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Tackling Vaccine Hesistancy and Expanding Vaccine Access in Tanzania with Community Health Workers in the Lead

Since September 2021, CARE Tanzania has worked as a partner to the Government of Tanzania to improve vaccine access across the country. CARE’s logistical support has helped the government to cover large, underserved geographical areas. To increase vaccine uptake, CARE staff has also engaged local Community Health Workers (CHWs) to address vaccination misconceptions and developed improved health communication and data management tools. An initial training took place in November 2021 and trained 217 CHWs in the Tabora region. With these new resources, these health workers on the front lines have put in place two new strategies. First, COVID-19 vaccination is now integrated with other basic health services at local facilities. CARE supported COVID-19 vaccine distribution in 268 health facilities in Tabora Region. These facilities distributed 20,287 COVID vaccines in areas supported by CARE. Second, the CHWs are now conducting targeted outreach informed by local concerns to address vaccine hesitancy in women and children. Now, not only are vaccinations being provided, CHWs have confirmed that women have increased their acceptance of vaccination shots. Read More...

My Forest, My Livelihood, My Family program (FUTURES) Baseline report

The FUTURES—My Forest, My Livelihood, My Family program (FUTURES) serves communities in the Yayu Coffee Forest Biosphere Reserve (YCFBR) located in Southwestern Ethiopia, in Oromia Regional State. The YCFBR encompasses the Hurumu, Yayo, Bilo Nopa, Alge-Sachi, and Doreni woredas of Illu-Abba Bora zone and Chora woreda of Buno Bedele zone and includes protected forest area as well as designated areas for economic activities like coffee and spice production, commercial forest plantations and eco-tourism, and areas where many traditional and modern agricultural practices take place.
Households in the area depend on a combination of small-scale agricultural and forest management systems dominated by traditional agronomic practices and characterized by a lack of crop diversity and low productivity. Deforestation, degradation, and increased loss of biodiversity are major concerns for sustainable agricultural and livelihood practice in the region. Social, gender, and cultural barriers have historically limited women’s and youth’s engagement in agricultural and economic sectors. High rates of early and forced marriage, and limited availability of reproductive health and family planning services, especially youth-friendly services, may further limit women and youth from participating meaningfully in agricultural practice and livelihood generation. Government services and local civil society organizations in the area operate at a limited capacity, and their offices are male-dominated and do not meaningfully incorporate a gendered approach to their work (Gebrehanna and Seyoum, 2020).
The three-year FUTURES project was launched in April 2021 to address many of the health, environment, and livelihood concerns of the YCFBR region. The project is implemented by CARE Ethiopia and its three local partners, Oromia Development Association (ODA), Environment and Coffee Forest Forum (ECFF), and Kulich Youth Reproductive Health and Development Organization (KYRHDO). The FUTURES project evaluation, funded by USAID, and led by Data for Impact (D4I), aims to understand the impact of the FUTURES project on key health, agricultural, and livelihood and conservation behavioral outcomes, and to contribute to knowledge about the implementation of cross-sectoral programs, including monitoring, evaluations, and learning (MEL) of such programs. Read More...

At the last mile: Lessons from Vaccine Distributions in DR Congo

The Democratic Republic of the Congo (DRC) has one of the lowest COVID-19 vaccination rates in the world, with just 0.87% of people in DRC having received even one dose. While the country has received 8.2 million doses of COVID-19 vaccine, it has managed to administer 528,000 of them—just under 11% of vaccines available. In April of 2021, DRC became one of the first countries to return 1.3 million COVID-19 doses to COVAX because they could not deliver them to people before the vaccines expired.

The challenges that risked more than a million doses expiring are still in play for most of the country. In both January and February 2022, 114,705 vaccines expired in country because there was not enough investment in systems and health workers to deliver vaccines. To reach 70% of the population—62.7 million people—DRC will need to drastically scale up and accelerate COVID-19 vaccination.

CARE is working with 4 vaccination sites—2 in Butembo and 2 in Goma—to support with community mobilization in partnership with local leaders, health center operations, and training. With joint action and communication plans developed with chiefs, religious leaders, and local authorities, and additional equipment to protect health workers, those sites had vaccinated 1,132 people. In those 4 sites, we have also conducted several rounds of research and problem-solving using community dialogues between health workers and clients using the Community Scorecard, as well as the Social Analysis and Action tools, which provides the insights for this case study. The team has also supported local vaccination teams with IT infrastructure, personnel costs, and creating locally adapted COVID-19 communications plans.

