d'éléments de comparaison à la fin du projet afin d'informer les acteurs et le bayer des progrès réalisés en trois années de vie du projet.
L'enquête d'évaluation finale à concerner tous les villages d'intervention du projet. Cependant, pour des questions sécuritaires, 18 villages du département de Madarounfa n'ont pas été couvert par l'opération.

La méthodologie utilisée pour cette étude est basée sur un sondage par grappe à deux degrés. Les populations cibles sont définies selon les modules : les enfants de 6 à 59 mois et les femmes de 45 à 49 pour l'anthropométrie, les enfants de 0 à 23 mois pour l'ANJE, les enfants de 0 à 11 mois pour la vaccination.

La collecte des données a été effectuée sur des tablettes avec l'application ODK (Open Data Kit). L'analyse des données est effectuée sur ENA for SMART et STATA. Read More...

UBALE: United in Building and Advancing Life Expectations – PARTICIPATORY GENDER ANALYSIS FINAL REPORT

United in Building and Advancing Life Expectations (UBALE), is a five-year (2015-2019) Food for Peace program funded by the United States Agency for International Development (USAID) and implemented by a consortium led by Catholic Relief Services (CRS) in partnership with the Cooperative for Assistance and Relief Everywhere (CARE), Save the Children, and the Catholic Development Commission in Malawi (CADECOM). The program aims to reduce chronic malnutrition and food insecurity and build resilience among vulnerable populations in three districts in Malawi, Blantyre Rural, Chikwawa and Nsanje.

This report describes the process and findings specific to the UBALE program. Read More...

Hamenus Mortalidade no Risku ba Inan (HAMORIS – 2017-2021) BASELINE CI Timor-Leste

The HAMORIS project is managed and implemented by Care International Timor-Leste (CITL) and funded by the Australian aid program. The HAMORIS project goal is to contribute to lasting reductions in maternal mortality and morbidity by increasing the number of women in targeted communities utilizing appropriate and quality Sexual, Reproductive Maternal Health and Rights (SRMHR) services. The project aims to enable this by improving gender relations at the family and community level. HAMORIS started in July 2017 and has been extended to June 2022.


The baseline data has been collected to provide the team and key stakeholders to the project with a clear understanding of context at the initiation of the project. It will help the team assess changes in knowledge, attitudes and practice of participants and their approach to SRMHR services and changes in gender relations, social and power norms of participants and within the broader community. Read More...

Baseline Study Report KHUSHAAL PROJECT 2019

CARE India in partnership with Alstom Foundation is implementing socio-developmental projects in 7 villages of District Madhepura, Bihar. Project Khushhaal is one among the many initiatives being undertaken in the identified villages. It aims to enhance the capabilities of women and girls (age 12 years and above) and youth in the age group of 18-35 years for resilient livelihoods and improved health outcomes through a participatory process.

The project aims to empower 1500 individuals (women and girls) from these 7 villages (Tuniyahi Uttarwadi, Tuniyahi Dakshinwadi, LakshmiRampur Chakla Uttarwadi, LakshmiRampur Chakla Dakshinwadi, Ganeshsthan, Shreepur Utarwadi and Shreepur Dakshinwadi) with better health and hygiene practices and have better preparedness for gainful employment opportunities

The study focused at 5 specific areas
1. Menstrual Hygiene related status and challenges
2. Health and Hygiene related situation in young Girls, Pregnant and Lactating women
3. Work and Communication Skills status of Adolescents and Youth
4. Work/Market situation of women Entrepreneurs
5. Social Scenario / Current Situation on Safe Space for Girls in community and social realization regarding it. Read More...

