Sexual|Reproductive Health
N utrition Knowledge Attitude and Practice (KAP) Survey for DINU Program in North and North-Eastern Uganda
Background: The Development Initiative for Northern Uganda (DINU) is a Government of Uganda integrated programme. It is implemented in districts that include the 11 of Kitgum (Acholi), Nakapiripirit, Amudat, Nabilatuk, Napak, Moroto, Kotido, Kaabong, Karenga and Abim (Karamoja), and Katakwi (Teso) sub-regions for three years from 2020 – 2022. The overall supervision is with the Office of the Prime Minister through local governments in partnership with a wide range of stakeholders. DINU supports interventions in three specific interlinked programs: (1) Food Security, Nutrition and Livelihoods (2) Transport Infrastructures and (3) Good Governance. The CARE consortium focusses on the sector of food security, nutrition and livelihoods with specific emphasis on community-based interventions. A survey was launched by the CARE Consortium partners with the overall objective of generating comprehensive gender sensitive Nutrition Knowledge, Attitude and Practices (KAP) information in the targeted 11 CARE consortium districts. It is intended to help inform the implementation of the nutrition component of the DINU project.
Methodology: The KAP survey was conducted from 17th November to 8th December 2020 in the 11 districts. The study populations were mothers and/or caregivers in household with children aged 0-23 months, adolescent girls aged 10 to 19 years with or without children 0-23months. Key district, subcounty and community leaders who played crucial role in programming for MIYCAN related interventions were reached. A cross-sectional survey utilising both quantitative and qualitative data collection methods was used. Sample size estimation was based on WHO Vaccination Coverage Cluster Survey guidance, July 2015. Household questionnaire comprising of 5 modules was adapted from the FAO manual for assessing nutrition related KAP. Semi-structured interview guides were used to facilitate the Key Informants Interviews and Focus Group Discussions. Quantitative data collection was done using mobile phones through Computer Assisted Personal Interviewing (CAPI) working on the Open Data Kit (ODK) platform and hosted on the ONA platform. Quantitative Data analysis was done using SPSS 26. Qualitative data analysis was done based on the interpretative approach that involved eliciting meanings from the collected information. A total of 164 clusters were reached, 1,139 households, 1,158 children aged 0 to 23months, 1,112 women and 452 adolescents from all the 11 districts. Meanwhile, 22 FGDs and 44 key informant interviews were conducted. Read More...
Methodology: The KAP survey was conducted from 17th November to 8th December 2020 in the 11 districts. The study populations were mothers and/or caregivers in household with children aged 0-23 months, adolescent girls aged 10 to 19 years with or without children 0-23months. Key district, subcounty and community leaders who played crucial role in programming for MIYCAN related interventions were reached. A cross-sectional survey utilising both quantitative and qualitative data collection methods was used. Sample size estimation was based on WHO Vaccination Coverage Cluster Survey guidance, July 2015. Household questionnaire comprising of 5 modules was adapted from the FAO manual for assessing nutrition related KAP. Semi-structured interview guides were used to facilitate the Key Informants Interviews and Focus Group Discussions. Quantitative data collection was done using mobile phones through Computer Assisted Personal Interviewing (CAPI) working on the Open Data Kit (ODK) platform and hosted on the ONA platform. Quantitative Data analysis was done using SPSS 26. Qualitative data analysis was done based on the interpretative approach that involved eliciting meanings from the collected information. A total of 164 clusters were reached, 1,139 households, 1,158 children aged 0 to 23months, 1,112 women and 452 adolescents from all the 11 districts. Meanwhile, 22 FGDs and 44 key informant interviews were conducted. Read More...
Development Initiative for Northern Uganda (DINU) Value Chains and Market Assessment report
The CARE consortium comprising of partner organisations such as Catholic Relief Services (CRS), Gulu Agricultural Development Company (GADC), Dynamic Agro Pastoral Development Organization (DADO) and SORUDA are currently implementing a three-year project titled “Inclusive Market Based Development for Small Holder farmers in Northern Uganda. This project contributes to the Development Initiative for Northern Uganda (DINU) – A Government of Uganda program aimed at consolidating stability in Northern Uganda, eradicating poverty and under nutrition and strengthening the foundations for sustainable and inclusive socio-economic development. Specifically, the project under the CARE consortium contributes to DINU’s specific Objective one on: ‘Improving livelihoods through increased production of diversified food, enhanced market opportunities and better maternal and child nutrition.’ The CARE consortium currently targets 11 districts including: Abim, Kotido, Karenga, Kaabong, Moroto, Amudat, Nakapiripirit, Napak, Katakwi and Kitgum. Given this background, the study sought to:
• Map out existing and new Agricultural and non-Agricultural value chains and assess their potential to promote women and youth economic empowerment, and community-based nutrition and household incomes.
