Ethiopia

A Baseline Study and Social Norms Analysis using SNAP for the project BERHAN: Sexual and Reproductive Health and Rights Initiative in Amhara Region, Ethiopia

Background: BERHAN – Sexual and Reproductive Health and Rights initiative in Amhara region of Ethiopia seeks to support women and girls in Fogera and Estie woredas to safely exercise their sexual and reproductive health rights, leading to improved wellbeing (impact).

Objective: The purpose of this study was to understand the social norms that are associated with the practices of female genital cutting (FGC) and early marriage (EM), and to establish a baseline for all project indicators.

The quantitative survey was conducted on a randomly selected sample of 375 respondents comprising of men, women, girls, and boys (adults and adolescents). Quantitative data were collected using an interviewer administered structured questionnaire. Qualitative data were collected by masters and PhD degree holders, and quantitative data were collected by trained and experienced BSC level data collectors.

Results: The results revealed that FGC and EM were common practices in the community with a prevalence of 85.0% and 64.0% respectively. The community held the practices because of various reasons among which are cultural preservation and lack of knowledge. The community members were highly influenced by the sanctions that made them change their initial positions. Generally, women could not use contraceptive methods without permission from their partners or family members and this applies to all modern contraceptive methods.Only 3.7% of girls and women in the age group of 15-49 were able to use a modern contraceptive of their choice and, only 30.5% were able to decide on their own reproductive health care use. Read More...

Tigray Rapid Gender Analysis

The Tigray conflict that began in November 2020 has culminated in widespread displacement of people, with some villages completely emptied. The conflict has resulted in the death of thousands of people as well as the displacement of over 417,152 people predominantly women and children. 4.5million people in Tigray are in need of humanitarian assistance. The conflict has also paralyzed the health system and most infrastructure. All of this comes in a context where Ethiopia is facing over 185,641 COVID-19 cases as of March 20, 2021, decreased food production because of a locust infestation, and a year of school closures due to COVID-19.

This Rapid Gender Analysis draws from focus group discussions and individual and key informant interviews with 94 people (67% of whom are women), secondary data sources, and CARE’s research in the region to understand the specific challenges people of all genders are facing. The RGA was conducted in the Northern Amhara region at sites for internally displaced people (IDPs) in Debark and MayTsebri (Formerly under Tigray region). Read More...

Multiagency and Multisectoral Rapid Need Assessment in Raya Kobo, Raya Alamata, Raya Azebo, Chercher, Wajirat and Ofla Woredas of North Wollo and South Tigray Zones

2020 was ascribed as a record year of disasters by the local communities in the locations covered by this assessment; Raya Kobo, Raya Alamata, Raya Azebo, Raya Chercher, Wajirat and Ofla woredas in North Wollo and South Tigray. The multiple, complex and frequent hazards have proved relentless; COVID 19, Desert Locusts and conflict have exhausted the coping capacity and challenged the resilience of the local communities.
The Tigray conflict erupted at the backdrop of the devastating impact of COVID- 19 and locust infestation crisis. To make the matter worse, the conflict erupted in the middle of the harvest season, effectively halting attempts to gather the remains of already depleted crops. The longer- term effects of, which will impact communities for years to come.
Since there was already an influx of IDPs from the 2017 ethnic conflicts around the country, the region experienced in hosting IDP, but on this occasion, the numbers of incoming families have doubled and, in some cases, trebled, according to reports from the local Woreda authorities responsible for registering such movement. Thus, these two zones are under protracted and complex crisis that have rocked the livelihood base of the communities and put their lives into a very precarious situation.

Objectives of the Assessment
a) Assessing the current humanitarian situation and identify response requirements and preferences1 for IDPs as well as host community members with humanitarian support needs
b) Understand the response capacity and preparedness of partners operating in Amhara and Tigray and to act in a complementary manner to rescue the lives and livelihoods of the
communities and IDPs,
c) To be ready for humanitarian support in line with humanitarian principles and NGOs code of conduct, and
d) Understand current humanitarian concerns of the targeted areas in both regional states
(Amhara and Tigray) and act to raise these concerns with potential benevolent donors within the country and overseas, to generate funds

This report is 43 pages long. Read More...

