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Sustainable,COmprehensive

REsponses(SCORE)forvulnerable
childrenandtheirfamilies

CooperativeAgreementNo.AID617A1100001

EndofYear2Report
October2012September2013

Sustainable COmprehensive REsponses (SCORE) for Vulnerable Children and their families
End of Year 2 Report

TableofContents:

ExecutiveSummary...................................................................................................................3
Introduction...............................................................................................................................5
TechnicalApproach...................................................................................................................5
OverviewofGoal,ObjectivesandApproach.........................................................................5
GeographicScopeandTargets..............................................................................................9
GeneralsituationandImplementationPlan...........................................................................15
AchievementsagainstSCOREtargets..................................................................................15
Workplantargets/AchievementsYear2.............................................................................15
MonitoringandEvaluationofEmergencyPlanProgress(MEEPP).....................................22
PerformanceMonitoringPlan.............................................................................................23
FollowupVATAnalysis...........................................................................................................25
VATAnalysis,Impactdata.......................................................................................................26
AcloseranalysisbyObjectiveArea.....................................................................................28
Cuibono?,whobenefitsfromSCORE..............................................................................36
ConcludingremarkabouttheVATimpactanalysis.............................................................38
Linkageswithotherprogramsandcoordinationmechanisms...............................................38
MajorChallenges,ConstraintsandLessonsLearned..............................................................39
Resourceutilization.................................................................................................................40

Sustainable COmprehensive REsponses (SCORE) for Vulnerable Children and their families
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ExecutiveSummary
TheSCOREprojecthasreachedtheendofitsYear2ofimplementation.Inlinewith
predictionsattimeofyear1report,thetotalnumberofhouseholdsenrolledintheproject
(22,864)iscurrentlyjustbelowtheLifeoftheProjectLOPtarget(25,000).SCOREis
confidenttoreachandsurpasstargetduringyear3.FromthenmostofSCOREeffortswillbe
directedtosupportingexistingbeneficiariesandaccompanyingthemtograduation.

SCOREmaintaineditscommitmenttofittheprojecttothepeople,designingtargeted
responseplansfinetunedtothespecificcircumstancesofbeneficiaryhouseholds.Inorder
toinformthisstrategy,SCOREusedextensivelyprojectgenerateddataandthevulnerability
profilesofeachoftheSCOREhouseholds.

Inlinewithitsmultisectoral,familycenteredapproach,SCOREreachedatotalof104,815
vulnerablepeopleinitsbeneficiaryhouseholdswithoneormoreOVCCoreProgramAreas
CPAs.Outofthese,60,749(57.9%)havereceived3ormoreCPAsbeyondpsychosocial
support.

SCOREhasachievedandsurpassedallofitsquantitativeworkplantargetsforyear2.
Furthermoreandaboveall,intermsofimpact,SCOREhasachievedaremarkabledecrease
invulnerabilityofitsbeneficiaries.20%ofSCOREhouseholdsreassessedattheendofyear
2arenowbelowenrolmentthreshold,meaningthattheyarenowonthepregraduation
path.Overall,50.7%ofSCOREhouseholdshavemovedfromavulnerabilitybrackettoa
lowerone(i.e.fromcriticallyvulnerabletomoderatelyorslightlyvulnerable,andfrom
moderatelytoslightlyvulnerable).

SCOREsupportedthecreationof894VillageSavingsandLoansAssociations,involvingmore
than25,000members,halfofwhicharemembersofvulnerablehouseholds.TheSCORE
VSLAshavesavedmorethan1.5billionUgandaShillings(morethan500thousandUSD)and
haveusedthismoneytoengageinincomegeneratingactivities.Morethan1,200youth
havebeenidentifiedbySCOREimplementingpartnersasneedingjobplacementsupport
throughanapprenticeshipandhavebeenplaced.50%ofSCOREapprenticeswhocompleted
theirtrainingarecurrentlyemployed.Unemploymentandrelianceonremittancesamong
SCOREhouseholdshasdecreasedby50%,andmedianincomeincreasedby57%.

SCOREissupporting508FarmerFieldSchools,comprising11,628people,andhasprovided
horticulturetrainingtoatotalof14,232families.Theseactivitiesareprovingveryusefulin
ruralandurbansettingsalike,asadietarydiversificationstrategyandforincomegeneration
/savingspromotion.Anestimated30,746peoplehavebenefitedfrombehaviorchange
communicationintheareasofnutritionandfoodpreparation.TheproportionofSCORE
householdseatingabalanceddiethasincreasedfrom48.8%to62.2%,andtheproportionof
householdseatinglessthan2mealsadaydecreasedbymorethan50%(from27.9%to
13.5%).

Atotalof7,683communitygroupmembers,LCs,policeofficers,healthworkersand
teachershavebeenorientedonchildprotectionissues.Furthermore,351schoolshavebeen
targetedwithcapacitybuildingandotherinitiativestopromotesafety,protection,
developmentandwellbeingforchildren.TheimplementingpartnersofSCOREhavecarried
outatotalof24,367homevisitstobeneficiaryhouseholds.ProtectionfailuresforSCORE
childrenhavedecreasedbymorethan50%throughouttheprogrammingregions.

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SCOREhasactivelyengaged31,459beneficiaryandnonbeneficiaryhouseholdsfromthe
samecommunitiesindialoguesandworkshopsaimedtostrengthentheirknowledgeand
skillsinawiderangeofareas,encompassingparentingandlifeskills,education,hygiene,
sanitation,shelter,water.WaterandsanitationindicatorsforSCOREbeneficiarieshave
registeredmarkedimprovements,with65.6%ofhouseholdsaccessingsafewater(up10
percentpointsfrombaseline).SCOREfacilitatedreferraltoessentialservicesto4,756
children,withacompletionrateof98%.

SCOREhasoperatedincoordinationwiththeMinistryofGender,LaborandSocial
DevelopmentMGLSD.AMGSLDrepresentativeisapermanentmemberoftheSCORE
TechnicalSteeringCommittee,whichholdsmonthly,minutedmeetings.MGSLD
representativeshavealsobeenregularlyinvolvedinmonitoringandqualityimprovement
activitiesinthefield,incollaborationwiththeASSISTproject.SCOREsharesregularproject
updateswiththeMGLSD,andinthefielditisrepresentedinDistrictandSubCountyOVC
CoordinationCommittees,aswellasintheDistrictManagementCommitteesDMCswhere
theyexist.MorethanthreequartersofSCOREIPs(39outof50)reportatlocalleveltheOVC
MIS,althoughanumberofdistrictsstillfacedifficultiesuploadingthereportsinthesystem.
SCOREiscontinuingitsefforttobuildcapacityofitsIPsintechnicalandmanagerialareas.

SCOREhasmaintainedcontactswithseveralUSfundedprojects,suchasASSIST,STARE,
STAREC,STARSW,NUHITES,SPRING,HARVEST+,CommunityConnector,FANTAIII,PIN,
andInitiativetoEndChildMalnutritionIECM.Thesecontactshaveallowedinformationand
toolssharingandcoordination,aswellascrossreferralofbeneficiaries.Inthecourseofyear
2,SCOREenrolled207householdsreferredfromtheSTARprojects.

ChallengesencounteredbySCOREduringitsfirstyearofimplementationincludeinternal
andexternalcapacitygaps,exogenouseventsinfluencingprogramming,cultural/social
constraints.SCOREhasidentifiedandadoptedstrategiesandmadecorrectiontoits
programmaticpostureinordertobetteraddressthemandtocontinueprovidingquality,
sustainablemultisectoralinterventionstoreducethevulnerabilityofUgandanchildrenand
theirfamilies.

Sustainable COmprehensive REsponses (SCORE) for Vulnerable Children and their families
End of Year 2 Report

Introduction
AVSIFoundationleadsaconsortiumcomprisingCARE,TPOandFHI360,respondingtoUSAID
RequestforApplications(RFA)NumberRFA61711000001SustainableResponsesfor
ImprovingtheLivesofVulnerableChildrenandtheirHouseholds.

TheSCOREproject(Sustainable,ComprehensiveResponsesforvulnerablechildrenandtheir
families)aimstoreach25,000vulnerablehouseholds(with125,000members)in35districts
acrossUganda.SCOREutilizesafamilycentered,multisectoralapproach,andprivilegesa
strongevidencebasedapproachtoinformprogrammingandpromotelearning.

TechnicalApproach
OverviewofGoal,ObjectivesandApproach

The Goal of the proposed program is to decrease the vulnerability of critically vulnerable
children(VC)andtheirhouseholds.

Theprogramaimstoachievethefollowingobjectives,throughtherespectivestrategies.

Objective1ToimprovethesocioeconomicstatusofVChouseholds.
SCORE addresses socioeconomic empowerment through an integrated, marketbased
approach centered on a) increasing household financial resources, b) increasing the socio
economicskillbase,andc)facilitatingmarketinclusion.

ActivitiesincludedunderthisObjectiveare:
EstablishmentofandsupporttoVillageSavingsandLoansAssociations(VSLAs).
Promotesocialinsuranceschemesandlinkagestootherfinancialservices
Providemarketorientedskillsdevelopment.
Developenterpriseandmarketopportunities

Objective 2 To improve the food security and nutrition status of VC and their household
members.
The objective of improved food security and nutrition is addressed through a mix of
activitiesaimedatenhancingthecapacitiesofVChouseholdstoproduceandusefoodstuff,
aswellasimprovinghouseholdknowledgeandbehaviorwithregardtonutritionalpractices
and services. The strategic directions are therefore a) increased food production, b)
improvedfoodutilization,andc)referralandlinkagetoexistingagricultural,nutritionaland
healthservices.

ActivitiesincludedunderthisObjectiveare:
EstablishandsupportFarmerFieldSchoolsand/orurbanhorticulture
BehaviorChangeCommunicationonfoodconsumptionandnutritionalpractices
Mapnutritionalneedsandpromotelinkagewithnutritionandhealthservices

Objective 3 To increase availability of Protection and Legal Services for VC and their
householdmembers.
Child protection interventions aim to strengthen social safety nets protecting vulnerable
childrenfromabuseandexploitation.Thestrategiesinwhichactivitieswillberootedarea)
mobilization and awareness of communities around child protection concerns, b)
empowermentoffamiliestoaccessprotectionandlegalredressservices,andc)enhanced
referralmechanismsforrelevantprotectionandlegalservices.

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ActivitiesincludedunderthisObjectiveare:
Map both formal and existing traditional child protection structures in each target
community
Conducttargetedtrainingsthatdirectlyaddresscapacitygapsidentified
Conductchildprotectionactivitieswithinschools
Conduct interactive learning sessions with VC households & community based
organizations
Conductfamilyvisitsandprovidecounselingandothersocialsupportservices
Providelegalsupportandreferraltoindividualsandfamilies

Objective4Toincreasecapacityofvulnerablewomenandchildrenandtheirhouseholdsto
access,acquireorprovidecriticalservices.
Activitiesbridgeexistinggapsandofferasafetynetthatcancaptureandredirectvulnerable
householdswhofallshortof,orrequirefurthersupport.Themainstrategiespursuedunder
thisObjectivearetoa)stimulatehouseholdawarenessandownershipintherequestforand
provision of critical services, b) reinforcement of the civil society/ community based
organizationstosupportandcareforvulnerablechildrenandtheir households, andc)the
developmentofreferralsystems,includingpartnershipswiththeprivatesector.

ActivitiesincludedunderthisObjectiveare:
ConductdialoguesandWorkshopsforVulnerableHouseholds
TrainandMentorlocalimplementers
MapEssentialservicedeliverypoints
Createconcretereferralstructures/systemtocriticalservices
Fosterinnovativepartnershipsforvulnerablewomen,childrenandtheirhouseholds
withprivatefirmstoincreaseeconomicandsocialopportunities

TheconsortiumstechnicalApproachrestsonthefollowingprogrammaticprinciples:

Familycenteredapproachtobuildselfrelianceofvulnerablehouseholds.SCOREinvolves
and empowers families to be the first line of prevention and response to children
vulnerability.Thisisaimedtooverallincreasethehouseholdsdemandforservicesandthe
capacitytoaccessandprovidethem.SCOREaimstomakeservicesavailablethatrespondto
the unique needs and vulnerabilities of each household, guided by finetuned needs
mappingandthedevelopmentandimplementationofinnovativehouseholddevelopment
plans.Thisapproachaimstofittheprojecttothepeople,tailoringservicestoindividual
families instead of adopting a onesizefitsall, standardized approach, and therefore
addressingtheirspecificneedswhilealsobalancingthetradeoffbetweenthepossibilitiesof
spending a lot on one activity or a little on many activities amid scarce resources. Each
householdisthereforeguidedalongapathwaytowardsincreasedselfreliance.Atthesame
time,usingachildrensrightsapproach,theprogramwillsupportthecreationofanenabling
environmentinwhichchildrenarevaluedandcaredfor,andprotectedfromabuse,neglect
andexploitation.

