Reproductive Health

Regional project FAIR III “ For Active Inclusion & Rights of Roma Women in the Western Balkans III”

This intervention builds on extensive CARE’s expertise and experience in facilitating process related to women’s empowerment and gender equality across the globe and in the Balkan region. It also intends to scale up approaches and models that have proven successful over the last six years of the FAIR projects’ implementation (FAIR and FAIR II). The project seeks to empower Roma women and girls to be free and able to exercise their rights to live a healthy, dignified life free from violence, inequality and discrimination with support from their partners, families and communities in Bosnia and Herzegovina, Serbia and Montenegro. This will be accomplished through four output level results that need to be met for the longer-term changes to happen, they are inter-connected and mutually reinforcing since only in that way the outcome can be accomplished.

The first one (Output 1) refers to the enhanced capacities of Roma CSOs, youth and key community actors to practice and promote gender equitable, healthy and non-violent lifestyle with help of tested models and approaches. Under the second expected result (Output 2) Improved access to and provision of services for Roma, Egyptian (RE) women and girls (in particular on SRMH, GBV and Education) will be ensured through strengthening of the Roma CSOs and the existing participatory accountability community mechanisms. Output 3will enable three national-level Roma women networks to be active and contribute to the effective functioning of the regional Roma Women Balkans Network and its enhanced efforts towards Post 2020 EU Roma Integration Agenda. In the last expected result (Output 4), Roma women and girls, CSOs and Networks are part of the regional and global social movement initiatives promoting and advocating for gender equality and (minority) women’s rights. The project will directly target 26,150 people in total –aiming at 85% Roma and over 60% women and girls. Data collection under this project will be disaggregated by sex, age and ethnicity, whenever possible. Over20,000 people are expected to be reached in the three target countries through a series of promotional activities. Final Beneficiaries will include about 78,000 people in the 3 target countries based on the assumption that each target group person will reach out to at least 3 persons in his/her direct environment. [13 pages] Read More...

Endline Evaluation of Haushala Initiative of LEAD Program

Care Nepal has been implementing Haushala project which was designed to strengthen girls’ agency along with education outcomes, economic empowerment and adolescent sexual and reproductive health (ASRH) practices, hence helping to build sustainable change, including through creating a safer and more secure learning environment, facilitating social networks and gradually transforming traditional social norms with a negative impact on girls. The project also aimed to improve accountability and gender responsiveness of service providers for improved learning for girls.

During the evaluation both qualitative and quantitative data were collected using questionnaires, FGD and KII checklist for girls, parents, head teachers, cooperatives and school management committee. The data collection faced few limitations arising from COVID-19 which limited the logistical flexibility of the project along with created greater ethical consideration regarding health of the enumerators.

Girls reported that they perceived high parental support in their studies but this perception decreased with age. Parents and Girls both credit UALC and its program for aiding them and their children to attend formal schools. Parents were highly motivated by UALC and its stakeholders to help their daughter(s) to join formal education. However, it was also observed that the effort put by stakeholders such as schools and social mobilisers on influencing the parents who did not enroll their daughter(s) in formal school after UALC was not enough. But, as the transition was already very high and parents who did not send their daughter(s) for the first time were not that willing to re-enroll. Hence, the project can be deemed a success to certain point. [151 pages] Read More...

