CARE 2020 Program Strategy


This document describes CARE's 2020 program strategy and goals across four outcome areas. It outlines CARE's roles and approach to address the underlying causes of poverty and social injustice.












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Organizational Theory of Change
This document is a graphic representation of CARE's organizational theory of change.


Our commitments by 2020
We have committed to the following impact: By 2020, CARE and our partners will support 150 million people from the most vulnerable and excluded communities to overcome poverty and social injustice.

We have also committed to these specific outcomes by 2020:

  • 20 million people affected by humanitarian crises receive quality, life-saving humanitarian assistance.
  • 100 million women and girls exercise their rights to sexual, reproductive and maternal health and a life free from violence.
  • 50 million poor and vulnerable people increase their food and nutrition security and their resilience to climate change.
  • 30 million women have greater access to and control over economic resources.

The Program Strategy also indicates that CARE will use three main roles for achieving these outcomes (humanitarian action, promoting lasting change and innovative solutions and multiplying impact) and three elements of “the CARE Approach” (gender equality and women’s voice, inclusive governance and resilience), which aim at addressing what we consider to be the main underlying causes of poverty, namely gender inequality, poor governance and risk.



CARE Markers


The CARE Gender Marker is a simple, easy-to-use tool that grades, on a 0-4 scale, whether or not CARE’s humanitarian and development work is prepared for, designed, and implemented in a way that ensures women, men, boys and girls benefit equally; and if it will contribute to increasing gender equality.

The CARE Governance Marker is a tool that allows teams to self-assess the integration of inclusive governance into programming, and aims to support country teams at project level to assess where they are on a continuum of governance integration.

The CARE Resilience Marker is a tool that allows teams to self-assess how well resilience has been integrated into their work.




Global and Supplementary Indicators for Measuring Change (Updated - October 2017)











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Why we need the global indicators
Our ability to measure progress towards our commitments and to explain how CARE contributes to lasting change has led to the establishment of a global evidence system. The core of this system is a common set of 25 global indicators plus other supplementary indicators, applicable to CARE projects and initiatives worldwide, allowing for the collection and consolidation of coherent and comparable outcome and impact data

Remember!
  • It is expected that all CI Members and Country Offices commit to the following:
    • Incorporate the global indicators in proposals/new contracts (as appropriate and relevant) from 1 July, 2016 onwards: At least one relevant outcome indicator (indicators 1 to 18) and as many as possible from the indicators for the CARE approach and roles (indicators 19 to 25) plus the supplementary indicators.
    • In existing projects/programs/contracts, assess where the global and supplementary indicators can be integrated in monitoring and evaluation plans. Please revise these plans accordingly and integrate indicators where possible.
    • Include the proposed global and supplementary indicators in upcoming evaluations (from now onwards, wherever possible).
    • Report data to the Project/Program Information and Impact Reporting System (PIIRS), every time an evaluative process takes place and a project or initiatives has collected and analyzed data on the indicators selected.
  • The data on impact/outcomes is cumulative (over a 6-year period, from 1st July 2014 until 30 June 2020). We expect to have had an impact on 150 million people by 2020 and, more specifically, reached specific outcomes on SRMH and the right to a life free from violence, women’s economic empowerment, food and nutrition security and resilience to climate change, and humanitarian.
  • The outcome targets include our work with and through partners. CARE never works in isolation and the outcomes we seek will be the result of actions with others.

The following section of the wiki provides the most recent list and guidance (where available) of CARE's Global and Supplementary indicators for measuring lasting change. The supplementary indicators are optional but help you capture evidence of impact on domains of change that are not necessarily captured by the global indicators.

For questions and comments, please contact the following colleagues:





Global Indicators
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INDICATOR 1: Proportion of the population below the international poverty line. Guidance, here

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INDICATOR 13: Prevalence of population with moderate or severe food insecurity, based on the Food Insecurity Experience Scale (FIES).
Guidance, here
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INDICATOR 2: Proportion of the population below the national poverty line.
Guidance, here
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INDICATOR 14: Prevalence of stunting among children under five years of age.
Guidance, here
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INDICATOR 3: Proportion of the population living in households with access to basic services.
Guidance, here
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INDICATOR 15: % of people better able to build resilience to the effects of climate change and variability.