Version Francaise
La République démocratique du Congo (RDC) possède un des taux de vaccination les plus bas dans le monde avec la lutte contre COVID-19. Seulement 0,87% des personnes en RDC ont reçu même une seule dose du vaccin. Alors que le pays a reçu 8,2 millions de doses de vaccin contre la COVID-19, il n’a réussi qu’à en administrer 881,204, soit un peu moins de 11% des vaccins disponibles administrés. En avril 2021, la RDC est devenue l’un des premiers pays à restituer 1,3 million de doses de COVID-19 à COVAX parce qu’elle ne pouvait pas les administrer aux personnes avant l’expiration des vaccins.

Les défis qui risquaient d’expirer plus d’un million de doses sont toujours en jeu pour la majeure partie du pays. En janvier et février, 114,705 doses ont expiré dans le pays parce qu’il n’y avait pas assez d’investissements dans les systèmes et les agents de santé pour livrer des vaccins. Pour atteindre 70 % de la population, soit 62,7 millions de personnes, la RDC devra considérablement intensifier et accélérer la vaccination contre la COVID-19.

CARE travaille avec 4 sites de vaccination – 2 à Butembo et 2 à Goma – pour soutenir la mobilisation communautaire en partenariat avec les leaders et structures locaux, les opérations des centres de santé et la formation. Ces sites avaient vacciné 1 132 personnes. Dans ces 4 sites, nous avons également mené plusieurs séries de recherches et de résolution de problèmes à travers des dialogues communautaires entre les prestataires des services et les clients avec la Carte Communautaire et l’analyse et l’action sociale, à l’aide de la carte de pointage communautaire, qui fournit les informations nécessaires à cette étude de cas. On a aussi appuyé les missions de supervisions avec l’infrastructure pour la connexion internet, la motivation des prestataires, et l’élaboration des plans de communication adaptes aux contextes.

Climate Learning and Advocacy for Resilience (CLAR) Programme

Climate Learning and Advocacy for Resilience (CLAR) was a CARE Denmark global programme that during the years 2018-2021 provided technical support to CARE country programmes. The overall objective of CLAR was “Adaptive capacity and resilience of vulnerable communities to climate change impacts, risks and uncertainties has increased.” The programme had three interrelated specific objectives, focusing on (1) demonstrating good practice, innovation and impact in climate resilience, and generating new evidence and learning, (2) improving capacity and influence among CSOs and networks on global and national policies, plans and projects on climate change adaptation and finance, and (3) strengthening of climate knowledge brokering for multi-stakeholder, cross-discipline and South-South learning and coordination.
The intention with CLAR was to link practical approaches and outcomes in climate change adaptation work with influencing policy and planning processes, in particular national adaptation plans (NAPs) and finance. CLAR was to add value to CARE country programmes through the provision of technical support for integration of climate change adaptation implementation as well as cross-country learning and knowledge sharing. CLAR targeted both local, national, and global policy spaces to promote pro-poor, equitable and effective adaptation policies, and mechanisms. Through the Southern Voices on Adaptation (SVA) advocacy community of practice, CLAR supported the sharing of experiences and best practices in different contexts on how to influence adaptation policies and adaptation finance. Read More...

Knowledge Attitude & Practice (KAP) Survey of WASH Services Project in Dadaab Refugee Camps

The European Commission Directorate General Humanitarian Aid & Civil Protection (ECHO) funded CARE to implement Water, Sanitation and Hygiene (WASH) project in Ifo, Dagahaley and Hagadera refugee camps in Dadaab. The overall objective of the project was self-reliance in the provision of essential WASH services for persons of concern in Dadaab refugee camps.
Specifically, the project focused on provision of potable water, managing solid waste disposal and delivering a comprehensive environmental sanitation program that incorporated vector control and health/hygiene promotion for refugees and COVID-19 response. The overall objective of this survey was to examine knowledge, attitudes and practices of the beneficiaries, gaps in the WASH activities in Dagahaley, Ifo and Hagadera camps and to provide information that would improve future programming.
The survey adopted a cross-sectional descriptive research design, and employed quantitative and qualitative methods of data collection which included: Literature Review, 392 Household Surveys, four Key Informant Interviews (KIIs), three Focus Group Discussions (FGDs) and direct observations.

Information for Adaptation in Vietnam (InfoAct)

