Food and Nutrition Security
Community Nutrition and Health Activity Equity Gap Analysis
The Community Nutrition and Health Activity (CNHA) conducted an equity gap analysis to investigate the existing inequities in health and nutrition outcomes within its target areas in Bangladesh. This analysis aimed to identify not only the current inequities but also the underlying reasons for these disparities. Using USAID’s Unofficial Guidance to an Equity Gap Analysis, the CNHA team defined desired outcomes, assessed differential health and nutrition outcomes among various population groups through secondary data, and conducted stakeholder consultations with marginalized groups to understand the reasons behind these inequities. The findings highlighted that individuals in the two lowest wealth quintiles face significant barriers to accessing health care services, with persons with disabilities particularly excluded. Stakeholder consultations revealed issues such as lack of respectful care from community health care providers, restrictions on women's mobility, and inadequate participation in government safety net programs.
Page No: 35 Read More...
Page No: 35 Read More...
Rapid Assessment of the FBMT Family Business Management Training
This rapid review was commissioned by CARE to evaluate the Family Business Management Training (FBMT) in Côte d’Ivoire using a qualitative approach.
The relevance of the FBMT in relation to the objectives of the W4C (Women for Change) program was analyzed by comparing the FBMT content and the evidence from the interviews with the objectives and indicators of the W4C logframe.
It becomes clear that the FBMT was most effective in increasing IGAs, balancing decision making and improving relationships. The effect of IGAs on household income not entirely clear yet. Access to the training is determined by participation in VSLAs. While this is not detrimental in the first place, potential entry barriers to VSLAs need to be kept in mind when scaling up.
For men the main challenges to participate in the FBMT are a perceived loss of power and possibly the available time to attend. Yet, those who participated were attracted by potential economic gains and finally recognized the advantages of improved relationships.
A mapping of training courses that are related to the FBMT and are applied in the W4C program revealed that the couple dialogues, the gender strategy interventions and FBMT overlap in some areas but the FBMT goes beyond the objectives of the other two courses. The IGA training courses, which are complementary to the FBMT, overlap with some of the contents of the FFBS1 (Farmer Field and Business School). The FFBS also overlaps with some of the FBMT contents on gender and also addresses the couple rather than just the women. However, it comprises of about double the number of training modules of the FBMT.
Training application is divided between technical advisors and field supervisors. This arrangement was not evaluated in detail but might not be the most effective and should be reviewed critically. The FBMT sustainably changed some of the behaviour of participating couples, confirming the sustainability of some of the effects of the training. The provision of the training still depends on external funding and cannot be considered fully sustainable yet. Change plans and their follow up by CARE staff are time consuming, resource intensive and might reduce the ownership of these plans by the couple that developed the plan.
The FBMT has been successful in changing household economies and relationships. Specifically the daily calendar, the income and expenditure tree and the prioritization of expenditures as practiced in the NEEDS and WANTS exercise have proven to be very effective. The perceived economic advantages of the training attract men eventually they discover the rewards of an improved relationship. The benefits of the FBMT have motivated some community members to spread its concepts to other households, which is as an opportunity for future programming. Read More...
The relevance of the FBMT in relation to the objectives of the W4C (Women for Change) program was analyzed by comparing the FBMT content and the evidence from the interviews with the objectives and indicators of the W4C logframe.
It becomes clear that the FBMT was most effective in increasing IGAs, balancing decision making and improving relationships. The effect of IGAs on household income not entirely clear yet. Access to the training is determined by participation in VSLAs. While this is not detrimental in the first place, potential entry barriers to VSLAs need to be kept in mind when scaling up.
For men the main challenges to participate in the FBMT are a perceived loss of power and possibly the available time to attend. Yet, those who participated were attracted by potential economic gains and finally recognized the advantages of improved relationships.
A mapping of training courses that are related to the FBMT and are applied in the W4C program revealed that the couple dialogues, the gender strategy interventions and FBMT overlap in some areas but the FBMT goes beyond the objectives of the other two courses. The IGA training courses, which are complementary to the FBMT, overlap with some of the contents of the FFBS1 (Farmer Field and Business School). The FFBS also overlaps with some of the FBMT contents on gender and also addresses the couple rather than just the women. However, it comprises of about double the number of training modules of the FBMT.
