Sexual|Reproductive Health
Protections and Choice for Marginalised Urban Women (PACMUW) Final Report
47 page endline report of PACMUW project, which was implemented between July 2013 and June 2017 with AUD $1,272,061.00 funding from CARE Australia under the Australian NGO Cooperation Program (ANCP). The PACMUW project was designed to address multi-faceted vulnerabilities of key MUW in Laos – specifically for entertainment workers, factory workers and domestic workers in three districts of Vientiane Capital. PACMWU builds on previous programs and focuses on three thematic areas – legal protections, gender based violence and health (nutrition and sexual and reproductive health), as well as strengthening the motivations and skills of relevant duty bearers.
Read More...
Read More...
Abdiboru Project Mini-Assessment Report
Improving adolescent reproductive health and nutrition through structural solutions is a project to be implemented in West Hararghe zone, Oromia, Ethiopia. The project is implemented in four selected woredas of West Hararghe Zone: Chiro, Boke, Mesela and Anchar. It is a five-year project running from October 2015 to September 2020.
Abdiboru project seeks to test a set of interventions, including social norms and structural issues, aimed at improving the reproductive health and nutritional status of adolescent girls; specifically reduction of early marriage, improving educational attainment, gender equitable food allocation, contraception use and empowerment. The intervention target are adolescent girls in the age group 10-14 year. However, adolescent boys, adult male and female community members, parents, husbands, in-laws, school environment, governmental structure, religious leaders and other influential people in their area are also important stakeholders of the project. Read More...
Abdiboru project seeks to test a set of interventions, including social norms and structural issues, aimed at improving the reproductive health and nutritional status of adolescent girls; specifically reduction of early marriage, improving educational attainment, gender equitable food allocation, contraception use and empowerment. The intervention target are adolescent girls in the age group 10-14 year. However, adolescent boys, adult male and female community members, parents, husbands, in-laws, school environment, governmental structure, religious leaders and other influential people in their area are also important stakeholders of the project. Read More...
Abdiboru Project Baseline Qualitative Study
Improving Adolescent Reproductive Health and Nutrition through Structural Solutions in West Hararghe Zone, Oromia, Ethiopia (Abdiboru Project) is funded by Bill and Melinda GatesFoundation and implemented by CARE/ Ethiopia. The project is a 5-year (2016 – 2020) intervention initiative focusing on girls aged 10-14. The project aims at empowering adolescent girls through applying improved individual level and structural level social interventions that are likely to improve the reproductive health, nutrition and education attainment of adolescent girls. The ultimate aim is to establish a cost effective model that can be applied at scale. In order to achieve this goal, the project focuses on ensuring adolescent girls have the agency to control decisions that affect their own lives and influence the local, regional and national development agenda, improving the accountability and support to adolescent girls of the government's local and district health, education and women affairs institution and strengthen social and cultural norms and values that protect and prevent discrimination against adolescent girls. [56 pages] Read More...
Midterm Performance Evaluation of the Bangladesh NGO Health Service Delivery Project (NHSDP)
This 159-page midterm performance evaluation of the Bangladesh Non-governmental Organizations (NGO) Health Service Delivery Project (NHSDP) examines the project’s progress toward meeting its goal and objectives. NHSDP is the United States Agency for International Development (USAID)/Bangladesh’s largest health initiative; this flagship project is the latest in a series of programs going back to at least 1998 that have sought to improve the ability of local NGOs to provide basic health services to the poor. NHSDP was designed in 2012, when USAID was implementing significant procurement reforms and emphasizing the need to work more directly with local organizations. In 2013, USAID received gift funds from the United Kingdom’s Department for International Development (DFID) to co-fund NHSDP, which expanded the scope considerably. The DFID supplementary fund has supported the current NHSDP activities and strengthened its focus on family planning (FP) and maternal health outcomes, with a specific focus on improved service delivery for the urban poor. Read More...
Rapid Gender And GBV Assessment in MMC and Jere Local Governments – Borno State
The unprecedented gender and protection implications of the NE Nigeria insurgency prompted CARE International to initiate a gender and GBV assessment. The assessment was undertaken in two phases: a desk review and consultation with stakeholders in March 2017 to gather relevant data of the gender and protection context in NE Nigeria in conflict and post-conflict situations, as well as information on existing legal provision and frameworks. A field assessment was conducted in January 2018, to complete the first assessment with primary data from affected women and men in Borno and Yobe states.
