Health

Análisis de la Información de indicadores del proyecto “Ella Alimenta el mundo”

Information about the nutritional component indicators such as demographical characteristics, anthropometric measures, and nutritional status and habits, was obtained in the context of the project “She feeds the world”, in order to characterize the current situation in these settings prior to CARE Peru’s intervention. The baseline information was collected by an independent consultancy group, selected following the regular process in order to guarantee the objectivity of the information during the data collection and analysis. This baseline data collection was conducted between February and May 2020, and data analysis was developed on May and June 2020.

The Executive Summary is in Both English and in Spanish.
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Impact Socio-Economique du COVID-19 chez les Jeunes au Niger

Le COVID-19 est une maladie infectieuse découverte à Wuhan (Chine) en décembre 2019. Elle est transmise principalement d’une personne à une autre par le biais de gouttelettes respiratoires expulsées par le nez ou par la bouche lorsqu’une personne malade tousse, éternue ou parle.

Le Niger ne fait pas exception des pays épargnés par le COVID-19. A cet effet, le Gouvernement s’est active à mettre en place avec l’appui des partenaires techniques et financiers des mesures pour lutter contre le virus . Ces mesures ont permis un contrôle efficace de la maladie. Parmi celle-ci, on peut citer la suspension ou limitation des passagers pour les transports en communs, le couvre-feu, l’isolement de la ville de Niamey etc.

Ces mesures bouleversent malheureusement tous les secteurs économiques. Selon le rapport publié par Dispositif National de Prévention et de Gestion des Crises Alimentaires, ces mesures auront un impact sur les dépenses des ménages:
• La mise en quarantaine et le couvre-feu pourraient augmenter de 30% les dépenses liées
à l’alimentation (hausse des prix) ;
• La réduction du temps de travail, la présence des enfants à la maison pourront occasionner
une augmentation de 10% des dépenses d’énergie et d’eau de 30% dans les centres urbains
• L’interdiction des cérémonies sociales (mariage, baptême, funérailles) pourrait faire baisser les dépense y afférentes de 30% dans les villes chef-lieu des régions et de 50%
dans celle de Niamey ;
• Les dépenses liées à la communication pourraient augmenter de 50% à Niamey et 20%
dans les autres centres urbains à cause du confinement (saturation des réseaux);

Les dépenses des ménages liées principalement à l’hygiène corporelle et équipements sanitaires pourront augmenter de 50% en milieu urbain et 10% en milieu rural.

C’est dans ce cadre que Youth Tea, un laboratoire pilote initié par CARE International au Niger a décidé de conduire une analyse sur l’impact socio-économique du coronavirus sur les jeunes filles et garçons en milieu urbain et rural (Communes de Niamey et de Bermo). Read More...

Latin America and the Caribbean rapid gender analysis for COVID-19

Women and girls across Latin America and the Caribbean (LAC) are facing a terrifying mix of increased domestic violence and care burden, as well as a lower access to income and jobs, and potential social unrest as a result of the coronavirus outbreaks.

The LAC region has the highest levels of inequality in the world, with wide gaps in living standards across countries, regions, sectors, and socioeconomic spheres. When coupled with the pervasive gender inequality that persists, the response to Covid-19 in LAC becomes immeasurably more complicated. CARE International and UN Women joined forces in Latin America, and the Caribbean on this report which presents a series of recommendations aimed at ensuring a more effective gender-inclusive response in the region. The Rapid Gender Analysis (RGA) for COVID-19 is a tool designed to provide information about the different needs, risks, capacities, and coping strategies of women, men, boys, girls, and gender-diverse people during the COVID-19 crisis. This RGA is part of the iterative RGA process for the LAC region and is intended as a programming tool for humanitarian actors. Read More...

Umeed-e-Nau Project Health and WASH Support project for drought affect people of Umerkot, Sindh

This report present the external evaluation of Umeed-e-Nau project - Health and WASH Support project for drought affect people of Umerkot, Sindh. The project was implemented by CARE International in Pakistan (CIP) through its partner CWSA under UNOCHA’s PHPF-III from February – December 2019.

The evaluation of the CIP’s Umeed-e-Nau project has been carried out as per the DAC criteria such as Relevance/appropriateness, Effectiveness, Efficiency, Impact and Sustainability. However, CIP has included an additional criteria i.e. Project Management.

