Annual Report

Fast and Fair Vaccine Update August to October 2021

CARE's Fast and Fair initiative supports countries to equitably deliver COVID-19 vaccines through four pillars: Advocate, Facilitate, Protect and Mobilize.
CARE has identified 22* countries (and counting ) with strong capacity, partnerships, and readiness to scale.
By October 2021, CARE has supported vaccines in districts where 126 million people have delivered vaccines. We have also supported mass media messages promoting vaccines to 263 million people. Read More...

Tabora Maternal & Newborn Health Initiative (TAMANI): Year 4 results

The Tabora Maternal and Newborn Health Initiative (TAMANI) is a five-year project led by CARE in partnership with the Government of Tanzania’s Ministry of Health, Community Development, Gender, Elderly and Children (MoHCDGEC) and the Prime Minister’s Office for Regional and Local Government (PO-RALG). Implementing partners include the Society of Obstetricians and Gynecologists of Canada (SOGC), the Association of Gynecologists and Obstetricians of Tanzania (AGOTA), the Canadian Society for International Health (CSIH), McGill University’s Institute for Health & Social Policy, and Ifakara Health Institute (IHI). The project is financially supported by the Government of Canada and is closely aligned to Government of Tanzania (GoT) health polices, strategies and guidelines.
The Annual Report covers the period of April 1, 2020, to March 31, 2021.The report provides an analysis on operations to date against the Year Four Annual Work Plan. This report also highlights how the project
pivoted to respond to the COVID-19 global pandemic and includes reporting on COVID response programming as approved by GAC in March 2020. Read More...

Promoting Economic Resilience of Syrian Women (PERSEVERE) Annual Project Results Report (April 2020 – March 2021)

“Promoting Economic Resilience of Syrian Women” (PERSEVERE, CAD$8,497,675) is undertaken with the financial support from the Government of Canada, provided through Global Affairs Canada. It aims to enhance the resilience of displaced and conflict-affected Syrian women, including women with disabilities. Led by CARE Canada and implemented by the Syria Resilience Consortium (SRC), CARE, and Humanity & Inclusion (HI), PERSEVERE is designed to contribute to this goal through the following Intermediate Outcomes:
1) Women, including young and older women as well as women with disabilities, participate more actively in community economic governance; and
2) Community members, institutions, and response actors actively support the inclusion of Gender, Age and Disability (GAD) consideration in economic governance. Initial project learning and methods are meant to be shared across the whole of Syria and other SRC members and introduced to wider response actors contributing to resilience.
This year, the program has been continuing to support inclusion of women and persons with disabilities in livelihood activities. More women have been provided with in-depth training to support other women to expand and grow their businesses. Read More...


Nepal’s reductions in maternal and child undernutrition since the mid-1990s have been remarkable, but the high burden persists. Among children under five years, 36% are stunted, 10% are wasted, and 27% are underweight. Additionally, 17% of women of reproductive age (WRA, 15-49 years) are underweight while 41% are anemic (Nepal DHS Survey, 2016). The Government of Nepal (GoN) is rolling out the second phase of their national Multi-Sector Nutrition Plan (MSNP), with support of external development partners (EDPs). Suaahara II (SII) is a USAID-funded multisectoral nutrition program, aligned with Nepal’s MSNP, and is being implemented in all communities of 42 of Nepal’s 77 districts from April 2016 to March 2021. SII’s overall aim is to reduce the prevalence of stunting, wasting, and underweight among children under five years of age and to reduce the prevalence of anemia among WRA and children 6-59 months of age. SII works across thematic areas including nutrition, health and family planning (FP), water, sanitation and hygiene (WASH), agricultural/homestead food production (HFP), and governance, using a gender equality and social inclusion (GESI) approach for all interventions.
SII has a large, rigorous monitoring, evaluation, and research system. Annual monitoring surveys, a key component of SII’s monitoring system, primarily serve to monitor progress over time related to key SII inputs, outputs, and outcomes in intervention areas. The first SII annual monitoring survey was conducted between June to September 2017 among a representative sample of households with a child under five years by New ERA, a local survey firm. At the household level, mothers were the primary survey respondents. A primary male (or female, if male unavailable) household decision maker, the youngest child’s grandmother, and an adolescent girl (10-19 years), if residing in the same household, were also interviewed. Data was also collected from Female Community Health Volunteers (FCHVs) and 1 key informant from each health facility in the sampled areas. The household surveys included questions related to exposure, knowledge and practices for each of the thematic areas mentioned above. Anthropometric status was assessed for all female respondents and children. FCHV and health facility surveys collected information on exposure to training, motivation, supervision, and work-related activities. In 2017, the final survey sample included 3,642 households. Read More...