Rapid Gender and GBV1 assessments provide information about the different GBV risks, needs, capacities and coping strategies of women, men, boys and girls in a crisis. The analysis is built up progressively using a range of primary and secondary information to understand gender roles and power relations and the implied GBV risks and how they may change during a crisis. The analysis provides practical, programming and operational recommendations to meet the different needs of women, men, boys and girls, to ensure that humanitarian actors ‘do no harm’ in their operations. The global objective of this assessment is to improve the quality and effectiveness of CARE and partner’s response to the North East Nigeria crisis. Read More...
Rapid Gender and GBV1 assessments provide information about the different GBV risks, needs, capacities and coping strategies of women, men, boys and girls in a crisis. The analysis is built up progressively using a range of primary and secondary information to understand gender roles and power relations and the implied GBV risks and how they may change during a crisis. The analysis provides practical, programming and operational recommendations to meet the different needs of women, men, boys and girls, to ensure that humanitarian actors ‘do no harm’ in their operations. The global objective of this assessment is to improve the quality and effectiveness of CARE and partner’s response to the North East Nigeria crisis. Read More...
Improving Maternal and Infant Health in Bangladesh (IMIHB)
A 36 page evaluation of the IMIHB project which aimed to improve maternal, newborn and child health status of urban and peri-urban areas in Gazipur district of Bangladesh. The project centres around capacity building of the community health provision and support system; awareness generation in the community; and establishing referral and linkages between health facilities. Read More...
Highlands Sexual, Reproductive and Maternal Health (HSRMH) Project
A 36 page document outlining and evaluating the HSRMH project that was implemented in Siaka, Papua New Guinea. A highly impactful tool used in this project was a series of educational workshops, aimed at local communities (both men and women). These programs helped to explore how traditional customs and gender norms can negatively affect sexual, reproductive and maternal health, further detailed in this document. Read More...
Safe Motherhood Project
A 26 page evaluation of the Safe Motherhood Endline study that is to serve as a comparative study against the baseline study (completed April 2015). This document reports the current knowledge, attitudes and practices in the areas of maternal and child health in target communities in Ermera and Covalima, Timor-Leste. Read More...
Mid-term Performance Evaluation of the “Continuum of Prevention, Care and Treatment (CoPCT) of HIV/AIDS with Most at-Risk Populations in Cameroon (CHAMP)” Project
The USAID/West Africa, Cameroon field office requested a mid-term performance evaluation in 2017 to determine which approaches are best contributing towards the USAID-funded “Continuum of Prevention, Care and Treatment (CoPCT) of HIV/AIDS with Most at-Risk Populations in Cameroon (CHAMP)” program’s purpose to “improve the Government’s and civil society technical capacity to implement evidence-based prevention, care and treatment services to key populations (KPs) in Cameroon,” and the extent to which this program purpose will likely be achieved at the end of the program in 2019. This Executive Summary presents highlights of the evaluation findings and summarized recommendations, followed by the full report which includes further detail.
Review of findings from this mid-term evaluation show that the USAID and PEPFAR-supported CHAMP program has made significant strides in expanding services to key populations in Cameroon over the life of the project to date, despite significant challenges and violence directed towards KPs. While CHAMP’s predecessor program, the USAID HIV/AIDS Prevention Program (HAPP), focused on the provision of prevention services from 2009-2013, CHAMP has since 2014 expanded services across the full cascade from HIV/AIDS prevention to treatment and retention. While HAPP had a relatively small budget under $1 million a year, CHAMP is an $18.5 million program over 5 years, with concurrent scale-up of key populations reached with prevention, testing, linkage to, and retention in treatment in Yaoundé, Douala, and Bamenda city clusters. The Global Fund and PEPFAR are the major donors for KPs in Cameroon and have worked closely to align and harmonize efforts and monitoring approaches, including a joint PEPFAR/Global Fund KP cascade assessment in 2016 that was organized through the LINKAGES project working through CHAMP.
Particularly notable advancements are the introduction of enhanced peer education and mobilization (EPEM) models for outreach and extensive microplanning used to identify new individuals and new networks beyond traditional peer to peer contacts for intensified case finding, and key populations living with HIV (KPLHIV) receive extensive support from peer navigators, counselors and linkage and retention agents in both community-based drop-in-centers (DICs) and in linked referral health facilities providing ART initiation and tertiary care. The drop-in center “one-stop shop” model now has added community based ART dispensation at the DIC, and there has been systematic engagement, collaborative training
and partnership between CHAMP and the Government of the Republic of Cameroon, other PEPFAR agencies including CDC and DOD, and the Global Fund, to reinforce the provision of improved quality services to KPs and to build capacity and coverage and data within the national program. Prevention efforts led by CHAMP and the Global Fund have contributed to a documented decline in HIV prevalence among female sex workers in Cameroon in recent years. Moreover, CHAMP’s research initiatives have produced high-quality data to document the KP epidemics in Cameroon, allowing for far more accurate measurement and tracking of results of prevention, care and treatment approaches. Read More...
