Maternal|Child Health

Rapid Needs Assessment COVID-19 impacts on Urban Health in Bangladesh

Since the initial outbreak of COVID-19 in Bangladesh earlier this March, Bangladesh is at an economic and social standstill due to the government imposed nation-wide lockdown. Although every sector of the country is facing problems, the health sector is currently among the most affected sectors.
The Health Access and Linkage Opportunities for Workers Plus (HALOW+) is directly related to the health sector and is responsible for maintaining the overall health and safety of the people/areas under its intervention. To assess the current situation of the RMG workers of 17 factories and their respective communities under HALOW+ in this pandemic crisis, a small-scale survey study was conducted from 23rd-26th April, 2020. A total of 141 participants from both Community Support Groups (CSG), Urban Low income
people including RMG Workers, Ward Health Development Committee and GO – NGO Coordination Forum, District Managers of Public, Private and NGO health and Family Planning department, Public Health Specialist from UN bodies, INGO and Academic institutes and RMG Factory owner and senior management were interviewed with a standardized questionnaire. The study revealed that COVID-19 had a significant impact on the overall health system as a total of 322 health workers out of 516 in Gazipur are currently in home/institutional quarantine, telemedicine facilities have dropped to 80% and there’s a 50% reduction in total patient reported in Upazila Health Complexes (UHC)-reasons being absence of doctors and proper medical facilities. Read More...

Final Performance Evaluation of the Kore Lavi Development Food Assistance Project in Haiti

In FY 2013, the US Agency for International Development’s (USAID) Office of Food for Peace (FFP) issued an award to a consortium of three organizations, CARE, Action Contre La Faim (ACF), and the United Nations World Food Programme (WFP) to implement a Development Food Assistance Project (DFAP). World Vision (WV) later joined the consortium. The four-year project, titled ‘Kore Lavi’ (‘supporting life’ in Haitian Creole) started in August 2013. Following a two-year extension granted in 2017, the projected ended in September 2019.

The overall purpose of Kore Lavi was to support the Haitian Government in creating a social safety net for food and nutrition security that prioritizes consumption of locally grown quality products. The overall goal was to contribute to reducing food insecurity and vulnerability in targeted communities by establishing a replicable safety net system and expanding government capacities to prevent child under nutrition.

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Barriers and supports to reducing early child bearing among newly married adolescent girls in Zinder region: A qualitative study

CARE carried out formative research to understand the underlying gender and social norms, barriers to and facilitators for delaying early child birth among married/soon-to-be-married adolescent girls in Zinder region, from the perspective of multiple gatekeepers in the lives of married/soon-to-be-married adolescent girls. Read More...

Adolescent Motherhood: Understanding Individual and Community Perspectives to Delay First Birth in Rural Bangladesh

Globally, more than one third of girls marry before the age of 15. In Bangladesh, like in other developing countries, adolescent marriage is still very common. Early marriage leads to early pregnancy, as young wives are not allowed to make their own decisions about contraceptive use and timing of childbirth, deferring instead to their husbands and extended family. The major objectives of this formative research were to explore the intentions, desires, perspectives, motivators, and de‐motivators around the first pregnancy among married adolescent girls (MAGs). The study also explored ways to delay first pregnancies among MAGs, focusing on influential people in their lives, health providers, and positive deviants. Additionally, we examined alternative opportunities and barriers to delay first pregnancy through pursuit of an alternative life course and the use of modern contraceptives. The findings will be used to design an appropriate intervention for rural Bangladesh. Read More...

Mid-Term Evaluation of the Adolescents Empowerment Program (AEP) in Mukuru and Kajiado, 2019

The Adolescents Empowerment Program (AEP) is a five-year (2015-2020) education project that is seeking to empower marginalized in-and out-of-school adolescent girls and boys aged 10-19 years in urban informal Nairobi (Mukuru) and rural Kajiado areas of Kenya. A baseline study was conducted in 2016 to inform implementation of the project. This midline evaluation was conducted in April 2019 to evaluate the progress of the project and inform programming mid-way through its implementation. The results will be used to guide the next steps in program implementation. The specific objectives of the midline study were to assess knowledge, attitudes and practices of adolescents on ASRH, gender norms, saving and economic empowerment, financial literacy, youth leadership and decision making, education and schooling.
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Baseline Survey in East and South Darfur Focused on Health, Nutrition and WASH

The humanitarian situation in Sudan has continued to deteriorate since 2018, where the number of people in need of humanitarian assistance steadily rose from an estimated 700,000 to a total of 5.5M individuals. Across Sudan, 3.8 million people are urgently in need of WASH assistance, 5.2 million people are in urgent need of access to basic primary health care services, and a total of 2.8 million children and Pregnant and Lactating Women (PLW) suffering from acute malnutrition. Darfur remains an epicenter of large-scale protracted displacement.