Enhanced livelihoods and increased resilience of poor ethnic minority women and men rural areas to the effects of climate change and variability.
The “Information for Adaptation in Vietnam” Project (InfoAct) is funded by the Federal Ministry of Economic Cooperation and Development, abbreviated BMZ, and jointly implemented by CARE Vietnam (CVN) and three local partners, named Center for Community Development (CCD), Lai Chau Department of Agriculture and Rural Development (DARD) and Lai Chau provincial Vietnam Women’s Union (VWU). The project sites include four communes of Dien Bien province and four communes of Lai Chau province, namely: Muong Phang and Pa Khoang communes (Dien Bien district); Ang Cang, Ang Nua communes (Muong Ang District); Than Thuoc, Trung Dong, Ho Mit and Nam So Communes of Tan Uyen district, Lai Chau province. The overall objective of the InfoAct Project is to enhance livelihoods and increase the resilience of poor ethnic minority women and men in rural areas to the effects of climate change and variability. This is to be accomplished through a specific objective (outcome) to ensure ethnic minority households in rural areas have improved access to and use of climate information, and resources to help increase their climate resilience. The InfoAct Project is focusing mainly on two target groups: (1) 5,000 ethnic minority households, especially women, in Dien Bien and Lai Chau provinces and (2) government authorities and service providers, namely Department of Hydro-Meteorology, Department of Agriculture and Rural Development (DARD) and the provincial VWU and CCD. As InfoAct was going to phase out after three years’ implementation and close all its activities by November 2021, an independent final evaluation was conducted to understand the project’s impacts/outcomes and key lessons learned.
The Final Evaluation applied a mixed-method approach by using qualitative and quantitative data from primary and secondary sources. The primary data was collected from the key informants and household survey. The household survey was implemented with 363 and 266 people in Dien Bien and Lai Chau provinces, respectively. A total of 49 In-deep Interview (IDI) was conducted with stakeholders. In addition, 34 women and 39 men in two provinces participated in Focus Group Discussion (FGD). Read More...

Recipe for Response: What We Know About the Next Global Food Crisis, and How to Fight it

The genesis of the present hunger crisis goes back farther than February 2022 and is due to a combination of global and localized factors. Globally, climate change has compromised agricultural livelihoods and led to displacement, especially in regions like the Horn of Africa and Central America’s Dry Corridor, where famers struggle to produce yields that meet the needs of local markets. The global economic fallouts associated with COVID-19, and inadequate social safety nets, have led to record unemployment and growing poverty—especially for women and women-led households (UN Women 2021)—so that even where food is available, high prices put basic items out of reach for many. Armed conflict is also driving food insecurity, for example by making it difficult for farmers to cultivate their lands, or damaging or disrupting vital agricultural infrastructure—such as transportation, storage and distribution sites—and reducing access to markets and assistance.
Women and girls are disproportionately impacted by food insecurity and related shocks. Gender norms and roles mean that women are often responsible for their households’ food security, including shopping for and preparing food, yet they might also be the ones to eat “last and least” in their household. Women are also more likely to be excluded from decision-making when it comes
to addressing hunger in their communities (CARE 2020). These types of gendered imbalances hurt entire communities: in a 2021 assessment in Sudan, CARE found that 82% of people living in female-headed households reported recently skipping a meal, compared with 56% of people living in male-headed households. Read More...

Post Distribution Monitoring/Evaluation finale du projet « COVID-19 : Prévention, protection et relèvement économique »

Les premiers cas de COVID-19 ont été enregistrés au Cameroun en début mars 2020. Au 18 avril 2020 le Cameroun est le 2e pays le plus touché en Afrique subsaharienne et le premier pays de la CEMAC avec 7860 cas confirmés au 08 juin 20201. Afin de limiter la propagation du virus COVID19, le gouvernement a mis en place des mesures de prévention strictes, dont la suspension des
vols commerciaux, la fermeture des frontières, la fermeture des écoles, la fermeture dès 18h des bars, restaurants et lieux de loisirs, l’interdiction de rassemblements de plus de 50 personnes, ou encore l’obligation du port du masque en public à partir du 13 avril 2020.
Pour apporter sa contribution à cet effort de solidarité, CARE International au Cameroun, a mis en œuvre le « Projet COVID-19 : Prévention, protection et relèvement économique » dans le District de santé de Biyem-Assi (Yaoundé) de juin à septembre 2020 en ciblant spécifiquement 150 femmes et filles IDPs et TS. Mis en œuvre en collaboration avec Horizons Femmes, ce projet a fait l’objet d’une évaluation finale interne afin de mesurer et apprécier les changements (éventuels) dus à l’intervention du projet sur les bénéficiaires par rapport à la période concernée.
En ce qui concerne la qualité de l’intervention, l’évaluation établit : (i) la pertinence du projet qui est aligné sur les besoins prioritaires des cibles, les objectifs de développement durable et les politiques nationales, y compris les stratégies de réponse face au COVID-19 ; (ii) une efficacité et une efficience satisfaisantes, les activités réalisées ayant permis d’atteindre les objectifs visés à des coûts et des délais raisonnables ; (iii) une pérennité envisagée, malgré la courte durée du projet, notamment par la continuité de certaines activités dans le cadre du projet CHAMP ; une prise en compte du genre acceptable, ce qui a permis d’adresser les besoins différenciés à chaque groupe ciblé par le projet.
Les recommandations formulées vont dans le sens de : (i) élargir l’intervention dans d’autres zones accueillant la même cible ; (ii) clarifier au lancement du projet les différents niveaux de diffusion de l’information ainsi que le type d’information à communiquer ; (iii) déployer le transfert monétaire inconditionnel dans davantage de projets du programme de redressement et relèvement post-crise ; (iv) accompagner les bénéficiaires ayant développé/redynamisé des AGR à la maturation de leurs activités ; (v) penser à une composante qui permettent aux IDPs qui le souhaitent de retourner vers leurs localités d’origine dans la mesure ou la situation sécuritaire évoluerait dans le sens de l’apaisement ; (vi) revoir la stratégie de sensibilisation sur la Hotline en insistant sur la signification du terme « Hotline » ou trouvant une appellation plus accrocheuse ; (vii) conserver la dynamique du code unique et l’implication des bénéficiaires dans les différentes étapes du projet pour une meilleure redevabilité. Read More...


