Hygiene

START Network Alert 630 Tuvalu (Drought)-Learning Grant Water and Hygiene Assessment Findings Report

In July 2022, the Government of Tuvalu declared a State of Emergency due to worsening drought conditions across the country. The northern islands were severely impacted, particularly Niutao, where local actors had to turn to distributing bottled water in response to a critical undersupply of household water for drinking and general purposes.
This survey was completed as part of a grant under the START learning initiative, and the main purpose was to conduct a water and hygiene focused needs assessment for drought-affected populations on the three northern islands of Nanumea, Nanumanga and Niutao, with a particular focus on gender and inclusion. The northern islands can be difficult to reach and are often not included in research projects for this reason. Conducting a needs assessment provides data that national and local actors can use to inform ongoing drought response efforts, particularly around longer-term, equitable access to water, as well as assisting in better planning and delivery in future responses. The number of people surveyed was 258, representing 22% of the total population aged 13 and over (although a few 12 year olds were included). A survey conducted in October 2022 by the Tuvalu National Disaster Management Office provided a starting point for the START learning grant exercise.
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Multi-sectoral and integrated humanitarian assistance for the conflict displaced and most vulnerable populations Sudan

This baseline survey was conducted for the USAID/BHA funded project “Multi-sectoral and integrated humanitarian assistance for the conflict displaced and most vulnerable populations in South and East Darfur” implemented by CARE International in Sudan. The baseline was designed to collect data in selected communities in southern and eastern Darfur State to assess the situation before the start of the project and determine baseline values for project indicators. The baseline used multiple methods for data collection, including desk review of project documents, individual interviews with household leaders using a structured questionnaire, Focus Group Discussions (FGD) with representatives of different groups in the communities, Key Informant Interviews (KII) with the respective institutions.

When asked how much water they collect per day for all uses, it was discovered that households collect a mean of 5.6 Jeri Can per day (1 Jerrican=20 liters) which gives 17 litters/day/person from all sources including unsafe ones, keeping in mind that this water is collected from all sources including unsafe ones and for all types of uses.

Access to latrine: From the total surveyed families, 39% do not have access to latrines (48.3% M, 31.9% F). Lack of access to latrines is common in SD, with the majority of HH (55.9%) without access compared to ED (21.4%). And from the total families;23.3% of the HH surveyed acknowledged that their family members usually practice open defecation (26.4%M, 20.8%F), 23.5% use community latrines, and 3.8% share latrines with their neighbors. 51.8% of those who have latrines are inaccessible to people with disabilities (61.5%M, 44.2%F).
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End-line Survey Report for Scaling-up Sustainable Agriculture (SSA) Project: Lashio – Northern Shan

CARE Myanmar is working closely with the vulnerable communities in conflict-affected areas across Myanmar to achieve sustainable and inclusive community development. With the specific objective to improve agricultural yield, income, food and nutrition security of smallholder farmers and women-headed households through promoting sustainable agriculture technologies and nutrition and hygiene practices, a resilient livelihood project, namely Scaling Up Sustainable Agriculture (SSA), funded by Latter-day Saints (LDS) Charities, was implemented in Lashio between 2019 and 2020. Read More...

HBCC (Hygiene and Behavior Change Coalition) Project: Inclusive Communities – Changing behaviors to respond to COVID-19

The “Promoting safer hygiene practices for women and girls to remain safe and live better lives project has been implemented between the 23rd of July 2020 and the 31st of August 2021 through CARE International in Jordan and funded by Unilever-UKAID HBCC (Hygiene Behaviour Change Coalition). The project’s overall objective was to support the most vulnerable women and girls in conflict communities, refugee, asylum and host populations within the Syrian crisis region to improve their key hygiene behaviours and be better equipped to protect themselves from COVID-19 transmission through mass awareness, interpersonal communication and digital media communication.
CARE Jordan implemented a package of multiple interventions which includes mass media, digital communication, and in some cases targeted face-to-face interactions complemented by the provision of hygiene and dignity kits to promote key hygiene behaviours of the targeted beneficiaries. The mass media and digital campaign, which targeted community members who live in Amman, Zarqa/Azraq town, Irbid, Mafraq, and Azraq Refugee Camp, but also reached beyond these areas in particular with the mass media intervention; focused on a variety of messages in line with the national/local Health Service approved guidelines as well as some of the Unilever Global assets like the PASSWORD Campaigns, Snake and Ladder game, and Mobile Doctorni. Messages covered issues of prevention, protection, safety, security and where to seek early support when showing signs and symptoms of COVID-19. Read More...