Multiagency and Multisectoral Rapid Need Assessment in North Gondar and West Tigray Zones Among Conflict Affected IDPs and Host Communities

In its report released a couple of weeks ago, UN urged donor partners and friends of Ethiopia for urgent mobilization of additional resources to address potential new needs as a result of the fighting for the law enforcement, as well as existing needs previously identified in the Humanitarian Response Plan. There are more than 2 million people in need of some type of assistance in Tigray region and thousands of people fleeing from Tigray region to Amhara and Afar regions, having lost everything in the conflict.
As a result of this situation, six international humanitarian agencies including World Vision Ethiopia, CARE, Catholic Relief Service, ActionAid Ethiopia, Oxfam Ethiopia and ORDA agreed to collaborate and carry out joint rapid assessment in most affected woredas of Tigray region and influx affected neighboring woredas of Amhara region. The assessment was organized and carried out in two teams. Team one following the North Wollo and South West Tigray Route (Raya Kobo, Alamata, Raya Azebo and Ofla) and team two following the North Gondar and West Tigray Route (Addi Arikay, Beyada, Janamora and Tselimti). Accordingly, the mission teams have started the assessment on 23rd Dec. 2020 through 3rd Jan 2021. This report is an analysis of the assessment process and findings of team two. This report is 26 pages long. Read More...

Growing Nutrition for Mothers and Children (GROW) Project in Ethiopia – End Line Household Survey Report

CARE has implemented the Growing Nutrition for Mothers and Children (GROW) Project in Ethiopia between 2017 and 2019. The goal of GROW was to improve the nutritional status of women of reproductive age and boys and girls under 5 years. This endline study was conducted to establish values for outcome level indicators for the project and assess change and impact of the project by comparing data from baseline to end line values. This evaluation employed a cross-sectional study design. The study includes a household survey and anthropometric measurements of women and children to assess their nutritional status. The study covered 39 project intervention Kebeles in 14 Woredas of East and West Hararghe and Afar. A total of 1291 women, 974 men, and 1291 children were included in the study. Read More...

Improving Adolescent Reproductive Health and Nutrition through Structural Solutions in West Hararghe Zone, Oromia, Ethiopia Abdiboru Project Final

The final evaluation is divided into three parts, qualitative, quantitative and triangulation final reports.
Triangulation: this project objective was to empower girls through improved reproductive health, nutrition, and education in rural West Hararghe, Ethiopia. It examines the effectiveness of two different set of interventions- a combination of structural and induvial interventions Vs structural, individual, and community level interventions against a control group. Ethiopia is one of the countries in the world characterized by high level of early marriage. In most cases, when girls marry, they move to their husband’s household and are socially isolated, work long hours, and have very little say in decisions that affect them. Keeping girls in schools is essential to their future wellbeing, and Ethiopia has made significant progress on its commitments. But in rural areas, it has been difficult to achieve high levels of secondary schooling for girls. Nutrition is deeply interconnected with reproductive, maternal, newborn, and child health. Household gender dynamics often mean that girls are more food-insecure than their male counterparts. Female adolescents, those living in a household with food insecurity and high dependency ratio are more likely to suffer from household food allocation. Schooling, early marriage and nutritional status and overall girls’ empowerment are interrelated maters. They have a complex relationship one affecting the other significantly.

Addressing the issues in package is believed to bring the maximum benefit in improving the social, health and development of adolescent girls and thus empowering them in multiple dimensions. Yet programs that focus sectorally, targeting health indicators of women and girls while ignoring the broader context that radically constricts their choices, have not generated significant or sustained impact over the long term. The structural context in which girls live is the main driver of their reproductive, maternal, and nutritional health and educational opportunities. Read More...

Impact Evaluation of the Strengthen PSNP4 Institutions and Resilience (SPIR) Development Food Security Activity (DFSA) Baseline

World Vision, CARE and ORDA designed the SPIR DFSA to support delivery of PSNP4 while also developing and delivering multisectoral programming across the four project purposes in order to enhance livelihoods, increase resilience to shocks, and improve food security and nutrition for PSNP4 clients. The SPIR project will use community-level programming, training of government staff involved in public service delivery at the woreda (district) and kebele (subdistrict) level, and targeted livelihood transfers to support and strengthen PSNP4. Resource transfers received by SPIR participants will come primarily from transfers received from the PSNP4, as well as one-time livelihood transfers provided to the poorest PNSP clients to support livelihoods and promote graduation. Most other benefits of the SPIR project appear in the form of improved public service delivery and trainings to promote learning and support for community-level groups. For learning purposes, the SPIR impact evaluation combines major core components and innovative new activities under Purpose 1 on livelihoods and Purpose 2 on nutrition, along with selected activities under Purpose 3 on gender and youth and Purpose 4 on climate resilience, into a study design of overlapping interventions to learn what combination of activities has the greatest impact and is most cost-effective at improving SPIR outcomes [128 pages].