Training application is divided between technical advisors and field supervisors. This arrangement was not evaluated in detail but might not be the most effective and should be reviewed critically. The FBMT sustainably changed some of the behaviour of participating couples, confirming the sustainability of some of the effects of the training. The provision of the training still depends on external funding and cannot be considered fully sustainable yet. Change plans and their follow up by CARE staff are time consuming, resource intensive and might reduce the ownership of these plans by the couple that developed the plan.
The FBMT has been successful in changing household economies and relationships. Specifically the daily calendar, the income and expenditure tree and the prioritization of expenditures as practiced in the NEEDS and WANTS exercise have proven to be very effective. The perceived economic advantages of the training attract men eventually they discover the rewards of an improved relationship. The benefits of the FBMT have motivated some community members to spread its concepts to other households, which is as an opportunity for future programming. Read More...
Ella Alimenta Al Mundo Linea de Base/Baseline She Feeds the World Colombia
El proyecto Ella Alimenta al Mundo busca facilitar las condiciones para que mujeres productoras estén empoderadas y cuenten con medios de vida más seguros y resilientes para la seguridad alimentaria y nutricional de ellas y su comunidad. Tiene como objetivo fortalecer el papel de las mujeres productoras a pequeña escala en cadenas de valor seleccionadas y mejorar los vínculos con los actores del mercado, incluida potencialmente la cadena de suministro de PepsiCo, para garantizar ingresos sostenibles y estables.
El presente documento corresponde al estudio de línea base que presenta los resultados en relación con la situación inicial y el contexto que viven las familias participantes del proyecto en los municipios de Pasto, Ipiales, Pupiales y Gualmatán del departamento de Nariño.
El análisis se orienta a dar a conocer las condiciones actuales con relación al empoderamiento económico de las mujeres, inclusión financiera, cadenas de valor inclusivas, procesos de comercialización justos y procesos productivos sostenibles, desarrollo de resiliencia y desarrollo de las asociaciones. De igual manera enfatiza en conocer las necesidades de capacitación en agricultura adaptativa, vinculación con el mercado, gestión financiera, prácticas de nutrición; de tal manera que sea posible fortalecer capacidades de la comunidad, especialmente mujeres para crear recursos propios y mejorar los vínculos con otros actores del mercado.
Brinda un análisis desde el enfoque de género que parte de la comprensión de cómo las relaciones de género influyen en todos los aspectos de una comunidad, tanto en el ámbito productivo como social. La distribución de tareas de las mujeres y de los hombres de un grupo social específico permiten comprender la dinámica de las relaciones de género, el apoyo mutuo, el intercambio, las cargas de trabajo con relación a otras labores, como son las tareas de cuidado y sostenimiento de la vida en el hogar.
La recolección, sistematización y análisis de la información fue realizada por el equipo consultor Tierra que Anda entre los meses de septiembre a noviembre de 2023.
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El presente documento corresponde al estudio de línea base que presenta los resultados en relación con la situación inicial y el contexto que viven las familias participantes del proyecto en los municipios de Pasto, Ipiales, Pupiales y Gualmatán del departamento de Nariño.
El análisis se orienta a dar a conocer las condiciones actuales con relación al empoderamiento económico de las mujeres, inclusión financiera, cadenas de valor inclusivas, procesos de comercialización justos y procesos productivos sostenibles, desarrollo de resiliencia y desarrollo de las asociaciones. De igual manera enfatiza en conocer las necesidades de capacitación en agricultura adaptativa, vinculación con el mercado, gestión financiera, prácticas de nutrición; de tal manera que sea posible fortalecer capacidades de la comunidad, especialmente mujeres para crear recursos propios y mejorar los vínculos con otros actores del mercado.
Brinda un análisis desde el enfoque de género que parte de la comprensión de cómo las relaciones de género influyen en todos los aspectos de una comunidad, tanto en el ámbito productivo como social. La distribución de tareas de las mujeres y de los hombres de un grupo social específico permiten comprender la dinámica de las relaciones de género, el apoyo mutuo, el intercambio, las cargas de trabajo con relación a otras labores, como son las tareas de cuidado y sostenimiento de la vida en el hogar.
La recolección, sistematización y análisis de la información fue realizada por el equipo consultor Tierra que Anda entre los meses de septiembre a noviembre de 2023.
