Defending Dignity. Fighting Poverty.



THEME: Food and Nutrition Security
DONOR: Irish Embassy in Mozambique

DESCRIPTION: PROSAN was implemented in the province of Inhambane, in the two districts of Homoine and Funhalouro, expecting to reach 28,875 participants covering 5,250 poor and food insecure households, of which 80% were women from CARE’s impact group, “socially, economically and politically excluded women experiencing food and nutritional insecurity who are highly dependent on natural resources”.

The main programme interventions include conservation agriculture, improvement of chicken health, cashew production and value chain, VSLA, nutrition, gender and economic empowerment, and advocacy for social protection.

The overall programme objectives included:
  • To strengthen community based climate change adaptation capacity and resilience to natural disasters of targeted poor communities;
  • Strengthen poor household food and nutrition security throughout the year;
  • To strengthen women’s and marginalized households’ capacities to exercise control over productive assets and the incomes they generate;
  • To facilitate access to social protection and relevant programs and services designed for the impact group;
  • To strengthen capacity of government and civil society partners in relevant technical areas.
DURATION: 6 years: 2012 - 2018
Results: PROSAN has contributed to changing traditional gender roles through economic and social empowering of women. Skills in improved production techniques, nutrition and chicken health have enabled families to increase and diversify their food intake. Increased earnings in cashew production have been accumulated in savings and credit groups (VSLAs) improving women’s skills in economic planning and allowing subsequent investments in family welfare. Securing land rights has been life changing for many vulnerable households. PROSAN was successful in addressing men as a strategic target group to sustain the change towards more equal gender roles.
RESOURCES: 1 Final Evaluation | 2 Human Interest Stories



“PROSAN is working with farmers to improve their food security and helping them become more resilience to climate change.”



THEME: Disaster Risk Reduction, Emergency Response and Climate Change
DESCRIPTION: The project covered seven provinces: Gaza, Inhambane, Sofala, Zambezia, Manica,Tete and Maputo with the primary aim to ensure that drought affected households have adequate access to food and water to meet their daily essential needs, as well as access to market integrated livelihood activities which support their children’s well-being.
DURATION: July 2016 – June 2017

PARTNERS: Lead Save the Children, plus CARE, CONCERN and Oxfam (COSACA)

Results: The final evaluation of COSCA II notes that the intervention saved lives, positively impacted targeted communities, and provided good value for money. Seed and tool distribution is highlighted as interventions with the most positive impact, while the implementation of the e-voucher system was considered as a positive methodology for the response. The evaluation highlights challenges related to beneficiary selection, as well as some logistical issue for participants to attend food fairs. However, food assistance was perceived as successful intervention, which avoided loss of life and allowed over 251,000 people to meet essential basic food needs.

RESOURCES: 1. Baseline Report 2. Final Evaluation 3. Final Program


THEME: Disaster Risk Reduction, Emergency Response and Climate Change
DESCRIPTION: COSACA's strategy was to improve collaboration with the Mozambican government to meet the challenge of increasing the efficiency and effectiveness of integrated response to natural disasters, namely drought and food insecurity and floods; raising awareness of all actors and beneficiaries about the protection of the most vulnerable groups, namely: women, girls and children, thereby strengthening accountability mechanisms during the emergency response. Therefore, thedevelopment of pre-positioning and pre-event preparedness actions to reduce logistical costs and to ensure greater coverage of aid resources and to mitigate the impact of natural disasters on beneficiaries more efficiently and effectively was one of the fundamental strategies of the intervention of the consortium.
DURATION: 1st of October 2013 - 31st of October 2016

PARTNERS: Lead Save the Children, plus CARE, CONCERN and Oxfam (COSACA)

Results: The intervention of the consortium has had a significant impact on improving the living conditions of the beneficiary communities. If, on the one hand, the distribution of emergency kits prevented the development of diarrheal, skin and malaria diseases, on the other hand, the intervention of COSACA in the emergency response resulting from the drought, allowed to improve the living conditions of the families, by enabling them to cater for their food shortage. Food distribution strategy allowed the children to return to school and improve their school performance. The major sign in terms of the impact of COSACA project was the absence of loss of human lives as a result of floods and food insecurity.

