2. Business Activity: While 86 percent of WORTH women had business initiatives it was less than 34 percent of non-WORTH caregivers in businesses. 3. Emphasis on Business: WORTH households report business as their biggest source of income versus casual labor for non-WORTH. 4. Productive Investments: WORTH members report making more productive use of their money (such as investing profits into building and diversifying their businesses).
One of the most interesting aspects to arise out of the evaluation of WORTH was the identification of linkages between the program activities and an emerging framework for OVC economic strengthening outlined in a report by Jason Wolfe in the Microenterprise Development office of USAID/EGAT6. Therefore, one of the first steps taken by USAID, and others, has been to draft a framework describing how different types of economic interventions might impact OVC households at various levels of economic development. The idea is that economic interventions need to be appropriate to the economic status of the OVC population served and, recognizing that this status may vary between households or change over the lifespan of a program, there is a need for a multi-faceted approach that can support beneficiaries at different stages of economic development. Economic Opportunity for the Most Vulnerable The strength of WORTH is its ability to meet the needs of women at every stage of economic development, with a special emphasis on providing opportunities for the poorest and most vulnerable.
OVC-Centered Focus: Future programs should continue to strongly emphasize support for OVC as an objective of the WORTH program from the beginning. This can be encouraged in four key ways: 1) Introduce WORTH to the community as part of a larger initiative to improve the well-being of OVC and their caregivers, 2) Encourage early links between WORTH and the CATs, 3) Try mobilize 100 percent of WORTH groups to initiate OVC Support Funds, and 4) Find ways to actively empower women as OVC caregivers. Holistic Approach to Empowerment of Caregivers: The program should continue to integrate economic strengthening with broader empowerment initiatives, including literacy, financial management and training in basic skills critical to caring for OVC: nutrition, HIV/AIDS, hygiene and educational support. Strategic Use of Mobile Workshops: The “empowering space” of WORTH is an important development tool, and future projects should continue to consider how the mobile workshops and social network of WORTH can be strategically used to achieve the goals of a project. For instance, this is an area where WORTH could do more in the future to give women the skills to be more effective advocates for HIV/AIDS prevention and treatment at home and in the community. Expand Opportunities for Income and Asset Growth: Based on an assessment of the communities where WORTH is implemented, the program should consider ways to link program participants to additional opportunities for asset protection and growth – such as insurance, vocational education and larger loans from traditional MFIs. One of the goals of WORTH should be to help women move up the economic ladder and, therefore, it needs to be prepared to help link them to opportunities when they are ready to move up. Promote women’s leadership and : The overall welfare of OVC will be improved by when communities and caregivers share a common commitment to OVC welfare. In Uganda we saw that CATs and WORTH caregivers supported each other. Women were not only mobilized to take care of their own children, but to also be leaders on OVC issues in the community.
Empowering Better Care?Economic strengthening for OVCcaregivers in UgandaPresented by The Salvation Army WorldService OfficeApril 23, 2013
IntroductionThe Salvation Army, in collaboration with Pact, implemented an OVCprogram in Uganda and Tanzania, integrating empowerment of caregiverswith community mobilization on psychosocial support for OVC. These arethe results from an evaluation of the program in Uganda.
WORTH ModelWORTH is a microfinance andempowerment program through whichwomen: generate savings, gain access to training and loans for smallbusinesses, and teach themselves to read and writeThe goal is holistic empowerment and sense ofagency
WORTH & Community Action TeamsWORTH works alongside Community ActionTeams (CATs)CATs are trained to: 1) facilitate conversations about HIV/AIDS andOVC care; 2) conduct in-home counseling to children andcaregivers; and 3) organize Kids and Youth (KAY) Clubs
Summary of ResultsEvaluation found evidence for the following:oWORTH provided new economic opportunities for womeno WORTH empowered women beyond economic strengtheningo OVC in WORTH households measured higher levels of well-beingo Caregiver empowerment appears to be a critical factor in OVCwell-being
Health & Hygieneo More Clean Water: 15-19% highero Greater use of family planningo Greater Use of Hygiene Items
Health & Hygiene: WORTH caregivers appear to be moreattentive to the health status of OVC andmore active in seeking better quality of carewhen children are sick: more likely to know if an OVC was actually sick better able to diagnose the illness for OVC anddetermine the best treatment
Outlook on Life Improved lifeoutlook (hope) Higher levels ofhappiness Increased income Improved financialstatus
Linkages to an OVC Economic Strengthening FrameworkStage Worth Activity or OutcomeRecover assets andstabilize householdconsumptionAsset transfer via OVC fundBuild self-insurancemechanisms and protectkey-assetsStrong social networksSavingsSmooth householdconsumption andmanage householdcashflowFinancial literacyCredit accessSmooth householdincome and promoteasset growthMicroenterpriseBusiness TrainingExpand householdincome and consumption
Recommendations1. OVC or health-centered focus: Clearly rooted in support for OVCwelfare2. Promote women’s community leadership3. Holistic approach to empowerment of caregivers4. Strategic focus on levels of economic strengthening (considerpartnerships): Provision, Protection Promotion5. Set clear health outcome indicators for financial serviceprograms6. Account for other barriers to health status and behavior:beyond financial status and awareness to structural barriers