Central Asia Health System Strengthening project (CAHHS) - Qualitative and Gender Assessments

Aga Khan Foundation Canada (AKFC)

CAHSS is a $31 million, 5-year project implemented by AKFC and co-funded by Global Affairs Canada. The project aims to strengthen health systems to improve the health of men and women in target areas of Central Asia, especially women of reproductive age, children under five and new-born infants. By the end of the project 662,681 people, including 380,778 women and 19,298 children under five, will have benefitted.

In July 2017, ResultsinHealth was asked to lead the design and analysis of a qualitative and gender assessment of the CAHSS project in four countries; Afghanistan, Kyrgyz Republic, Pakistan and Tajikistan. The objective of this assessment was to review the effects of CAHSS in project districts, document lessons learned and develop recommendations for gender equality integration into future health programming in Central Asia.

Data was gathered using document review, key informant interviews and focus group discussions. To ensure effective engagement and contribution of the participants, participatory approaches e.g. ranking and Participatory Rural Appraisal (PRA) approaches were integrated into the FGDs. The framework for this study is adapted from Jhpiego’s Gender Analysis Tool Kit for Health Systems (2016) and includes five areas of inquiry:

  1. access to and control over resources,
  2. decision-making related to access and use of Maternal New-born and Child Health (MNCH) services,
  3. beliefs and perceptions around sexual and reproductive health practices and participation,
  4. practices and participation, and
  5. laws, policies, institutions and programs.

The data collected is then analysed using deductive coding, based on the gender assessment framework and thematic areas of enquiry. Through the three types of data analysis that were conducted simultaneously, RiH provided answers to the four overarching research questions and provided highlights about some of the similarities across countries, specificities and counter findings or anomalies, valuable for the future programmes of CAHSS.

More projects


Forests for a Just Future: providing baseline values & targets

Green Livelihoods Alliance – Milieudefensie & Women Engage for a Common Future (WECF)
ResultsinHealth has recently completed a baseline for the “Forests for a Just Future” programme of the Green Livelihoods Alliance (GLA). Challenged by the COVID-19 pandemic, which limited the possibilities for local field work, through co-creation...

Evaluation: Collecting stories of change among women garment workers

Global Fund for Women
ResultsinHealth conducted the External Evaluation of Global Fund for Women’s initiative to end Gender Based Violence (GBV) in the Garment Industry in Bangladesh, Cambodia, India, and Vietnam.

Operational Research: Strengthening Service Provider’s Ability to Deliver SRH services to Adolescent Girls and Young Women

Oxfam Canada
One of ResultsinHealth’s main areas of expertise is the design and execution of operational research projects. Using innovative, mixed method approaches, ResultsinHealth aims to deliver high quality research that provides in-depth insights and tan...

Evaluating the inclusiveness of WISH2ACTION

Humanity & Inclusion
The Women’s Integrated Sexual Health (WISH) program, implemented from 2018-2021, aimed to offer quality integrated and inclusive family planning and SRHR services to marginalized and hard to reach populations, such as the poor, youth, and people l...

Participatory Action Research: The ACTION project in Indonesia

Hivos
ResultsinHealth’s main objective is to meaningfully engage project stakeholders and beneficiaries in their research, monitoring, and evaluation activities. A particularly effective and dynamic approach to accomplishing this is Participatory Action...

Vocalizing and visualizing stories of change

World YWCA
From April to mid-June 2021, ResultsinHealth, together with Wereld in Woorden (WIW), carried out the end-term impact evaluation for World YWCA’s initiative ‘Promoting the realisation of the right to health for young women and girls’. The project w...

Social and Behavioral Change Communication: Enhancing Protection Information for Displaced People from Afghanistan through Collaborative Engagement with Diaspora Communities in Europe

Danish Refugee Council
This assignment is part of a three years project funded by the Dutch Minister of Foreign Affairs and implemented by the Danish Refugee Council (DRC). ResultsinHealth provides technical assistance on Social and Behavioral Change Communication (SBCC...