There have been limited baseline assessments conducted in CARE’s project areas due to the recent political uncertainties, insecurity, staff capacity and funding constraints. The assessment interviewed 277 households.
* 53% of people (46%m, 56%f) have good knowledge on positive nutrition practices.
* The survey found out that of the women interviewed, 62% were aware and had good knowledge of exclusive breastfeeding
* disease incidence averaged at 44% across the study area.
* 66% of the respondents still use unsafe drinking water sources;
* 34% of the respondents having access to adequate sanitation but still about 28% of respondents confirmed that at least one member of their HH practiced open defecation.
* 65% of the respondents being able to mention at least 3 critical times to perform hand washing.
* 21% of the respondents said women were actively involved as members of WASH committees within their communities.
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CARE Rapid Gender Analysis Cyclone Idai Response Sofala Province, Mozambique

On 14 March 2019, Tropical Cyclone Idai made landfall near Beira City, leaving devastating loss of life and large-scale destruction of assets and infrastructure. In the days that followed, entire villages were submerged as floodwaters rose causing mass displacement. From early on in the response it was clear that certain groups such as female headed-households (FHH), persons with disabilities (PwD), the elderly and children (boys and girls) were some of the most at risk, both in the immediate response and in recovery. This was further confirmed during this Rapid Gender Analysis (RGA).

CARE had identified four main districts in Sofala province in which to focus its assessment based on planned operational locations: Beira, Dondo (with a focus on Samora Machel), Nhamatanda (with a focus on Mutechira) and Buzi (with a focus on Guara Guara). The RGA was built up progressively over the data collection period, using 30 focus group discussions (FGDs), 14 key informant interviews (KII), 55 household surveys, and observations, in both rural and urban areas, transit, accommodation centres and with communities. Data collection took place between the 6 and15 April 2019. Read More...

Estudio de la Linea de Base del Proyecto “Ella Alimenta al Mundo – Perú”

El presente documento constituye el Informe Final del estudio de Línea de Base del Proyecto “ELLA ALIMENTA AL MUNDO – PERÚ” (Componente 2 - Desarrollo Económico), desarrollado por el equipo consultor de Mi Chacra, de acuerdo con los términos de referencia de CARE Perú y de otros requerimientos que se agregaron a los mismos, desde septiembre hasta diciembre de 2019.
Por definición, se elabora el presente estudio con el objetivo de contar con una Línea de Base que permita medir por comparación los resultados y el impacto del mencionado proyecto (desarrollado en alianza institucional con PepsiCo), cuyos ejes fundamentales se encuentran en el apoyo a mujeres agricultoras y sus familias en tres regiones del Perú (Piura, Lima e Ica): en este contexto, el proyecto proveerá educación, recursos y apoyo económico para ayudarlas a aumentar el rendimiento de sus cultivos, sus ingresos y el acceso a la nutrición a nivel local (Nutrición es el Componente 1 del proyecto). Read More...

Latin America & Caribbean: Venezuelan Migrants & Refugees in Colombia

This Rapid Gender Analysis provides preliminary information and observations on the different needs, capacities and coping strategies of Venezuelan migrant and refugee women, men, boys, and girls in Colombia. It seeks to understand how gender roles and relations have changed as a result of the crisis and share recommendations for how the humanitarian community can more effectively consider these changing dynamics to better meet the different needs of women, men, boys and girls of different ages, abilities and other contextually relevant forms of diversity. Read More...

CARE RGA of Sindupalchowk, Nepal (2015)

Introduction:
Rapid Gender Analysis provides information about the different needs, capacities, and coping strategies of men, women, girls, and boys in a crisis. Gender analysis does this by examining the relationship between men, women, girls and boys. This Rapid Gender Analysis is designed to provide an overview of the gender-relations between men, women, girls and boys in a crisis in the Sindupalchowk District.

Method:
The Rapid Gender Analysis in Sindupalchowk uses a range of methods to collect data and information. It is based on the CARE Emergency Pocketbook's Rapid Gender Analysis tool adapted from the IASC Gender Handbook in Humanitarian Action. Topics covered in this report include sexual reproductive and reproductive health, food security, gender based violence, shelter, and WASH standards. Read More...

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