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Impact Case Study and Documentation of the Tea, Herbs and Spices Farmer’s Situation and Experiences in the Phase I of Her Money, Her Life Project Implementation
CARE International's two-year Her Money, Her Life (HMHL) project (2021-2023), funded by Bloomberg Philanthropies, aims to empower and economically uplift women farmers in Tanzania's tea sub-sector. In collaboration with Kazi Yetu Limited and key industry partners, the project targets 150,000 individuals, including 30,000 tea smallholder farmers (80% women). HMHL project builds on CARE's Agri Fund model with aim of investing in women to increase independence and economic opportunities to boost quality, quantity and diversification in Tanzania’s tea sub-sector. The impact study, conducted by Solveris Consulting Limited in November 2023, assesses the project's outcomes across seven districts in four regions, offering valuable insights into its effectiveness.
carried out by Kazi Yetu, funded by the project's grant. This ROI is expected to be more than doubled (188%) in 2025. The partnership between Kazi Yetu and stakeholders
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significantly impacts the specialty tea sector, showcasing rapid grant recovery/factory’s investment rate of return within 2.5 years. The project fosters economic viability and tangible benefits for farmers, contributing to positive transformation in livelihoods. Kazi Yetu's project interventions, highlighted by the SSTC demonstration factory, bring substantial and lasting benefits to farmers. Premium prices for green leaf tea sales, employment opportunities, and transformative training initiatives have significantly increased income for women tea farmers. The project's emphasis on value addition, including a solar dryer in Bumbuli, enhances product quality and market opportunities. Diversification into tea, herbs and spices production and commissions from bulk orthodox tea sales further contribute to income streams. The project's impact extends nationally, shaping the tea strategy and promoting specialty tea. The success of SSTC has catalysed national interest, leading to scaling efforts and increased global recognition for Tanzanian tea, enhancing market opportunities. Effectiveness of Village Savings and Loan Associations (VSLAs) on Collective Investment: VSLAs demonstrate a significant 30% increase in women's involvement from 46% during baseline to 60% now, indicating successful interventions that contribute to economic resilience and social cohesion. Regional variations underscore localized impacts. Additionally, the study reveals that the majority of respondents (87%) comprising 89% females and 84% males reported their VSLAs engaging in collective investments using mobilised savings. This level of collective engagement in collective investments through VSLAs is approximately double the baseline figure (47%). The investments take various forms, including small businesses, transportation equipment, and livestock husbandry. Further evidence suggests that collective investments have enhanced VSLAs' capital, improved members' access to loans, and overall increased income through dividends from collective investments. Read More...
carried out by Kazi Yetu, funded by the project's grant. This ROI is expected to be more than doubled (188%) in 2025. The partnership between Kazi Yetu and stakeholders
ix
significantly impacts the specialty tea sector, showcasing rapid grant recovery/factory’s investment rate of return within 2.5 years. The project fosters economic viability and tangible benefits for farmers, contributing to positive transformation in livelihoods. Kazi Yetu's project interventions, highlighted by the SSTC demonstration factory, bring substantial and lasting benefits to farmers. Premium prices for green leaf tea sales, employment opportunities, and transformative training initiatives have significantly increased income for women tea farmers. The project's emphasis on value addition, including a solar dryer in Bumbuli, enhances product quality and market opportunities. Diversification into tea, herbs and spices production and commissions from bulk orthodox tea sales further contribute to income streams. The project's impact extends nationally, shaping the tea strategy and promoting specialty tea. The success of SSTC has catalysed national interest, leading to scaling efforts and increased global recognition for Tanzanian tea, enhancing market opportunities. Effectiveness of Village Savings and Loan Associations (VSLAs) on Collective Investment: VSLAs demonstrate a significant 30% increase in women's involvement from 46% during baseline to 60% now, indicating successful interventions that contribute to economic resilience and social cohesion. Regional variations underscore localized impacts. Additionally, the study reveals that the majority of respondents (87%) comprising 89% females and 84% males reported their VSLAs engaging in collective investments using mobilised savings. This level of collective engagement in collective investments through VSLAs is approximately double the baseline figure (47%). The investments take various forms, including small businesses, transportation equipment, and livestock husbandry. Further evidence suggests that collective investments have enhanced VSLAs' capital, improved members' access to loans, and overall increased income through dividends from collective investments. Read More...