Joint Action for Nutrition Outcome (JANO) Project Annual Evaluation

Second year evaluation. Joint Action for Nutrition Outcome (JANO) project aims at reducing malnutrition and addressing nutritional needs of pregnant and lactating women including adolescents. JANO also focuses on capacity building of multiple levels of government bodies, especially enhancing capacities of Nutrition Committees (NC) at the upazila and district levels in terms of developing nutritional plans, budget and effective supervision. Funded by the European Union (EU) and implemented by CARE, Plan International, including Eco Social Development Organization (ESDO). JANO collaborated with the Government of Bangladesh (GoB) in implementing the National Plan of Action for Nutrition (NPAN)-2) at the local, regional, and national levels selected all 65 unions of the seven most vulnerable upazilas of Rangpur and Nilphamari (with a stunting rate of 42.1%) were selected for this project. These include Gangachara, Kaunia, Taraganj, Domar, Jaldhaka, Kishorgonj and Nilphamari Sadar. [101 pages]. Read More...

CARE Mali Harande FY20 Participants Based Survey PaBS Annual Report

Harande program, implemented the annual monitoring survey through the M&E Unit and Program team supported by the CARE USA Regional M&E Advisor. The methodology is based on the Participants Based Survey (PaBS survey) guidelines expressed in Feed the Future PABS guideline1. It has been conducted using the latest BHA participants-based survey methodology guidance. All fourteen (14) annual survey indicators have been computed using weighting procedures. Except for, gross margin, value of incremental and yield indicators that used more complex formulas, standard errors and confidence intervals have been established for the remaining indicators. FY20 Data collection has been made during the period of July 15 - 29, 2020 and methodology comply with the PaBS FtF guideline as recommended by BHA. The PaBS have been implemented in the following four (4) communes: Dourou, Dandoli, Douentza and Koubewel Koundia, and a total of 48 villages have been reached through these communes for data collection.

A total of 1,733 participants have been sampled for this PaBS. Within them 11% refused the survey and 72% were female. That bring the total participant who responded to the survey in all the frames without double counting to 1,529. Participants who overlap between frames during the survey were counted once. It appears that 28% of participants were youth. Out of a total of 1,529 interviewed respondents 1,265 come from households and 18% of them were household heads. The average size of households was 9 members (the number varies from a minimum of 2 to a maximum of 35 household members). [59 pages]. Read More...

Action for Supporting Host Community Adaptation & Resilience ASHAR Alo Yearly Review 2020

As a multi-year project, mid-term review/year-end assessment has been commissioned to assess relevancy of design, approach and methodology, implementation strategy, efficiency and effectiveness of actions, effects of actions on community people etc. This is an internal assessment to improve the project. The ASHAR Alo project targets host communities located outside of the refugee camps, consolidating programmatic gains through OFDA funding for sustainable development in the area. The project activities are focused on Jaliyapalong, and Palongkhali. CARE aims to strengthen host communities' resilience, by enhancing community-based disaster risk reduction (DRR), upgrading infrastructure and providing livelihoods opportunities, across shelter, settlement and WASH sectors. The project will also respond to the urgent protection and gender-based violence needs in the host community. Activities are being undertaken in collaboration with government and community stakeholders, as well as UN and NGO actors.

