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CARE Rapid Gender Analysis (RGA) Mopti Mali April 2020
The ongoing crisis in Mali has led to levels of socioeconomic disruption and displacement at an unprecedented scale. There are numerous factors that contribute to aggravate/worsen the situation - political crises, decades of drought, structural food insecurity, climate change, high rates of poverty, and high rates of youth unemployment. In many areas traditional livelihoods have been usurped by political conflict or by drought, causing extremely high rates of displacement and food insecurity. Since 2017 there have been significant increases in violent attacks and rates of displacement, and the crisis continues to grow in scope and scale into 2020 (OCHA 2020).
The first few months of 2020 saw escalating violence and conflict, leading to a sharp rise in internal displacements, the continued disruption of markets, and a deterioration in the supply of basic social services. The results from the recent food and nutrition security analysis (Cadre Harmonisé, November 2019) indicate that from October to December 2019, 648,330 people are estimated to be food insecure – representing an increase of 250 percent compared to the same time last year (WFP 2020).
Mali is a highly patriarchal society, with institutionalized gender inequality that marginalizes women. The effects of the crisis have not affected all equally, and there is significant evidence that there are significant differences, with the resources, rights, and afforded to women, men, boys, girls, and other groups of individuals, requiring different coping strategies. High levels of diversity in ethnicity, socioeconomic status, and circumstance within communities bring about important intersections between power and vulnerability that further prioritize and marginalize certain individuals. As the crisis in Mali continues to rapidly evolve, it is critical to ensure that humanitarian interventions are designed to respond to the needs of women, men, boys, girls, people with disabilities, and other vulnerable groups.
To better understand the experiences of women, men, boys within this highly dynamic and rapidly evolving crisis, CARE Mali conducted a Rapid Gender Analysis in March 2020, with the objective of analysing and understanding how the insecurity and conflict in the Mopti region has influenced women, men, girls, boys, people with disabilities, and other specific groups; as well as to identify and propose solutions to limitations women face to full participation in decision making; and to provide practical advice to decision-making to improve gender integration in humanitarian response programming and planning. Of key importance was the generation of recommendations to the Harande program, a USAID Food for Peace program being led by CARE and implemented in the Mopti region from 2015-2020. Read More...
The first few months of 2020 saw escalating violence and conflict, leading to a sharp rise in internal displacements, the continued disruption of markets, and a deterioration in the supply of basic social services. The results from the recent food and nutrition security analysis (Cadre Harmonisé, November 2019) indicate that from October to December 2019, 648,330 people are estimated to be food insecure – representing an increase of 250 percent compared to the same time last year (WFP 2020).
Mali is a highly patriarchal society, with institutionalized gender inequality that marginalizes women. The effects of the crisis have not affected all equally, and there is significant evidence that there are significant differences, with the resources, rights, and afforded to women, men, boys, girls, and other groups of individuals, requiring different coping strategies. High levels of diversity in ethnicity, socioeconomic status, and circumstance within communities bring about important intersections between power and vulnerability that further prioritize and marginalize certain individuals. As the crisis in Mali continues to rapidly evolve, it is critical to ensure that humanitarian interventions are designed to respond to the needs of women, men, boys, girls, people with disabilities, and other vulnerable groups.
To better understand the experiences of women, men, boys within this highly dynamic and rapidly evolving crisis, CARE Mali conducted a Rapid Gender Analysis in March 2020, with the objective of analysing and understanding how the insecurity and conflict in the Mopti region has influenced women, men, girls, boys, people with disabilities, and other specific groups; as well as to identify and propose solutions to limitations women face to full participation in decision making; and to provide practical advice to decision-making to improve gender integration in humanitarian response programming and planning. Of key importance was the generation of recommendations to the Harande program, a USAID Food for Peace program being led by CARE and implemented in the Mopti region from 2015-2020. Read More...
Comprehensive Multisector Need Assessment South Darfur State
This needs assessment was conducted by a team from CARE International Sudan, led by the MEAL coordinator. The assessment took place in South Darfur state covering Gereida locality, and East and South Jabal Mara areas in Kass locality. The objective is to assess the current situation, identify the gaps and needs of the targeted communities and recommend key interventions that meet the real needs of the people the project serves. Different methods were used for data collection, including individual interviews with household leaders, Focus Group Discussions with representatives from different community groups, desk review of the existing information, and Key Informant Interviews with the authorities in relevant ministries and institutions.
Key Findings:
• Only 7.6 % of the people in the assessed area have easy access to adequate safe water for their family. 92.4% are suffering either from difficulty in getting the water, poor quality of water, or insufficient amounts of water for their households.