The Scaling Up Farmer Field and Business Schools (FFBS) Kenya Project, Addressing Food, Nutrition Security and Economic Resilience of the Vulnerable Smallholder farmers in Homabay County
The document presents the end-term evaluation of the Scaling up Farmer Field and Business Schools (FFBS) in Kenya Project, conducted in July 2024, aimed at improving food security, nutrition, and economic resilience among smallholder farmers in Homabay County. Employing a mixed-methods approach, the study engaged 312 farmers (73% women), key informants, and focus group discussions, using tools like KOBO Toolbox for data collection. Key findings include a 46% increase in average annual income, significant yield improvements in groundnuts (129%) and sorghum (25%), a 48% reduction in food insecurity, and enhanced dietary diversity. The adoption of sustainable agricultural practices and gender-transformative approaches showed measurable progress, with 83% of farmers practicing sustainable methods and 84% maintaining kitchen gardens. Post-harvest losses declined by 27%, while access to market information among women farmers improved by 54%. The evaluation also highlighted areas for further improvement, including post-harvest management and addressing vulnerabilities like education and healthcare costs. Overall, the report reflects the project’s achievements and challenges, validated through stakeholder consultations.
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The First 1000 Days, Phase III in Sekong and Phongsaly Provinces
The First 1000 Days Project Phase III focuses on improving maternal and child mortality, improving health outcomes for women, adolescents, and children in the first 1,000 days of the life of children in Sekong and Phongsaly Provinces as well as to support poor and vulnerable households in remote, rural areas to facilitate access to and improve the quality of nutrition-related health services for mothers and children and improve food and nutrition security for community members. The project also integrates adolescent sexual reproductive health, women’s economic empowerment, responses to gender based violence, and stakeholder engagement in health.
This report examines the health, nutrition, and economic empowerment of women, adolescents, and children in Phongsaly and Sekong provinces of Laos. The baseline assessment aimed to understand the current situation and identify areas where interventions could have the greatest impact. Data was collected through a combination of surveys, focus group discussions, key informant interview with key stakeholders and interviews with mother of CU5, adolescent (age 15-19), men, healthcare providers, and community leaders.
The results showed that despite high antenatal care (ANC) utilization rates in both Phongsaly and Sekong, there remains room for improvement in overall healthcare delivery, particularly around childbirth. Home births remain common, highlighting the need for increased access to skilled birth attendants at health facilities and mobile outreach services. Sekong lags behind Phongsaly in skilled birth attendance rates.
Another area requiring attention is postnatal care. While attendance is satisfactory, there's potential to improve these services. Additionally, a concerning practice of some women lying over fire after childbirth needs to be addressed due to potential health risks.
Regarding family planning, awareness and usage vary significantly between the two provinces, with Phongsaly showing higher rates. Sekong especially needs increased access to family planning services, while both provinces could benefit from addressing confidentiality concerns surrounding these services, particularly in Phongsaly.
Food and nutrition security presents a significant challenge, as nutrition indicators showed poor nutritional status of children. Stunting rates among children under five are high, particularly in Sekong. Both provinces struggle with low dietary diversity, lacking adequate consumption of fruits, vegetables, legumes, and animal source proteins. While breastfeeding practices show positive trends in early initiation and colostrum feeding, there remains poor long-term rates of exclusive breastfeed. Sekong has lower rates of early initiation and exclusive breastfeeding duration compared to Phongsaly, and even in Phongsaly, many mothers wean before the recommended 6 months. Read More...
This report examines the health, nutrition, and economic empowerment of women, adolescents, and children in Phongsaly and Sekong provinces of Laos. The baseline assessment aimed to understand the current situation and identify areas where interventions could have the greatest impact. Data was collected through a combination of surveys, focus group discussions, key informant interview with key stakeholders and interviews with mother of CU5, adolescent (age 15-19), men, healthcare providers, and community leaders.
The results showed that despite high antenatal care (ANC) utilization rates in both Phongsaly and Sekong, there remains room for improvement in overall healthcare delivery, particularly around childbirth. Home births remain common, highlighting the need for increased access to skilled birth attendants at health facilities and mobile outreach services. Sekong lags behind Phongsaly in skilled birth attendance rates.
Another area requiring attention is postnatal care. While attendance is satisfactory, there's potential to improve these services. Additionally, a concerning practice of some women lying over fire after childbirth needs to be addressed due to potential health risks.
Regarding family planning, awareness and usage vary significantly between the two provinces, with Phongsaly showing higher rates. Sekong especially needs increased access to family planning services, while both provinces could benefit from addressing confidentiality concerns surrounding these services, particularly in Phongsaly.