CYCLONE IDAI RESPONSE AND RECOVERY PROJECT IN MANICALAND PROVINCE: CHIPINGE AND CHIMANIMANI DISTRICTS Baseline

CARE International in Zimbabwe and the International Rescue Committee (IRC) Consortium are currently visible in Chipinge and Chimanimani districts through -support from ECHO. The consortium is currently implementing early recovery interventions which seek to address the immediate WASH and basic needs of the Cyclone Idai affected populations. The interventions are centred on a community-based integrated approach focused on building local capacities and empowering communities to regain control over their lives and become more resilient using a robust cash-based component. Targeting a total of 9 wards in Chimanimani and Chipinge districts, CARE and IRC consortium are maximizing the geographic reach and multi-sectoral coverage of the Action using a harmonized, closely coordinated, gender-sensitive consortium approach. The project is targeting households which were affected by the Cyclone Idai disaster, those whose shelter was completely or partially destroyed. Other vulnerability attributes such as elderly people, People with Disabilities, pregnant and lactating women, child headed households, and Internally Displaced People among other attributes were used for appropriate targeting.
The consortium is currently providing community-driven livelihoods support in four targeted wards through a Cash for Work program that was designed to rebuild community productive assets. The project is also implementing integrated WASH support interventions in 2 wards in Chipinge district and 1 ward in Chimanimani district whilst implementing the Multi-Purpose Cash Transfer project in 4 wards in Chimanimani district. The consortium conducted a baseline survey in both districts for all the interventions underway to facilitate evidence based monitoring and evaluation as well as to match targets with the expected project outcomes. The results will be used for both guiding project implementation and determining project impact by providing the datum for measurement [23 pages].
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Projet Nutrition at Center (N@C)

CARE implemented an innovative, comprehensive five-year approach (2013-2017) with the goal of reducing anemia in women of childbearing age, and anemia and stunting in children under two years old. The approach integrated i) maternal and child health (MCH), infant and young child feeding (IYCF); ii) Water, hygiene and sanitation (WASH); and iii) food security (FS) and women's empowerment. Conducted in four (04) developing countries (Bangladesh, Benin, Ethiopia and Zambia), nutrition at the Center (N@C) aims to develop, document and disseminate the effectiveness and efficiency of an integrated approach that will improve sustainable nutritional status of mothers and children. Read More...

Cyclone Idai Response and Recovery Project in Manicaland Province: Final Evaluation Report

CARE International in Zimbabwe and the International Rescue Committee (IRC) Consortium implemented an ECHO funded project in Chipinge and Chimanimani districts. The consortium implemented early recovery interventions, seeking to address the immediate WASH and basic needs of the Cyclone Idai affected populations. The interventions were centered on a community-based integrated approach focusing on building local capacities and empowering communities to regain control over their lives and become more resilient using a robust cash-based component. The project is targeting a total of 9 wards in Chimanimani and Chipinge districts. The project also implemented integrated WASH support interventions in 2 wards in Chipinge district and 1 ward in Chimanimani district whilst implementing the Multi-Purpose Cash Transfer project in 4 wards in Chimanimani district.

The eleven-month project (1 May 2019 to 30 March 2020) aimed to respond to the urgent needs of vulnerable populations through integrated WASH, food security and livelihoods assistance. The overall objective of the project is to provide immediate access to integrated WASH and food security and livelihoods support to the cyclone-affected population.

The consortium conducted an internal final evaluation survey in ward 1 & 4 of Chipinge district and wards 10, 13, 14, 16, 17 & 21 of Chimanimani district for all the interventions to facilitate evidence-based monitoring and evaluation as well as to match targets with the expected project outcomes. The results will be used to draw lessons learnt for future programming. This survey adopted a quantitative and qualitative methodology. A survey questionnaire with close ended questions administered through KoBo collect. Qualitatively, Focus group Discussions with project beneficiaries and Key Informant interviews were sources of data for this assignment. A review of project documents was also done in assessing the intervention. In selecting project beneficiaries to engage in the end line survey, proportional stratified random sampling was employed.