• Identify challenges, specific entry barriers for women and youth into the VC and opportunities along the Value chains of; 1) crops such as Soybean, groundnuts, nutritious potato, vegetable, etc.); 2) Honey; and 3) livestock (small ruminants, and other non-Agricultural value chain) and propose ways of addressing these challenges.
• Develop an individual VCs, including mapping of actors, actions, supporting functions, institutions, policy issues, along each chain and propose recommendations for specific gender sensitive value chain activities that promote women and Youth participation and economic empowerment (employment opportunities as well as increasing their incomes along the chain).
• Assess the market structure (players, channels, sourcing), demand and supply (product specifications, prices, volumes, preferences), trends, market opportunities and challenges for the different value enterprises above Read More...
• Map out existing and new Agricultural and non-Agricultural value chains and assess their potential to promote women and youth economic empowerment, and community-based nutrition and household incomes.
• Identify challenges, specific entry barriers for women and youth into the VC and opportunities along the Value chains of; 1) crops such as Soybean, groundnuts, nutritious potato, vegetable, etc.); 2) Honey; and 3) livestock (small ruminants, and other non-Agricultural value chain) and propose ways of addressing these challenges.
• Develop an individual VCs, including mapping of actors, actions, supporting functions, institutions, policy issues, along each chain and propose recommendations for specific gender sensitive value chain activities that promote women and Youth participation and economic empowerment (employment opportunities as well as increasing their incomes along the chain).
• Assess the market structure (players, channels, sourcing), demand and supply (product specifications, prices, volumes, preferences), trends, market opportunities and challenges for the different value enterprises above Read More...
Development Initiative for Northern Uganda (DINU) End of Project Report
The Development Initiative for Northern Uganda (DINU) was a 38-month project implemented between January 2020 and February 2023, with an aim to improve food security, maternal and child nutrition, and household incomes for smallholder farmers in 11 districts of Kitgum, Katakwi, Kaabong, Karenga, Kotido, Moroto, Napak, Nabilatuk, Nakapiriprit, Amudat, and Abim. The project was implemented by a consortium led by CARE Denmark, alongside partners such as Catholic Relief Services (CRS), Gulu Agricultural Development Company (GADC), Dynamic Agro-Pastoral Development Organization (DADO), and Soroti Rural Development Agency (SORUDA). The project had three major outcomes: increased production of diversified food by both men and women smallholder farmers, enhanced market accessibility for these farmers, and improved nutrition and Family Planning services through gender-responsive community-based approaches.
The Project employed an Inclusive Market Development-Based approach, emphasizing economic gender equality, women empowerment, youth engagement, and community-based nutrition, while also focusing on the value chain. This strategy involved multi-stakeholder engagement and synergizing with existing government and development partner initiatives like DADO, CRS, and SORUDA. By implementing this approach, the project provided smallholder farmers with opportunities to enhance their incomes through the cultivation of high-value crops, such as sesame, cotton, soybean, and iron-rich beans. Additionally, measures were taken to ensure sustainability, including integrating activities into the government's PDM approach, building capacity among extension staff, and linking VSLA/SILC/YSLA/PMGs groups to financial institutions and agro input service providers.
A crucial aspect of the project was empowering women and youth, often marginalized in agriculture and rural development. Women were trained in Climate-Smart Agriculture and offered access to markets and finance through VSLA/SILC groups. Furthermore, Role Model Men were involved in raising awareness on gender-responsive actions, family planning, and women empowerment within smallholder farmers' households, fostering attitudinal changes towards gender equality and encouraging women to play an active role in agricultural production.
To achieve success, the project effectively engaged both public and private extension workers, disseminating information on Climate-Smart Agriculture practices to smallholder farmers and boosting production and income. Additionally, collaboration with Tillage Service Providers promoted entrepreneurship among youth and reduced manual labor burdens for smallholder farmers.
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The Project employed an Inclusive Market Development-Based approach, emphasizing economic gender equality, women empowerment, youth engagement, and community-based nutrition, while also focusing on the value chain. This strategy involved multi-stakeholder engagement and synergizing with existing government and development partner initiatives like DADO, CRS, and SORUDA. By implementing this approach, the project provided smallholder farmers with opportunities to enhance their incomes through the cultivation of high-value crops, such as sesame, cotton, soybean, and iron-rich beans. Additionally, measures were taken to ensure sustainability, including integrating activities into the government's PDM approach, building capacity among extension staff, and linking VSLA/SILC/YSLA/PMGs groups to financial institutions and agro input service providers.
A crucial aspect of the project was empowering women and youth, often marginalized in agriculture and rural development. Women were trained in Climate-Smart Agriculture and offered access to markets and finance through VSLA/SILC groups. Furthermore, Role Model Men were involved in raising awareness on gender-responsive actions, family planning, and women empowerment within smallholder farmers' households, fostering attitudinal changes towards gender equality and encouraging women to play an active role in agricultural production.