Buildingcapacityofandworkingthroughlocalstructures.Whereasthecentralgoalofthe
SCORE project is to reduce the vulnerability of children and their households, its strategic
approach is to build the capacity of and operate through a very diverse range of local
community structures. In particular, SCORE aims to a) intensify efforts to strengthen
community networks and structures to deliver communitybased services, and b) mobilize
and empower existing community networks to increase demand for services and improve
communityfacilitylinkagestocompletethecontinuumofresponsemodel.
Sustainable COmprehensive REsponses (SCORE) for Vulnerable Children and their families
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SCOREinvolvescommunitynetworksandstructurestoselectVSLAsandFFS.SCOREinvolves
andempowerscommunitybased actorsasCommunityBasedTrainers and FFSfacilitators,
as well as Nutrition Peer Educators, and this year is going to work on community legal
volunteersinrelevantareas.

SCORE promotes referrals to and involvement of existing structures as appropriate and in


line with national guidelines (probation, police, LCs, Health Centres, and VHTs, among
others).

SCORE works with Community Based Organizations, which already exist in the area, and
buildstheircapacity,bothtechnically(inthe4SCOREObjectiveAreas)andmanagerially(for
instance, facilitating their link and reporting in the OVC MIS, their utilization of M&E,
managementandcoordinationofacomplexsetofactivities).Thesestrongerexpressionsof
thecivil societywillremain in thetargeteddistricts and continuetobe animportantlocal
structureonwhichthecommunitycanrely.

Gender mainstreaming throughout all elements of the project. SCORE mainstreams


Genderatalllevelsoftheactionsdesignandimplementation.Needsassessmentsaremade
cognizantofthecomparativevulnerabilityofwomenheadedhouseholds.Thedevelopment
ofhouseholdspecificresponseplansfactorsthenatureandextentofgenderrelatedroles
within the households livelihoods systems, and in particular womens importance in
ensuringchildrenseducation,nutrition,protectionandwellbeing.Womenaresignificantly
targeted by activities, while at the same time promoting male participation. Furthermore,
SCOREs programming standards emphasize womens participation in activities and in
collective decisionmaking, such as within Village Savings and Loans Associations and/or
FarmerFieldSchools.

Attentiontominoritiesandwomenandchildreninspecialcircumstances.Consciousofthe
particular natureof needs andchallenges of specific categories of vulnerable children, the
program privileges targeting of AIDS orphans, children living with HIV, children with
disabilities,streetchildren,andchildreninconflictwiththelaw.PartnershipswithCBOswith
specialized experience in addressing the needs of these groups has been established and
fosteredbySCORE.Thesuccessofsuchapproachistestifiedbytheimpactanalysis,which
shows that children with disabilities benefit from the project to the same degree as their
nondisabledpeers(seebelow,theImpactsection).

CoordinationandCountryOwnership.SCOREtakesadvantageofthereachandexperience
ofitsmemberstopromoteeffectivecoordinationofUSG,nationalandinternationalactors
engagedintheresponsetoVCinUganda.Theprogramisconsistentwiththerelevantpolicy,
planning and technical documentation, such as the PEAP, the Peace Recovery and
DevelopmentPlan forNorthernUganda(PRDP),theHealthSectorStrategicPlanHSSPand
theNationalOVCPolicyaswellastheNationalStrategicProgrammePlanofInterventions
for Orphans and Other Vulnerable Children 2011/2015. At district level, SCORE and its
Implementing Partners participate in OVC coordination systems (including in the USAID
supported DOPs) and planning processes to ensure that activities are embedded in the
overall strategies to address the vulnerabilities of children and their households. SCORE
activelyinvolvesdifferentlocalstructures,suchasfamilyandchildprotectionunits,health
departments,police,andschools.

Sustainable COmprehensive REsponses (SCORE) for Vulnerable Children and their families
End of Year 2 Report

Objective:
Stabilize and
promote to
economically
viable level

Sustainable COmprehensive REsponses (SCORE) for Vulnerable Children and their families
End of Year 2 Report

STRATEGIES

Develop referral
systems and
partnerships with the
private sector

Reinforce civil society


organizations to
support and care for
vulnerable children
and their households

ACTIVITIES

4.5: Foster Innovative Partnerships with Private Sector

4.4 Create concrete referral systems to critical services

4.3 Map essential service delivery points

4.2 Train and mentor local implementing partners

4.1 Conduct dialogues and workshops for vulnerable households

3.6 Provide legal support and referral to individuals and families

3.5 Conduct family visits and provide counseling and other support services

3.4Conduct interactive learning sessions

3.3 Conduct child protection activities within the schools

3.2 Conduct targeted trainings addressing capacity gaps

Objective 3- Increased availability of


Protection and Legal Services for VC and
their households.

Stimulate household
awareness and
ownership

Enhance referral
mechanisms

Empower families to
access protection and
legal redress services

3.1 Map formal and existing traditional child protection structures in target communities

2.3 Map nutritional needs and promote linkages with


nutrition and health services

Referral to agric
&Nutritional Health
Services

Objective 2- Improved food


security and nutrition status of
VC and their households.

Mobilize communities
and increase their
awareness around
child protection

2.2 Behavior Change Communication on food consumption and nutritional


practices

2.1 Establish and Support Farmer Field School (FFS) and urban horticulture.

1.4 Develop enterprise and market opportunities

1.3 Provide market-oriented skills development

1.2 Promote social insurance schemes and linkages to other


financial services.

Improve Food
Utilization

Increased HH food
production

Critically VC
HH

Facilitate Market
Inclusion

Objective:
Prevent from
falling into
critical
situation

Increase socioeconomic skill base

Moderately
VC HH

1.1 Establishment of and Support to Village Savings and Loans Associations (VSLAs)

Objective:
Maintain
stability

Increase HH financial
resources

Objective 1- Improved socioeconomic status of VC


households.
Objective 4- Increased capacity of
vulnerable households to access,
acquire or provide critical services

Stability

GeographicScopeandTargets
SCOREworksinfiveRegionsand35districts,dividedinto5programmingregions(Central,EastCentral,
East,NorthandSouthWest).DistrictlevelbeneficiarytargetshavebeenoriginallyinformedbytheOVC
SituationAnalysis2009,whichprovidedregionalpercentagesofcriticallyandmoderatelyvulnerable
children,andsubsequentlyadjustedtotakeintoaccountlocallygeneratedinformation,inputsfrom
LocalGovernmentandotherstakeholders,andlinkageswithotherPEPFARprojects(suchastheSTARs).

Figure1SCORERegionsanddistricts.

SouthWest

Central

EastCentral

East

North

Bushenyi

Luweero

Kamuli

Butaleja

Amuru

Sheema

Kampala

Iganga

Bududa

Nwoya

Mitooma

Mukono

Luuka

Budaka

Gulu

Rubirizi

Buvuma

Namayingo

Bulambuli

Lira

Buhweju

Buikwe

Bugiri

Sironko

Alebtong

Ntungamo

Wakiso

Mayuge

Busia

Otuke

Rukungiri

Buyende

Lamwo

Isingiro

Kitgum

At project start, SCORE aimed to reach at least 15,000 households during every project year. Under a
workingassumptionthatathirdofthebeneficiarieswillbeenabledtoreducetheirvulnerabilitytothe
point of reaching graduation within an average of three years, SCORE estimated to reach a total
25,000households,correspondingto125,000vulnerableadultsandchildrenbytheendoftheproject.

Bytheendofyear1,SCOREhadenrolled16,923households,7%higherthanoriginaltarget.ByMarch
2013,SCOREhadreached21,106households,exceeding110,000totalbeneficiaries.Currently,SCOREis
workingwith22,864households.ThisisjustshortoftheLifeoftheProjecttargetof25,000households,
andalreadysurpassesthetargettotalnumberofbeneficiaries,duetothehigherobservedfamilysize
whichalreadypushesthetotalnumberofdirectbeneficiariesabove130,000.

Figure2SCOREenrolment

LifeofProjecttarget
25,000

22,864
21,106

20,000
16,923
15,000

15,000

10,000
5,000

TARGETY1

ACTUALY1

MARCH'13

JUNE'13

Sustainable COmprehensive REsponses (SCORE) for Vulnerable Children and their families
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VulnerabilityandSCOREtools.
Vulnerabiilityisamultisectoralconcept,spannin
ngallthefaceetsofanindivvidualslife,ssocial,econom
mic,
andhealth.SCOREutilizesamultissectoralassesssmentinstru ment,theVu
ulnerabilityAsssessmentTo
ool,to
ulnerabilityrredflags,acrrossdifferenttthematicdim
mensions.Wiith
gatherinfformationonarangeofvu
regardtothesocioeco
onomicstatuss,theVATinq
quiresabouttthehouseholldsincome,tthesourceof
f
income,aandwhothem
mainincomecontributoriss.Withregarddtofoodseccurityandnuttrition,VAT
questionssaddressthehouseholdsdiet,thenum
mberofmealss,andwhetheertherearettimeswhenfo
ood
happensttobeunavailaable.Concern
ningprotectio
on,theVATa sksaboutocccurrenceofarangeof
protection
nfailures,inccludingchildlabor,childab
buse,substannceuse,theeexistenceofadisabilityor
chroniche
ealthconditio
on(includingHIV),andthe
ehouseholdssdegreeofkn
nowledgeofw
wheretoreceeive
protection
nservices.Withregardtoaccesstoesssentialserviceesandfamilystrengthenin
ng,VATquesttions
spanthep
parenthoodsstatusofthecchild,thestattusoftheguaardian,andth
hehousehold
dsaccesstossafe
water,san
nitation,scho
ooling,andhe
ealthservicess.Enrolmentoofchildrenan
ndtheirhouseholdsinthe
SCOREpro
ojectiscontin
ngentonthehouseholdacccumulatingaasufficientnumberofp
points(40)witthin
theVAT.

Inordertodesigneach
hhouseholdssindividualre
esponseplan,,theVATneeedstobeacco
ompaniedbyan
additionalinstrument,theNeedsAssessmentTo
ool,whichcom
mplementsin
nformationgaatheredfrom
mthe
VATandccompletesthe
emapofeach
hhouseholdssmembership,needs,and
dresources.M
Mostnotably,,the
NATassiggnsindividualprojectcode
estoallhouse
eholdmembeers(theimporrtanceofwhiichisexplaineedin
detailinthesectionon
nMonitoringandEvaluatio
on)andgatheersinformatio
ononhouseh
holdmembers
number,aage,sex,birth
hregistration,HIVstatus,sschoolattenddance,educattionlevel,andaccessto
essentialservices.

TheVATisthenreadm
ministeredatregularintervvals(about1 yearfromon
neanother)in
nordertotraack
howthevvulnerabilityp
profileofeachbeneficiaryhouseholdeevolves.OnceahouseholdsVATscoredips
below40,,thehouseho
oldisplacedo
onpregradu
uationand,iifafterafollo
owupat612
2monthsitisstill
belowthrreshold,isgraaduated.Currrently,SCOREEreachedthe phaseofreaadministratio
onoftheVATTtoits
earliestgrroupofbenefficiaries,andisplacingmo
orethan2tho
ousandhouseholdsinpreegraduation..

Figure3Flowo
ofSCOREbene
eficiariesandm
mainrelatedSC
COREtools.

Sustainable COmprehensive
C
e REsponses (S
SCORE) for Vuln
nerable Children
n and their famiilies
End of
o Year 2 Reportt

10

SCOREbeneficiaries:vulnerabilityprofile
Thissectionisbasedon22,864VATscollectedbySCORE.Overall,abouttwothirdsofSCOREhouseholds
are critically vulnerable. There is some variability at regional level, which is both influenced by the
geographical level andprevalenceofvulnerability,aswell as bythepathsof beneficiary identification
(referralsfromotherprojects,parishlists,communitymobilization,etc).