RESOURCES: Final Evaluation

Enhancement of Disaster Resilience in Mozambique (DIPECHO 4)

THEME: Disaster Risk Reduction,  Emergency Response and Climate Change  
DESCRIPTION: 1: Consolidation of resilience-, preparedness- and response capacities of governmental structures from the district to the provincial level has been achieved in Angoche and Moma districts. 2. Community level resilient livelihood measures have been improved in these same districts.  3. Mainstreaming of DR-Management is being carried out at province and national level with the relevant authorities. 
DURATION: 1 Jun 2014 - 30 Nov 2015

Results: In Angoche, CARE together with WWF and local partners contributed towards the development and implementation of a more robust and comprehensive management plan for the Primeiras e Segundas Environmental Protection Area, addressing DRR and Natural Resources Management.
RESOURCES: Final Program Report

Viable initiatives for the Development of Agriculture (VIDA)

THEME: Multi-thematic
YEARS: 1997 - 2001
DESCRIPTION: The aim of the VIDA project was on improving food security for 45,000 vulnerable households in Nampula and Zambezia provinces by increasing the income of farmers earned from crop production and by improving the diet of weaning children. The project had two inter-linked components: The Sustainable Oils Enterprise Component (SOEC) and the Sustainable Agricultural Component (SAC). The first phase started in 1997 as an expansion of a successful pilot project called OPEN funded by USAID. This project promoted the processing of sunflower into cooking oil using manually operated ram presses.

Results: At the end of the project 69% of VIDA farmers had acceptable diets, and 65,000 beneficiaries growing new crops or varieties. The measured stunting rate decreased by 21.3% in relation to the baseline survey. However, this finding can only be taken as indicative, given the low level of confidence in statistics from such a small sample

Oil presses located in the project's target districts have stimulated the market for oil seed producers and encouraged the rapid expansion of oil seed crops. SOEC had worked closely with other institutions (SEMOC, INIA, etc.) on seed supply; seed multiplication, which is done commercially by farmers with CARE playing a facilitating role in obtaining pre-basic seed.Furthermore the Sustainable Agricultural Component (SAC) focused on the production and marketing of maize, pigeon peas and groundnut and SAC extension agents were working in 134 communities with 140 farmer associations.

RESOURCES: Best Practices in Farmer Association Development in Mozambique (1999) 
Evaluation of OPEN (Oil Press) 1996 
Final Evaluation

Viable Initiatives for the development of Agriculture (VIDA II)

THEME: Food Security & Nutrition
YEARS: 2001 - 2007 
DESCRIPTION: The second five-year phase of the "Viable initiatives for the Development of Agriculture" (VIDA) began in October 2001 and finished in September 2007. Funded by USAID the project initially worked in 14 Districts of Nampula Province until 2004 (with complementary funding from the EU(3 districts) and Ministry of Agricuture (MINAG) (1 district), and thereafter in 11 Districts (1 district with complementary funding from a MINAG outsourcing contract). The strategic objective was to increase household food and economic security through increased and diversified sustainable agricultural output and with an expectation of 30,000 direct and 60,000 indirect beneficiaries. 

The second phase VIDA 2 consolidated and expanded on the achievements of VIDA 1. It followed the same principle that guided VIDA 1, namely that extension services must be market led. The program worked with farmers to identify markets for crops currently grown as well as new products. Extension services were geared to providing farmers with advice on how to improve crop production and marketing. Marketing services provided through membership of crop production and marketing associations assisted farmers market their produce for the highest price possible.

Furthermore, there was greater emphasis on women's participation with greater attention paid to child nutrition and weaning practices as well as identifying income-earning opportunities. A major change undertaken in this phase was the shift from CARE working in direct implementation to working with local partners and strengthening local NGO capacity to deliver extension-based services.

Household assets:  Assets have increased and this is statistically significant for the 20% of direct beneficiaries who joined at the beginning of the programme.