• Responsibility for fetching water lies primarily with women (55%) and girls (27%). This puts not only an uneven burden on women and girls with regards to the time and energy spent, but also exposes them to various types of violence (21.9% reported this), including sexual harassment (reported by 3.8%).
• There is lack of hygiene promotion within the assessed communities, as 97% of respondents indicated they have not received any type of capacity building in WASH. This reflected in the way that communities dealing with environment and personal hygiene: Only half (50.9%) of the respondents regularly wash their hands with water and soap.
• With regards to sanitation, 45% of people practice open defecation. Interestingly, while 51.5% of the population has a latrine in their household, only 36.6% of the population uses a latrine in their household. Lack of hygiene and sanitation is associated with poor health outcomes, with open defecation contributing to the risk of (sexual) violence against women,
• The assessed areas are suffering from lack of health facilities, and the available facilities are poor in term of required services, only 36.4 % of the consulted people have health facilities in their villages, including health centers (31.3%), hospital (6.5%) and clinics (2.2%).
• Women and girls suffer from poor access to sexual and reproductive health services. Only 28.1% of deliveries are done in a health facility, with the assistance of a trained mid-wife (21.3%), nurse (3.4%) or doctor (3.4%). Home-based deliveries by a traditional mid-wife are the most common way to give birth (38.2%). The traditional mid-wives lack formal education and some of them also undertake harmful traditional practices such as Female genital mutilation.
• Malnutrition among children under 5 years is high (37.6%) as a result of; 1) lack of capacity among mothers on the importance of intensive breast feeding for infants and other best nutrition practices for other children, 2) the poverty and low level of livelihood among the targeted communities which affect their access to the food.
• Agriculture is the main source of income for 88.9% of the consulted households in the assessed area, 65% of them are women headed households, and within the consulted females 86.5% are depending on agriculture as the main source for income. 55.4% of people depending on their own agricultural production as main source of food for their families. All farmers interviewed practice traditional rain fed agriculture
• House hold income is very low in the assessed area as 84.1% of the consulted people have an income of 5,000 SDG (12 USD) or less per month, 12.4% earn 5000 -10000 SDG/Month while only 3.5% of the people earn more than 10000 SDG per month. In the months prior to harvesting, food insecurity peaks. In September 93.3% if people suffer from lack of food. Figures are also particularly high in August (58.8%) and October (19.4%). Read More...
Key Findings:
• Only 7.6 % of the people in the assessed area have easy access to adequate safe water for their family. 92.4% are suffering either from difficulty in getting the water, poor quality of water, or insufficient amounts of water for their households.
• Responsibility for fetching water lies primarily with women (55%) and girls (27%). This puts not only an uneven burden on women and girls with regards to the time and energy spent, but also exposes them to various types of violence (21.9% reported this), including sexual harassment (reported by 3.8%).
• There is lack of hygiene promotion within the assessed communities, as 97% of respondents indicated they have not received any type of capacity building in WASH. This reflected in the way that communities dealing with environment and personal hygiene: Only half (50.9%) of the respondents regularly wash their hands with water and soap.
• With regards to sanitation, 45% of people practice open defecation. Interestingly, while 51.5% of the population has a latrine in their household, only 36.6% of the population uses a latrine in their household. Lack of hygiene and sanitation is associated with poor health outcomes, with open defecation contributing to the risk of (sexual) violence against women,
• The assessed areas are suffering from lack of health facilities, and the available facilities are poor in term of required services, only 36.4 % of the consulted people have health facilities in their villages, including health centers (31.3%), hospital (6.5%) and clinics (2.2%).
• Women and girls suffer from poor access to sexual and reproductive health services. Only 28.1% of deliveries are done in a health facility, with the assistance of a trained mid-wife (21.3%), nurse (3.4%) or doctor (3.4%). Home-based deliveries by a traditional mid-wife are the most common way to give birth (38.2%). The traditional mid-wives lack formal education and some of them also undertake harmful traditional practices such as Female genital mutilation.
• Malnutrition among children under 5 years is high (37.6%) as a result of; 1) lack of capacity among mothers on the importance of intensive breast feeding for infants and other best nutrition practices for other children, 2) the poverty and low level of livelihood among the targeted communities which affect their access to the food.
• Agriculture is the main source of income for 88.9% of the consulted households in the assessed area, 65% of them are women headed households, and within the consulted females 86.5% are depending on agriculture as the main source for income. 55.4% of people depending on their own agricultural production as main source of food for their families. All farmers interviewed practice traditional rain fed agriculture
• House hold income is very low in the assessed area as 84.1% of the consulted people have an income of 5,000 SDG (12 USD) or less per month, 12.4% earn 5000 -10000 SDG/Month while only 3.5% of the people earn more than 10000 SDG per month. In the months prior to harvesting, food insecurity peaks. In September 93.3% if people suffer from lack of food. Figures are also particularly high in August (58.8%) and October (19.4%). Read More...
