Sexual|Reproductive Health

Creating spaces for dialogue: a cluster-randomized evaluation of CARE’s Community Score Card on health governance outcomes

Social accountability interventions such as CARE’s Community Score Card© show promise for improving sexual, reproductive, and maternal health outcomes. A key component of the intervention is creation of spaces where community members, healthcare workers, and district officials can safely interact and collaborate to improve health-related outcomes. Here, we evaluate the intervention’s effect on governance constructs such as power sharing and equity that are central to our theory of change. Read More...

Improving Sexual and Reproductive Health of Adolescents and Youth in Burundi

The objective of the baseline study for the Joint Program "Menyumenyeshe" is to determine the baseline situation through 7 indicators identified by the consortium at the beginning of the program implementation. This willbe used as the basis to compare to the final evaluation in 2020 to measure the progress and achievements / results of the program, and provide recommendations to guide the current and other future programs.

The survey reached successfully 1247 households on an initial sample of 1260 distributed in all 18 provinces of the country.It targeted any young people aged 10-24 years found in the selected households. In these households, 5037 members were registered and 1483 young people and adolescents were successfully interviewed. [120 pages] Read More...

Umodzi – Men, Women, Boys and Girls in Alliance to Achieve Gender Equality Final Narrative

Umodzi was a two-year action research project to test the effectiveness and scalability of a gender-synchronized, transformational approach that is integrated into existing school-based life skills (LS) and sexuality education programs for 10- to 19-year-old adolescent boys and girls. The purpose of Umodzi was to enhance the sustained empowerment of adolescent girls in rural communities in Central Malawi to exercise their sexual and reproductive health (SRH) rights and ultimately achieve better life outcomes. The project used a comparative study to demonstrate evidence-based impact and also used a proof-of-concept component to inform process in real time. [20 [pages] Read More...

Intégration de la vaccination et de la planification familiale

Dans le cadre d’un élargissement géographique de l’intégration de la vaccination et de la planification du programme VIVO, CARE Niger a initié une recherche formative dans le district sanitaire de Gaya en vue de mettre en œuvre un projet de promotion des méthodes modernes de contraception dans dix(10) CSI selon des critères bien précis. L’objectif est de faire une analyse situationnelle au niveau des aires de santé et des établissements de santé communautaires afin d’identifier les obstacles structurels et socio-culturels ainsi que ceux qui sont liés au genre, qui empêchent l’accès aux services de planification familiale et de vaccination et qui pourraient constituer un obstacle à une intégration réussie de ces services.

Le constat des données de l’OMS de 2015, selon lesquelles le Niger a un taux de mortalité maternelle élevé : 553 décès maternels pour 100000 naissances vivantes dû à un taux de prévalence contraceptive les plus bas dans la région (12%). Alors que le taux de vaccination est de 68%, ont dû être des déterminants majeurs du programme VIVO au Niger.

Les données (sur le terrain) recueillies dans le district sanitaire de Gaya, serviront de base sur la mise en œuvre du projet d’élargissement géographique de l’intégration de la vaccination et de la planification. [95 pages]
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Rapport de l’Evaluation des Prestataires des Centres Appuyes par CARE sur les Methods Contraceptives de Longue Duree

CARE Niger dans le cadre du projet Vivo, avait organisé en septembre et octobre 2016 une formation des prestataires des formations sanitaires d’intervention du projet. Cette formation avait porté sur la technologie contraceptive et l’intégration des services de planification familiale et de vaccination. Ainsi 21 prestataires ont acquis des connaissances et des compétences en technologie contraceptive. A la suite de cette formation, des supervisions ont été organisées par le staff clinique du projet.