Guidance, here
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INDICATOR 4a: # and % of disaster/crisis-affected people supported through/by CARE who obtained adequate emergency shelter.
Guidance, here

INDICATOR 4b: # and % of disaster/crisis-affected people supported through/by CARE who obtained or recovered adequate housing. Guidance, here
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INDICATOR 16: # and % of women who are active users of financial services (disaggregated by informal and formal services).
Guidance, here
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INDICATOR 4c: # and % of disaster/crisis-affected people supported through/by CARE who accessed safe drinking water.
Guidance, here

INDICATOR 4d: # and % of disaster/crisis-affected people supported through/by CARE who accessed adequate sanitation.
Guidance, here

INDICATOR 4e: # and % of disaster/crisis-affected people supported through/by CARE who used adequate hygiene practices.
Guidance, here
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INDICATOR 17: # and % of women who report they are able to equally participate in household financial decision-making.
Guidance, here
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INDICATOR 4f: # and % of disaster/crisis-affected people supported through/by CARE who obtained adequate food quantities and quality.
Guidance, here

INDICATOR 4g. # and % of disaster/crisis-affected people supported through/by CARE who adopted adequate nutritional practices.
Guidance, here
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INDICATOR 18: # and % of women with union, women's group or cooperative membership through which they can voice their labor rights.
Guidance, here
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INDICATOR 4h. # and % of disaster/crisis-affected people supported through/by CARE who accessed at least one SRH service.
Guidance, here

INDICATOR 4i. # and % of disaster/crisis-affected people supported through/by CARE who recovered household goods, assets and/or income opportunities.
Guidance, here
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INDICATOR 19: # and % of people of all genders who have meaningfully participated in formal (government-led) and informal (civil society-led, private sector-led) decision-making spaces.
Guidance, here
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INDICATOR 5: % of disaster/crisis affected people in areas of CARE responses who report satisfaction with regards to relevance, timeliness and accountability of humanitarian interventions.

Guidance, here
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INDICATOR 20: # of new or amended policies, legislation, public programs, and/or budgets responsive to the rights, needs and demands of people of all genders.
Guidance, here
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INDICATOR 6: Demand satisfied for modern contraceptives among women aged 15-49
Guidance, here
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INDICATOR 21: % of people that have actively engaged in reducing their vulnerabilities to the shocks that affect them.
Guidance, here
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INDICATOR 7: Proportion of births attended by skilled health personnel.
Guidance, here
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INDICATOR 22: # and %age of CARE’s humanitarian initiatives complying with gender marker requirements.
Guidance, here
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INDICATOR 8: Adolescent birth rate (disaggregated by 10-14; 15-19 years) per 1,000 women in each age group.
Guidance, here
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INDICATOR 23: # and % of projects/initiatives that developed innovations for fighting poverty and inequality.

Note: the indicator is measured through the strategy questions on the REACH form of PIIRS, reason why no specific guidance is included here.
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INDICATOR 9: Proportion of women aged 15-49 who make their own informed decisions regarding sexual relations, contraceptive use and reproductive health care.
Guidance, here
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INDICATOR 24: # and % of projects/initiatives that influenced policy change

Note: the indicator is measured through the strategy questions on the REACH form of PIIRS, reason why no specific guidance is included here.
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INDICATOR 10: % of people who reject intimate partner violence.
Guidance, here
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INDICATOR 25: # and % of projects/initiatives that linked or worked with strategic alliances and partners to take tested and effective solutions to scale

Note: the indicator is measured through the strategy questions on the REACH form of PIIRS, reason why no specific guidance is included here.
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INDICATOR 11: % of ever-partnered women and girls aged 15 years and older subjected to physical, sexual or psychological violence by a current or former intimate partner, in the last 12 months.
Guidance, here


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INDICATOR 12: % of women and girls aged 15 years and older subjected to sexual violence by persons other than an intimate partner, in the last 12 months.
Guidance, here



Supplementary Indicators

Poverty and social injustice
Education
Guidance, here

EDU 1: Educational Completion
EDU 2: Educational Retention
EDU 3: Educational Achievement
EDU 4: Communities’ Educational Opportunity Perception
EDU 5: Teacher’s Gender Sensitivity
EDU 6: Children’s Perception of Educational Equity and Equality
EDU 7: Suitable Educational Environment
EDU 8: Relevant Educational Content
EDU 9: Girl/child centered processes
EDU 10: Supportive Strategic Relations
EDU 11: Girls’ Agency
EDU 12: Structural Environment for Girls


Humanitarian Assistance (HUM)

Humanitarian - Shelter

HUM – S 1. #/% of households (women) with documentable / enforceable title / tenancy agreement
HUM – S 2. #/% of people (SADD) / households or other equivalent groupings with sufficient & appropriate HH items / assets to live in dignity & safety


Humanitarian - WASH

No supplementary indicators. All main outcomes already captured by global indicator 4c.