Figure4VulnerabilitybracketofSCOREbeneficiaries.

Region

CriticallyVulnerable

ModeratelyVulnerable

Central

60.6%

39.4%

East

77.9%

22.1%

EastCentral

62.6%

37.4%

Northern

66.3%

33.7%

SouthWestern

57.9%

42.1%

Overall(N=22,864)

63.0%

37.0%

Vulnerabilitylevelsaremoreuniformlyhighwithregardtothesocioeconomicdimension,whereoutof
atotalof30vulnerabilitypoints,theaveragescoresthroughouttheprogramareaarehigherthan24.
SecondmostfrequentlyandintenselyreportedvulnerabilityareaisFoodSecurityandNutrition,witha
peakintheEastRegion.FamilyStrengtheningandEssentialServicesfollowssuit,withhigheraveragesin
theCentralandNorthRegion.ThecomparativelyloweraveragescoresforProtectionarerelatedtoa
comparativelylesswidespreadconcentrationofprotectionfailures(althoughtheoccurrenceofchild
laborisreportedinnearlyhalfofthebeneficiaryhouseholds),whichthereforeleadstoaloweraverage
measurement.
Figure5Vulnerabilitybreakdownbythematicarea.SCOREbeneficiaries.

Region

Socioeconomic
empowerment

Protection

Foodsecurity
andnutrition

Family
strengthening

Central

24.2

5.7

11.6

10.5

East

25.1

7.5

14.1

9.8

EastCentral

23.8

7.4

11.2

8.5

Northern

24.4

7.0

12.2

10.1

SouthWestern

24.3

5.1

11.3

9.7

Overall(N=22,864)

24.3

6.3

11.8

9.8

AnalysisoftheVATdatashowsthatin16.0%ofSCOREenrolledhouseholdstheindexchildhasa
disability.ThisismoreprevalentintheNorthRegion(26.8%)andleastprevalentintheCentralRegion
(10.9%).Furthermore,disabilityamongtheHHheadismoreprevalentlyobservedintheNorthRegion
(21.4%)andleastsointheEastRegion(21.8).Thisdataisstillbeinganalyzedbutpartoftheregional
differentialscanbelinkedtothespecificpatternsofbeneficiariesreferraltoSCORE,mappingpriorityof
districtstakeholders,aswellasdifferentburdenofdisability.
Sustainable COmprehensive REsponses (SCORE) for Vulnerable Children and their families
End of Year 2 Report

11

Region

Table1Disabilityandchronicdiseaseamong21,106SCOREbeneficiaryhouseholds.
Haveadisability
Haveachronicdisease

Central
East
EastCentral
Northern
SouthWest

IndexChild
626(10.9%)
438(21.1%)
554(14.3%)
1,125(26.8%)
633(12.2%)

HHhead
570(9.9%)
453(21.8%)
576(14.8%)
896(21.4%)
848(16.3%)

Both
96(1.7%)
113(5.4%)
113(2.9%)
279(6.7%)
159(3.1%)

IndexChild
859(14.9%)
356(17.1%)
352(9.1%)
904(21.3%)
617(11.9%)

HHhead
2,290(39.8%)
820(39.5%)
760(19.6%)
1,626(38.8%)
1,397(26.9%)

Both
491(8.5%)
237(11.4%)
110(2.8%)
415(9.9%)
269(5.2%)

Overall

3,376(16.0%)

3,343(15.8%)

760(3.6%)

3,088(14.6%)

6,893(32.7%) 1,522(7.2%)

Intermsofmonthlyincome,theaveragemonthlyhouseholdincomereportedbySCOREbeneficiary
householdsis43,688UGX.Thismeansthatgenerally,ascorebeneficiaryhouseholdhasonaveragea
monetaryincomeof1,456UGXaday,lessthanadollaraday.Thehouseholdsurveyrevealedthaton
average,sixpeopledependonthathouseholdincomewhichmeansthataboutUSH242isavailableper
dayforeveryindividualmeaningconsiderablestrainonavailablemonetaryresourcesinthese
households.Significantregionalvariationsarenoted,withtheCentralRegionhavingthehighestaverage
incomeof66,489UGX,whereastheEastRegionshowedthelowestaverageincome(24,605UGX).
Figure6Incomedatafrom22,864SCOREhouseholds.

Region

AverageHousehold
AverageNo.of
MonthlyIncome
householdmembers

Averageindividual
monthlyIncome

Central

66,489

11,081

East

24,605

4,101

EastCentral

38,785

6,464

Northern

43,869

7,311

SouthWestern

28,785

5,757

Overall(N=22,864)

43,688

7,281

Schoolattendanceisgenerallyhighinallregions,with77.7%oftheindexchildrenaged6andabove
(schoolgoingage)reportingtobeattendingschool.However,furtheranalysisshowsveryhighlevelsof
absenteeism,measuredasabsencefromschoolformorethanonethirdofschooltime.Infact,closeto
half(45.4%)ofinschoolindexchildrenreportedhavingbeenabsentfromschoolforatleastamonthin
aterm.AbsenteeismwashighestintheSouthWestandintheEastCentralregions,surpassingfifty
percent(52.5%and55.2%respectively).

Table2SchoolingandAbsenteeismSCOREindexchildren
Region
Central
East
EastCentral
Northern
SouthWestern
Overall

Inschool
3,918(79.2%)
1,499(82.3%)
2,095(79.0%)
3,132(74.6%)
3,314(76.5%)
13,958(77.7%)

Absent
1,651(42.1%)
458(30.6%)
1,168(55.8%)
1,315(42.0%)
1,739(52.5%)
6,331(45.4%)

Population,N
6,004
2,078
3,992
5,461
5,329
22,864

source:SCOREProjectdatabase,VATtables.
Sustainable COmprehensive REsponses (SCORE) for Vulnerable Children and their families
End of Year 2 Report

12


Intermsoffeedinghabits,analysisofVATsshowsthatabouthalf(52.2%)ofSCOREbeneficiary
householdsdonothavegoodfeedinghabits,definedasusuallyconsumingatleastthreetimesaweek
allthethreemainfoodcategories(energyfoods,bodybuildingandprotectiveandregulativefoods).
SignificantdifferencesarenotedregionallywiththeSouthWesthavingthelowestprevalence(39.8%)of
goodfeedingpractice.

Figure7ProportionofSCOREhouseholdswithbalanceddiet22,864VATs.
70%
60%
57.9%
50%
49.2%
40%

46.4%

47.8%

47.3%

39.8%

30%
20%
10%
0%
CENTRAL

EAST

ECENTRAL

NORTH

SWEST

TOTAL

REGION

Quantitative access to food, measured in terms of average number of meals per day, shows a very
diversepictureacrossregions.WhereastheoverallproportionofSCOREhouseholdseatingonaverage
lessthan2mealsperdayisat28.4%,theregionalrangeofsuchparameterchangesbetween14.5%in
theEastCentralRegionand37.5%intheCentralRegion.

Figure8ProportionofSCOREhouseholdseatinglessthan2mealsperday.
40%
35%

37.5%
34.2%

30%
28.2%

25%

28.4%
22.4%

20%
15%
14.5%
10%
5%
0%
CENTRAL

EAST

ECENTRAL

NORTH

SWEST

TOTAL

REGION

Sustainable COmprehensive REsponses (SCORE) for Vulnerable Children and their families
End of Year 2 Report

13

Itisworthnoting,asdonealreadyintheearlyphasesofSCORE,andonoccasionofthedisseminationof
the SCORE Baseline, that the regional profiles show how the drivers of food and nutritional insecurity
canbeverydiverse,andbeattimesandplaceslinkedtofoodquantityandfoodproduction,whileat
othersbemoreamatterofqualityandfoodutilization,andattimesboth.Forinstance,householdsin
theSouthWestregionpresentatthesametimethehighestfrequencyofunbalanceddietsandoneof
thelowestproportionsofhouseholdseatinglessthan2mealsaday.Thesituationissomewhatreversed
fortheNorthRegion.Theseobservationssupportthechoiceofincludingbothaspectsoffoodinsecurity
in the strategic design of the SCORE project, and further call for regionally and householdspecific
responses,inlinewiththeunderlyingproblems.

Intermsofchildprotection,29.4%oftheindexchildrenarereportedtobeinvolvedinaformofchild
labor.Regionalvariationsareregistered,witheasternregionreportingthehighestprevalenceofchild
labor (35.9%) and the Central Region reporting the lowest (20.1%). The differences are statistically
significant. Data also further show that more than a third of index children (40.9%) were reported to
havebeenvictimsofchildabuse(psychological,physical,sexualorneglect).TheEasternRegion(51%)
hasthehighestprevalenceofreportedchildabuse.Whenaskedifthechildhaseverbeeninvolvedin
alcohol or substance consumption, 6.9% reported in the affirmative. The North and Eastern regions,
bothat8.4%hadthehighestreporting,whiletheCentralRegionhadtheleastat3.5%.Dataindicates
thatsubstanceabuseamongSCOREbeneficiariesisaconcern,andfamilysupportactivitieswillhaveto
integratethistopicthroughthelifeoftheproject.

Figure9ChildProtectionFailuresamong16,924SCOREbeneficiaryhouseholds.

Region

Child Labor

Child Abuse

Substance

North

31.3%

39.7%

8.4%

East

35.9%

51.0%

8.4%

Central

20.1%

33.8%

3.5%

South West

31.4%

36.5%

8.2%

Overall (N=16,924)

29.4%

40.9%

6.9%

Informationgeneratedfromtheanalysisofcollectedvulnerabilitydatahasbeenusedtofinetunethe
strategicresponsesthatSCOREputinplace.ThisisinlinewithoneofthecentraltenetsoftheSCORE
project,thatisthateachindividualandhouseholdisunique,withaspecificsetofneedsandresources,
andthereforethemosteffectiveresponsethattheprojectcanputinplaceisonethatfitstheprojectto
theperson,throughevidencebasedresponses,ratherthanviceversa.Thisisshownbythediversityof
responseplans,asexemplifiedbythissampletakenfromslightlymorethan18thousandhouseholds.

Sustainable COmprehensive REsponses (SCORE) for Vulnerable Children and their families
End of Year 2 Report

14

Figure10Activitiesincludedinasampleof18,071SCOREresponseplans

Code

Activitydescription

HHthatplannedfortheactivity
Count/Number
13,715
2,066

Percentage
75.9%
11.4%

1.1
1.3.1

EstablishmentofandSupportVSLAs
Marketandfinancialliteracy

1.3.2
1.3.3
1.3

SPM
Communityskills
YouthbenefitingfromApprenticeship

5,421
3,654
3,939

30.0%
20.2%
21.8%

1.4
2.1.1
2.1.2
2.2
3.4
3.5
4.1
4.4

Linkage/Accesstomarket
EstablishmentofandSupporttoFFS
Horticulture/Backyardgardening
BCConnutrition
Interactivelearningsessions
Familyvisitsandcounseling
Communitydialogues/workshops
Referralforessentialservices

4,166
10,809
7,036
4,548
9,548
5,894
7,511
1,746

23.1%
59.8%
38.9%
25.2%
52.8%
32.6%
41.6%
9.7%

GeneralsituationandImplementationPlan
TheSCOREprojecthasreachedtheendofitsYear2ofimplementation.Thetotalnumberofhouseholds
enrolledintheproject(22,864)ismorethan90%oftheLifeofProjecttarget.

During the past quarter, SCORE completed the comprehensive followup of its first cohort of
beneficiaries.AsecondassessmentbasedontheVAThasbeencarriedout,andtheresultsfor11,123
households have been analyzed. The analysis of data, which will largely constitute the source of the
Impact section below, returns a very rich picture of SCOREs beneficiaries, and of the changes, and
more specifically the improvements, occurred in their lives. The analysis of the data also set the
backdrop for the discussions of the SCORE MidTerm Review, which informed updated activities,
strategiesandtargetsfortheremaininghalfoftheprojectslife.

AchievementsagainstSCOREtargets
SCOREhasachievednearlyallitsquantitativeworkplantargetsforyear2,oftengreatlysurpassingthem.
With regard to the targets that have not been reached, reasons have been analyzed and followup
actionidentifiedandincludedintheworkplanforyear3.