To achieve success, the project effectively engaged both public and private extension workers, disseminating information on Climate-Smart Agriculture practices to smallholder farmers and boosting production and income. Additionally, collaboration with Tillage Service Providers promoted entrepreneurship among youth and reduced manual labor burdens for smallholder farmers.
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GAP ANALYSIS AND LINKAGE READINESS ASSESSMENT FOR YOUTH/VILLAGE SAVINGS AND LOANS ASSOCIATIONS (Y/VSLAs)
The Development Initiative for Northern Uganda (DINU), a Government of Uganda initiative with support from European Union, supervised by the Office of the Prime Minister is being implemented by a consortium led by CARE Denmark. The program is being implemented in the Karamoja sub region (covering 11 districts) as well as Kitgum and Katakwi districts. CARE Denmark commissioned gap analysis for Y/VSLA linkage to identify interventions aimed at contributing to improved access to credit through community saving and credit schemes.
The objectives of the study included gap analysis of Y/VSLAs, linkage readiness assessment for mature Y/VSLAs and evaluation “digital readiness” of group members. A representative sample of 773 Y/VSLAs from drawn from all the project districts were covered the study. The sample was classified in three categories: Mature groups totalling 350 (45.3%) Mature and ready for Linkage groups, 390 (50.5%) and Watch Category/Maturing groups and 33 (4.3%)
The analysis revealed that the gaps identified in Mature and Ready-for-linkage Y/VSLAs were closely similar to those in Watch Category (Maturing Groups) category and required more or less similar interventions.
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The objectives of the study included gap analysis of Y/VSLAs, linkage readiness assessment for mature Y/VSLAs and evaluation “digital readiness” of group members. A representative sample of 773 Y/VSLAs from drawn from all the project districts were covered the study. The sample was classified in three categories: Mature groups totalling 350 (45.3%) Mature and ready for Linkage groups, 390 (50.5%) and Watch Category/Maturing groups and 33 (4.3%)
The analysis revealed that the gaps identified in Mature and Ready-for-linkage Y/VSLAs were closely similar to those in Watch Category (Maturing Groups) category and required more or less similar interventions.
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Integrating Sexual and Reproductive Health and Gender Based Violence Programming
Learning brief on CARE's sexual and reproductive health (SRH) and gender-based violence (GBV) implementation programming in in Cox’s Bazar (CxB), Bangladesh, home to nearly a million refugees from Myanmar. Read More...
HAMORIS Project (Hamenus Mortalidade no Risku ba Inan Sira)
This report is an end-stage evaluation of CARE International Timor-Leste’s HAMORIS project. The HAMORIS project aims at contributing to lasting reductions in maternal mortality and morbidity by increasing the number of women accessing quality Sexual Reproductive and Maternal Health Services (SRMHS).
There are four sets of conclusions drawn from the findings:
• There is increased access and utilization of improved quality SRMHS by women and men in the targeted communities of the HAMORIS project
• Normative changes towards acceptance of Gender Equality and less tolerance for GBV, have been produced as a consequence of the project
• There are unintended consequences for marginalised voices, including PWD
• Many of the recommendations of the MTR were followed but further time, resources needed to implement them all. Read More...
There are four sets of conclusions drawn from the findings:
• There is increased access and utilization of improved quality SRMHS by women and men in the targeted communities of the HAMORIS project
• Normative changes towards acceptance of Gender Equality and less tolerance for GBV, have been produced as a consequence of the project
• There are unintended consequences for marginalised voices, including PWD
• Many of the recommendations of the MTR were followed but further time, resources needed to implement them all. Read More...
Foster good health and economic resilience (in the COVID-19 pandemic and beyond): Integrated Programme to Reduce the Medium-term effects of COVID-19 (IPIC) in Sudan
This is the final evaluation for the Kassala state-implemented "Foster Good Health and Economic Resilience (in the COVID-19 Pandemic and Beyond): Integrated Programme to Reduce the Medium-Term Effects of COVID-19 (IPIC)". The evaluation's goal is to assess the project's impact on the targeted beneficiaries and to assess the project's level of achievement, as well as to provide project stakeholders with information about the project's performance in relation to its stated objectives, from January 2020 to December 2022.
Relevance: The project was found to be relevant and responding to the real needs of the targeted communities. The selected communities are among the most vulnerable people in the state, with the majority of them living below the poverty line. According to the baseline survey conducted in October 2020, most of the targeted beneficiaries (53%) have incomes ranging from 10,000 to 20,000 SDG’s per month, which is equivalent to 22 to 44 USD.
