Somalia

Somalia: Cash Transfers via Mobile Money for Maternal Child Health Services

This study is part of a larger multi-country study by CARE entitled “Cash and Voucher Assistance for Sexual Reproductive Health and Rights Outcomes: Learnings from Colombia, Ecuador, Lebanon and Somalia.”
CARE Somalia has used Cash and Voucher Assistance (CVA) in its programs for over ten years. This includes CVA for food security and livelihoods, nutrition, WASH, and education, as well as multipurpose cash transfers. Since 2018, with support from Office of Foreign Disaster Assistance (OFDA) (now the Bureau for Humanitarian Assistance (BHA)), CARE Somalia has been implementing a food security and Livelihoods, health, nutrition, protection and WASH program. With BHA support, CARE currently supports 19 MCH facilities across Somaliland and Puntland that target children and pregnant and lactating women (PLW). Read More...

CASH AND VOUCHER ASSISTANCE FOR SEXUAL REPRODUCTIVE HEALTH AND RIGHTS LEARNINGS FROM ECUADOR, COLOMBIA, LEBANON, AND SOMALIA

CARE is committed to ensuring that projects with cash and voucher assistance (CVA) are designed with and for women and girls, addressing recipients’ needs, challenges, and opportunities. CARE has invested in research on how to make CVA work for women and girls through gender-sensitive approaches to framing processes and outcomes of the modalities. As a widely accepted method of increasing access to services and improving autonomy, dignity, and resilience, programming with CVA has been integrated into numerous sectors to improve the lives of displaced communities, particularly the most underserved. To date, CARE’s CVA has primarily been used for food security and livelihood outcomes and multisectoral outcomes via multipurpose cash (MPC) transfers. Now, aligned with its strategic intent, CARE is investing in sectoral areas where CVA is less often used and that are of primary interest for women and girls, including gender-based violence (GBV) response and sexual and reproductive health and rights (SRHR).

Building on extensive experience with CVA and SRHR programming, CARE conducted a study to investigate how outcomes for the pilot initiatives using CVA for SRHR compare to global learnings, and to identify opportunities for strengthening and expanding pilots for long-term programming. The study reviewed programming in four contexts (Colombia, Ecuador, Lebanon, and Somalia). The initial study was undertaken by two consultants, one focused on Lebanon and Somalia and one focused on Colombia and Ecuador. Data collection included 25 remote key informant interviews (KIIs) with CARE staff at the global and country levels as well as staff from partner organizations, followed by After Action Reviews with each country team and a validation meeting. All activities were undertaken in either English or Spanish and transcripts were analyzed using data analysis software. Analysis was conducted both by country and across contexts to identify commonalities and thematic learning, mostly led by CARE technical advisors. 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...

Durable Solutions for Returnees and IDPs in Somalia (DSRIS) Project Final Report

The Durable Solutions for Refugees and IDPs in Somalia (DSRIS) was a three-year that was implemented in Somalia between 10 January 2017 to 9 January 2020 under the consortium of CARE International (Lead agency), Save the Children (SCI), Agency for Technical Cooperation and Development (ACTED), IMPACT Initiatives and Save Somali Women and Children (SSWC). The project was funded by the European Union (EU). The aim of the project was to contribute to the integration of internally displaced persons, returnees and refugees in Somalia by improving access to basic quality services such as education, health, hygiene and sanitation, Child Protection and Gender-Based Violence (GBV) intervention. Additionally, the project aimed at enhancing relevant and sustainable livelihood opportunities for youth at risk of illegal migrations, radicalization, as well as other vulnerable displaced people, returnees and host communities to enhance integration and social cohesion. The project was being implemented in Puntland, Bari, and Mudug (Bossaso and Galkacyo north districts), Galmudug, Mudug, and Galgaduud (Dhusamareb, Adaado, and Galkacyo south). The sectors targeted by the project include Education, Health, WASH, Child Protection/GBV, women and youth empowerment and integration. Read More...