Zimbabwe Food and Nutrition Emergency Cash Transfer Programme
The programme objective was to mitigate the effects drought induced of El Nino induced food insecurity in 3 wards namely ward 8, 11 and 12 of Gokwe North district.. The aim was to improve Household (HH) food security through unconditional mobile cash transfers and increase access to nutrition intervention to prevent, identify and treat severe and moderate acute malnutrition among children (0-59 months) from February- April 2017. . Under the programme CARE through ECHO funding, reached its target of 9 400 beneficiaries (4 446 men; 4 954 women), drawn from 1 799 households in the district were registered to receive monthly cash transfers to assist them in meeting expenses for basic household needs from February up to April 2017 The cash transfer value was USD7/person/month and USD10 for a single person HH and this amount met 66% of the HH Kilocal needs of the 2,100 kcal/person/day on a basic diet of maize, pulses & vegetable oil. [38 pages] Read More...
Baseline Assessment on Maternal New Born and Child Health in District Two of Kabul City
The KAP survey aimed to identify knowledge gaps, attitude patterns, and practices that may facilitate understanding and action or create barriers to Maternal, New-born and Child Health (MNCH). A Cross-sectional descriptive study design was utilized to provide information on key knowledge, attitude and practice variables related to maternal, newborn and child health with 375 household in 2nd district.
Among others, the following are the key findings of the survey:
1. High total fertility rate,
2. Low uptake of family planning/ birth spacing methods, especially long term methods,
3. High drop outs in routine vaccinations
4. High level of pregnancy complications
5. High level of miscarriage, abortion and children death after birth.
6. High delivery related risks and
7. Low level of delivery preparedness
8. Low ANC services uptake.
9. Considerable knowledge gaps and misconceptions regarding some aspects of MNCH Read More...
Among others, the following are the key findings of the survey:
1. High total fertility rate,
2. Low uptake of family planning/ birth spacing methods, especially long term methods,
3. High drop outs in routine vaccinations
4. High level of pregnancy complications
5. High level of miscarriage, abortion and children death after birth.
6. High delivery related risks and
7. Low level of delivery preparedness
8. Low ANC services uptake.
9. Considerable knowledge gaps and misconceptions regarding some aspects of MNCH Read More...
Lka – australian high commission-cab e 07-05
Goal: Economic security of the poor and vulnerable households in Batticaloa and Ampara districts is ... Read More...
Advocacy and Influencing Impact Reporting Tool High Level Panel WEE
This tool has been developed to gather further information and evidence on CARE’s advocacy or influencing win. At CARE, advocacy is defined as “the deliberate process of influencing those who make decisions about developing, changing and implementing policies to reduce poverty and achieve social justice.1” Influencing and advocacy can go beyond government policies, it can include influencing governments, donors or NGOs to adopt a CARE program model or influencing the private sector to change their company policies or operating practices.
This tool captures the significance of the win, the level of CARE and our partner’s contribution, who stands to benefit from the change, and what evidence do we have to support a claim of change or impact. With the wide range of successes within influencing work and the various roles CARE may have played in this win, this tool allows us to identify how significant the win is as well as the significance of CARE’s contribution and our partners. Read More...
This tool captures the significance of the win, the level of CARE and our partner’s contribution, who stands to benefit from the change, and what evidence do we have to support a claim of change or impact. With the wide range of successes within influencing work and the various roles CARE may have played in this win, this tool allows us to identify how significant the win is as well as the significance of CARE’s contribution and our partners. Read More...
CARE Rapid Gender Analysis on Power and Participation (RGA-P) Kassala Sudan
This Rapid Gender Analysis on Power and Participation (RGA-P) was carried out to understand women’s participation in both formal and informal structures, and the barriers to and opportunities for supporting women’s meaningful participation and leadership during the health and WASH protracted crisis in Kassala State. This RGA P was conducted in Kassala, a state in East Sudan, which borders Ethiopia and Eritrea and has a population of 2,8 million with a population of 1,271,780 below the age of 18. Annually, Kassala state is affected by natural crisis, floods, droughts and subsequent desertification, as well as man-made crisis. Refugees from Tigray and Eritrea settled in Kassala, making the state susceptible to higher rates of trafficking, smuggling and violence. Kassala state is one of the states with the country’s worst social indicators on malnutrition. Women and adolescent girls are exposed to high rates of female genital mutilation (FGM), high risk of kidnapping and high rates of child early marriage; with FGM and gender based violence (including FGM and early child marriange) all normalized within society. The prevalence of FGM in Kassala is at 40 % and children as young as six years are being engaged to be married.