Stunting: There has been a significant reduction in stunting rates in the project area. In 2002 the rates were an extremely high 60%, in the 2006 survey the rate of stunting was 48.5%. This represents an 18% decrease during the five-year period.

Acute Malnutrition: There is extremely low acute malnutrition (less that 2%) in the project area denoting no acute food shortage at the time of the final survey.

Diet Quality: Dietary quality has significantly increased by 15% over the life of the project. It is important to note that the increase in the consumption of oil is over 100% from baseline and is highly attributable to VIDA work in oilseed crops and nutrition fortification of weaning porridges.

Length of hungry period: The length of the hungry period is now less than two months (1.4) and has reached the targets set.

DURATION: 1 Jan 2015 - 31 Dec 2017
RESOURCES: VIDA II Final Evaluation 

The Evaluation of the Impacts of Title II Monetization Programs for Wheat and Crude Edible Oils in Mozambique, 1997-2007 

The Sustainable & Effective Economic Development (SEED)

THEME: Food security and Nutrition and Women`s Economic Empowerment
YEARS: 2006 - 2013
DESCRIPTION: The SEED project was a seven-year initiative that started in January, 2006, and ended in April, 2013. The project was funded by CIDA in partnership with Irish Aid, the International Fund for Agricultural Development (IFAD) and the International Livestock Research Institute (ILRI).

The SEED Project built on evidence that (i) the normal coping strategies of the majority of the poor in northern Inhambane in Mozambique are not sufficient to meet the cash and food requirements of the households, (ii) households with diversified livelihoods are systematically better off than households depending solely on subsistence production, and (iii) market-based economic opportunities are a means to diversify livelihoods and alleviate poverty. The goal of the SEED project was therefore to increase access to and control over a diversified portfolio of farm and nonfarm income generating activities that operate on commercially and environmentally sustainable terms by poor households in the target area of Northern Inhambane.

Results: SEED reached over 8,000 households representing over 50,000 people in 274 communities. The SEED project achieved its two expected intermediate outcomes. 

Participating HH were generating additional income for their families from commercially oriented activities when the project ended. Participating HH were also using SEED community based support services to increase their socio-economic security and resilience. Incomes have increased for participants in producer groups and for participants in VSLAs which in all likelihood has contributed to sustained rural economic recovery for vulnerable households in the 4 project districts.
Mozambique SEED case study 
Final Evaluation 

Strengthening Communities through Integrated Programming (SCIP)

THEME: Water & Sanitation
YEARS: 2009 - 2015
DESCRIPTION: The USAID funded SCIP project aimed at improving the quality of life of project participants through health; water, hygiene, and sanitation; and youth-development services. The project was implemented in Mozambiques Nampula province by local government and a Pathfinder-led consortium including PSI, World Relief, CARE and the Cooperative League of the United States of America.

As part of the project, CARE has developed a sustainable and participatory methodology of engaging communities through local WASH committees that are connected to Local Development Committees. CARE has also pioneered innovative technological solutions that provide and maintain water services to communities more efficiently through Multipoint Water Systems managed by private businesses under the oversight of the district government, district artisan groups who maintain and repair village water pumps, and district based shops that sell spare parts needed for village pump maintenance and repair, ensuring the long term sustainability of the water points.

Results: With the support of over 1,300 trained community health workers in Nampula province, SCIP communities saw several impressive improvements. Districts have observed reductions in childhood malnutrition cases of at least 30 percent; while one district, Erati, registered a 90-percent reduction. Children’s hospital admissions due to life-threatening diarrhea and malnutrition cases have also declined up to 64 percent across the five districts in which SCIP provides this full package of services.

Increased access to water and improved sanitation. Construction of 128 new and rehabilitated waterpoints, multipoint water systems to benefit 105,000 people 
RESOURCES: Evaluation 

Water and Sanitation for the Urban Poor (WSUP)

YEARS: 2010 - 2012 
DESCRIPTION: The aim of the WSUP global program is to support local service providers to design and implement water and sanitation solutions that are economically, socially and environmentally sustainable and that serve the needs of urban poor people in developing countries. The global objective of WSUP is to provide access to water & basic sanitation for 3.5 million in target countries. 