Efficiency: The project was carried out with good and acceptable efficiency; the project completed 100% of its planned activities with a high level of participation from the targeted communities and important institutions, particularly the state ministry of health.
Effectiveness: The project was determined to be very effective and resulted in many changes among the targeted persons, as well as a substantial contraption for preventing COVID-19 and reducing its harmful influence on the targeted people, as evidenced by the fact that:
During the project's implementation period, a total of 47,268 people received COVID-19 knowledge and capacity building. This includes all people in the targeted areas, with the possibility of duplicate counting because some people received the awareness more than once. These capacity building and awareness programs were carried out through the execution of awareness campaigns, and the trained community outreached played important roles in disseminating information to their community members. The community outreached were carefully selected with gender (50% women) in mind, and they were trained and provided with the necessary COVID-19 prevention items.
The evaluation witnessed high level of impact and effectiveness in health sector, this ensured by the feedback of all consulted people by direct interviews, FGDs and KII interviews, in addition to the observation of the evaluation team. Different sorts of support offered to the three health facilities enhanced access to health care for 3015 HH (21,105 people), this representing all HH in the three villages.
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Relevance: The project was found to be relevant and responding to the real needs of the targeted communities. The selected communities are among the most vulnerable people in the state, with the majority of them living below the poverty line. According to the baseline survey conducted in October 2020, most of the targeted beneficiaries (53%) have incomes ranging from 10,000 to 20,000 SDG’s per month, which is equivalent to 22 to 44 USD.
Efficiency: The project was carried out with good and acceptable efficiency; the project completed 100% of its planned activities with a high level of participation from the targeted communities and important institutions, particularly the state ministry of health.
Effectiveness: The project was determined to be very effective and resulted in many changes among the targeted persons, as well as a substantial contraption for preventing COVID-19 and reducing its harmful influence on the targeted people, as evidenced by the fact that:
During the project's implementation period, a total of 47,268 people received COVID-19 knowledge and capacity building. This includes all people in the targeted areas, with the possibility of duplicate counting because some people received the awareness more than once. These capacity building and awareness programs were carried out through the execution of awareness campaigns, and the trained community outreached played important roles in disseminating information to their community members. The community outreached were carefully selected with gender (50% women) in mind, and they were trained and provided with the necessary COVID-19 prevention items.
The evaluation witnessed high level of impact and effectiveness in health sector, this ensured by the feedback of all consulted people by direct interviews, FGDs and KII interviews, in addition to the observation of the evaluation team. Different sorts of support offered to the three health facilities enhanced access to health care for 3015 HH (21,105 people), this representing all HH in the three villages.
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Multi-sectoral and integrated humanitarian assistance for the conflict displaced and most vulnerable populations Sudan
This baseline survey was conducted for the USAID/BHA funded project “Multi-sectoral and integrated humanitarian assistance for the conflict displaced and most vulnerable populations in South and East Darfur” implemented by CARE International in Sudan. The baseline was designed to collect data in selected communities in southern and eastern Darfur State to assess the situation before the start of the project and determine baseline values for project indicators. The baseline used multiple methods for data collection, including desk review of project documents, individual interviews with household leaders using a structured questionnaire, Focus Group Discussions (FGD) with representatives of different groups in the communities, Key Informant Interviews (KII) with the respective institutions.
When asked how much water they collect per day for all uses, it was discovered that households collect a mean of 5.6 Jeri Can per day (1 Jerrican=20 liters) which gives 17 litters/day/person from all sources including unsafe ones, keeping in mind that this water is collected from all sources including unsafe ones and for all types of uses.
Access to latrine: From the total surveyed families, 39% do not have access to latrines (48.3% M, 31.9% F). Lack of access to latrines is common in SD, with the majority of HH (55.9%) without access compared to ED (21.4%). And from the total families;23.3% of the HH surveyed acknowledged that their family members usually practice open defecation (26.4%M, 20.8%F), 23.5% use community latrines, and 3.8% share latrines with their neighbors. 51.8% of those who have latrines are inaccessible to people with disabilities (61.5%M, 44.2%F).
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When asked how much water they collect per day for all uses, it was discovered that households collect a mean of 5.6 Jeri Can per day (1 Jerrican=20 liters) which gives 17 litters/day/person from all sources including unsafe ones, keeping in mind that this water is collected from all sources including unsafe ones and for all types of uses.
Access to latrine: From the total surveyed families, 39% do not have access to latrines (48.3% M, 31.9% F). Lack of access to latrines is common in SD, with the majority of HH (55.9%) without access compared to ED (21.4%). And from the total families;23.3% of the HH surveyed acknowledged that their family members usually practice open defecation (26.4%M, 20.8%F), 23.5% use community latrines, and 3.8% share latrines with their neighbors. 51.8% of those who have latrines are inaccessible to people with disabilities (61.5%M, 44.2%F).
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