Workplantargets/AchievementsYear2
In terms of process indicators and activity tracking, a set of targets were identified at the time of
approvaloftheYear2SCOREWorkplan.TargetsandcumulativeachievementforYear1arepresented
inthetablebelow.

TheachievementindicatorstestifytotheconsiderableprogrammaticeffortputinplacebytheSCORE
team.NearlyalloutputindicatorsreflectachievementswellabovetheplannedYear2targets.

Sustainable COmprehensive REsponses (SCORE) for Vulnerable Children and their families
End of Year 2 Report

15

Table 3- Overview of SCORE year 2 workplan targets, and end-of-year achievement*


Act.

Indicator

1.1 VSLAFormed

Target

Q1

Q2

Q3

Q4

TOTAL

Rate

214

59

38

183

146

426

199%

1.1 VSLAmembers

5,350

1,905

1,404

5,138

3,405

11,852

222%

1.1 VCHHinVSLA

3,695

955

567

2,183

2,222

5,927

160%

1.2 HHwithpremiums

2,985

181

83

67

50

381

13%

1.3 HHwithmarketskills

3,820

400

2,033

5,014

5,327

12,774

334%

1,271

169%

1.3 Apprenticesplaced

750

1,271

1.4 HHlinkedtomarket

4,116

314

422

634

2,499

3,869

94%

2.1 HHsupportedbyFFS

3,105

1,431

1,607

2,428

1,888

7,354

237%

2.1 HHsupportedbyHorticulture

4,540

2,974

4,578

4,480

3,089

15,121

333%

2.2 BCCbeneficiariesFSAN

23,750

6,833

8,205

7,038

8,400

30,476

128%

2.3 Malnourishedchildrenreferred

553

656

724

328

55

1,763

319%

2.3 FFSregisteredasPG

166

69

35

515

36

655

395%

3.2 StakeholderstrainedinCP

908

2,007

1,824

1,800

2,052

7,683

846%

3,726

351
11,467

106%
123%

24,367

126%

3.3 SchoolsimplementingCPactivities
3.4 HouseholdsinCPinteractivelessons

330
9,343

3.5 HouseholdVisits

19,288

6,617

4,547

6,518

6,685

3.6 Beneficiariesreferred

16,500

4,754

3,198

3,022

2,098

4.1 HHincommunitydialogues

10,436

4.4 Referralstoessentialservices

2,738

7,741

11,519
708

2,360

714

974

13,072

79%

11,519

110%

4,756

174%

*Asperapprovedworkplan(SCOREYear2Workplan).

OBJECTIVE1SocioEconomicEmpowerment.
In the course of year 2, SCORE supported the creation of 426 Village Savings and Loans Associations,
involving a total of 11,852 members, of which 5,927 are members of vulnerable households. This
achievementisabouttwiceashighastheyear2target,andtestifieshow,overall,theVSLAconcepthas
beenreceivedverywellinnearlyallcommunities.

ThecompositionoftheSCOREsupportedVSLAs,asintheproportionofmemberswhoareSCOREdirect
beneficiaries,isatabout50%.However,thereisgreatvariabilityinthisproportion,whichinfactranges
from a low of 25% to a high of 80%. The reason for this lies, as also explained in previous reports
dedicated to the issue, in the geographic proximity of SCORE beneficiaries selected for VSLA support,
whichincertainareasmadeitimpracticaltogroupmorethan610beneficiariesinthesameassociation
(whichwasthenfilledbyothercommunitymembers,hencethelowerrelativeproportionofSCORE
directbeneficiaries).

Aspartof itsOperational Research andcontributiontotheCLA(CollaborativeLearning andAdapting)


agenda,SCOREiscarryingoutanactivityofmonitoringandanalysisofeconomicoutcomesforSCORE
supportedVSLAs,withparticularattentiontowhetherandhowitcorrelateswiththecompositionofthe
membership.ResultswillinformVSLArelatedestablishmentandsupportaccordingly.BytheendofYear
2, 894 SCOREsupported VSLAs have saved 1.5 billion Uganda Shillings (at an indicative UGX/USD
exchangerateof2,500,totalsavingsthereforeexceeded500,000USD).Memberhouseholdshavethen
borrowed to invest in income generation activities or otherwise address their needs, and total loans
exceeded1billionUgandaShillings.AninterestingfeatureofSCOREsupportedVSLAsisinfacttherate
Sustainable COmprehensive REsponses (SCORE) for Vulnerable Children and their families
End of Year 2 Report

16

of utilization of the savings, expressed as loan/saving ratio, which stands at 84.5%, higher than other
standardVSLAexperiences.

Microinsurancehasbeentheactivity,amongallimplementedbySCORE,whichhadthelowestdegreeof
penetrationamongbeneficiaryhouseholds.DespitethedevelopmentofaMoUwithJubileeInsurance,
the development of two funeral insurance coverage offers, and extensive outreach work to inform
beneficiaries about the potential benefits of this initiative, only a very limited portion of households
optedtoseekcoverage.Thetotalnumberofsubscribersisinfactonly13%ofthetargetinitiallysetat
the beginning of the year. Among the challenges encountered, and summarized at the recent SCORE
MidTermReview,arethelowlevelofappreciationoftheconcept(evenamongstSCOREstaff),mistrust
by some communities, and even resistance by some district officials. For instance, in the SouthWest
Region,theofferofmicroinsurancehasmetdirecthostilityfromlocalleaders,whohaveoftenactively
campaignedagainsttheinitiativeamongcommunities.SCOREoptedtoreducethisactivityinthearea,
whilecontinuingeffortsatexplainingthepositiveaspectsforvulnerablehouseholdstothestakeholders
antagonizingit.Anumberofsubscribershaveneverthelesssignificantlybenefitedfromsupport.Aisha1
in the South West Region bought a premium of 30,000UGX for her family and promptly received
500,000UGXwhenshelostherhusband.Sheused200,000topaydebtsfortheburialexpensesandthe
remaining300,000tofinalizepaymentforlandshewasintheprocessofbuying.Sidney2inNtungamo
lost his wife to a lightning. He received a payment of 500,000UGX, which he used to offset the debts
from burial expenses. The strategies that will be pursued in the coming year will include increased
sensitizationofrelevantstakeholdersandVSLAmembers,exchangevisitstoareaswheremembershave
alreadybenefited,andpossiblyexplorethefeasibilityofdevelopingandpilotingotherappropriateand
innovativeinsuranceproducts(agricultural,healthorother).

Also in the area of Apprenticeship, SCORE has made significant progress during the past year. A
guidance document for the selection of apprentices, assessment and selection of artisans, placement
parameters, evaluation criteria, has in fact been developed by the SCORE TSC (capitalizing on and
integratingseveralinputsfromUSAIDtechnicalofficers)andiscurrentlybeingutilized.Atotalof1,271
youthhavebeenidentifiedbySCOREimplementingpartnersasneedingjobplacementsupportthrough
an apprenticeship and have been placed. Trades selected for apprenticeship included Saloon and
Hairdressing, Tailor and Garment Cutting, Motor Vehicle Technician, Carpentry & Joinery, Brick Laying
andConcretePractice,Welding,Bakery&FoodHandling,IT/Computers,andHotelManagement.SCORE
has put additional effort in the area of facilitating job placement, onthe job training, and
apprenticeships for SCORE beneficiaries. Currently, 228 out of 453 youth who completed their
apprenticeship(correspondingto50%)arereportedtobeemployed.Thereisthereforesomeevidence
ofyouthgettinggainfulemploymentandstartingownbusinesses,andcontributingtotheirhouseholds
wellbeingandbasicneeds.

Intheareaofmarketskills,theyear2ofSCOREmarkedgreatprogressincoverage.Atotalof12,774
households (three times the original target) received either Basic Financial Literacy BFL training, or
SelectionPlanningandManagementSPMtraining,orcommunityskillstrainings(candlemaking,soap
making, weaving, briquette making, etc). This component of SCORE activities was driven by a strong
demandamongVSLAmembersinparticularforskillswithwhichtobetterhandlethefinancialresources
thathadbecomeavailable(rememberthecommentmadeaboveregardingthehighloan/savingratio).

1
2

Notrealname,toprotectconfidentiality.
Notrealname,toprotectconfidentiality.
Sustainable COmprehensive REsponses (SCORE) for Vulnerable Children and their families
End of Year 2 Report

17

Furthermore,apartnershipwasstartedwithStanbicBank,whichcommittedtocontributingatotalof
210 million UGX to the SCORE project for the implementation of Basic Financial Literacy trainings for
vulnerablefamilies.Coverageoftheseactivitiesisexpectedtocontinuetoriseinthecourseofyear3.

Objective2ImprovingFoodSecurityandNutrition
SCOREsupported508FarmerFieldSchools,comprising11,628members,withfarming(throughtheFFS
model)andthroughhorticulturetrainingatotalof14,232families.Thisisthreetimestheoriginaltarget,
andreflectstheextremelyhighuptakeofthehorticulturemodel,whichhasbeenrecognizedasavery
usefulinitiativebyhouseholdsinruralandurbansettingsalike,bothasadietarydiversificationstrategy
andasanincomegeneration/savingspromotionstrategy.

Atotalof195FFS(38%ofthetotal)haveevolvedtothepointofregisteringasproductiongroups(with
someregionalvariation,highestinNorthandEastCentral,andlowestinCentralandSouthWest).Itis
expectedthatmanymoreFFSsupportedbySCOREwillregisterthemselvesinthecourseofYear3and
willtakeadvantageofthelinkagespromotedbySCOREintermsofvaluechainandmarketing.

An estimated 30,746 people have benefited from behavior change communication in the areas of
nutritionandcooking.Thisachievementistheresultofasteppedupeffortinformedbytheanalysisof
SCORE data and the direct observation of the nutritional situation of children in SCOREsupported
families.

Referrals for treatment of malnutrition have also been higher than planned. During year 2, a total of
1,763 referrals for malnutrition were made, with a geographical focalization in the Central and East
Central.Referralcompletion,measuredonasampleof922casesneedingmalnutritiontreatment,has
remained low, at about 59%. Upon verification, it was noted that not all children who were referred
were severely malnourished children. Guidance has been circulated among implementing partners in
order to improve accuracy of identification and referral. Among other challenges encountered in this
area, health facilities lack basic anthropometric equipment for screening and classifying malnutrition
cases,healthworkershavelowtechnicalcapacitytomanagemalnutritioncases,andmostHCIIIsand
IVsdonothavetheinfrastructureandsuppliestocarryoutOTCandITCinterventions.SCOREhasbeen
constantly dialoguing with the Ministry of Health, of whom a representative also attended the SCORE
MidTermReview.RecentinformationpointstotheMoHhavingsecuredfundingforequippinghealth
centres.SCOREpledgedtolinkwithMoHtoidentifycentresinneedwithinitsprogramarea.

Objective3ChildProtectionandLegalServices
SCOREtargeted subcounties have been completely mapped for child protection services and
structures. This process has made use of local structures, existing maps developed by the cousin
project SUNRISE, and has undergone fieldlevel validation and completion. The mapping of the
remainingthirdofthetargeteddistrictsisongoing,inthesensethatnotallthesubcountiestargetedby
theprojecthavebeencompleted.

SCORE has identified a number of gaps in the capacity of formal structures at local level (mainly LCs,
policeandhealthworkers,aswellasteachers)intheareaofChildProtection.Initially,SCOREexpected
itsprogrammingareatolargelyoverlapwiththeSUNRISEproject(whichhasamandateandresources
to build the capacity of local structures in the area of child protection in particular). However, the
district split that followed the publication of the SCORE RFA resulted in a significant increase in the
number of district to be targeted by SCORE (from about 20 to 35). This has resulted in a large gap in
Sustainable COmprehensive REsponses (SCORE) for Vulnerable Children and their families
End of Year 2 Report

18

capacity and in technical support coverage for these structures. SCORE has therefore had to invest
resources in this technical area well beyond the initially planned level of effort (which assumed it to
have a residual function to complement SUNRISEsupported capacity building). A total of 7.683
community group members, LCs, police officers, health workers and teachers have been oriented on
child protection issues of relevance to their area, and on referral pathways that they have a duty to
contributeto(andthisrepresentmorethanfivetimestheinitiallyplannedtarget).SCOREhasoperated
inacoordinatedwaywithSUNRISE(whoperformsimilaractivities)inordertominimizeoverlapandto
gainmaximumsynergiesfromthetwoprojectsimplementation.