STORIAN BLONG YUMI PROJECT EVALUATION

The purpose of this evaluation is “to assess whether or not the Community Scorecard (CSC) approach as adapted to Vanuatu through the Storian Blong Yumi pilot (SBY) project offers a viable model for community-centred social accountability in Vanuatu and to document lessons from the pilot for future application”.
The Storian Blong Yumi project (SBY) tested the Community Scorecard approach for the first time in the Pacific, applying the CSC to Sexual and Reproductive Health services delivered by Vanuatu MoH health facilities serving 4 communities in Tafea Province.
The Storian Blong Yumi pilot of the CSC model in Vanuatu demonstrated results in the following areas, most strongly in the first two areas:
Stimulating dialogue between service providers and communities and overcoming social taboos to open up discussion within the community on SRH issues. Across all groups, including young men, who were the group that proved most difficult to engage, participants valued the process of community discussion. This dialogue appears to have been the basis for establishing better understanding and relationship between service providers and community members. This in turn seems to have laid the foundations for increased access to services by community members and responsiveness by service providers.
Increasing awareness of the SRH services available within their local health facility. Across groups of older and younger men and women in all locations people were aware of what family planning and STI services were available to them and what the role of the health staff were. in all locations, people who participated in the evaluation were more aware of what family planning and STI services were available to them and what the role of the health staff were. Men in all locations reported that they didn’t previously know what happened in the health centre regarding SRH, but now they have a better understanding. Read More...

FINAL PERFORMANCE EVALUATION REPORT OF THE PROJECT “ZIKA RESPONSE IN ECUADOR AND PERU”

This document is the final report of the performance evaluation of the binational project Zika Response in Ecuador and Peru, implemented in Ecuador and Peru by CARE from 2016 to 2019. The main objectives of the project were to strengthen community, local and national capacities to respond to the outbreak of Zika virus and other vector-borne diseases, as well as to improve regional and national efforts to reduce Zika transmission rates.

The evaluation of the project in Ecuador was carried out in the intervention zones of 10 cantons of the provinces of El Oro, Manabí and Esmeraldas, between August and September 2019; in Peru, in 20 districts of 10 provinces of the departments of Tumbes, Piura, Lambayeque, and Cajamarca. After the elaboration of the work proposal and the methodological design of the evaluation, secondary information was collected and primary information was collected at field through interviews, focus groups and social mapping (in Ecuador), and a Likert scale survey (in Peru). The evaluation was framed in five blocks: General Aspects, Community Mobilization, Community-Based Surveillance, Social and Behavioral Change, and Inter-Institutional Planning and Coordination.

The main findings of the evaluation determine that the project achieved, for the most part, the objectives of the project, having as its main achievement the facilitation of inter-institutional coordination of the different actors in the territory. In Peru, the experience of community-based vector control, supported by technological and communications innovations, stands out. In both countries, the project successfully mobilized the community to carry out prevention strategies against Zika and increase knowledge of the risks of this type of disease, as well as useful individual and collective strategies for its prevention. Read More...

Rapport d’evaluation Finale du Projet de Soins de Sante Primaire et Protection/VBG

Le projet soins de santé primaires et protection VBG est un projet qui vise à fournir des soins de santé primaires d'urgence et une réponse à la violence sexiste aux communautés déplacées et hôtes avec un meilleur accès aux soins de santé primaires, dans les zones de santé de BUTEMBO et LUBERO, il comprend un volet accès à la réponse à la violence basée sur le genre, ainsi qu'à des messages sur la prévention des IST et des grossesses non désirées, la prévention de la violence sexiste, l'information et la prévention en matière de Santé Sexuelle et Reproductive, maladies d'origine hydrique, y compris la prévention du choléra.

Tous les indicateurs tel que défini dans le projet ont fait l’objet d’une analyse triangulée qui a permis de mettre en exergue l’état actuel (final) de chaque indicateur dans la zone de mise en oeuvre du projet comparativement à l’état initial des indicateurs lors de l’évaluation de base.

Ainsi dans le premier out come, soutient au système de santé, il a été constaté que toutes les structures ciblées par le projet ont été appuyées lors de la mise en oeuvre du projet, il s’est remarque une augmentation des consultations curatives à hauteur de 121667 grâce à l’appui accordé par le projet OFDA dans les différentes structures sous appuie, une réhabilitation de 6 structures et deux BCZS dans les deux zones de santé a été possible grâce à l’appui du projet, mais aussi une augmentation significative dans le rapportage des données épidémiologiques qui est passé de 83% lors de la Baseline à 93.1% après la mise en oeuvre du projet. Cette performance a été possible grâce à l’appui apporté par le projet à travers le renforcement des prestataires des soins de santé et des volontaires communautaires sur la surveillance et le rapportage des maladies communautaires.