Humanitarian - FNS

The following indicators can be used as supplementary indicators for his area:
Global Indicator 13 (moderate or severe food insecurity FIES);
FNS&CCR - NUT 1. (Wasting);
FNS&CCR - NUT 2. (Minimum acceptable diet);
FNS&CCR - NUT 3. (Minimum Dietary Diversity – Women);
FNS&CCR - NUT 6. (Mid-Upper Arm Circumference MUAC);
and FNS&CCR - HUM 1 to HUM 6.


Humanitarian - SRMH

HUM – SRMH 1. Proportion of health facilities providing at least 5 contraceptive methodswithin the last 30 days
HUM – SRMH 2. Proportion of births attended by skilled personnelwithin the last 30 days
HUM – SRMH 3. Proportion of health facilities providing services for the prevention and treatment of STDs and tuberculosis at least once within the past 30 days
HUM – SRMH 4. Clinical management of sexual violence (including psycho-social support)
HUM – SRMH 5. Proportion of health facilities with Emergency Obstetric Care (EOC) services
HUM – SRMH 6. Proportion of health facilities with WCMR capacity: provision / facilitation of access to Post-Exposure Prophylaxis – PEP, treatment of Sexually Transmitted Infection – STI, etc.


Humanitarian - Resilience

HUM – RES 1. #/% people obtained humanitarian assistance in the form of cash/vouchers
HUM – RES 2. Coping strategies Index (household asset base and coping ability)
The following indicators can also be used as supplementary indicators for this area: FNS&CCR - SE 1. (% increase in income) and FNS&CCR - SAS 6. (Increased adaptive capacity)


Humanitarian – Accountability to affected people

Please refer to global indicator 5 for details on different dimensions or lines of inquiry for measuring accountability.

Sexual, Reproductive & Maternal Health and Rights (SRMH)

Reproductive Health

SRMH – RH 1. Maternal mortality rate (and neonatal mortality rate where appropriate)
SRMH – RH 2. % of women provided with complete information on FP ever/during recent health worker contact
SRMH – RH 3. % respondents who know at least one modern family planning method (DHS)
SRMH – RH 4. % of live births for which the mother received at least 4 ante-natal care visits
SRMH – RH 5. % of live births for which the mother and newborn received post-natal care within 48 hrs.
SRMH – RH 6. % of abortion-related cases (excluding planned termination of pregnancy) admitted to service delivery points providing in-patient obstetric and gynecological services
SRMH – RH 7. % pregnant women (15-24) attending antenatal clinics, whose blood has been screened for HIV / who are sero-positive for HIV
SRMH – RH 8. % of live births by anti-retroviral (ARV) treatment-eligible women currently receiving ARV


Gender Equality and Women’s Voice

SRMH – GE 1. % women 20 – 24 who attended/completed secondary education
SRMH – GE 2. % of men supportive of their partners’ reproductive health practices
SRMH – GE 3. Gender-equitable attitudes toward women’s and girls’ sexual agency
SRMH – GE 4. Improvement in couples’ relations (intimacy)
SRMH – GE 5. Improved communications between adolescents and parents about ASRH


Inclusive Governance

SRMH – IG 1. #/% communities with spaces for dialogue and negotiation between service users and service
SRMH – IG 2. #/% of partners engaging in health governance with at least 30% women among members
SRMH – IG 3. % health facilities with functional complaints mechanism
SRMH – IG 4. % of providers paid on time


Resilience

SRMH - RES 1. #/% partners with emergency preparedness plans which include SRH
SRMH - RES 2. #/% facilities with functioning basic essential obstetric care per 500,000 population
SRMH - RES 3. #/% service delivery points providing appropriate medical, psychological, and legal support for women and men who have been raped or experienced incest
SRMH - RES 4. % facilities stocked out, by method offered, on the day of assessment
SRMH - RES 5. Level of community connectedness to the health system
SRMH - RES 6. Level of trust in the health delivery system


The Right to a Life Free from Violence (LFFV)
No supplementary indicators developed to date.

Food & Nutrition Security and Climate Change Resilience (FNS&CCR)
Guidance, here

Sustainable Agriculture Systems

FNS&CCR - SAS 1. % of agricultural area under sustainable agricultural and natural resource management practices
FNS&CCR - SAS 2. Increased yield per unit area (or productivity per unit area which will also cover fisheries, livestock etc.)
FNS&CCR - SAS 3. % of women farmers with access to, control over, or ownership of a core set of productive resources,
assets, and services
FNS&CCR - SAS 4. Months of Adequate Household Food Provisioning (MAHFP)
FNS&CCR - SAS 5. Increased adaptive capacity among households and communities dependent on small-scale food
production