SCORE has identified, based on the map of school attendance of children from enrolled families, 351
schoolstotargetwithcapacitybuildingandotherinitiativestopromotesafety,protection,development
andwellbeingforchildren.TeachersselectedfromtheseschoolshavebeentrainedontheGoodSchool3
concept and are now coordinating plans and activities for child wellbeing and protection at the
respective schools. SCORE will continue collaborating with these schools and put in place or support
innovative initiatives aimed to promote protection and vulnerability reduction among their students.
Furthermore, SCORE is undertaking some operational research to gauge the degree of benefit that
vulnerablechildrenandotherchildrenattendingthoseschoolshaveachievedthroughitsintervention.

Significant protection failures have been identified by SCORE among its beneficiaries, as described in
earlier sections. The response by SCORE IPs was extensive, and by the end of the year 11,467
householdshadbeenreachedwithinteractivelearningsessionsonprotection(coveringissuesranging
from abuse, neglect, discipline, birth registration, sexual violence, and child labor). Participants in the
sessions included both direct and indirect beneficiaries (that is, families enrolled in SCORE, as well as
other community members) and were facilitated by different stakeholders, depending on the topic
(includingimplementingpartnerstaff,LCs,police,andothers).Theyear2targetwassurpassedby23%.

AkeyfactorfortheproperimplementationoftheapproachproposedbySCOREistheunderstandingof
and a rapport with each beneficiary household. This rapport is to be established through regular
contacts with the family. Furthermore, direct visitation of beneficiary households allows for new
pointsofcriticalityorattentiontobeidentified.TheimplementingpartnersofSCOREhavecarriedouta
total of 24,367 home visits to beneficiary households, about 26% more than the originally intended
target.4Still,thisareahasbeenidentifiedattheSCOREMidTermReviewasneedingfurtherattention,
due to the important linkages that home visits can bring to other SCORE services and to referrals in
general.

Intheareaofreferralsforprotectionandlegalservice,SCOREsupportedbirthregistration(anareaof
widespread vulnerability for its beneficiary households) within a comprehensive initiative to increase
educationofhouseholdmembersontheimportanceofbirthregistration(aimedtoincreasedemand),
lobbying with district and subdistrict authorities to waive or reduce registration fees (to improve
supply), and costsharing thefinancial requirementsforregistration(improvingmatching). As aresult,

http://www.raisingvoices.org/files/goodschool_learn_whatis.pdf,p10
Homevisitsareintendedtoensurethatchildprotectionoccursinthefamilybutalsoitallowsformonitoringof
whetherotherprojectactivitieslikeVSLA,foodandNutritionsecurityarebenefitingtheindexchild.Furthermore,
itallowsfordisseminationofotherrelevantprotectioninformationreferraletc..

Sustainable COmprehensive REsponses (SCORE) for Vulnerable Children and their families
End of Year 2 Report

19

4,008 vulnerable children obtained birth registration documents. In addition, 470 children received
referralsforprotectionandlegalsupport.

Objective4FamilyStrengtheningandAccesstoCriticalServices
SCORE has very actively engaged beneficiary and nonbeneficiary households from the same
communitiesindialoguesandworkshopsaimedtostrengthentheirknowledgeandskillsinawiderange
of areas, encompassing parenting and life skills, education, hygiene, sanitation, shelter, water. This
effort, which by the end of the year 2 accounted for 11,519 vulnerable households (and a total of
31,459 households, including the indirect beneficiaries) reached aimed to reinforce the families and
communities in their crucial role of first line of prevention and response to vulnerability for their
children.Thisachievement(10%aboveworkplantarget)isoneofthemainstrategiespursuedbySCORE
withtheaimtoobtainandmaintainsustainablechangeinthesituationofitsbeneficiaryhouseholds.It
isalsoimportanttonotethatalsowithregardtothisactivitySCOREhasactuallybenefitedasignificantly
largerconstituencythan itsdirectbeneficiaries.The proportionofdirectbeneficiaries(i.e.households
enrolled in SCORE) among those who attended the community dialogues is at 30% (varying between
20%intheNorthand33%intheSouthWest).

The dialogues brought about many different outcomes in favor of vulnerable families, mainly by
changing their behaviours and attitudes, as well as catalyzing community action directed to ensure
improvements for most vulnerable families. As an example, in the SouthWest, dialogues were
accompanied by outreaches resulting into 470 vulnerable women screened for cervical and breast
cancer(27positiveclientsarenowaccessingtreatmentfromMbarararegionalhospital),andintheEast
Central a bylaw was developed in Iganga that improved school attendance (school absenteeism and
childlaborwereaproblemduetoparentsengagingchildreninguardingricefields).Also,intheSouth
West,hygieneandsanitationdialogueshaveresultedinto185pitlatrinesconstructed.

Table 4-Examples of topics addressed at SCORE Community Dialogues.

The importance of
health
Hygiene
and
sanitation
Gender
based/domestic
violence
Parenting and child
care.
Importance of will
making

HIV/AIDS

Alcoholconsumption
Child'swellbeing
Exposure of children
toalcohol
Advantagesofhaving
apitlatrine

Prevention
of
drug
accidentsathome(Proper
drugstorage)
Water, sanitation and
hygiene
Cervical and breast
cancer awareness and
screening
Mental
health
and
disability
Educativeroleofparents

Elimination of Mother to
Child
Transmission
Of
HIV/AIDSEMTCT
Sensitization on life skills
education
Isitpossibletoreturnhome?
Genderroles

ThesecondmainstrategyforsustainabilityofSCOREoutcomesisthereinforcementoflocalcivilsociety,
andinparticularofitsimplementingpartners.SCOREoperatesthrough50localimplementingpartners,
and all of them have received a wide range of capacity building interventions ranging from technical,
programmatic areas (agriculture, savings, cooking, protection, parenting) to managerial, financial and
other administrative topics. All implementing partners have been administered an Organizational
CapacityAssessmentTool(OCAT)atthebeginningoftheSCOREpartnership.Sincethebeginningofthe
project,the OCAT was administered twice to the implementing partners, and findings show a general
improvementamongpartners,throughouttheareasofanalysis(managerial,programming,monitoring).
Despite the improvement, a number of partners (ref the group circled in the OCAT graph) still need
support,andwillbeunderspecialattentionbytheSCOREteam.
Sustainable COmprehensive REsponses (SCORE) for Vulnerable Children and their families
End of Year 2 Report

20

Figure11O
OCATscores(2011Xaxis,20 12Yaxis).SCO
OREIPs

SCOREcontinueditseffforttoorientt,trainandsu
upportitsImpplementingPPartnerstoreportintheOVC
Managem
mentInformattionSystem(OVCMIS)atlocallevel.SC
COREhasbeeensuccessfulatincreasingthe
proportionofIPsreportingfromlesssthan10%tonearly80%
%.Aproblemtthathasbeen
nobservedan
nd
remainsu
unsolvedisthefactthatafftertheIPshaavesubmitteddtheOVCMIISreports,on
nlyaportiono
of
themareactuallyuplo
oadedinthessystembythe
eDistricts.As aresult,atarecentverificcationcarried
dout
st
bytheSCO
ORESIteamo
ontheonline
eOVCMIS,on
nly19ofthe339IPswhoreeportedinthee1 quarter2
2013
wereinth
hesystem.AtttherecentSCOREMidTermReview,s everaldistricctofficerswerreinvitedtosshare
theirexpe
eriencesofinteractionwithSCOREandwithregardttothethemeeofOVCMIShavementioned
amongthechallengesthelackofre
eliableITequiipment,erratticpowersup
pply,lackoftrrainingonusing
thesystem
m.Thisproble
emisreporte
edlymoreseriousfordistriictsthatwereeestablishedmorerecenttly,
andthattthereforearenottargeted
dbyeitherSU
UNRISEorSDSS.

Table 5- SCO
ORE IPs subm
mitting OVC-M
MIS, 1st quartter 2013.

havebeencompletelymapppedforcriticalservicesaandstructuress.
AlloftheSCOREtargetteddistrictsh
esshasmadeuseoflocalsstructures,exxistingmapsddevelopedbyytheprojectSSUNRISE,and
dhas
Thisproce
undergon
nefieldlevelvvalidationand
dcompletion.

ReferralsofSCOREben
neficiariestocriticalservicceshavebeennfacilitatedfo
or4,756child
dren.Thisfigu
ureis
about74%
%higherthan
nthetargetfo
oryear2andthemajority
yofcasesconcernedhealth
hcare(includ
ding
disability)).Attheendo
ofthepreviou
usyear,SCOR
REcommitteddtofollowinggupontheco
ompletionratteof
suchreferrrals,whichh
hasindeedbe
eentrackedan
ndattheenddofyear2sto
oodat98%.
Sustainable COmprehensive
C
e REsponses (S
SCORE) for Vuln
nerable Children
n and their famiilies
End of
o Year 2 Reportt

21


Severalpartnershipswithprivate,NGO,andotherUSAIDfundedpartnerswerealsoimplementedinthe
field.AcollaborationwithGoalallowed16householdswithdilapidatedshelterstobemovedtonew
housesinBugiridistrict(EastCentralRegion).PartnershipswithOURS,CORSUandCUREHospital
allowedseveralsuccessfulreferralsforchildrenwithdisabilities(198childrenwithdiversedisabilities
havebeenassessedandreferredaccordingly).FollowingcollaborationandoutreacheswithRHU,27
positiveclientsarenowaccessingtreatmentatMbararaCancerInstitute,30clientswererecommended
forPAPsmeartoascertaintheirresults,and42clientshavebeentreatedforadvancedPID/Infections.
ThepartnershipwithJubileeInsurancemadeavailabletwomicroinsurancepackageswhich381
vulnerablehouseholdsbought.

MonitoringandEvaluationofEmergencyPlanProgress(MEEPP)
TheactivityreportssubmittedthroughtheMonitoringandEvaluationoftheEmergencyPlanProgress
(MEEPP)systemgiveapowerfuloverviewoftheachievementsoftheSCOREProjectthroughitssecond
yearofactivityimplementation.Atotalof104,815vulnerablepeople,havebeendirectlyservedwith
oneormoreOVCCoreProgramAreasCPAs.Outofthese,60,739havereceived3ormoreCPAs
beyondpsychosocialsupport.Foodandnutritionalsupporthasbeenoneoftheareaswiththelargest
reach,with75,855documentedindividualsreached.

Intermsofagebreakdown,itispossibletoseeanotherfeatureofSCORE:thefamilyapproach.Family
membersaretargetedbydifferentactivitiesinthemeasuretheyarethemostappropriatefor.SCORE
willtrainamotheroncooking,andnota5yearoldchild,forinstance.Thedirectbeneficiaries18+
targetedbySCOREactivitiesareoveralllessthan40%ofthetotalnumberofdirectbeneficiaries.

ItisalsoimportanttonotethatthesenumberscorrespondtotheSCOREdirectbeneficiariesonly.These
arepeoplewhobelongtofamiliesforwhomwehaveaVATandNAT,andwherewethereforecanlink
anactivitytoeverymemberbyvirtueoftheSCOREcodingsystem.AcharacteristicoftheSCOREproject
ishowevertoinvolvesignificantnumbersofindirectbeneficiaries,too.Byindirect,wemeanpeople
whomayattendanactivityortraining,participateinaVSLA,withoutbeingafamilythathaspassedthe
VATassessment.Forthesepeopleweonlyhavethenumber,butcannottrackmultiplecontacts
throughoutactivities,andthereforetheyarenotreportedhere.However,asalreadymentioned
elsewhereinthisreport,theSCOREmultiplier(thatis,thenumberofindirectbeneficiariesforevery
directbeneficiary)isoftenlargerthan1.Thisthereforemeansthatthedatapresentedinthissessionis
onlyaveryconservativefloorfortheactualreachoftheSCOREproject.