TVET and Higher Education for Boosting Road Infrastructure Development and Growth of Energy Services (THE BRIDGES) Project Final Report

CARE Somalia/Somaliland was funded by the European Union (EU) to improve the technical skills of the youth in roads and energy service sectors. The Technical and Vocational Education Training (TVET) and Higher Education for Boosting Road Infrastructure Development and Growth of Energy Services (THE BRIDGES) project aim to support the Government of Somalia/Somaliland plans to enhance inclusive economic growth and reduce poverty. The project aims to assist in the development of high-quality skills both for gainful employment and sustainable economic development. To meet labor demands in road infrastructure and energy sectors, the project further aims to strengthen TVET and Higher Education (HE) to offer high-quality solutions responsive to the changing market situations in the selected priority sectors of the economy. Given the increasingly dynamic employment market in Somalia/Somaliland, there is a need for high-quality competency-based skills development. The BRIDGES project sought to enhance the development of national and local capacities of TVET, and Higher Education linked to the road infrastructure and energy sector services. This is intended to be accomplished through the strengthening of institutional capacities in addition to aligning skills training to standardized international frameworks. Read More...

CARE Rapid Gender Analysis for COVID 19 East, Central and Southern Africa

The impacts – direct and indirect – of public health emergencies fall disproportionally on the most vulnerable and marginalized groups in society. Interconnected social, economic, and political factors pose complex challenges for the ECSA region’s ability to respond to COVID-19. The region already faces significant health challenges that would exacerbate the severity of COVID-19, such as high levels of malnutrition, malaria, anemia, HIV/AIDS, and tuberculosis. Access to healthcare in the region is the lowest in the world, thus there is limited capacity to absorb the pandemic1. Gender-based inequality is extensive in the region. Women are at a higher risk for exposure to infection due to the fact that they are often the primary caregivers in the family and constitute 70% of frontline healthcare responders.2 Most women already face limited access to sexual and reproductive health and rights (SRHR) services, and the region struggles with high levels of maternal mortality. For example, mother mortality rates recorded in South Sudan were 1150 per 100 000 live births3. COVID-19 will only increase women’s safety risks and care burdens as health services become stretched and resources shift to COVID-19 responses.
Women and girls are at increased risk of violence during the COVID-19 period. Current rates of violence against women and girls combined with the prevalence of harmful traditional practices leads to increased vulnerability. Income loss and limited mobility, compounded with existing gender role expectations, may contribute to increases in intimate partner violence and other forms of gender-based violence. Read More...

Adversity and Opportunity: Gender Relations, Emergencies and Resilience in the Horn of Africa

The Gender in Emergencies (GiE) study contributes to this strategy development by examining how the HES can be implemented in the specific context of the Horn of Africa (HoA).2 Commissioned in early 2014 by CARE Australia, the study’s purpose is to ‘contribute to CARE International’s Gender in Emergencies learning and research agenda providing a comparative analysis of the opportunities and challenges in gender equality and women’s empowerment in emergency contexts, and provide lessons for future humanitarian responses.’ Read More...

EMERGENCY FOOD SECURITY PROGRAM: FINAL EVALUATION REPORT

This report provides the results of the final evaluation of the Emergency Food Security Program (EFSP) implemented in twelve districts within the four regions of Sool, Sanaag, Galgaduud and Mudug that was conducted during July and August 2019.

Over and above the program performance parameters, the beneficiaries overwhelmingly indicated that the program had had significant positive impacts. The program was considered timely as it was delivered when beneficiaries were getting into months of food insecurity. When asked whether the cash transfer had improved their livelihoods, 93% of the household survey respondents reported that their livelihoods had improved, mainly in terms of improved purchasing power (93%), ease of meeting their basic needs (78%), better social status (22%), better and more recognition (17%), taking children to school (14%), access to healthcare (9%) and in other (non-described) areas (7%). In the household survey, 94% of the respondents received three cycles of the correct amount, whilst 5% who were targeted under the Rapid Response Fund (RRF) received two cycles enabling households to purchase their preferred foods, at least 25Kg of rice, 25Kg of sugar, 25kg wheat flour, 3kg of cooking oil, 10kg of pasta and some vegetables.

The program had a positive impact on the 52,299 households enrolled. The programme resulted in a reduction of distress coping strategies, with an average rCSI of 12.8 reducing from 20.4 at the program baseline. This supports the effectiveness of the program in enabling the beneficiaries to reduce the number of negative coping strategies that they were previously employing in order to meet basic household needs. In addition, as planned, all the households used the cash transfer to meet their basic needs, with 97% of them using the cash transfer to purchase food for the household, indicating that the cash intervention has directly contributed to the enhancement of the household food security during the drought. Trend analysis shows that throughout the program there was a downward trend of the rCSI scores, while there was an increase of household dietary diversity index to 20.4 compared to the baseline of 12.8. Similarly, an analysis of household hunger shows that in general the beneficiaries were experiencing little to no hunger, with only 13% experiencing moderate hunger and 86% of households experiencing little to no hunger. This again indicates that the programme has achieved positive outcomes.