The assessment was conducted in September 2020 applying both quantitative and qualitative tools and approaches. The samples were drawn purposively. Considering the COVID-19 situation, the short sample size was determined following most common statistical formulae. Throughout the study, it follows USAID compliance and directives. It covers a total of 228 respondent’s households from 4 WARDs under Jaliyapalong Union in Ukhiya Upazailla, Cox’s Bazar district. Quantitative Data collection has been conducted with Tablets using KoBo. [41 pages].

Partners for Resilience: Annual Report 2019

Intended impact: Vulnerable people are more often resilient to crises in the face of climate change and environmental degradation, enabling sustainable inclusive economic growth.

Contents of report:
1 Progress on IRM dialogue trajectories
2A Reflection on capacity strengthening
2B Reflection on the Dialogue Capacity Framework
3. Progress on Knowledge Management & Learning
4. Gender
5. Collaboration with the Netherlands Embassy
6. Linking country, regional and global programmes
7 Assess ToC together, visualize progress towards the 2020 goal
8 Country corner
9 Significant change
10 Indicators

Integrated WASH Implementation Models for Neglected Tropical Diseases

In February 2015, CARE, supported by Johnson & Johnson, initiated the Integrated Water, Sanitation and Hygiene (WASH) Implementation Models for Neglected Tropical Disease (NTD) Prevention project (I-WASH/NTDs) to investigate barriers to and success in WASH and NTD collaboration. The project was initiated to support the government of Ethiopia in its efforts to combat NTDs that are endemic to 746 woredas nationally.

As a part of this pilot, supported by Johnson & Johnson, CARE has added NTD prevention elements and activities to its longstanding water, sanitation and hygiene program in the South Gondar Zone of the Amhara region. Thus, in addition to improving WASH access and behaviors, the I-WASH/NTD program helped CARE and partners to focus deliberately on NTD prevention and work with government and other relevant stakeholders to ensure a holistic approach to NTD prevention and control. Key program elements included increased access to WASH, support for mass drug administration, increased knowledge and practice of specific prevention behaviors at the community-level and increased coordination between local government offices, community members, and health and research institutions working in WASH and NTD prevention and control. Read More...

ROM Review: Initiative REVANCHE: Résilience et Adaptation aux Variabilités Climatiques, pour une Sécurité Alimentaire et Nutritionnelle Durable au Tchad, Régions de Wadi Fira, Guera et Ouadaï.

PERTINENCE. La mise en oeuvre de l’action REVANCHE a confirmé la pertinence de la stratégie PRO-ACT Résilience qui a été à l’origine de sa conception et du choix du mode d’exécution du projet permettant la sortie de l’urgence et l’ancrage d’un développement durable au sein des communautés cible. Les réponses proposées sont appropriées pour satisfaire les besoins des bénéficiaires et soutiennent la Plan nationale de renforcement de la résilience des populations tchadiennes. La pertinence est maintenue tout au long de l’exécution car le projet répond aux besoins des plus vulnérables par des actions à effets immédiats par du cash qui permet l’accès
à l’alimentation et aux soins de santé.

EFFICIENCE. La mise en oeuvre s’est révélée efficiente et propice à une bonne progression vers la réalisation des résultats recherchés. Le projet a connu un retard dans son démarrage mais dont les causes relèvent, pour la plupart d’entre elles, de facteurs externes au projet lui-même.

EFFICACITÉ. Le projet a été efficace à livrer la majeure partie des produits planifiés, notamment ceux consistant en travaux et réalisations d’ouvrages physiques et en appuis méthodologiques et logistiques aux parties étatiques et ONG partenaires.

DURABILITÉ. La problématique de la durabilité se pose encore en termes de capacité des communautés à s’approprier les apports du projet. Quatre ONG nationales ont pris part à l’exécution du projet REVANCHE et ont bénéficié d’un paquet de formations et du coaching progressif de CARE et OXFAM. Mais les organisations communautaires de base (organisations paysannes, groupements féminins, artisans réparateurs de pompes, groupe pour le système d’alerte précoce, GIE d’ouvriers maçons, …) qui constituent le socle de la stratégie de durabilité de l’action sont encore à un stade embryonnaire et requièrent des appuis et une mise en réseau entre eux et avec les services publiques Read More...

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