Review of findings from this mid-term evaluation show that the USAID and PEPFAR-supported CHAMP program has made significant strides in expanding services to key populations in Cameroon over the life of the project to date, despite significant challenges and violence directed towards KPs. While CHAMP’s predecessor program, the USAID HIV/AIDS Prevention Program (HAPP), focused on the provision of prevention services from 2009-2013, CHAMP has since 2014 expanded services across the full cascade from HIV/AIDS prevention to treatment and retention. While HAPP had a relatively small budget under $1 million a year, CHAMP is an $18.5 million program over 5 years, with concurrent scale-up of key populations reached with prevention, testing, linkage to, and retention in treatment in Yaoundé, Douala, and Bamenda city clusters. The Global Fund and PEPFAR are the major donors for KPs in Cameroon and have worked closely to align and harmonize efforts and monitoring approaches, including a joint PEPFAR/Global Fund KP cascade assessment in 2016 that was organized through the LINKAGES project working through CHAMP.
Particularly notable advancements are the introduction of enhanced peer education and mobilization (EPEM) models for outreach and extensive microplanning used to identify new individuals and new networks beyond traditional peer to peer contacts for intensified case finding, and key populations living with HIV (KPLHIV) receive extensive support from peer navigators, counselors and linkage and retention agents in both community-based drop-in-centers (DICs) and in linked referral health facilities providing ART initiation and tertiary care. The drop-in center “one-stop shop” model now has added community based ART dispensation at the DIC, and there has been systematic engagement, collaborative training
and partnership between CHAMP and the Government of the Republic of Cameroon, other PEPFAR agencies including CDC and DOD, and the Global Fund, to reinforce the provision of improved quality services to KPs and to build capacity and coverage and data within the national program. Prevention efforts led by CHAMP and the Global Fund have contributed to a documented decline in HIV prevalence among female sex workers in Cameroon in recent years. Moreover, CHAMP’s research initiatives have produced high-quality data to document the KP epidemics in Cameroon, allowing for far more accurate measurement and tracking of results of prevention, care and treatment approaches. Read More...
Gender and GBV analysis and operational suggestions – CARE Nigeria field Assessment
CARE international has deployed a multisector assessment team in North East Nigeria to assess the increasing humanitarian needs and inform CARE’s emergency Strategy and response programming. The assessment will look at the areas of food security, Sexual and reproductive Health and Gender based violence. The gender-specific dynamics and impacts of the insurgency require a strong focus on gender mainstreaming and sexual and gender-based violence (SGBV) prevention and mitigation. Therefore a rapid gender and GBV analysis has been conducted with the global objective to improve the quality and effectiveness of CARE and partner’s response in the North East Nigeria through strong integration of gender equality and GBV at all stage of the humanitarian project cycle.
This analysis aim to provide answer to the following key questions:
• What are the different Impact of the insurgency for girls, women, boys and men and what
are the different needs of these groups?
• Who has access, and who has control over what resources and assistance? Who has the
decision among the family and the community? How the crisis has affected this power
relation, what social norms and practices affect the access and control?
• What are main GBV risks? Who is most affected and at-risk among girls, women, boys and
men? What are main social, cultural norms and practices that shape GBV in the Area?
• What are main GBV services providers and actors in the ground and what is their capacity to deliver? Do GBV survivors have access to comprehensive GBV services? What are main gaps
in service
• Formulate geographic and programmatic recommendations to guide CARE decision on GBV
• Develop a GAP to improve gender integration into the assistance. Read More...
This analysis aim to provide answer to the following key questions:
• What are the different Impact of the insurgency for girls, women, boys and men and what
are the different needs of these groups?
• Who has access, and who has control over what resources and assistance? Who has the
decision among the family and the community? How the crisis has affected this power
relation, what social norms and practices affect the access and control?
• What are main GBV risks? Who is most affected and at-risk among girls, women, boys and
men? What are main social, cultural norms and practices that shape GBV in the Area?
• What are main GBV services providers and actors in the ground and what is their capacity to deliver? Do GBV survivors have access to comprehensive GBV services? What are main gaps
in service
• Formulate geographic and programmatic recommendations to guide CARE decision on GBV
• Develop a GAP to improve gender integration into the assistance. Read More...