Findings of the final evaluation indicate that CIP rightly identified the needs in holistic manner, as the people in the target area were struggling for water and vulnerable to different health related hazards. The community appreciated all the project activities particularly the MMCs due to quality services, equipment and medicines. Innovations introduced by CIP and donor’s flexibility to understand and approve required changes was also an important factor for paving a smooth path towards achieving successful results of the project. The capacity building and awareness raising activities like health & hygiene training, nutrition awareness has inbuilt sustainability. In both WASH and Health interventions, the impact on behaviors and practice can be observed with passage of time. The trend of use of latrines, water filtrations, consultation with qualified health practitioners, realization of importance of health care especially maternal health and last but not the least hygiene awareness are likely to impact positively on beneficiaries’ individual and communal lives for many years.

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CARE International in Pakistan (CIP) Humanitarian Project in North Waziristan Tribal District (NWTD): End of Project Evaluation Final Report

Over five million persons from the tribal districts of ex-FATA region were displaced over the last decade. Over 90% of these persons have now returned and face massive humanitarian needs. CARE International in Pakistan (CIP) implemented a humanitarian project in NWTD through a local partner (PRDS) focused on WASH and shelter. In October 2019, CIP commissioned an independent evaluation of the project to assess its relevance, effectiveness, efficiency, impact and sustainability. The evaluation collected information through a desk review of key documents, 8 FGDs and 200 household interviews with men and women in the project locations, 8 key informant interviews and physical observations. Overall, the quality and impact of the project is high, which is especially commendable given the extremely challenging work environment and external constraints. Read More...

Baseline Study Report KHUSHAAL PROJECT 2019

CARE India in partnership with Alstom Foundation is implementing socio-developmental projects in 7 villages of District Madhepura, Bihar. Project Khushhaal is one among the many initiatives being undertaken in the identified villages. It aims to enhance the capabilities of women and girls (age 12 years and above) and youth in the age group of 18-35 years for resilient livelihoods and improved health outcomes through a participatory process.

The project aims to empower 1500 individuals (women and girls) from these 7 villages (Tuniyahi Uttarwadi, Tuniyahi Dakshinwadi, LakshmiRampur Chakla Uttarwadi, LakshmiRampur Chakla Dakshinwadi, Ganeshsthan, Shreepur Utarwadi and Shreepur Dakshinwadi) with better health and hygiene practices and have better preparedness for gainful employment opportunities

The study focused at 5 specific areas
1. Menstrual Hygiene related status and challenges
2. Health and Hygiene related situation in young Girls, Pregnant and Lactating women
3. Work and Communication Skills status of Adolescents and Youth
4. Work/Market situation of women Entrepreneurs
5. Social Scenario / Current Situation on Safe Space for Girls in community and social realization regarding it. Read More...

Epidemic Control and Reinforcement of Health Services (ECRHS) Phase 1 Programme in Sierra Leone

This report presents findings from the end phase evaluation of the Epidemic Control and Reinforcement of Health Services (ECRHS) Phase 1 Programme in Sierra Leone, which was implemented from November 2015 to December 2018. The aim of the Programme is to ‘Improve the health status of the population of Sierra Leone’. The Programme was originally designed to provide response to the Ebola outbreak in Sierra Leone, but also considered a longer-term view and worked towards putting in place preparations putting in place preparations for the transition of an extended health system strengthening (HSS) effort.

The overall purpose of the evaluation was ‘to assess result and impact of the above-mentioned Epidemic Control and Reinforcement of Health Services Programme against the Programme goal and outcomes in targeted northern region of Sierra Leone. The evaluation was specifically commissioned to; 1) Assess the Programme result areas in relation to effectiveness, relevance and efficiency of the Programme, 2) assess changes made in general conditions and perspectives, 3) assess need for additional (Programme-) support in future, 4) assess sustainability of achieved results with respective to the DHMTs and Community-based Surveillance (CBS) system, 5) identify the Programme’s key challenges during implementation, and lessons learnt/best practices, and 6)generate concrete recommendations for decision making process regarding health and SRH Programming in the future.