Other objectives:
  • Test and refine the WSUP model for replication and scale up.
  • Dual focus on Service Providers Capacity & Better Services
  • Mobilising new funds for the benefit of the urban poor
  • Accessing relevant global know-how under a full cost recovery model
  • Investing own funds in upstream project development
  • Linking water and sanitation with environment/climate change measures
  • Delivering through local partnerships (internal & external)
  • Challenging the status quo using evidence
Results: WSUP's investment to date has provided an estimated 70,000 people with improved water supply through individual and shared household connections across 7 predominantly low-income residential areas in Maputo and Matola. CARE related achievements include - 14 new communal WASH facilities serving 826 people; new school facilities serving 5,480 people and 10,200 people with improved hygiene.
Evaluation: Getting to scale in urban water supply 
Getting to scale in urban sanitation 

CHILD Survival  XII

YEARS: 1996-2000
DESCRIPTION: The goals of the four-year Child Survival-XII project was to reduce maternal, infant and child morbidity and mortality from selected preventable and treatable diseases, and to improve selected practices of caretakers, community health providers, and Ministry of Health personnel in the districts of Malema, Mecuburi and Ribaue, in Nampula province.

Results: The final evaluation (September 2000) concluded that:

The CS-XII project made major strides toward meeting its objectives, despite a lag in community-level achievement during the first two years. 

Final Evaluation 

CHILD Survival  XVII

YEARS: 2001-2006
DESCRIPTION: The CARE Child Survival XVII project was carried out in two rural districts of Nampula Province in northern Mozambique with a combined estimated total population of 259,000. Activities focused on 76 target communities. The goal of the Child Survival Project was to empower families and health care providers to improve the health and nutritional status of children under five and women of reproductive age through targeted interventions that improve maternal and child nutrition and access to treatment and preventive measures for malaria.

Some indicative results from the KPC survey include the following:
  • An increase in exclusive breastfeeding in children age 0-6 months from 2% to 47%
  • An increase in mothers adding oil to children’s food from 15% to 69%, and adding foods rich
  • in vitamin A from 43% to 62%.
  • Children age 6-23 months who received vitamin A in the past 6 months rose from 52% to 72%
  • Children age 0-23 months who slept under a treated mosquito net the night before rose from <1% to 26%
  • Children whose parents sought care for fever within 48 hours rose from 42% to 51%
One reason for the success of the project was the focus on a limited number of high-priority messages, and the multi-pronged approach to behavior change, including volunteers, leaders, and mothers’ groups.

Final Evaluation 

Infant & Young Child Nutrition (IYCN) Project 

THEME: Health
YEARS: 2010 -2011
DESCRIPTION: The US Agency for International Development’s (USAID) Infant & Young Child Nutrition (IYCN) Project contributed to enhanced community- and facility-based nutrition services in Mozambique, improving the way mothers feed their infants and young children. The project supported the Ministry of Health (MOH) to advance the country’s Baby-Friendly Hospital Initiative (BFHI) by training providers to promote improved breastfeeding practices and align national nutrition policies with international standards.

Mais Vida 

THEME: Health (HIV project)
YEARS: 2007-2013
DESCRIPTION: With technical and financial support from the President’s Emergency Plan for AIDS Relief (PEPFAR) and the United States Centers for Disease Control and Prevention (CDC), CARE Mozambique provided comprehensive HIV/AIDS prevention and treatment interventions in the four northern districts of Inhambane province: Vilanculos, Inhassoro, Mabote and Govuro districts. The intervention officially commenced support to health facilities in Vilanculos District on May 15, 2007. It later expanded to Mabote and Inhassoro Districts in October of the same year, and lastly to Govuro District in January 2009. 

The program supported six (6) health facilities providing care and treatment for people living with HIV/AIDS (PLHIV) including provision of long-term antiretroviral medication. The program also supported twenty-eight (28) health facilities providing prevention of mother-to-child transmission (PMTCT) services including counseling and testing for pregnant women and their spouses and one public health school that provides pre-service training for health professionals. 