Table 6-PEPFAR indicators for SCORE


INDIVIDUALS
#OfOVCsupportedtoattainvocation/apprenticeskills
#ofOVCprovidedwithfood/Nutritionalsupport
#ofOVCsupportedtoreceivehealthservices
#ofOVCsupportedtoaccesseducation
#OVCprovidedwithPSS
#ofOVCassistedtoregisterbirths
#ofOVCreferredforotherservices
HOUSEHOLDS
#ofOVCHHswhoreceivedeconomicstrengtheningsupport
#ofOVCHHsthatreceivedagricultural/farminput

1,132
75,855
18,379
464
72,151
3,780
1,370
10,607
12,800

Sustainable COmprehensive REsponses (SCORE) for Vulnerable Children and their families
End of Year 2 Report

22

Genderbreakdownforactivitiesreachingbeneficiarieshasbeengenerallyevenforchildrenunder18
years,whileitskewedtowardsfemalesforadults.Asaresult,thetotalproportionoffemalesamong
beneficiariesreachedbyatleastoneCPAis52.2%.Thisisbyandlargeconsistentwiththegender
compositionofmembersofSCOREsupportedhouseholds,andseemstoshowthatSCOREactivitiesdo
involvemales,too(thiswasaconcernattimesraised,whichhoweverwasprobablyduetoselective
attentionbythereporters).Byregion,theproportionoffemalesamongbeneficiariesrangesbetween
49.4%and54.1%.

Table 7NumberofSCOREbeneficiariesservedatleastonce(Oct2012Sept2013),byGenderandAge
<5Yrs
517Yrs
18+Yrs
Regions
Total
Male
Female
Male
Female
Male
Female
Central
1,309
1,289
7,430
7,129
4,631
7,371
29,159
East
430
447
2,953
2,666
2,096
2,282
10,874
EastCentral
2,312
2,220
3,837
3,804
3,032
3,600
18,805
North
2,161
2,299
5,617
5,637
3,537
4,367
23,618
SouthWest
1,631
1,617
5,132
4,903
3,974
5,102
22,359
GrandTotal
7,843
7,872
24,969
24,139
17,270
22,722
104,815

ConsistentlywiththeSCOREapproach,whichtargetsthebeneficiaryhouseholdswithamultisectoral
rangeofinterventions,asignificantnumberofvulnerableindividualshavebeenreachedby3ormore
CPAs.The60,749peoplereachedby3ormoreCPAsinfactrepresent57.9%ofthetotalnumberof
directbeneficiariesreachedbySCOREactivities.Thispercentagerangesregionallyfrom54.7%inthe
NorthandSouthWesttoahighof71.3%intheEast.Again,itisimportanttomentionthatmorethan
oneSCOREactivityfitswithinthesameCPA.Thissuggeststhatthetablebelowisonlyafloorforthe
numberofdirectbeneficiariesreachedby3ormoreactivities.DatabreakdownbyGendershowsalso
forthisindicatoranoverallbalancedview,onlyslightlyskewedtowardfemales,whichregionallyrange
from49.9%to54%.

Table 8- Number of SCORE beneficiaries supported with 3 or more CPAs- by Gender


Region
Male
Female
Central
East

7,711
3,881

46.0%
50.1%

9,044
3,873

54.0%
49.9%

EastCentral

4,970

48.2%

5,332

51.8%

North

6,102

47.2%

6,820

52.8%

SouthWest

6,247

48.0%

6,759

52.0%

GrandTotal

28,911

47.6%

31,828

52.4%

PerformanceMonitoringPlan.
AsoftheendofYear2,thePerformanceMonitoringPlanispopulatedwithdata.Theindicatorsare
presentedinTable8belowandpresentasituationinaccordwiththesetofdataandindicatorsthus
presented.Nearlyalltargetshavebeenmetorsurpassed.Outof21indicators,5arebelow
achievement,7arewithin10%aboveorbelowoftarget,and9arelargelyabovetargetandspanevenly
acrossthefourSCOREobjectiveareas.

Mostnotably,theGoallevelindicator%ofindexchildrenwhosevulnerabilityleveldecreaseshas
scoredtenpercentpointshigherthantarget,whichrepresentsa125%achievementrate.Amuchmore
Sustainable COmprehensive REsponses (SCORE) for Vulnerable Children and their families
End of Year 2 Report

23

comprehensivediscussionofthisresult,itscharacteristicsandimplicationsisprovidedinthefollowing
sections,dedicatedtotheVATAnalysis.
Table 9- SCORE PMP Indicators- Targets and Achievements for year2.
CODE

Indicator

Target

Achieved

Variance

SCO.GOAL
SCO1.1.1
SCO1.1.1.1
SCO1.1.1.2

%ofindexchildrenwhosevulnerabilityleveldecreases
%ofVCHHswhoseeconomicvulnerabilitydecreases
%ofVSLASfunctioningafteroneyearofformation
%ofVCHHwithpremiumspaid(Onlyscorebeneficiaries)

40%
40%
90%
15%

50%
33%
90%
1%

10%
7%
0
13%

SCO1.1.2.1

%ofVCHHprovidedwithmarketskills

20%

57%

37%

SCO1.1.2.3
SCO1.2.1
SCO1.2.1.1
SCO1.2.1.2

SCO1.2.2
SCO1.2.2.1

%ofVCHHwithaccesstomarket
Average#monthswithuninterruptedadequatefoodforVCandtheirHH
%ofVCHHinFFSApplyingproductiontechniquesacquiredthroughFFS
%ofHHwithincreasedproductivity
%ofFFSregisteredatsubcounty
%ofunderweightamongvulnerablechildrensupported
%ofVCHHthatshowgoodfeedingpractices

10%
8
80%
80%
60%
15%
56%

21%
8
83%
25%
36%
23%
69%

11%
0%
3%
55%
24%
8%
13%

SCO1.2.3

%OVCassessedtobeseverelymalnourishedputonnutritiontreatment

31%

99%

67%

SCO1.3.1.1

%ofVCHHwhoknowwheretoseeklegalassistance
%ofVCwhohaveaccessedchildprotectionservices

100%
67%

96%
65%

4%
2%

SCO1.3.2.1

%increaseinnumberofreportedcasesfollowedtoconclusion

20%

73%

53%

NumberofschoolsattendedbyVCssupportedtobecomechildfriendly

330

350

20

SCO1.4.1.1

%ofVCstrainedinlifeskills

80%

5%

75%

SCO1.4.2.1

%increaseinthenumberoflocalImplementingPartnersproviding
appropriatequalityandsustainablecaretoVCHH

80%

84%

4%

SCO1.4.3.1

%ofHHaccessingcriticalservicesthroughreferral
%ofVCHHactivelyseekingcriticalservices

40%
40%

41%
96%

1%
56%

OfthefourindicatorsthatinYear1reportwerebelowtarget(SCO1.2.1Averagenumberofmonthswith
uninterrupted adequate food for VCs and their HH, SCO1.1.1.2 % of VC HH with premium payments,
SCO1.1.2.1%ofHHprovidedwithmarketskills,SCO1.2.3.1%ofFFSregisteredatSubcounty),oneis
now above target (market skills provision) and one is on target (% of FFS registered at Subcounty).
Premiumpaymentshavecontinuedtosufferthedifficultiesmentionedintheannualworkplanupdates
andhaveresultedinapersistingunderachievement.Thecurrentlevelofuninterruptedfoodavailability
for beneficiary households is in line with what was anticipated for the end of year 2, and is an
improvement from the Year 1 level (8 months against 7). One additional indicator, SCO1.2.2 % of
underweightamongvulnerablechildrensupported,remainshigherthantheyear2target,signalingthe
permanence of nutritional vulnerability (the baseline observed prevalence of underweight among
vulnerablechildrenwasinfacthigherthanthelevelanticipatedatprojectstartup).Therapidexpansion
ofnutritioneducationactivities,asshowninthedescriptionoftheachievementsofActivity2.2inthe
earlierWorkplanTargets/AchievementsYear2section,andtheactivityofreferral(SCO1.2.3%ofOVC
assessedtobeseverelymalnourishedthatareputonnutritiontreatment),seemsontheotherhandto
havecontributedtosteepimprovementsinhouseholdnutrition(SCO1.2.2.1%ofVCHHthatshowgood
feedingpractices).

The contribution many of hundreds of FFS into their second year of production has marked an
improvementinfoodavailability,especiallyforthemostvulnerablehouseholds,whoseindividualfood
accessibilityproblemshavecontributedtopushdowntheaggregatelevels.Theprocessofregistration
Sustainable COmprehensive REsponses (SCORE) for Vulnerable Children and their families
End of Year 2 Report

24

and incre
ease of productivity, in collaboration
c
with the V
Value Chain D
Developmentt strategies u
under
Objective1,isexpecte
edtoleadtoffurtherandco
ontinuedimpprovement.

Servicese
eekingbehaviorsareflagge
edbyindicato
orssuchasSC
CO1.3.1.1 %
%ofVCHHw
whoknowwheereto
seek legal assistance, % of VC who
o have accesssed child prootection servvices, and % of VC HH acctively
seekingcrriticalservices.Theseindiccatorsareataratherhighabsolutelevel,andinoneecasewellbeeyond
targetach
hievement.Thelatterindiicatorisinlin
newithLotQ
QualityAssuraanceSurveyLQASdatafo
orthe
indicatorPercentageofindividualsswhoknoww
wheretorepoortcasesofch
hildabusefo
or2012.

The only remaining in


ndicator show
wing an achie
evement beloow target, SC
CO1.1.1.reduction in econ
nomic
vulnerability, is probably affected by a mathem
matical prob lem with its design, in th
he sense thaat one
question in the SocioEconomic se
ection of the tool used to measure it (the VAT) haas both one ssingle,
rather higgh threshold and accountts for 50% off the vulnerrability pointss in that section (thereffore it
tendstom
makechange
esintheassessmentrateaabitrigid). Morediscusssiononthis topicisintheeVAT
analysis sections
s
belo
ow. Suffice to
t say that improvemennt in severall socioecono
omic indicato
ors is
neverthelessobserved
dbeyondwhaatmaybesugggestedbythiissingleindiccator(moreb
below).

In conclussion, during the first year of program


mming, SCOREE has reached out to a m
massive numb
ber of
beneficiarries,deliverin
ngacompreh
hensiverange
eofactivitiesstovulnerab
blehousehold
ds,according toits
intended familyappro
oach.Whileattheendof Year1itwassstillearlyto
ofullygrasptthehigherlevelof
achievement(includingtheultimateimpactonvvulnerability)),bythetimeeofthisreportSCOREhassbeen
able to reach
r
the seccond time point for the collection oof several keey data elem
ments that prrovide
illuminatinginsightinttheunfoldinggoutcomesan
ndimpactof theproject.

wupVATA
Analysis.
Follow
In JunAu
ug 2013, SCO
ORE perform
med a second
d round of vvulnerability assessmentss. Changes in the
vulnerability scores off these house
eholds have been investigated for thee 32 separatte variables o
of the
VAT,intw
wopointsintiime.Thefollo
owingVATan
nalysisisbaseedon11,123h
households.

Figure12VAT
F
Analysis,regio
onaldistributionofSCOREh
households

Theanalyysisofvulneraabilitystatuso
ofthehouseh
holdsamplesshowsthatth
hevulnerabilittyprofileis
consistentwiththelargersetofthe
eSCOREunivverse.Atennrolment,65.5%ofthefollowedup
household
dswerecriticcallyvulnerab
bleand34.3%
%weremoderratelyvulneraable.Atotalo
of19househo
olds
Sustainable COmprehensive
C
e REsponses (S
SCORE) for Vuln
nerable Children
n and their famiilies
End of
o Year 2 Reportt

25

(0.2%)arereportedintheslightlyvulnerablecategory,whichisbelowtheenrolmentthreshold.Thisis
explainedbythefactthatthose19VATshavebeenupdatedafterenrolment,whenaclearerpictureof
thefamilysituationbroughttoarevisiondownwardsofthevulnerabilityscore.Sincethesehouseholds
remainedanywaywithinaverycloserangeoftheenrolmentthreshold,itwasdecidedtokeepthemin
theproject.
Figure13Vulnerabilityprofileatenrolmentfor11,123SCOREhouseholds.
Region
1Slight
2Moderate
3Critical
Total
Central

1,352

2,001

3,361

East

309

1,100

1,409

EastCentral

792

1,419

2,211

North

11

656

1,395

2,062

SouthWest

707

1,373

2,080

TOTAL

19

3,816

7,288

11,123

VATAnalysis,Impactdata.
The analysis of the 11,123 second VATs immediately shows a remarkable change in the vulnerability
profile of the households. The proportion of critically and moderately vulnerable households in fact
changesto29.2%and50.9%respectively.Evenmorestrikingly,19.8%ofSCOREhouseholdsfollowedup
have transitioned to the slight vulnerability bracket, below enrolment threshold. These households,
hadtheybeenscoringlikethisattheirfirstassessment,wouldnothavebeenenrolled.Theyconstitute
thefirstgroupofSCOREhouseholdsenteringthepregraduationpath.IfatthenextVATassessment,
tentativelyscheduledforJuneAug2014,theirVATscoreremainsbelowthreshold,theywillbethefirst
SCOREhouseholdstobegraduated.

