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SHOUHARDO CARE Bangladesh Evaluation FY2009

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SHOUHARDO CARE Bangladesh Evaluation FY2009

Bethann Witcher Cottrell, CARE

CORE Group Spring Meeting, April 30, 2010

Published in: Health & Medicine
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SHOUHARDO CARE Bangladesh Evaluation FY2009

  1. 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. 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. 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. 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. 5. Take time to “understand” the context Well Being Analysis Community Maps Community Action Plans
  6. 6. Recognize “needs” are different!
  7. 7. Focus on 3 Tiers Household Community Service Provider
  8. 8. Strengthening “ Resiliency” to Disasters Flood Shelter Disaster Volunteers Risk & Resource Maps Mound Protection Walls Plinth Raising Early Warning System
  9. 9. <ul><li>Coverage of all 4 regions (32 villages / slums) </li></ul><ul><li>Unions defined by random selection villages </li></ul><ul><li>Unions with key interventions prioritized </li></ul><ul><li>Quantitative data collection from 3,600 HHs (in line with baseline) </li></ul>Final Evaluation – process………
  10. 10. OVERALL IMPACT………………….
  11. 11. SHOUHARDO <ul><li>44% increase in adequate food provision (5 to7.5months) </li></ul><ul><li>33% reduction in stunting </li></ul><ul><li>16% increase in dietary diversity </li></ul><ul><li>128% increase in income </li></ul><ul><li>Proven links between each one of these achievements and women’s empowerment </li></ul>
  12. 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. 13. Better Services Antenatal Care Iron/Folic Acid Vitamin A Immunization <ul><li>At least 3 antenatal visits </li></ul><ul><li>Baseline: 16.4% </li></ul><ul><li>Endline: 58.6% </li></ul><ul><li>Difference: + 258% </li></ul><ul><li>More food intake than usual </li></ul><ul><li>Baseline: 6.4% </li></ul><ul><li>Endline: 53.7% </li></ul><ul><li>Difference: + 744.5% </li></ul><ul><li>More daytime rest than usual </li></ul><ul><li>Baseline: 25.2% </li></ul><ul><li>Endline: 45.9% </li></ul><ul><li>Difference: + 82% </li></ul><ul><li>Baseline: 27.8% </li></ul><ul><li>Endline: 80.9% </li></ul><ul><li>Difference: + 191.3% </li></ul><ul><li>Baseline: 9.7% </li></ul><ul><li>Endline: 79% </li></ul><ul><li>Difference: + 712.2% </li></ul><ul><li>Baseline: 68.9% </li></ul><ul><li>Endline: 84% </li></ul><ul><li>Difference: + 22% </li></ul>
  14. 14. Behaviour Change Diet Diversification Hand Washing Breast Feeding <ul><li>Baseline: 89.4% </li></ul><ul><li>Endline: 92.7% </li></ul><ul><li>Difference: + 3.7% </li></ul><ul><li>Baseline: 81.1% </li></ul><ul><li>Endline: 98.7% </li></ul><ul><li>Difference: + 21.7% </li></ul>- Difference: + 14.8%
  15. 15. Higher Income Less Migration Less Advance Labor Less Non-Formal Loans More Assets <ul><li>Baseline: 42.9% </li></ul><ul><li>Endline: 19.6% </li></ul><ul><li>Difference: - 54.2% </li></ul><ul><li>Baseline: 15.4% </li></ul><ul><li>Endline: 3.9% </li></ul><ul><li>Difference: - 74.6% </li></ul><ul><li>Baseline: 48.8% </li></ul><ul><li>Endline: 21.4% </li></ul><ul><li>Difference: - 56.1% </li></ul><ul><li>Baseline: 697 </li></ul><ul><li>Endline: 3,356 </li></ul><ul><li>Difference: + 381.5% </li></ul><ul><li>Income in BDT </li></ul><ul><li>Baseline: 1,487 </li></ul><ul><li>Endline: 3,390 </li></ul><ul><li>Difference: + 128% </li></ul><ul><li>Income Sources </li></ul><ul><li>Baseline: 1.32 </li></ul><ul><li>Endline: 1.64 </li></ul><ul><li>Difference: + 24% </li></ul>
  16. 16. More Nutritious Food Less Underweight Less Diarrhea <ul><li>Baseline: 22.9% </li></ul><ul><li>Endline: 9.1% </li></ul><ul><li>Difference: - 60.1% </li></ul><ul><li>Baseline: 55.9% </li></ul><ul><li>Endline: 44.2% </li></ul><ul><li>Difference: - 20.9% </li></ul><ul><li>HHs with 3 square meals/day </li></ul><ul><li>Baseline: 32.2% </li></ul><ul><li>Endline: 74.1% </li></ul><ul><li>Difference: + 130% </li></ul><ul><li>HHs with continual stored food </li></ul><ul><li>Baseline: 10.3% </li></ul><ul><li>Endline: 52% </li></ul><ul><li>Difference: + 405.1% </li></ul>- Difference + 44.1%
  17. 17. Less “ Stunting” <ul><li>Severe Stunting </li></ul><ul><li>Baseline: 20.7% </li></ul><ul><li>Endline: 12.4% </li></ul><ul><li>Difference: - 40.1% </li></ul>- 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. 18. Thank You

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