The project achieved the following results: 
  • Capacity building of facility & community-based Comunity Health Workers 
  • Support to 6 health facilities to provide lifelong ARV therapy & 28 health facilities to provide PMTCT services.
  • Commencement of 8,328 HIV+ clients on lifelong ARV therapy 
  • Installation of databases for electronic patient monitoring in 6 ART facilities;
  • Pre-service training of 34 MCH nurses in the Provincial School of Health
  • Support to the MOH to promote and institutionalize major programs in the care and treatment for HIV+ clients including provider initiated counseling & testing (CT), prevention with positives, biomedical prevention, and provision of ART in TB & ANC clinics through one-stop model approach, leading to 71879 women who received CT and were referred to ANC clinics
  • Partnership with 5 community-based organizations to provide home-based care for HIV+ clients.
RESOURCES: Final Report 

Enhancement of Disaster Resilience in Mozambique / DIPECHO III

THEME: Disaster Risk Reduction,  Emergency Response and Climate Change
YEARS: 2012 - 2013
DESCRIPTION: Target communities in Angoche district, particularly poor vulnerable women and girls are increasingly food and water secure in times of disasters and better plan for and respond to natural hazards.

Key Results: 
  • Members of 12 farmers associations (approx. 17 per association), approximately 50% of whom are women, benefited from improved livelihood and food security.
  • Members of Farmer Field Schools- (7 FFS with 17 members each), approximately 50% of whom are women, benefited from improved livelihood and food security. 
  • Household members of farmers (in Angoche 23% of the Households are female headed) who apply sustainable agriculture (conservation agric and agro-foresting techniques) benefited from improved livelihood and food security (5 members per household).
  • Community members benefit from new community wells providing safe water
  • Community members benefiting from improved sanitation and hygiene (including health benefits of hand washing) - included in water beneficiaries
  • Inhabitants of all 7 target communities benefited from improved Disaster Risk Mitigation
RESOURCES: Overview 

Adaptation Learning Programme (ALP)

YEARS: 2011-2014
DESCRIPTION: The Adaptation Learning Programme (ALP) was launched early in 2010 by CARE and aimed to increase the capacity of vulnerable households in Sub-Saharan Africa to adapt to climate variability and change. The ALP is supported by the United Kingdom Department for International Development (DfID), the Ministry of Foreign Affairs of Denmark, and the Ministry of Foreign Affairs of Finland and is implemented in 40 communities across Ghana, Niger, Mozambique, and Kenya. 

In Mozambique, ALP started its implementation in 2011, as a CARE regional multi-country programme. The programme’s approach involved building on existing community knowledge, empowering communities to have a voice in decision-making on adaptation, identifying best practices, and sharing knowledge to influence local, regional, and international policies and programmes.

Results (from the final evaluation):  In Mozambique, the ALP deliverables to the community level were particularly innovative in the sense that they included Community Based Adaptation (CBA) elements and were done in the context of a CBA process.  The ALP played a crucial role by promoting Conservation Agriculture (CA) and strengthening community capacity to mobilize, capacitate, replicate and disseminate lessons learnt at the community level. The CBA process and content should lead to more partnerships, mobilization and self- reliance, and control and access to power, resources, basic services and decision making to solve community problems. Additional activities such as boreholes were driven by community demands and came outside the district plans.

SCORE (Strenghtenining Civil Society Organistation for Rural Empowerment)

THEME: Strengthening of Local Civil Society Actors 
YEARS: 2008 - 2012
DESCRIPTION: To contribute in improving livelihood of poor and marginalized people in the targeted communities through effective participation in local governance, promoting sustainable management of natural resources and improved access to basic services. Created 22 Local Development Committees (LDCs) with  295 members trained, 9 LDCs benefitted from the 20% tax revenue on forestry, 17 communities have adopted more sustainable NRM practices in their various NRM based livelihood activities.
RESOURCES: Final Evaluation 



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