Nutrition

FNS&CCR - NUT 1. Wasting – Moderate and severe: % of children aged 0–59 months who are below minus two standard
deviations from median weight-for-height (WHZ < -2SD) of the WHO Child Growth Standard
FNS&CCR - NUT 2. % of children 6–23 months of age who receive a minimum acceptable diet (apart from breast milk)
FNS&CCR - NUT 3. % of women (15-49 years) who consume at least 5 out of 10 defined food groups (Minimum Dietary
Diversity – Women)
FNS&CCR - NUT 4. % of women of reproductive age (15-49 years) with anemia and % children 6-23months / 6-59
months with anemia
FNS&CCR - NUT 5. Exclusive breastfeeding under 6 months: % of infants 0–5 months fed exclusively with breast milk
FNS&CCR - NUT 6. Mid-Upper Arm Circumference (MUAC) for children 5-59 months and women of reproductive age 15-
49

Sustainable Economies

FNS&CCR - SE 1. % increase in income compared to baseline for HH and/or impact population
FNS&CCR - SE 2. Total amount of savings made by impact population
FNS&CCR - SE 3. # of policies, norms and practices changes for more inclusive and sustainable economies
FNS&CCR - SE 4. # of sustainable enterprises supported contributing to FNS&CCR outcomes
FNS&CCR - SE 5. # of new employment created for impact population (women, youth)
FNS&CCR - SE 6. % of adults actively using a financial services (formal and informal, including a mobile money services)
in the past 12 months

Humanitarian Assistance

FNS&CCR - HUM 1. Food Consumption Score
FNS&CCR - HUM 2. Household Dietary Diversity Score (HDDS) – Women Dietary Diversity Score
FNS&CCR - HUM 3. Coping strategies Index (household asset base and coping ability)
FNS&CCR - HUM 4. Livelihood Protection Deficit
FNS&CCR - HUM 5. Quantity of food consumed in terms of Kcals per person per day
FNS&CCR - HUM 6. Livelihood change (strategies and assets).






Women’s Economic Empowerment (WEE)Guidance, here

WEE 1. # and % of women and men reporting net income increase per day; and US$ value of increase
WEE 2. # and % of women and men who have increased capability to perform economic activity
WEE 3. # and % of women and men who own or control productive asset (including land) /technology and have the skills to use them productively
WEE 4.# and % of women and men who have universal access to social protection services relevant to their occupation
WEE 5. # and % of women and men who are aware of/understand gender barriers at workplace
WEE 6. # and % of women and men in managerial/senior decision- making position (SDG indicator 5.5.2)

The CARE approach

Gender Equality and Women’s Voice (GEWV)Guidance, here

GEWV 1. Average total # and proportion of weekly hours spent on unpaid domestic and care work, by sex, age and location (for individuals five years and above)
GEWV 2. % of individuals reporting high self-efficacy (SADD)
GEWV 3. # of countries with laws and regulations that guarantee women aged 15-49 years access to sexual and reproductive health care, information and education
GEWV 4. % of individuals who report confidence in their own negotiation and communication skills (SADD)
GEWV 5. % of respondents who report gender equitable attitudes (GEM Scale)
GEWV 6. % of individuals reporting they can rely on a community member in times of need; SADD
GEWV 7. % of individuals reporting that they could work collectively with others in the community to achieve a common goal; SADD
GEWV 8. # of examples in the media representing relevant norms
GEWV 9. Proportion of women aged 20-24 years who were married or in a union before age 15 and before age 18

Inclusive Governance (IG)

IG 1. # and % of people of all genders with knowledge & awareness of their rights and responsibilities as citizens
IG 2. # of organizations/social movements (and # & % of leaders, disaggregated by sex) with strengthened capacities to channel demands of marginalized citizens and engage in decision-making
IG 3. # of CARE/partner-supported collective actions undertaken by organizations/ movements, to present marginalized people's demands to power-holders
IG 4. # of organizations/movements supported by CARE that are considered by their constituents to effectively represent marginalized groups
IG 5. # of new/strengthened inclusive accountability spaces in which marginalized citizens can negotiate with service providers, public authorities or other power-holders
IG 6. # and % of accountability spaces with joint plans of action agreed, over the last 3-6 months
IG 7. % of priority actions (in plans agreed in accountability spaces) that that have been implemented
IG 8. # of power-holders (and # of their staff, disaggregated by sex), that have improved their skills to effectively fulfil their roles and mandate, through the support of CARE and partners
IG 9. Proportion of the population satisfied with their last experience of public services, disaggregated by sector, & sex (SDG 16.6.2)
IG 10. # and quality of transparency processes/actions (citizens’ windows, public audits, open budgets, etc.) that are established or improved with support of CARE and partners

Resilience
No supplementary indicators developed to date.