Joint Action for Nutrition Outcome (JANO) project aims at reducing malnutrition and addressing nutritional needs of pregnant and lactating women including adolescents. JANO also focuses on capacity building of multiple levels of government bodies, especially enhancing capacities of Nutrition Committees (NC) at the upazila and district levels in terms of developing nutritional plans, budget and effective supervision. Funded by the European Union (EU) and implemented by CARE, Plan International, including Eco Social Development Organization (ESDO). JANO collaborated with the Government of Bangladesh (GoB) in implementing the National Plan of Action for Nutrition (NPAN)-2) at the local, regional, and national levels selected all 65 unions of the seven most vulnerable upazilas of Rangpur and Nilphamari (with a stunting rate of 42.1%) were selected for this project. These include Gangachara, Kaunia, Taraganj, Domar, Jaldhaka, Kishorgonj and Nilphamari Sadar.
Approximately, 4.7 million people in Rangpur and Nilphamari were provided with knowledge and training on health and nutritional practices in line with government priorities. The project’s beneficiaries include 275,415 pregnant and lactating women and married adolescent girls aged between 15 to 49 years of age, 190,322 under five-year-old children, 421,425 unmarried adolescent girls and boys aged 10 to 19 years of age.
The purpose of the annual evaluation was twofold:
- To measure second year progress against given logframe indicators.
1.1. To measure the outcome (on health and nutrition) of COVID response project of JANO
- To measure the impact of COVID-19 on the JANO project and recommend way forward.
In order to assess the annual year impact of the project, CARE Bangladesh collaborated with Innovative Research and Consultancy (IRC) Limited to measure all 18 indicators that JANO project fixed as outcome and expected results in the log frame.
Data for the annual evaluation was collected from 16-23 October 2020 through a mixed method, or combination of quantitative and qualitative methods and techniques. A two-stage systematic random sampling method was used to collect a representative quantitative sample from the household level. The quantitative sample for the study covered a total of 430 respondents consisting of pregnant women (n=103) and lactating women (n=327) from 35 villages across the 7 targeted project areas. Following the same sampling approach, a total of 430 adolescents comprising of girls (n=262) and boys (n=168) were also selected from 22 schools and madrashas. Moreover, 35 members of school management committee, 71 community support groups, 100 female members of Community Group (CG), Community Support Group (CSG), and District Nutrition Coordination Committee (DNCC) were also interviewed.
Qualitative data was collected through Focus Group Discussion (FGDs), Key Informant Interviews (KIIs), and In-Depth Interviews (IDIs) with CGs, CSGs, Pregnant and Lactating Women (PLW), adolescent girls and boys, men, and other key stakeholders including local Nutrition Committees (NC), service providers, local government bodies, and officials. In total, 10 FGDs, 35 KIIs and 10 IDIs were conducted. In the data collection process, (21) female enumerators and three (3) supervisors were engaged. In addition, relevant documents and literature were reviewed to evaluate the overall scenario of the JANO project.
The second annual evaluation found that the average household size is 5. This is higher than the first evaluation survey (4.30) and also higher than the national household size of 4.06. The majority (51.4%) of households were female-headed as compared to the first annual evaluation (0.9%). The study identified that the primary occupation of the household heads was agricultural daily wage laboring (crop/livestock) (22.1%) followed by non-agricultural daily wage laboring (20.5%). During the first annual evaluation the primary occupation of the household heads was non-agricultural wage labouring 24%.
Major findings of the second annual evaluation are arranged into several subcategories, such as 1) Women and adolescent girls’ empowerment; 2) Maternal, adolescent, child health and nutrition; 3) Nutrition governance; 4) Food Security and Livelihood; 5) Access to information, Information and communication technology (ICT), 6) WASH practice, and 7) Covid-19 response and impact of Covid19 on JANO.