La présente évaluation externe vise à apporter un autre regard et une autre appréciation des compétences transmises au cours de cette session de formation et leur utilisation dans les centres de santé. Ainsi du 09 au 16 aout 2017 a été menée une évaluation de tous les prestataires formés par le projet sur ces sites d’intervention. Elle a été menée par un (01) consultant venu du Burkina Faso et la responsable de la santé de la reproduction du district sanitaire de Gaya. [8 pages]
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Enhancing Mobile Populations Access to HIV and AIDS Services Information and Support (EMPHASIS) Endline Report

CARE’s Enhancing Mobile Population’s Access to HIV/AIDS Services Information and Support program (EMPHASIS) is a 5 year program, which began in 2009, implemented in CARE Country offices in India, Nepal and Bangladesh. EMPHASIS aims to address cross-border mobility-related vulnerabilities focusing primarily on HIV and AIDS and gender programing for mobile and at-risk populations. EMPHASIS is funded by the Big Lottery Fund, UK.
The CARE EMPHASIS project team identified key project and outcome indicators to measure the success of the project. These indicators were drawn from the project log-frame; EMHPASIS specifically designed its interventions to achieve measurable progress across these indicators. The primary goal of the end-line survey activity was to collect the required data to measure the progress of these key project and outcome indicators longitudinally to the baseline data and between purposefully selected control populations at the end-line activity. [67 pages]
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Enhancing Mobile Populations Access to HIV and AIDS Services Information and Support (EMPHASIS) Baseline

There are a growing number of people migrating between Bangladesh, Nepal and India. Mobility has long been linked with heightened vulnerability to HIV & AIDS. While overall HIV prevalence is low in Bangladesh and Nepal, there is a growing concern that vulnerable mobile populations are forming a bridge between high prevalence areas of India and low prevalence areas in Bangladesh and Nepal. Enhancing Mobile Populations’ Access to HIV & AIDS Services Information and Support (EMPHASIS) is a regional program being implemented by CARE Bangladesh, CARE India and CARE Nepal and led by CARE International UK (CIUK) to reduce AIDS related vulnerabilities among mobile populations crossing the borders of Bangladesh and Nepal into India. This 5-year (August 2009 – July 2014) program, is funded by the Big Lottery Fund (BIG) of United Kingdom. [57 pages] Read More...

New Born Survival Project (NBS) Endline Report

Care India carried out in the Newborn Survival project in Ajaygarh block in Panna district of Madhya Pradesh. The project focused on strengthening services in maternal and child health by training of frontline health workers, GNMs/ANMs and creating community awareness on health parameters to be taken care of during pregnancy and delivery. A baseline survey was conducted in the beginning of the project to record the then status of health services being provided and community knowledge and perception on the same. This report presents the end line survey findings after the completion of the project. [92 pages] Read More...

Urban Health Initiative (UHI) Endline Report

The benefits of family planning go beyond the prevention of maternal and child mortality and extend to poverty alleviation, environmental sustainability and the empowerment of women. The Bill & Melinda Gates Foundation is committed to reducing unintended pregnancy in the developing world by increasing access to high-quality, voluntary family planning services. The Urban Reproductive Health (RH) Initiative, initiated in 2009, is one component of the foundation’s strategy that targets the expansion of quality family planning services in selected urban areas of Uttar Pradesh, India; Kenya; Nigeria; and Senegal. To build scientific evidence for urban family planning efforts, the Measurement, Learning & Evaluation (MLE) Project, led by the Carolina Population Center at the University of North Carolina at Chapel Hill (UNC-CH), in partnership with the International Center for Research on Women (ICRW), conducted an impact evaluation of the country-specific Urban Health Initiative (UHI) program in Uttar Pradesh, India. [102 pages] Read More...

HIV/AIDS Prevention Programme III (HAPP III) in Sierra Leone

The HIV/AIDS Prevention Program (HAPP) III implemented in Sierra Leone, supports the financing of social marketing activities for condoms and the Impact Mitigation Funds (IMF) aimed at mitigating the social impact of HIV/AIDS. The project focuses on the prevention of GBV including FGC; prevention of HIV/AIDS and unplanned pregnancies as well as the empowerment of girls and women.1 The overall goal of HAPP III is to contribute to improved sexual and reproductive health of Sierra Leone. The programme was implemented from June 2013 to July 2017 and granted a no-cost extension to March 2018. This was to make up for 18 months of programme implementation time lost during the outbreak of the Ebola Viral Disease from the 24th May 2014 through 17th March 2016.

The overall purpose of the HAPP III end phase evaluation is to measure improvements in SRHR outcomes (specifically decrease of risk contact of HIV, increased use of condoms by the 15-24 year old generation, reduced stigmatization against people living with HIV and ratio of mother’s age 25-49 years who do not intend their daughters to be subjected to FGC). [70 pages] Read More...

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