Final evaluation of the Born on Time project

World Vision Canada
ResultsinHealth was commissioned by World Vision Canada to undertake the final evaluation of one of their flagship projects – “Born on Time” from February 2020 until April 2021. The Born-on Time program was a Public-Private Partnership for the pre...

End Evaluation of the Health System Advocacy Partnership

Amref Flying Doctors Netherlands
The Health Systems Advocacy (HSA) Partnership is a five-year project, 2016-2020, designed to enable communities to realize their right to the highest attainable sexual and reproductive health. The project aims to contribute to achieving Sexual and...

Central Asia Health System Strengthening project (CAHHS) - Qualitative and Gender Assessments

Aga Khan Foundation Canada (AKFC)
CAHSS is a $31 million, 5-year project implemented by AKFC and co-funded by Global Affairs Canada. The project aims to strengthen health systems to improve the health of men and women in target areas of Central Asia, especially women of reproducti...

Operational Research on Access to Sexual and Reproductive Health Services for Underserved Youth

RutgersWPF Indonesia
Despite the various health programmes designed for young people in Indonesia the service uptake is low. To address this, the Access, Services and Knowledge (ASK) programme – a three-year programme funded by the Dutch Ministry of Foreign Affairs – ...

Evaluation of ECDC Tuberculosis Diseases Programme

European Centre for Disease Prevention and Control
RiH was asked to conduct a mid-term evaluation of the ECDC Tuberculosis (TB) Disease programme. The evaluation aims to identify the achievements of the TB programme in addressing the needs of member states, meeting its annual objectives, aligning ...

Monitoring & Evaluation of the European Surveys and Training to Improve MSM Community Health (ESTICOM) project

CHAFEA - Consumers, Health, Agriculture, Food Executive Agency
In 2016, ResultsinHealth was asked to collaborate in a European-wide consortium with several important players in Europe’s public health field, led by the Robert Koch Institute. The ESTICOM project integrates a behavioural survey for HIV/AIDS and...

Qualitative Evaluation of the Forests and Climate Change Programme (FORCLIME) Using the Most Significant Change (MSC) Technique

Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ)
In 2015, the Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ) asked ResultsinHealth (RiH) to evaluate the impact of the Forests and Climate Change Programme (FORCLIME) Technical Cooperation Module, a bilateral programme between the In...

Using photovoice as an advocacy tool to empower people living with disabilities

UNiTED
ResultsinHealth together with UNiTED Projects and Karijn Kakebeeke Consultancy conducted an assessment using the photovoice method. The method was used as an advocacy tool to voice the concerns of people living with disabilities (PLWD) and expr...

Using photovoice to assess the changes as experienced by participants of the La League pilot programme in Nicaragua

Nicaragua Plan International
ResultsinHealth together with Nicaragua Plan International has been piloting a 'sports for development' programme. The La League Programme uses football with the ultimate aim to contribute to empowering adolescent girls and young women to decide i...

End-Term Evaluation of Partnership to Inspire, Transform and Connect the HIV response (PITCH)

Aidsfonds, Frontline AIDS and the Dutch Ministry of Foreign Affairs
PITCH is a five-year multi-country, bi-regional global advocacy program designed to tackle the global AIDS epidemic through an inclusive, in-country, in-depth approach to international lobbying and advocacy.

Mid-Term Evaluation of Orange Knowledge Programme

MinBuza - Dutch Ministry of Foreign Affairs
The Dutch Orange Knowledge Programme (OKP) is funded by the Dutch Ministry of Foreign Affairs and administered by Nuffic (Netherlands Universities Foundation for International Cooperation) and provides study grants and training in technical and oc...

Visit us

ResultsinHealth
Zijlbaan 46
2352 BN Leiderdorp
the Netherlands

Contact us

+31 (0)71 - 760 1200
office@resultsinhealth.org
Copyright © 2022 ResultsinHealth. All Rights Reserved.
Website: Lucians
0
Shares