Food and nutrition security presents a significant challenge, as nutrition indicators showed poor nutritional status of children. Stunting rates among children under five are high, particularly in Sekong. Both provinces struggle with low dietary diversity, lacking adequate consumption of fruits, vegetables, legumes, and animal source proteins. While breastfeeding practices show positive trends in early initiation and colostrum feeding, there remains poor long-term rates of exclusive breastfeed. Sekong has lower rates of early initiation and exclusive breastfeeding duration compared to Phongsaly, and even in Phongsaly, many mothers wean before the recommended 6 months. Read More...
Evaluating Outcomes of the Climate Adaptation and Mitigation (CAMP+) Project in Kikuube District
This evaluation report delves into Phase II of the CAMP+ initiative, a multifaceted program aimed at fostering climate resilience by integrating innovative solutions like alternative energy systems, plastic waste recycling, and sustainable food systems. Guided by OECD evaluation criteria, the report provides a thorough analysis of the program's relevance, effectiveness, efficiency, impact, and sustainability. It highlights notable achievements, such as fostering environmentally conscious practices, boosting socio-economic outcomes for communities, and advancing green initiatives. However, it also acknowledges challenges, including cultural resistance, limited resources, and implementation hurdles. The report concludes with actionable recommendations to enhance program delivery, overcome identified barriers, and scale impactful interventions for greater long-term sustainability. This comprehensive evaluation offers valuable insights for stakeholders interested in the progress and potential of CAMP+ Phase II.
Donors: Novo Nordisk Foundation, Innovation Norway through CARE Denmark
No of Pages: 58 Read More...
Donors: Novo Nordisk Foundation, Innovation Norway through CARE Denmark
No of Pages: 58 Read More...
USAID’s Community Nutrition and Health Activity (CNHA) Report – Consultation (Meetings with Stakeholders, Households & Community People to Understand Information Sources, Media Access and Habits of CNHA Primary Target Groups to Inform CNHA SBC Strategy)
The USAID Community Nutrition and Health Activity (CNHA) is a five-year project (2023-2028) aimed at improving the nutritional status of women and children within the first 1,000 days of life in vulnerable communities across Bangladesh. Implemented in collaboration with CARE-Bangladesh and partners, the project spans 50 Upazilas in 14 districts and focuses on enhancing service delivery at the community level through health facilities and a strong Social and Behavior Change (SBC) strategy. The project aims to increase the adoption of family planning, maternal and child nutrition, and other health-related practices among its target population of 4 million direct and 10 million indirect participants. To inform its SBC strategy, CNHA conducted stakeholder consultations in February 2024, gathering data from various groups, including pregnant and lactating mothers, adolescents, and community health service providers, through individual and group consultations.
The consultations revealed key findings on the sources and trustworthiness of health-related information, with community health workers like CHCPs and FWAs emerging as the most trusted sources. Although many pregnant and lactating mothers received information on nutrition and family planning, adolescents and mothers-in-law were less informed. Common barriers to accessing accurate information included limited literacy, restricted access to health facilities due to poor transportation, and traditional beliefs that discouraged the adoption of new practices. Despite the widespread use of mobile phones, especially smartphones, media access was limited, with most women relying on family and community gatherings for information. The consultations also highlighted the need for improved communication flow from health facilities to the community, particularly for nutritional information and family planning services. The consultations also highlighted the need for improved communication flow from health facilities to the community, particularly for nutritional information and family planning services, emphasizing the importance of targeted interventions to bridge gaps in knowledge and access within these vulnerable groups.
Total Page No: 66 Read More...
The consultations revealed key findings on the sources and trustworthiness of health-related information, with community health workers like CHCPs and FWAs emerging as the most trusted sources. Although many pregnant and lactating mothers received information on nutrition and family planning, adolescents and mothers-in-law were less informed. Common barriers to accessing accurate information included limited literacy, restricted access to health facilities due to poor transportation, and traditional beliefs that discouraged the adoption of new practices. Despite the widespread use of mobile phones, especially smartphones, media access was limited, with most women relying on family and community gatherings for information. The consultations also highlighted the need for improved communication flow from health facilities to the community, particularly for nutritional information and family planning services. The consultations also highlighted the need for improved communication flow from health facilities to the community, particularly for nutritional information and family planning services, emphasizing the importance of targeted interventions to bridge gaps in knowledge and access within these vulnerable groups.
Total Page No: 66 Read More...