Acknowledgements
The compilation of the project evaluation report was made possible by individuals who dedicated their valuable time. Sincere gratitude to the CARE International and International Rescue Committee (IRC) project staff for their tireless efforts throughout the course of the evaluation. Appreciation goes to the recruited enumerators who participated actively in the collection and processing of the survey data. Special mention also goes to the project staff and managers for the administrative and logistical support during the exercise. The respondents (Cyclone Response and Recovery Project beneficiaries) in Chipinge and Chimanimani are specially thanked for their participation as units of analysis for the evaluation, without them the exercise would not have been possible. Special mention also goes to the CARE & IRC Monitoring and Evaluation unit for analysis and report writing. Read More...

Integrated Basic Emergency Assistance to Conflict-Affected and Vulnerable Communities in Yemen Project

CARE Yemen has been implementing an OFDA-supported “Integrated Basic Emergency Assistance to Conflict-Affected and Vulnerable Communities” project in four districts (Sudah, As Sawd, Jabal Yazid, and Maswar) of Arman Governorate; two districts (Ash Shagadirah and Ku’aydinah) of Hajjah Governorate; and three districts (Alrujum, Jabal Mahweet, and Hafash) of Al-Mahweet Governorate Yemen. The goal of the project is to improve the basic living conditions, and facilitate early recovery and resilience of internally displaced persons and host communities affected by conflict in Yemen. This project seeks to meet the critical WASH and basic living needs of the most vulnerable households living in the targeted districts so that lives are saved, suffering is alleviated, and human dignity is maintained. The specific objectives of the project are: reduce morbidity from WASH-related diseases of vulnerable IDPs and host communities; enable the most vulnerable IDPs and host communities to meet their basic and immediate needs, and increase their asset base; and improve the food security and nutritional status of the most vulnerable host communities. Read More...

Baseline Survey Report for a WASH project in West Mosul

This is a baseline survey report for the "Improving Sanitation, Hygiene, Renovation of Sewage System" project, funded by the Ministry of Foreign Affairs of the Czech Republic.
There are two priority issues to be addressed by this project: a) significant health risks posed by accumulation of solid waste in key arteries of West Mosul (Cree stream), precluding the effective flow of gray water towards the river as well as damaged pipes which serve to remove black water from residential areas (Al-Thawra neighborhood), and b) limited civic engagement and ownership of residential environment, resulting in poor communal hygiene practices and a high burden on local authorities, which are operating under severely reduced capacity to address needs.
A base-line survey was conducted to identify the current water, hygiene and sanitation conditions in the neighborhood, beneficiaries’ specific needs (disaggregated by men, women, boys and girls) and overall awareness towards water, hygiene and sanitation measures. In order to measure the impact of this projects base line data will be evaluated against end line data collected after project closure. Read More...

Endline evaluation of WASH project in West Mosul, Iraq

This is an endline evaluation for the "Improving Sanitation, Hygiene, Renovation of Sewage Systems" project, funded by the Ministry of Foreign Affairs of the Czech Republic.
This project addressed critical needs for sanitation services in West Mosul, as a direct contribution to enable the affected populations to return home. The project aimed to repair two vital sanitation resources/infrastructure in West Mosul and to support the municipal authorities to build their capacity to eventually recover their costs, once the situation allows. Finally, the project intended to mobilize local communities towards greater ownership for their local environment, to avoid the recurrence of such sanitation risks and maintain a cleaner, more habitable environment. In addition to mitigate a number of health risks related to poor sanitation in urban areas, CARE’s engagement aimed to promote social cohesion and community participation among vulnerable populations affected by the conflict.
The End-line project Evaluation is intended to assess the relevance, performance, management arrangements and success of the project. It looks at signs of potential impact of project activities on men,
women, girls and boys identified as vulnerable and the sustainability of results, including the contribution to capacity development. The Evaluation also identifies, and documents lessons learnt and makes recommendations that project staff and the stakeholders might use to improve the design and implementation of other related projects and programs. Read More...

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