As part of the RGAP, a training was conducted with staff and partner staff on Women Lead in Emergencies (WLiE). The training helped staff to appreciate the approach as well as the methodology. Following the training, a team of sixteen staff members (15 female and 1 male) participated in the primary data collection in three villages. Focus group discussions (FGDs) were conducted with groups of women and men. Key informant interviews (KIIs) were held with women leaders, community leaders, government officials as well as one of the agencies that has been implementing in the area. Secondary data collection was also done to triangulate and validate findings.
Women in the three villages visited have limited decision making power and voice, both within the home and in public spaces. Some of the barriers to participation cited by women included lack of education, harmful social norms and practices that limit women and girls’ mobility and participation in public, and limited access and control over resources.
In the three villages where this RGA P focused, Wad Eissa, Shalataib, and Wad Bau villages, findings indicated there are no women participating in the key local level governance structure, referred to as the Popular Committee. Men occupy all the leadership positions and where women’s names were included in the membership list, it was often tokenistic without the women’s own awareness of their role. Apart from the popular committee, there is a community level “father’s group” that supports education in Wad Bau, there were no other visible formal or informal decision-making structures.
Only one active women’s group was identified in Wad Elisa, but no other women’s groups or associations were identified in the rest of the three villages. The group in Wad Eisa had been formed as a result of interventions lead by a German NGO, Welthungerhilfe (WHH), in the area. The other villages had had limited interactions with outside organizations both national, international and even the government.
The entry points to enhancing women’s participation and leadership during the health and WASH protracted crisis in Kassala State can be through the engagement of the traditional and trained midwives, the female teachers, and the mothers’ groups. CARE under the health and nutrition project are looking to form mothers and fathers’ group. This will help bring women together and create safe spaces for women to work together. In the three villages, there are trained midwives, and in Wad Bau there are three female teachers. These women already have the respect and support of the women, and these women can conduct awareness sessions and facilitate discussions with groups of women, regarding their concerns and how they can come together and take the lead in addressing issues that affect them. As teachers are often from outside the village and stay only for a few months at a time, this can be an effective starting point for engaging women but a more sustainable approach will need to be considered as well. Through the father’s groups, men and boys can be engaged, to mitigate GBV risks, that could emerge, due to women’s participation in decision making regarding different community issues. According to one of the male leaders, men have been resistant of women participating in decision making platforms, and social norms are not open to women speaking in front of men.
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As part of the RGAP, a training was conducted with staff and partner staff on Women Lead in Emergencies (WLiE). The training helped staff to appreciate the approach as well as the methodology. Following the training, a team of sixteen staff members (15 female and 1 male) participated in the primary data collection in three villages. Focus group discussions (FGDs) were conducted with groups of women and men. Key informant interviews (KIIs) were held with women leaders, community leaders, government officials as well as one of the agencies that has been implementing in the area. Secondary data collection was also done to triangulate and validate findings.
Women in the three villages visited have limited decision making power and voice, both within the home and in public spaces. Some of the barriers to participation cited by women included lack of education, harmful social norms and practices that limit women and girls’ mobility and participation in public, and limited access and control over resources.
In the three villages where this RGA P focused, Wad Eissa, Shalataib, and Wad Bau villages, findings indicated there are no women participating in the key local level governance structure, referred to as the Popular Committee. Men occupy all the leadership positions and where women’s names were included in the membership list, it was often tokenistic without the women’s own awareness of their role. Apart from the popular committee, there is a community level “father’s group” that supports education in Wad Bau, there were no other visible formal or informal decision-making structures.
Only one active women’s group was identified in Wad Elisa, but no other women’s groups or associations were identified in the rest of the three villages. The group in Wad Eisa had been formed as a result of interventions lead by a German NGO, Welthungerhilfe (WHH), in the area. The other villages had had limited interactions with outside organizations both national, international and even the government.