The Evaluation integrated both quantitative and qualitative research methods. 1,608 respondents were randomly selected from across 80 communities for households/individual interviews. This sample included 1,196 female and 412 male respondents. Focus Group Discussions (FGDs) were held with community members in 60 communities and 30 key informant interviews (KIIs) were done with CARE, implementing partners, state actors and chiefdom authorities. Twenty-seven (27) Community Health Workers (CHWs) and 5 Water Management Committee members were also interviewed. Also, facility assessment was conducted for -77 PHUs using the Ministry of Health and Sanitation standard tool and case studies/insight stories were further documented from the field interviews.
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Sexual Reproductive and Maternal Health (SRMH) Baseline Assessment Report Primary health care project in Sinjar

CARE is implementing a Sexual, Reproductive and Maternal Health (SRMH) Project in three locations in Ninawa Governorate (Zummar, Sinjar and Rabia), which involves providing a full package of SRMH services through existing hospitals and/or PHCs in close coordination with Ninawa Directorate of Health and in partnership with a local partner, Harikar. 230 Primary Health Care (PHC) facilities have been destroyed across the country and there is a heavy burden on PHCs with consultations increasing eight-fold . The consortium will provide a physiological response to returnees’ needs through the rehabilitation of two accessible PHC centres by CARE to support pregnant and lactating mothers, sexual and reproductive health, management of childhood illnesses and other infections. This will include the training of 40 community health volunteers that will identify and refer cases to the PHCs, including gender-based-violence (GBV) survivors and at-risk children to the closest GBV services and provide essential information at the household level about nutrition, WASH, and disability awareness and referral information. The two PHCs that have been selected in Sinjar are AL Shahada PHC and AL Nasser PHC. Read More...

Rapid Gender Analysis – SNNP Region Ethiopia and Gedeo Crisis Response

As of July 14, conflict between Guji Oromo and Gedeo communities displaced over 1 million people (82 per cent in Gedeo; 19 per cent West Guji zones). Internally displaced people (IDPs) stay in cramped public buildings and spontaneous IDP sites while other live with host communities. This massive and sudden population displacement prompted CARE Ethiopia to expand its emergency programme in the South Nation, Nationalities People Region (SNNPR). Consistent with its focus on gender equality, CARE initiated a rapid gender analysis (RGA) to provide gendered data on needs, power relations, access and controls, risks and coping strategies of displaced women, men, boys and girls affected by the conflict.

An RGA mission led by CARE International Rapid Response Team Gender Specialist took place in Dilla town, Gedeb and Yirgachafe woredas (administrative unit in Ethiopia) between 25 and 31 July. Read More...

Évaluation Multisectorielle Conjointe Des Besoins Des Populations Hotes, Deplacees Et Retournees Dans La Region Du LAC

La région du Lac, l’une des plus vulnérables du Tchad, fait face depuis le début de l’année 2015 à un déplacement massif des populations réfugiées, retournées et déplacées internes. En fin d’août 2015, les chiffres croisés de OCHA1 et HCR donnent à 84 898 le nombre des hommes et femmes déplacées dans la région. A ce chiffre s’ajoutent quelques 14 000 personnes déplacées internes installées en septembre autour de Ngouboua. Le caractère dynamique des déplacements et le problème d’accès à certaines zones rend difficile la maitrise du nombre des déplacés qui selon la CNARR atteindrait 127 000 personnes.

Les personnes déplacées ont fui les enlèvements, les assassinats odieux, les abus sexuels et autres pratiques esclavagistes perpétrées par les membres de la secte Boko Haram sur les hommes, les femmes, les filles et les garçons dans le Nord Nigeria et les villages tchadiens qui leurs sont frontaliers.

Les réfugiés sont accueillis au niveau du camp de Dar Es Salam alors que les retournés et les déplacés internes sont répartis dans quelques 19 sites d’accueil et communautés hôtes dans les zones de Bol et Bagasola. Cette dernière accueille presque 40% de son effectif sans aucune préparation ni mesures d’accompagnement, ce qui entraine une pression importante sur les ressources et services déjà insuffisants de la zone.

Les acteurs humanitaires dont les agences membres du système des Nations Unies, quelques ONG internationales et des ONG locales apportent l’assistance aux hommes et femmes déplacés mais leur capacité reste limitée en raison de problème d’accessibilité lié à la sécurité et de l’afflux régulier des populations déplacées depuis juillet 2015.
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