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

La vaccination et les services de planification familiale sont deux composantes importantes des 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. Les grossesses trop rapprochées peuvent représenter un danger pour la santé de la mère et de l’enfant (OMS, 2007a). Les grossesses espacées de moins de 18 à 24 mois ont été associées à des risques plus élevés de naissance prématurée, de faible poids de naissance, de décès fœtal, néonatal ou du nourrisson, et d’effets négatifs sur la santé maternelle (Conde-Agudelo et al. 2012). La vaccination des enfants est l’un des services de santé les plus équitables et les plus utilisés dans le monde. Le calendrier de vaccination et de soins de santé primaire recommandé pendant la première année de vie de l’enfant donne lieu à de nombreux contacts pour des soins de santé. Veiller à ce que des services et conseils de planification familiale soient liés aux contacts pour la vaccination des enfants via des services de santé primaire bien gérés peut permettre de proposer aux mères des informations et des services de planification familiale pendant la période critique des 12 mois suivant l’accouchement. Une modélisation à partir de données provenant de cinq pays d’Afrique subsaharienne a montré que le fait d’entrer en contact avec les femmes en post-partum au moment de la vaccination infantile pouvait faire diminuer les besoins de planification familiale non satisfaits de 3,8 à 8,9 points de pourcentage (Gavin et al. 2011). Dans ce contexte, CARE Benin/Togo, sur financement de la Fondation GSK en collaboration avec le Ministère de la Santé et de l’Hygiène Publique du Togo, a mis en œuvre depuis Décembre 2018 une initiative de renforcement du système de santé et d'intégration des services de vaccination et de planification familiale dans 11 Formations Sanitaires du district de la Binah dans la Région de la Kara au Togo, dénommée « Promotion de la Santé de la Mère et de l’Enfant (PSME) [48 Pages]. Read More...

Final Evaluation of the Regional Project: Men and Boys as Partners in Promoting Gender Equality and the Prevention of Youth Extremism and Violence in the Balkans – Young Men Initiative – YMI II

The Men and Boys as Partners in Promoting Gender Equality and prevention of Youth Extremism and Violence in the Balkans or Young Men Initiative II (YMI II) project was set to enable positive and peaceful societies for young people in Serbia, Kosovo , Albania and Bosnia and Herzegovina, that support gender equality and decrease interpersonal violence and its extremism. The project builds on the efforts dating from 2007 when YMI started to encourage gender-equitable attitudes and behaviors amongst young men, to decrease violence against (young) women and peer violence in Bosnia and Herzegovina, Croatia, and Serbia. YMI II project started on October 1, 2017 and ended on December 31, 2020.
The evaluation addressed the whole implementation period, all four target countries and main target and beneficiary groups – representatives of partner organizations, teachers, youth, movement leaders and governments. With the purpose to assess results achieved based on OECD-DAC evaluation criteria, the evaluation focused on relevance, impact, and sustainability of project activities – in relation to the expected results, outcome and outputs, as well as on key learning on approaches to inform future programming.
This report is 55 pages long. Read More...

ENDLINE EVALUATION COVER PAGE Adolescent Empowerment Project (AEP) IN KAJIADO & MUKURU

CARE implemented the Adolescent Empowerment Project (AEP) in Kenya, funded through the Patsy Collins Trust Fund Initiative from 2015 to 2020. The project aimed to empower adolescent girls and boys from chronically insecure households to fully exploit their potential, take advantage of opportunities, and fulfil their aspirations. Over a 5-year implementation period, the project targeted adolescents (aged 10-19) in urban Mukuru (within Nairobi county) and rural Kajiado county with a suite of activities and services delivered through partners Hope Worldwide Kenya (HWWK) and Neighbors Initiative Alliance (NIA). Inputs were designed to expand life choices and empower participants to become engaged citizens and include activities on leadership skills development, adolescent sexual and reproductive health (ARSH), economic empowerment, ICT skills, and quality education.
This report is 70 pages long. Read More...

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...

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...

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...

Evaluation finale du Project Sahel COVID-19 Response in Mali dans la Region de Mopti

Le projet « Sahel COVID-19 Response in Mali » a été mis en œuvre par l’ONG CARE International au Mali pour une durée de 6 mois allant du 1er Mai au 31 Octobre 2020 dans les cercles de Mopti, Bandiagara, Bankass, Douentza et Koro, dont 5 sites de déplacés. Il a ciblé 815 ménages directement pour les activités d’assistance et des dizaines de milliers pour celles de la sensibilisation. Les secteurs de réponse du projet comprennent le WASH, la Sécurité alimentaires, l’accès aux services de santé reproductive et le Genre & Violence basée sur le genre.
Cette évaluation finale a été commanditée afin d’établir le niveau d’atteint des indicateurs du cadre logique du projet en référence à l’étude de base et de disposer des caractéristiques des marchés [69 pages]. Read More...

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