The entry points to enhancing women’s participation and leadership during the health and WASH protracted crisis in Kassala State can be through the engagement of the traditional and trained midwives, the female teachers, and the mothers’ groups. CARE under the health and nutrition project are looking to form mothers and fathers’ group. This will help bring women together and create safe spaces for women to work together. In the three villages, there are trained midwives, and in Wad Bau there are three female teachers. These women already have the respect and support of the women, and these women can conduct awareness sessions and facilitate discussions with groups of women, regarding their concerns and how they can come together and take the lead in addressing issues that affect them. As teachers are often from outside the village and stay only for a few months at a time, this can be an effective starting point for engaging women but a more sustainable approach will need to be considered as well. Through the father’s groups, men and boys can be engaged, to mitigate GBV risks, that could emerge, due to women’s participation in decision making regarding different community issues. According to one of the male leaders, men have been resistant of women participating in decision making platforms, and social norms are not open to women speaking in front of men.
Read More...
Delivering High-Quality Family Planning Services in Crisis-Affected Settings II: Results
An estimated 43 million women of reproductive age experienced the effects of conflict in 2012. Already vulnerable from the insecurity of the emergency, women must also face the continuing risk of unwanted pregnancy but often are unable to obtain family planning services. The ongoing Supporting Access to Family Planning and Post-Abortion Care (SAFPAC) initiative, led by CARE, has provided contraceptives, including long-acting reversible contraceptives (LARCs), to refugees, internally displaced persons, and conflict-affected resident populations in Chad, the Democratic Republic of the Congo (DRC), Djibouti, Mali, and Pakistan. The project works through the Ministry of Health in 4 key areas: (1) competency-based training, (2) supply chain management, (3) systematic supervision, and (4) community mobilization to raise awareness and shift norms related to family planning. This article presents data on program results from July 2011 to December 2013 from the 5 countries. Read More...
Delivering High-Quality Family Planning Services in Crisis-Affected Settings I: Program Implementation
In 2012, about 43 million women of reproductive age experienced the effects of conflict. Provision of basic sexual and reproductive health services, including family planning, is a recognized right and need of refugees and internally displaced people, but funding and services for family planning have been inadequate. This article describes lessons learned during the first 2.5 years of implementing the ongoing Supporting Access to Family Planning and Post-Abortion Care in Emergencies (SAFPAC) initiative, led by CARE, which supports government health systems to deliver family planning services in 5 crisis-affected settings (Chad, Democratic Republic of the Congo, Djibouti, Mali, and Pakistan). Read More...
CARE Rapid Gender Analysis COVID-19 Timor-Leste
An outbreak of COVID-19 would be devastating for Timor-Leste. As one of the world’s least developed countries and the poorest country in southeast Asia, it is feared that the pandemic would easily overwhelm the country’s weak healthcare system. In international and regional rankings Timor-Leste is assessed as having weak health systems, low capacity to respond to infectious disease outbreak, high rates of underlying health issues that increase risk of COVID-19 mortality and overall high COVID-19 risk.4 Timor-Leste is ranked second of 25 countries in the Asia Pacific in terms of risk for COVID-19.5 The 2020 INFORM Global Risk Index identifies that, Timor-Leste is most at risk for; access to healthcare, existing health conditions and food insecurity.6 Current gaps in the capacity to effectively respond to the virus include under-resourced healthcare facilities, limited communication channels to communities, lack of adequate water, hygiene and sanitation (WASH), difficult geographical terrains, and widespread poverty. Systemic gender inequality and the exclusion of marginalised groups from leadership positions and decision making, service provision, and access to and control of resources, would exacerbate the impact of the pandemic on vulnerable groups.
A COVID-19 outbreak would disproportionately affect women and girls, including their education, food security and nutrition, health, livelihoods, and protection. Timor-Leste is ranked at 111 out of the 187 countries in the UN Gender Inequality Index (GII) and has one of the highest rates of GBV.7 In Timor-Leste, women are often the primary caregivers in the family, placing them at heightened risk of infection. Women’s unpaid workloads may increase with the need to care for sick family members and children at home due to school closures. Maternal, sexual and reproductive health services may be less available as resources are diverted to respond to the pandemic, putting women at greater risk of maternal mortality and disability. As with all crises, there is an increased risk of gender-based violence (GBV) in a country where pre-existing rates of GBV are already extremely high. Read More...
A COVID-19 outbreak would disproportionately affect women and girls, including their education, food security and nutrition, health, livelihoods, and protection. Timor-Leste is ranked at 111 out of the 187 countries in the UN Gender Inequality Index (GII) and has one of the highest rates of GBV.7 In Timor-Leste, women are often the primary caregivers in the family, placing them at heightened risk of infection. Women’s unpaid workloads may increase with the need to care for sick family members and children at home due to school closures. Maternal, sexual and reproductive health services may be less available as resources are diverted to respond to the pandemic, putting women at greater risk of maternal mortality and disability. As with all crises, there is an increased risk of gender-based violence (GBV) in a country where pre-existing rates of GBV are already extremely high. Read More...