While the evidence suggests that the program generated a number of positive impacts, across many domains, demonstrating effective and efficient implementation, and that the beneficiaries used the cash as per the original objectives of the program, households continue to faces challenges in their capacity to fully recover from the impacts of conflict and drought. Increasing the scale of interventions and developing additional holistic livelihood strategies for the target areas, creating linkages with market-based interventions and improvement in access to water, education and healthcare, experimenting with graduation models combined with local savings (VSLAs) were among some of the areas identified for improving future programming. A more detailed description of these recommendations is provided towards the tail end of the report. Read More...

Somalia Resilience Program Third Party Monitoring: Midline Assessment

The Somalia Resilience Program (SomReP) is a consortium of seven international non-governmental organisations (INGOs). The aim of the consortium is to enhance the resilience of vulnerable households and communities in Southern Somalia against cyclical shocks and stressors. The program’s activities focus on securing livelihoods and increasing adaptive capacities of communities and households in Somalia.

Overall, positive developments from the baseline was noted for most of the indicators analyzed in this report. Most of these positive developments could be attributed to different programme interventions. The attribution was tested through statistical correlation analysis and by synthesizing programme documents and the data collected at various stages throughout the project. The food security status of the respondents had improved, both in terms of food consumption and coping strategies. For example, the proportion of the respondents categorized as having an acceptable level of the Food Consumption Score (FCS) had increased from 48.5% in the baseline to 80.4% in the midline. The income of the respondents had also improved with both a significantly higher average income as well as more diversified income being reported. Those respondents that were part of a savings scheme as well as those that had received cash distributions through Cash for Work (CfW) or Unconditional Cash Transfers (UCT) reported higher FCS than those who had not. Respondents that had received cash distributions were also positively associated with higher incomes. As such, it is recommended that both VSLA and cash programming interventions should be sustained and if possible scaled-up. It is worth noting that livelihoods were still largely climate sensitive, with day labour in agriculture being the most common and important livelihood strategy, especially for male respondents. This implies that most people are still highly vulnerable to climatic shocks, such as drought. Read More...

Somalia Resilience Program Third Party Monitoring: Baseline Study

The Somalia Resilience Program (SomReP) is a consortium of seven Non-Governmental Organizations (NGO), the activities of which aim to enhance the resilience of vulnerable households and communities in Southern Somalia against cyclical shocks and stressors. This report serves as the baseline for the Third Party Monitoring (TPM) of SomReP in two districts in South and Central Somalia: Afgooye and Baidoa. The TPM study is undertaken by Forcier Consulting on behalf of SomReP, with the aim to rigorously monitor the progress and outcomes of the program.

The data indicates that resilience differed among livelihood groups (agro-pastoralist, pastoralists, and peri-urban), between women and men, and across seasons. This means that program approaches should take these differences into account when targeting groups for various interventions. For instance, people in peri-urban areas tended to have less diverse diets, while pastoralists tend to engage in more severe and frequent coping strategies. Out of the different livelihood types, pastoralists were also the most likely to report no access to risk transfer or sharing. Further, women tended to have less diverse incomes than men and incomes tend to be lowest in the dry season of Jilaal, the season in which most agriculture-related work was replaced with unskilled work. These findings indicate that women should be more frequently targeted for income diversity interventions, and pastoralists should be targeted with interventions that aim to increase social safety nets, such as risk sharing.

Capacities to deal with stressors in both the short and long-term were low across the targeted areas. Natural resource management (NRM) was poor in both districts and in and across communities. Sustainable access to natural resources is an important factor in ensuring long-term resilience and should therefore receive more attention across the communities. Response capacities were also absent across the communities. Only 9.7 of all respondents said their community had a community-based early warning system in place. Further, only 5.7% of the respondents said community initiatives existed that aimed to access support from sub-national and national institutions and authorities to respond to and cope with the recurrent shocks and stressors. Hence, moving forward, the program should ensure a focus of combined approaches to achieve improvements in system-wide resilience. Read More...

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