Dans le deuxième out come, Santé de la reproduction, il a été constaté que toutes les structures ont connu une baisse de fréquentation de CPN, CPON et CPS suite à la situation de la MVE qui se vie dans les deux zones de santé, certaines structures ont été contraints à une fermeture temporaire suite au vandalismes des infrastructures sanitaires par la population de ces aires de santé ( environnement sanitaire dégradé, biens des FOSA saccagé , certaines structures brulés) résultats de la méfiance qu’à la population pour la riposte à la MVE, cela a fait que certaines femmes ne fréquentes plus le CPN et CPON et se fassent à coucher à la maison de la manière traditionnel au risque de mettre leur vie en péril.

Dans le troisième out come, maladies communicables, les structures ont rapporté une augmentation des cas des diarrhées, paludismes, IRA, cette augmentation est due au fait qu’à travers les sensibilisations faites à travers les activités du projet, et le renforcement des capacités des volontaires communautaires sur la surveillance communautaire (identification et rapportage des maladies communautaires courantes) plusieurs cas ont été rapporté et prise en charge dans les 22 structures appuyées dans les 2 zones de santé.

Dans le quatrième out come, (santé communautaire ; les résultats issus de cette enquête montrent que là plus part des RECOs identifiées ont été formé et sensibilisé sur la surveillance communautaire à travers plusieurs formations sur la prise en charge des maladies communautaires courantes, et à travers plusieurs dialogues communautaires Read More...

Informe Final del Proyecto “Combatiendo la Anemia en el Centro Poblado de Cieneguillo Centro en Sullana II”

CBC PERUANA S.A.C, en el marco de su contribución para el Desarrollo Social del país, ha promovido y financiado el proyecto Combatiendo la Anemia en el Centro Poblado de Cieneguillo Centro en Sullana como parte de su programa de responsabilidad social. El Proyecto aportó a la mejora de las condiciones de vida de las poblaciones del área de influencia de la empresa. La finalidad del proyecto fue, a través de diversas acciones, contribuir a mejorar el estado de salud general de los niños menores de 36 meses en la Región Piura. Por encargo de CBC, CARE Perú es la Institución responsable de la ejecución de la cuarta fase del proyecto, en el período de 2019 a diciembre 2019.
Para el 2019, el objetivo de CBC de la mano de CARE Perú, se orientó a lograr la sostenibilidad de todas las acciones desarrolladas en la fase previa del Proyecto (2018), de manera que las estrategias sean efectivamente apropiadas por las autoridades locales y regionales, especialmente en el marco del cambio de gobierno. Por ello, la incidencia política en los nuevos representantes.

El segundo documento es el PROCESAMIENTO Y ANÁLISIS DE INFORMACIÓN SOBRE ANEMIA.
This is a summary on anemia indicators in Cieneguillo village. This report shows the statistical processing of indicators, the tests applied to validate the information such as: T-student test, Wilcoxon, Chi-squared and Anova. Read More...

The Nawiri Project: Stories and Best Practices

The Siaya Maternal and Child Nutrition Nawiri Project is a 36-month intervention on maternal and child nutrition. The project targets to reach 94,435 children under 5 years; 127,065 women of reproductive age; 42,000 adolescent girls and 20,000 men in the Siaya County. The project is executed in partnership among three consortium members; CARE (the coordinator), Family Health Options Kenya (FHOK) and the Kisumu Medical and Education Trust (KMET) in Siaya County with funding support from the European Union, the Austrian Development Cooperation (ADC) and CARE.
The overall objective of the project is to contribute to improving maternal, infant and young child nutrition (MIYCN), including nutrition of women of reproductive age in Siaya County. In order to increase the nutritional status of children under the age of five and of women of reproductive age, the project aims to alleviate the most severe obstacles of poor MIYCN in Siaya County. Read More...

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