Figure14Vulnerabilityprofileatfollowupfor11,123SCOREhouseholds*.

Region

1Slight

2Moderate

3Critical

Total

Central

569

1,846

946

3,361

East

227

790

392

1,409

EastCentral

250

1,151

810

2,211

North

764

805

493

2,062

SouthWest

396

1,072

612

2,080

2,206

5,664

3,253

11,123

19

3,816

7,288

11,123

TOTAL

TOTALVAT 1

*withtotalVAT1forcomparison

TheSCOREdatabaseallowsadeeperanalysisofthechangeinthevulnerabilityamongbeneficiaries,and
inparticularthetransitionsfromonecertainvulnerabilitybrackettoanother.Byconstructinga
Sustainable COmprehensive REsponses (SCORE) for Vulnerable Children and their families
End of Year 2 Report

26

contingencytablesuchasFigure15below,onecanseehowthetwodifferentvulnerabilityprofiles
betweenVAT1andVAT2(whichcanbereadinthetotalcolumnandtotalrowrespectively)arethenet
resultoftransitionstowardbothimprovementandworseningforbeneficiaryhouseholds.Infact,6
householdscanbeseentohavemovedfromSlightVulnerabilityinVAT1toModerate
VulnerabilityinVAT2.Thesituationofthesehouseholdshasthereforegottenworse,andtheyhave
shiftedtoahigherlevelofvulnerability.Similarly,for576householdsthatmovedfromModerate
VulnerabilitytoCriticalVulnerability,andalonehouseholdwhojumpedfromSlightVulnerabilityto
CriticalVulnerability.Altogether,thesehouseholdsrepresent5.2%ofthesampleanalyzed.

AmuchgreaterproportionofSCOREhouseholds,ontheotherhand,transitionedtoalower
vulnerabilitylevel.Thesehouseholdscanbeseenbelowandtotheleftofthemaindiagonalofthe
transitionmatrixbelow,andaccountfor50.7%ofthesample(andarethosewhoarereportedinthe
GoallevelindicatorofthePerformanceMonitoringPlan,discussedabove).Inadditiontothealready
mentioned2,206householdsnowbelowenrolmentthreshold,wecanobserve3,447householdsthat
movedfromCriticalVulnerabilitydowntoModerateVulnerability.

Themessageisratherunambiguous:vulnerabilityamongSCOREbeneficiariesdecreasedsignificantly.It
isalsoimportanttoanticipateresultsfromfurtheranalysis,whichshowsthatsuchgainshavenot
dependedonthegenderoftheindexchild,noronhis/herdisabilitystatus.Theseobservationssuggest
thereforethatSCOREissuccessfulataddressingspecificneedsofdifferentchildrenandfamilies.

Figure15VulnerabilitytransitionsamongSCOREbeneficiaryhouseholds.

VAT2

VAT1

Region

1Slight

2Moderate 3Critical

TOTAL

1Slight

12

19

2Moderate

1,029

2,211

576

3,816

3Critical

1,165

3,447

2,676

7,288

TOTAL

2,206

5,664

3,253

11,123

AmoredetailedlookathowthevulnerabilityofSCOREhouseholdshaschangedthroughthereporting
periodispossiblebyplottingeachindividualpairofVATscores(enrolmentandfollowup)onadiagram
likeFigure16below.Everydotinthisgraphrepresentsoneofthe11,123householdassessed,andits
coordinatesonthegraphcorrespondtothehouseholdsVATscoreatenrolment(onthexaxis)andat
followup(ontheyaxis).Inordertoeasethereadingofthechart,awhitelineisdrawn,representingall
coordinateswherex=y,andthereforetheVATscoresatenrolmentandfollowupdonotchange.

Inessence,thegroupofhouseholdsaboveandtotheleftofthewhitelinerepresentshouseholdsthat
nowhaveahigherlevelofvulnerabilitythanatenrolment.Similarly,thegroupbelowandtotherightof
thewhitelinecompriseshouseholdsthathaveimprovedtheirsituation,withacurrentVATscorelower
thanthatatenrolment.Thefactthatthesampleisofaverylargesizepartiallyattenuatesthevisual
impression,butthecloudofpointsrepresentinghouseholdsthatarenowlessvulnerableismuch
moredensethanthatofthosehouseholdsthatarenowmorevulnerable,infact,byafactorof8.
Sustainable COmprehensive REsponses (SCORE) for Vulnerable Children and their families
End of Year 2 Report

27


Itisalsow
worthdirectin
ngtheattentiontothefactthatthedottscorrespond
dingtoinitiallyverycriticaally
vulnerablehouseholdss(letssay,ab
boveaVATsccoreof80)se emtoonlyap
ppearbelowthewhitelinee,
suggestingthatthemo
orecriticallyvvulnerableho
ouseholdsmaaysystematicaallygetstrongerbenefitsffrom
theSCOREproject.Mo
oreanalysis,p
presentedbellow,strongly pointstothissconclusion.

Fig
gure 16-scatterrplot of VAT changes
c
for 111,123 SCORE
E households.

AcloseranalysisbyObjectiveArea.
SCOREsupportedhousseholdshavereportedanimprovemenntwithregard
dtoanumberrofsocio
economiccparameters.Theproportionofhouseh
holdswhosehheadisunem
mployed,orarreotherwiseliving
offremitttancesdecreaasedoverallb
bycirca50%,aandwasobseervedthrough
houtallregions,more
markedlyintheCentraal(inrelativeterms)andin
ntheEast(boothinrelativeeandabsoluteeterms,having
jumpedbymorethan20percent points).Amo
orelimitedreeductionisob
bservedintheeEastCentraal
Region,w
wherehoweve
ertheprevale
encewasalre
eadytheloweestamongpro
ogrammingareas.

Sustainable COmprehensive
C
e REsponses (S
SCORE) for Vuln
nerable Children
n and their famiilies
End of
o Year 2 Reportt

28

Figure17UnemploymentandRemittances.
50

VAT1

45

VAT2

40
35

30
25

24.4

20
15
10

12.2

5
0
CENTRAL

ECENTRAL

EAST

NORTH
REGION

SWEST

TOTAL

Householdincomealsoregisteredimprovements.Overall,themeanmonthlyincomereportedbySCORE
householdsincreasedby57%,from40,002UGXto62,937.Despitetheimprovement,however,datastill
placethemonetaryincomeofSCOREhouseholdswellbelowthepovertyline.Thattheimprovementis
distributedthroughthebeneficiarypopulationissuggestedbythecorrespondingincreaseinthemedian
income,whichmarkstheincomelevelbelowwhich50%ofSCOREhouseholdscanbefound.Themedian
incomeforthe11,123householdsfolloweduphasinfactincreasedby33%betweenthetwoVAT
assessments.
Figure18Incomelevels
Region
CentralMean
Median
EastMean
Median
ECentralMean
Median
NorthernMean
Median
SWest Mean
Median
OverallMean
Median

AverageHHMonthly
IncomeVAT 1
70.237
50,000
22767
10000
36,898
24,000
40,849
25,000
32,023
25,000
40,002
30,000

AverageHHMonthly
IncomeVAT 2
98,760
80,000
25,196
13,000
58,236
40,000
60,522
30,000
38,022
25,300
62,937
40,000

Change
0.41
0.60
0.11
0.30
0.58
0.67
0.48
0.20
0.19
0.01
0.57
0.33

Regionalvariationcanbeobservedwithregardtobothmeanandmedianincome.Inparticular,
however,theincreaseinthemeanincomeintheSouthWestcanbeattributedtobenefitsmainly
accruedtohouseholdswhowerealreadyabovethemedian(whichinfactessentiallyremainsthesame).
Incomeincreasesmoreevenlyspreadacrossthepooresthalfofthebeneficiaryhouseholdscanbeseen
fromthemoremarkedincreasesofthemedianincomesintheCentralandEastCentralregions(60%
and67%respectively).

AnalyzingthechangeinVATscoresforthesocioeconomicareaalone,however,showsthatthemajority
ofhouseholdsarestillwithin10%oftheirinitialsocioeconomicVATscore(thecolumnlabeled2
SameinFigure19below).Nevertheless,foreveryhouseholdwhosesocioeconomicVATscore
Sustainable COmprehensive REsponses (SCORE) for Vulnerable Children and their families
End of Year 2 Report

29

increased,andthereforegotworse(675households,seetheTotalrow),3householdshadtheirVAT
scoredecrease,andthereforegetbetter(1,515,intheTotalrow).Improvementsareseenmore
markedlyintheEastandNorth,asopposedtotheEastCentralandSouthWest,wherethenumberof
householdswithanimprovingsocioeconomicVATscoreisprettymuchoffsetbyasimilarnumberof
householdswithanincreasingvulnerabilityscore.

Theapparentdiscrepancyamongtheprevious3tablesturnsouttobehowever,lookingathowthe
vulnerabilitypointsareassignedintherelevantportionoftheSCOREVAT,onlyapparent.Inparticular,
thequestionrelatedtotheincomelevelsofthehouseholdsassignsasignificantportionofvulnerability
pointstohouseholdswhoarebelowtheabsolutepovertyline(1USD/person/day).Asmentionedearlier,
despitetheimprovementinreportedmonetaryincome,SCOREhouseholdsarestillverywellbelowsuch
thresholdandtheirvulnerabilityscorethereforemaynothavechanged.Anotherquestioninthe
relevantsectionoftheVAT,mainsourceofincome,ismoredirectlyrelatedtochangesinscore.For
instance,thechangefromunemploymentordependenceonremittancestoinformalemployment
causesthevulnerabilityscoretodecreaseby4and2pointsrespectively,outofatotalof30pointsfor
thatsection.Regionsthatexperiencedmoremarkedimprovementsinthisareaarealsoshowing
relativelylargerproportionsofhouseholdswithimprovingsocioeconomicvulnerabilitystatus.The
decreaseinsocioeconomicVATscores,therefore,isatthisstagemoreinfluencedbythechangesinthe
sourceofincomeforthebeneficiaryhouseholds,ratherthaninthequantitativechangeintheincome
itself.Theimprovementprofileisthereforeaconservativeassessmentoftheactualbenefitstothe
households,whichontheotherhandbecomemorevisiblethroughtheindicatorsoftheotherobjective
areas.ThisdiscussionalsocompletesthecommentsmadeinthePMPsectionwithregardtoindicator
SCO1.1.1%ofVCHHswhoseeconomicvulnerabilitydecreases.

Region

Figure19ChangesinVATscore,socioeconomicarea.
1Decreased
2Same
3Increased

Total

Central

360

2,843

158

3,361

East

396

928

85

1,409

EastCentral

185

1,913

113

2,211

North

407

1,492

163

2,062

SouthWest

167

1,757

156

2,080

1,515

8,933

675

11,123

TOTAL

Intheareaoffoodsecurityandnutrition,theoverallimprovementinbothaccesstoandutilizationof
foodisremarkable.Theproportionofindexchildrenwhoeatlessthan2mealsperdaydecreasesfrom
27.9%atenrolmentto13.5%atfollowup.Theimprovementisinabsolutetermsmoremarkedinthe
CentralandintheEasternregions(whereitisintheregionof15percentpoints)butinrelativetermsit
ishighestintheEastandintheSouthWest(droppingbymorethan60%).