Attached to the Baseline Report are 3 Learning Briefs, The effects of SPIR poultry and unconditional cash transfers on livelihoods outcomes, The effects of SPIR interventions on nutrtion and childcare, and The effects of SPIR livelihoods and nutrition interventions on women’s and men’s well-being.
Read More...

SWEEP-Water for Food Security, Women’s Empowerment and Environmental Protection Project in East and West Belesa Woredas of Central Gondar Zone, Amhara Regional State

Introduction and Context of the Evaluation
This report refers to the midterm evaluation (MTE) of “SWEEP-Water for Food Security, Women’s Empowerment and Environmental Protection Project” funded by Austrian Development Cooperation through Austrian Development Agency (ADA) and implemented by CARE Ethiopia. The project was commenced in October 2017 and will be implemented through September 2020 in East and West Belesa Woredas of Central Gondar Zone, Amhara National Regional State. With the ultimate impact of “Chronically food insecure households in Belesa Woredas have improved food security and resiliency”, the project was designed and implemented to achieve the following outcomes.
i. Improved access to water resources for domestic consumption and productive use and enhanced and sustainable productivity of land for varied uses
ii. Vulnerable groups empowered to contribute productively in the household and community
iii. Local government capacitated and community empowered to initiate and lead community development and adaptive measures
The purpose of this mid-term evaluation was assessing the degree of success based on the five OECD (Organization for Economic Cooperation and Development) standard evaluation parameters. Ten selected project intervention Kebeles from the two intervention Woredas were visited in this evaluation process. Participatory and multi-stage evaluation methods, data sources and triangulations were made to analyze the project status and measure the performance. Quantitative and qualitative data collection methods were used to collect data from direct project beneficiaries such as chronically food insecure and drought affected people, rural women and girls, persons with disabilities, youth, relevant government sector and administrative offices at various levels and CARE. Overall, household survey was administered on 845 HHs and 14 KII, 21 FGDs, 20 direct observations and 16 in-depth interviews were made. The following description illustrates the summary of key midterm evaluation findings. Read More...

Labor Market Assessment of the USAID Development Food Security Activity (DFSA): “Strengthen PSNP4 Institutions and Resilience (SPIR)”

Ethiopia is among the fastest growing non-oil economies in the world. Although Ethiopia has been advancing at an impressive rate, the gains are not being equally seen across the country. The rural populations continue to rely on traditional livelihood means and have not equally benefited from the industrialization taking place primarily in and around the capital and other large cities of the country.

For the purposes of this LMA, a comprehensive desk review, together with primary surveys in six woredas across Amhara and Oromia were conducted. [51 pages]. Read More...

CARE Rapid Gender Analysis for COVID 19 East, Central and Southern Africa

The impacts – direct and indirect – of public health emergencies fall disproportionally on the most vulnerable and marginalized groups in society. Interconnected social, economic, and political factors pose complex challenges for the ECSA region’s ability to respond to COVID-19. The region already faces significant health challenges that would exacerbate the severity of COVID-19, such as high levels of malnutrition, malaria, anemia, HIV/AIDS, and tuberculosis. Access to healthcare in the region is the lowest in the world, thus there is limited capacity to absorb the pandemic1. Gender-based inequality is extensive in the region. Women are at a higher risk for exposure to infection due to the fact that they are often the primary caregivers in the family and constitute 70% of frontline healthcare responders.2 Most women already face limited access to sexual and reproductive health and rights (SRHR) services, and the region struggles with high levels of maternal mortality. For example, mother mortality rates recorded in South Sudan were 1150 per 100 000 live births3. COVID-19 will only increase women’s safety risks and care burdens as health services become stretched and resources shift to COVID-19 responses.
Women and girls are at increased risk of violence during the COVID-19 period. Current rates of violence against women and girls combined with the prevalence of harmful traditional practices leads to increased vulnerability. Income loss and limited mobility, compounded with existing gender role expectations, may contribute to increases in intimate partner violence and other forms of gender-based violence. Read More...

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