Private Sector Health Facility Assessment USAID Adolescent Reproductive Health (ARH)

USAID Adolescent Reproductive Health (ARH) is a youth co-led initiative to empower girls and boys,10-19 years old, including the most marginalized, to attain their reproductive rights. The project's primary goal is to support adolescents to reach their full potential and strengthen public systems and private entities to create an enabling environment for healthy reproductive health (RH) behaviors by ensuring the readiness of private health facilities to provide adolescent-responsive services.

The study's main objective is to assess most private health facilities meeting USAID ARH specific criteria and identify gaps in providing high-quality services to adolescents. Read More...


USAID Adolescent Reproductive Health (ARH) is a youth coled initiative to empower girls and boys of 10-19 years,
including the most marginalized, to attain their reproductive health (RH) rights. The goal of the program is to support
Nepali adolescents to reach their full potential by choosing and practicing healthy reproductive behaviors together with the support of their community members.
The baseline study aims to assess the current situation of adolescents' sexual and reproductive health in USAID ARH
working areas (11 districts and 60 municipalities), with specific objectives:
* to identify family planning (FP) and reproductive health (RH) knowledge and practices among adolescents,
exploring mass media exposure and preference among adolescents,
* assess menstrual hygiene practices among adolescents,
* identify factors affecting the age at marriage, and
* identify gender and social norms related to adolescent
SRH issues in the community.

Understanding the Policy Environment for Scaling Farmers’ Field Business School in Nepal: A Gender Focused Context Analysis with a Focus on Local and Sectoral Governance

The objectives of the Rupantaran project are to enhance dignity and self-esteem with livelihood promotion of Farmer Field Business School (FFBS) groups especially landless, women and Dalits, and other marginalized communities. The project is transforming the knowledge and skills of Small Holder Women Farmers (SHWFs) through the ‘Krishak Pathshala’ (Farmer Field Business School) model based on the ‘Learning by Doing’ approaches at the community level, and beneficiaries are taking the project positively and participating in FFBS model in their respective community.

The study is implemented by National Farmer Group Federation (NFGF) in partnership with CARE Nepal. The primary purpose of the study is to carry out a gender-focused context analysis to understand the policy environment and governance context with a focus on the local governance and sectoral governance of associated sectors with the FFBS scale-up, specifically agriculture, food security, climate change adaptation, nutrition, and markets. The study is focused on structure, institutional and governance arrangement, and the main change actors/stakeholders to enable the promotion of the FFBS model and identify the formal and informal institutions and opportunities that support upscaling of the FFBS model. It is found through the study that the structural barriers for women and Dalits are caste, class, gender, education, land size, ownership, and the traditional patriarchal mindset. Additionally, the study area's socially harmful practices include untouchability, child marriage, Gender Based Violence (GBV), dowry systems, and domestic violence from their intimate partner. Moreover, the care economy does not recognize women’s contribution to household chores.


Modelling Catalytic Impact at CARE

CARE has set an aspirational catalytic impact target of 200 million people. Catalytic impact is a new impact category that comes from Vision 2030’s focus on impact at scale. CARE defines catalytic impact as the “sustainable impact through the independent adoption or funding of solutions by governments, donors, the private sector, or open replication that originated with CARE and/or its partners”. CARE’s contribution to catalytic impact is indirect. That means it is the impact of our work after our direct programming efforts end or impact, as an indirect effect of our work. Read More...

CARE’s experience of Engaging Men and Boys in programming for Climate Justice: A learning review

While there is a substantive body of gender analysis documenting the gendered impacts of climate change for women and girls, understanding of the ways in which men and boys’ impact and are impacted by climate change remains limited. Environmental disasters caused by climate change also negatively affect boys and men in gendered ways that are, Executive summary in general, different from girls and women, and which can contribute to increased vulnerabilities and risks for women and girls. These differences reflect concepts of masculinity and the influence of associated social norms and processes of gender socialization on the attitudes, values and behaviours of men and boys.

Achieving progress towards Climate Justice is therefore closely and inherently linked to gender justice. Addressing the root causes of the climate emergency will require the engagement of men and boys as actors who are also vulnerable to climate change impacts as actors with agency to bring about transformative change by working alongside women activist allies.

CARE’s EMB model is based on the guiding principle that male engagement to challenge gender inequality involves working with men and boys to shift beliefs, behaviours and practices at household and community levels in support of gender equality and the empowerment of women and girls. Engagement with men and boys contributes to processes of gender transformative change by reducing barriers women and girls face to building agency, addressing inequitable power relations and ensuring that changes in power dynamics and social structures are sustained. CARE’s work with men and boys is also broadly categorised in terms of three levels of male engagement whereby men and boys are engaged as participants, supporters and allies and champions of gender equality. Read More...

Tipping Point Global Impact Evaluation Summary

This summary presents the major findings from a mixed methods impact evaluation study conducted in Bangladesh (Rangpur district) and Nepal (Rupandehi and Kapilvastu Districts) in 2021. This impact evaluation was coordinated by CARE and led by its research partners, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b) in Bangladesh and Emory University & Interdisciplinary Analysts (IDA) in Nepal. Read More...

Impact Evaluation Summary of Tipping Point Nepal

This brief summarizes the methods, key findings, and results and the implications of the Tipping Point impact evaluation in Kapilvastu and Rupandehi, Nepal. Read More...

Evaluating systems-level change and impact in CARE’s programming in Ecuador, Ethiopia, Nepal and Uganda: A global report

This report provides a detailed analysis and review of the evaluations of four CARE systems-level change projects - from Ecuador, Ethiopia, Nepal and Uganda exploring the extent to which their actions influenced systems change and led to impacts in people’s lives. It represents what is understood as the first time CARE has undertaken a deep dive evaluation into its systems-level approaches. The report begins with an overview of these projects and the Outcome Harvest evaluation methodology used across these countries to measure systems change, including the adaptations made to apply Outcome Harvesting to a systems-level project rather than standard CARE programming. Read More...

Evaluating Systems-level change and impact Findings from the evaluation of the SAMARTHYA project in Nepal

CARE’s ten-year strategy, Vision 2030, seeks to deepen the organizational focus on systems-level change and impact to support CARE’s mission to save lives, defeat poverty and achieve social justice. To support this, CARE launched a systems-level impact initiative to measure the effect of our programs that have influenced or changed systems, and the impact that this systems-change had on people’s lives. The initiative also increased capacity across the CARE confederation to design and implement high-quality systems change programs, and to strengthen the focus on systems-level change within our Country Office organizational frameworks and strategies. Four CARE Country Offices were selected to evaluate one systems-level program, and to synthesize the results and learning of this evaluation for national and global knowledge translation Read More...

Expanding Access to Education and Life Opportunities (Excel)

Expanding Access to Education and Life Opportunities (EXCEL) is an education initiative implemented in Pratappur, Sarawal and Palhinandan Rural Municipalities of Nawalparasi (west) district of Lumbini province. The project aimed to provide access to basic education for marginalized adolescent girls for better life opportunities through a year-long accelerated learning program known as “UDAAN”. Read More...

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