Malgré son potentiel économique et naturel indéniable, le Cameroun affiche un taux de pauvreté élevé qui décroit très faiblement (40,2% en 2001 ; 39,9% en 2007 et 37,5% en 2014). Dans le souci d’apporter sa contribution à la stabilité de la région de l’Extrême-Nord meurtrie par des crises multiformes, CARE International à travers son programme Résilience et inclusion des jeunes et des femmes, a développé l’initiative « Communes et Organisation de la société Civile Performantes pour des populations Engagées et Résilientes - COOPERER II », mise en œuvre dans les communes de Touloum, Yagoua et Kaélé de la région de l’Extrême-Nord. Le projet a couvert la période s’étendant d’avril 2019 à juin 2020, avec comme objectif global de contribuer à l’accès durable des femmes et des jeunes touchés par les effets de la crise sécuritaire à des opportunités agro-pastorales, sociales et économiques stables afin
de renforcer leur résilience face aux aléas environnementaux et climatiques Read More...

COOPERER III Relèvement et renforcement Financier des populations vulnérables affectées par la COVID 19 RAPPORT DE L’ÉTUDE DE BASE

CARE International au Cameroun a obtenu à travers CARE France un soutien financier du Centre de Crise et de Soutien (CDCS) du Ministère français de l'Europe et des Affaires Etrangères, pour implémenter le projet : « Relèvement et renforcement Financier des populations vulnérables affectées par la Covid-19 », en abrégé « COOPERER III » ou encore « ResCOV-19 », sur le corridor Kaélé-Touloum-Yagoua dans la région de l’Extrême-Nord du Cameroun, sur la période du 1er Avril 2021 au 31 Mars 2022. S’inscrivant dans la continuité de ses actions entrepris à travers les projets COOPERER I et COOPERER II dans ces localités (Kaélé, Touloum et Yagoua), CARE se propose de poursuivre le soutien de la résilience économique et de protéger les moyens de subsistance des femmes et des jeunes touchés directement ou indirectement par la Covid-19, en valorisant les acquis des précédents projets.
L’action de CARE Cameroun dans ces Communes est de : « Contribuer à l’accès aux services sociaux de base en matière d’accès à l’eau et aux opportunités économiques des femmes et des jeunes touchés par la pandémie de la COVID-19 dans la Région de l’Extrême-Nord du Cameroun, Axe Kaélé-Touloum-Yagoua ». De manière spécifique il sera question de : (1) Renforcer et sensibiliser le personnel des communes et les communautés sur la protection Covid et la gouvernance autour des infrastructures sociales de base (point d’eau, hygiène), dans les communes de Kaélé, Touloum et de Yagoua, (2) Améliorer l’accès des femmes et les jeunes dans les zones Kaélé, Touloum et Yagoua, aux opportunités économiques via une approche de sensibilisation et développement économique.
Les principales recommandations issues de cette étude vont dans le sens de :
▪ Poursuivre la sensibilisation des CGPE sur l’importance de leur adhésion à la micro-assurance ;
▪ Organiser un recyclage/formation des membres des CGPE et de la micro-assurance sur leurs rôles et responsabilités ;
▪ Accompagner les bureaux de micro-assurance à l’élaboration des statuts et règlements intérieurs (pour celles qui n’en disposent pas) ;
▪ Définir clairement les responsabilités des communes vis-à-vis de la micro-assurances des forages ;
▪ Faire un plaidoyer auprès de l’exécutif municipal pour qu’ils apportent un appui au fonctionnement de la micro-assurance notamment en ce qui concerne l’acquisition d’un bureau ;
▪ Renforcer la dynamique associative à travers la redynamisation/création des réseaux d’AVEC fortes et interconnectées ;
▪ Poursuivre le processus d’autonomisation des femmes via le renforcement des capacités en matière de leadership, d’entrepreneuriat y compris le pouvoir de négociation. Read More...

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