Sexual|Reproductive Health

Improving Sexual and Reproductive Health through Reducing Early Marriage in Remote Ethnic Communities in Sekong Province, Lao PDR

Lao PDR has the highest rates of early marriage in the region, even though the law sets the age of marriage at 18. Young brides are more vulnerable to sexual abuse from their partners and to unintended pregnancy. Lao PDR has the highest adolescent pregnancy rate in the region due to early marriage, limited knowledge of sexual & reproductive health, and limited access to appropriate services. The overall goal of the project is improved sexual reproductive and maternal health (SRMH) in remote ethnic communities in Sekong Province. The action contributes to reduced child marriage, as well as providing SRMH knowledge and developing youth friendly health infrastructure. The action engages the whole community to reflect on harmful traditions and their negative impact on the development of girls, and to create an enabling environment for girls. CARE also provides organizational and technical capacity development to local governments and partners to enable them to deliver key messages on the link between child marriage and pregnancy risk to the targeted ethnic minorities.
This report is 17 pages long. Read More...

Baseline Study on “Improving lives of Rohingya refugees and host community members in Bangladesh through sexual and reproductive healthcare integrated with gender-based violence prevention and response” Project

In response to the health and protection needs of the Rohingya refugees and the host communities in Cox ́s Bazar, CARE is implementing the project “Improving lives of Rohingya refugees and host community members in Bangladesh through sexual and reproductive healthcare integrated with gender-based violence prevention and response” with funding support by German Federal Foreign Office. This is a two year project targeting Rohingya refuges of camp 11, 12, 15 and 16 and vulnerable host communities of Jaliapalong union for GBV and SRH services.
To achieve improved sexual and reproductive health, GBV survivor support and protection from GBV of Rohingya Refugees in Cox ́s Bazar in Bangladesh, this project works across three outcomes. Firstly general and sexual and reproductive (SRH) health services will be provided through decetralised health centers which will rove around the target areas to provide services to people at their doorsteps. Improved Menstrual Hygiene management (MHM) is the second outcome of this project. There is an absence of space for washing and drying menstrual hyiene materials, leading women and girls to risk their health by drying their materials indoors. Through this project, therefore, two MHM spaces will be constructed next to CARE’s existing women and girls’ safe spaces (WGSS) in camps 12 and 16. The construction will be accompanied with training to ensure that the spaces are used appropriate. The third project outcome focuses on prevention of and response to gender-based violence. Services include psychosocial counselling, referral of GBV survivors, life-skills training, information and awareness-raising and recreational activities. These activities are complemented by community outreach activities, conducted through Rohingya volunteers, to ensure that the communities know about and can access the WGSS, and challenging harmful social norms associated with GBV. Community outreach will take place in camps 12 and 16 amongst refugee populations.
This report is 22 pages long. Read More...

Programme Sante USAID/Kenya Ciwara Rappor D’Analyse de L’Enquete D’Evaluation Finale

The program is part of Strategic Objective 6 (SO 6) which aims to increase the use of high impact services and improve health behaviors / practices. These services relate to the survival of the child (vaccination, malaria, diarrheal diseases, acute respiratory infections, nutrition and vitamin A). The final evaluation takes place two years after the mid-term evaluation and four years after the baseline evaluation. The report is 55 pages long. Read More...

Formative Research for Social & Behavior Change (SBC) in nutrition, reproductive health and WASH

Between July and August 2016 formative research was carried out by HKI with the overall scope to gather evidence about current practices in nutrition, reproductive health and WASH and identify appropriate strategies for achieving project social and behaviour change outcomes. The formative research explored behaviors, focusing on improving the health and nutritional status of pregnant and lactating women as well as children, and improving access to and utilization of WASH infrastructure. The research findings will be used to generate a robust Social and Behavior Change Communication Strategy (SBCC) focused on several key practices. Topics explored by the research were reproductive health, children and maternal nutrition, WASH and media exposure. The report is 80 pages long. Read More...

Projet Ulu Gnala Se Toliya “Bonne Nutrition des Enfants Maintenant” Midterm Report

Le projet Bonne nutrition des enfants maintenant, qui vise à réduire les causes sociales de la malnutrition, est cofinancé par la Commission de l’Union Européenne et CARE. Il est mis en œuvre depuis mars 2008 dans 97 villages de quatre (4) communes rurales du cercle de Bandiagara sur le plateau dogon, au Mali. Il s’agit des communes de Bara sara, Djamnati, Dourou et Kendié. The report is 44 pages long. Read More...

PROMOTION DE LA SANTE DE LA MERE ET DE L’ENFANT (PSME) Final

La vaccination et les services de planification familiale sont deux composantes importantesdes soins de santé primaire. La plupart des femmes en période post-partum prolongée souhaitent retarder ou éviter d’autres grossesses mais beaucoup d’entre elles n’utilisent pas de méthode moderne de contraception. Une analyse des données provenant de plusieurs pays a montré que les besoins de contraception non satisfaits chez cette population étaient très importants, allant de 45 % à plus de 80 % des femmes en post-partum (Borda and Winfrey, 2008). La planification familiale permet aux couples d’avoir le nombre d’enfants qu’ils désirent et de choisir le moment et l’espacement des grossesses, ce qui permet d’améliorer la santé de la mère et de l’enfant [48 pages]. Read More...

SOMALI RELIEF AND RECOVERY PROGRAM (SSRP) Final Evaluation

The Somalia Relief and Recovery Project-SRRP main goal was to address the most urgent and basic needs of drought affected communities in Bari, Galgaduud, Lower Juba, Mudug, Sanaag, Hiraan, and Sool regions that have been severely affected by the recurrent drought crisis. In particular, the project aimed to improve access to safe water and hygiene to drought-affected communities, provide temporary employment opportunities, and delivered treatment services for acutely malnourished children and pregnant and lactating women, provide basic health services, and protection services. The project also aimed at improving coordination through Somalia NGO consortium to concert and coordinate efforts to adequately address the recurrent humanitarian challenges in Somalia. [66 pages]. 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...

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...

RAPPORT DEFINITIF BASELINE PROSPER II Thriving Cocoa Community Cargill

Cette étude dont l’objectif était de déterminer la situation actuelle des ménages producteurs de cacao dans les treize (13) nouvelles communautés sélectionnées du Projet PROSPER II sur les quatre (04) axes d’intervention du projet : (i) la gouvernance communautaire ; (ii) l’inclusion financière et des compétences entrepreneuriales des femmes ; (iii) la diversification des sources de revenus des ménages agricoles incluant la nutriton ; (iv) les solutions alternatives communautaires au travail des enfants ; afin que puissent être mesurés les changements qui interviendront après les trois (03) prochaines années de mise en œuvre, en utilisant la même approche, a démontré que la situation actuelle desdits ménages n’est guère réluisante. C’est ce que l’analyse des résultats combinés aux sources sécondaires et primaires notamment la collecte de terrain et les discussions de groupe nous permet d’indiquer. [97 pages]. Read More...

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