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SHOUHARDO CARE Bangladesh Evaluation FY2009

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SHOUHARDO CARE Bangladesh Evaluation FY2009 …

SHOUHARDO CARE Bangladesh Evaluation FY2009

Bethann Witcher Cottrell, CARE

CORE Group Spring Meeting, April 30, 2010

Published in: Health & Medicine
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  • 1. USAID Office of Food for Peace Multi-Year Assistance Programs/Development Assistance Programs SHOUHARDO CARE Bangladesh Evaluation FY2009 Bethann Witcher Cottrell, Presenter Faheem Khan, Project Manager Annual CORE Group Conference April, 2010
  • 2. Goal Sustainably reduce chronic & transitory food insecurity of most disadvantaged & hard-to-reach 400,000 HHs in 18 districts by 2009 (Char, Haor, Coast, Slum) North Char Mid Char Haor Coastal
  • 3. “ I misbehaved and my father told me he would take me to the mainland and put me on a ‘Rickshaw’!” “ I was alone when my child was born - I had to cut the cord myself!”
  • 4. Goals / Objectives Leading to Higher Plateaus SO1: Entitlement & Economic Growth SO2: Health, Hygiene, Nutrition SO3: Women Empowerment SO4: Disaster Management Economic Growth & Agriculture Development Democracy Education & Training Population & Health MDG 1: Eradicate Poverty & Hunger MDG 2: Universal Primary Education MDG 3: Women Empowerment MDG 7: Environmental Sustainability Environment Disaster Management SHOUHARDO SOs USAID MDGs
  • 5. Take time to “understand” the context Well Being Analysis Community Maps Community Action Plans
  • 6. Recognize “needs” are different!
  • 7. Focus on 3 Tiers Household Community Service Provider
  • 8. Strengthening “ Resiliency” to Disasters Flood Shelter Disaster Volunteers Risk & Resource Maps Mound Protection Walls Plinth Raising Early Warning System
  • 9.
    • Coverage of all 4 regions (32 villages / slums)
    • Unions defined by random selection villages
    • Unions with key interventions prioritized
    • Quantitative data collection from 3,600 HHs (in line with baseline)
    Final Evaluation – process………
  • 10. OVERALL IMPACT………………….
  • 11. SHOUHARDO
    • 44% increase in adequate food provision (5 to7.5months)
    • 33% reduction in stunting
    • 16% increase in dietary diversity
    • 128% increase in income
    • Proven links between each one of these achievements and women’s empowerment
  • 12. More Nutritious Food Higher Income Better Services Behaviour Change Less Underweight Less Diarrhea Diet Diversification Hand Washing Breast Feeding Less Migration Less Advance Labor Less Non-Formal Loans More Assets Antenatal Care Iron/Folic Acid Vitamin A Immunization Less “ Stunting”
  • 13. Better Services Antenatal Care Iron/Folic Acid Vitamin A Immunization
    • At least 3 antenatal visits
    • Baseline: 16.4%
    • Endline: 58.6%
    • Difference: + 258%
    • More food intake than usual
    • Baseline: 6.4%
    • Endline: 53.7%
    • Difference: + 744.5%
    • More daytime rest than usual
    • Baseline: 25.2%
    • Endline: 45.9%
    • Difference: + 82%
    • Baseline: 27.8%
    • Endline: 80.9%
    • Difference: + 191.3%
    • Baseline: 9.7%
    • Endline: 79%
    • Difference: + 712.2%
    • Baseline: 68.9%
    • Endline: 84%
    • Difference: + 22%
  • 14. Behaviour Change Diet Diversification Hand Washing Breast Feeding
    • Baseline: 89.4%
    • Endline: 92.7%
    • Difference: + 3.7%
    • Baseline: 81.1%
    • Endline: 98.7%
    • Difference: + 21.7%
    - Difference: + 14.8%
  • 15. Higher Income Less Migration Less Advance Labor Less Non-Formal Loans More Assets
    • Baseline: 42.9%
    • Endline: 19.6%
    • Difference: - 54.2%
    • Baseline: 15.4%
    • Endline: 3.9%
    • Difference: - 74.6%
    • Baseline: 48.8%
    • Endline: 21.4%
    • Difference: - 56.1%
    • Baseline: 697
    • Endline: 3,356
    • Difference: + 381.5%
    • Income in BDT
    • Baseline: 1,487
    • Endline: 3,390
    • Difference: + 128%
    • Income Sources
    • Baseline: 1.32
    • Endline: 1.64
    • Difference: + 24%
  • 16. More Nutritious Food Less Underweight Less Diarrhea
    • Baseline: 22.9%
    • Endline: 9.1%
    • Difference: - 60.1%
    • Baseline: 55.9%
    • Endline: 44.2%
    • Difference: - 20.9%
    • HHs with 3 square meals/day
    • Baseline: 32.2%
    • Endline: 74.1%
    • Difference: + 130%
    • HHs with continual stored food
    • Baseline: 10.3%
    • Endline: 52%
    • Difference: + 405.1%
    - Difference + 44.1%
  • 17. Less “ Stunting”
    • Severe Stunting
    • Baseline: 20.7%
    • Endline: 12.4%
    • Difference: - 40.1%
    - 35.7% 33.6% 52.3% Girls - 24.6% 38.8% 51.5% Boys - 29.9% 36.4% 51.9% Overall - 30.3% 36.3% 52.0% Rural - 18.9% 39.0% 48.2% Urban - 40.2% 26.2% 43.9% Coast - 29.4% 41.7% 59.0% Haor - 17.9% 40.5% 49.4% M. Char - 31.0% 35.1% 50.9% N. Char Difference Endline Baseline Stunting
  • 18. Thank You

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