Sustainable COmprehensive REsponses (SCORE) for Vulnerable Children and their families
End of Year 2 Report

30

Figure20Householdswhereindexchildiseatinglessthan2mealsperday.
45

VAT1

40

VAT2

35

30
25

27.9

20
15
13.5

10
5
0
CENTRAL

ECENTRAL

EAST

NORTH
REGION

SWEST

TOTAL

Foodutilizationimprovednearlyuniversally.Theproportionofhouseholdsusuallyconsumingatleast
threetimesaweekallthethreemainfoodcategories(energyfoods,bodybuildingandprotectiveand
regulativefoods)increasesfrom48.8%to69.2%.ThelargestimprovementsareexperiencedintheEast
andintheNorthregion,whereatfollowupmorethan80%ofassessedhouseholdsreportedconsuming
abalanceddiet.Onlyinoneregionthereisnoprogress,andinfactaslightreduction:theEastCentral.A
numberofexplanationsarebeingevaluatedastowhythisobservation,andincludetheextensive
utilizationoflandforcashcrops,leavinglimitedamountsandvarietytofoodcrops,culturallyrooted
feedingpractices,andprogrammingsolitude,withcomparativelyfewerprogramsoperatinginthe
areaofnutritionaleducation.Emphasisonscaledupactiononthisareaisreflectedinprogramplansfor
thenextyear.

Figure21Householdseatingabalanceddiet
90

VAT1

80

VAT2

70

69.2

60
50

48.8

40
30
20
10
0
CENTRAL

ECENTRAL

EAST

NORTH
REGION

SWEST

TOTAL

Oneareaoffoodsecuritythatstillshowslimitedandunevenprogressistheoccurrenceoffood
shortages,ortimeswherethehouseholdgoeswithoutmealsduetofailuretogetfood.Although
improved,thepicturefromtheVATsatfollowupstillshowsthatmorethanhalfofthehouseholds
assessedexperiencesfoodshortages.Theprogrameffortsaimedtostrengthenfoodproduction,aswell
astheemphasisintheFFSapproachtobuildupcapacityinfoodsecuritycrops/enterprises,are
expectedtocontributetofurtherimprovementsinthisarea,especiallyfollowingFFSgraduationandin
Sustainable COmprehensive REsponses (SCORE) for Vulnerable Children and their families
End of Year 2 Report

31

connectiontoVSLAstrengthening.Theissueofcrossarealinkages(whereasimprovementsinonearea
correlatewithimprovementsinanother)istreatedinmoredetailbelow,withacoupleofexamples.

Figure22Householdsreportingoccurrenceoffoodshortages.
100
90
80
70
60
50
40
30
20
10
0

VAT1
VAT2
69.6
53.4

CENTRAL

ECENTRAL

EAST
NORTH
REGION

SWEST

TOTAL

HavingseenthegeneralizedandsizeableimprovementsthroughouttheVATareaspertainingtofood
securityandnutrition,itisnotsurprisingtoseethattheproportionofhouseholdwithabetterVAT
scoreisratherlarge,atabout50%(5,842outof11,123).IntheEastCentral,consistentlywiththe
observationsmadeinthepreviousparagraphs,therateofimprovementismuchmorecontained(747
householdsoutof2,211),andispartlyoffsetbyasignificantproportionofhouseholdswhosefood
insecurityincreases(548).Regionally,thelargestimprovementsareontheotherhandseenintheEast
(wheretwothirdsofhouseholdsrecordadecreaseintheVATscoreandonly10%seeitworsen)andin
theNorth(1,330householdsimprovingoutof2,080),andtojustaslightlylowerdegreeintheCentral
andSouthWest.
Figure23ChangesinVATscore,foodsecurityandnutrition.
Region
Central

1Decreased

2Same

3Increased

Total

1,901

915

545

3,361

East

904

331

174

1,409

EastCentral

747

916

548

2,211

1,330

415

317

2,062

960

857

263

2,080

5,842

3,434

1,847

11,123

North
SouthWest
TOTAL

TheareaofChildProtectionshowsverystrongimprovementthroughouttheregions,withagainmore
thanhalfofthehouseholdsfollowedupwhoregisteradecreaseof3pointsormorewithintherelevant
VATsection(10%ofthemaximumforthatsection).

Childabuse,childlabor,andsubstanceusealldecreaseverysharply.Thestrongestreductionisseenin
theEast,butthereductionisgeneralizedthroughout.TheCentralRegionshowssteepreductionsin
substanceuseandlabor(fallingto38%and41%ofthelevelsatenrolmentrespectively),whereasthe
Northmarksitsmainachievementintheareaofchildabuse(whichfallstoonethirdofitsenrolment
Sustainable COmprehensive REsponses (SCORE) for Vulnerable Children and their families
End of Year 2 Report

32

level).Inanycase,thedifferenceismainlyinextent.Allregionsshowmarkedimprovement,overall.The
indicatorsofChildAbusearealsowellbelowtheLQASestimatesfortheindicatorpercentagesofOVC
517yearsexperiencingcasesofabuseforanyregion,excepttheEastCentral.

Figure24ChangesinChildAbuse,ChildLaborandSubstanceUseamongSCOREindexchildren.
Region
Abuse
Labor
Substance
Central
EastCentral
East
Northern
SouthWest
Overall

VAT1

VAT2

VAT1

VAT2

VAT1

VAT2

33.2
51.3
49.4
38.7
36.3
40.5

19.1
32.8
11.9
13.4
14.8
19.0

20.3
41.4
25.9
29.7
32.0
29.1

8.3
20.7
6.1
12.8
15.1
12.6

3.5
9.1
8.4
7.9
9.2
7.1

1.3
7.2
1.0
4.1
3.9
3.5

TheawarenessraisingeffortsofSCORE,throughthemappingexercise,theinteractivelearningsessions
forhouseholds,andthecapacitybuildingoflocalactorsintheareaofprotection,islikelytobebehind
theincreaseintheproportionofhouseholdswhoknowwheretogetlegalassistance.From77.5%at
enrolment,the11,123householdsassessedhaveimprovedtheirawarenessratetoreach96%,withall
regionswithinafewpercentpointsfromoneanother.

Overall,about50%ofhouseholdshaveregisteredadecreaseintheirprotectionVATscore.
Figure25ChangesinVATscore,ChildProtectionandLegalServices.

Region
Central

1Decreased

2Same

3Increased

Total

1,266

1,828

267

3,361

887

445

77

1,409

EastCentral

1,091

929

191

2,211

North

1,330

415

317

2,062

857

1,128

95

2,080

5,431

4,745

947

11,123

East

SouthWest
TOTAL

Alsointheareaoffamilystrengtheningandaccesstoessentialservices(SCOREObjective4)significant
changeforthebettercanbeseen.Betweenenrolmentandfollowup,therehasbeena10percentpoint
increaseintheproportionofSCOREhouseholdsaccessingsafewater(i.e.fetchingitataborehole,
ratherthanfromsurfacewater).Furthermore,theproportionofSCOREhouseholdsthatownalatrine
increasedby13percentpoints,from44.8%to57.7%.ThisisparticularlyinterestingsinceSCOREdoes
notdirectlyimplementinfrastructuraloperationssuchasboreholedrillingorlatrineconstruction.Itwas
howeverobservedthatSCOREledhygieneandsanitationdialoguesintheSouthWestresultedinto185
pitlatrinesbeingconstructed.AnotherexamplecomesfromtheEastCentralRegion,KamuliDistrict.
There,SCOREIPofficerslobbiedlocalauthoritiestoprovidesparepartsforaborehole,allowingthe
populationoftheentireparishtoenjoyingsafewater.Regionalvariabilityisratherlimitedandnearlyall
regionsreportimprovements.Theonlyregionwheretheindicatorofaccesstowaterhasremained
Sustainable COmprehensive REsponses (SCORE) for Vulnerable Children and their families
End of Year 2 Report

33

stableistheSouthWest,whichwasalsotheregionwiththeworststartingpoint.Giventhelackof
infrastructuralprogramminginSCORE,mostoftheeffortsinthisareawillcenteronscalingup
householdandcommunityeducationregardingwaterandsanitation,andseekpartnershipswithWASH
actorsandprogrammes.

Figure26SCOREhouseholdsaccessingsafewater.
90

VAT1

80

VAT2

70
65.6

60
50

55.2

40
30
20
10
0
CENTRAL

ECENTRAL

EAST

NORTH
REGION

SWEST

TOTAL

Figure27LatrineownershipamongSCOREhouseholds.
90

VAT1

80

VAT2

70
60

57.7

50
44.8

40
30
20
10
0
CENTRAL

ECENTRAL

EAST

NORTH
REGION

SWEST

TOTAL

Schooling,expressedastheproportionofschoolagedindexchildrenreportedlyenrolledinschool,
alreadyrelativelyhighatbaseline,hasfurtherincreased,andamongthe11,123familiesthatwere
followedupitincreasedfrom75.6%to84.9%.ThisisabovetheLQAS2012estimatesforanyregion.The
progressiscommontonearlyallregions,withtheexceptionoftheNorth.SCOREofficerswillinvestigate
thisissueanddecide,withsupportfromtheTechnicalSteeringCommittee,onwhatcourseofactionto
take.Moreinterestingstill,absenteeismamongschoolgoingchildrendecreasedinageneralizedway
throughouttheprojectarea.Theproportionofschoolgoingchildrenwhoreporttobeabsentfrom
schoolformorethanonemonthinaterminfactfallsbymorethanonethird,from43.6%downto
27.5%.Itisalsoworthnotingthatmalesandfemalesareatthesamelevelsbothatenrolmentandat
followup(differingbyonepercentpointorless),showingthattheybenefitedtothesameextentinthis
area.

Sustainable COmprehensive REsponses (SCORE) for Vulnerable Children and their families
End of Year 2 Report

34

Figure28Schoolingamong11,123SCOREindexchildren.
100
90
80
70
60
50
40
30
20
10
0

84.9

75.6

VAT1
VAT2
CENTRAL

ECENTRAL

EAST

NORTH
REGION

SWEST

TOTAL

Figure29AbsenteeismamongschoolgoingSCOREindexchildren.
60
50
43.6

40
30

27.5

20
VAT1

10

VAT2

0
CENTRAL

ECENTRAL

EAST

NORTH
REGION

SWEST

TOTAL

Figure30ChangesinVATscore,FamilyStrengtheningandAccesstoEssentialServices.
1Decreased
2Same
3Increased
Total
Region
Central

1,350

1,601

410

3,361

East

704

484

221

1,409

EastCentral

927

1,020

264

2,211

North

884

859

319

2,062

SouthWest

635

1,236

209

2,080

4,500

5,200

1,423

11,123

TOTAL

Inclosingthisanalysis,itisworthflaggingtwomorefindingsofimportance:theimpactoftheprojecton
themostvulnerable,andthelinkageamongoutcomesofdifferentthematicareas.
Sustainable COmprehensive REsponses (SCORE) for Vulnerable Children and their families
End of Year 2 Report

35

Cuibono?,whobe
enefitsfrom
mSCORE.
Onecomm
moncommen
ntthattheSC
COREteamhe
eardfrombenneficiariesatprojectonsettwasthattheeydid
nothaveaanything,the
eycouldnotd
doanything,h
howdidwee xpectthemtosave,cultivvate,improvetheir
statusifw
wewerenotggoingtogivetthemanythin
ng?ThefrequuencyofsuchfeedbacksbrroughttheSC
CORE
teamtoin
ncludeinitsO
OperationalR
Researchplanadedicated lineofanalyssis,aimingtoverifywheth
her
theimpacctofSCOREtu
urnedouttobecorrelated
dtotheinitia llevelofvuln
nerabilityofthebeneficiarry
household
d.Thehypoth
hesisbeingte
estedwasthe
ereforewhethheraprojectsuchasSCOR
RE,whichplacces
strongem
mphasisonfam
milyempowe
ermentandhasonlyminussculecompon
nentsofassettransfer
(essentiallylimitedtottrainingtoolsssuchasVSLA
Aboxes,agricculturalinputsfordemonsstrationplots,,and
littleelse)),wouldbem
moreeffective
eatreducingtthevulnerab ilityofmoderratelyvulneraablehouseho
olds,
ratherthaancriticallyvu
ulnerableone
es,whomayh
havethenee dformoresstabilizationinterventions
beforeinitiatingSCOREElikeactivitie
es.

Figure32belowshowsstwoplotsoffthe11,123SSCOREhousehholdsassesseed,andputsinrelationthee
startingle
evelofvulnerrability(VATsscoreatenrollment,xaxis) withthechaangeoccurred
dinthe
vulnerabilityoverthep
periodofanaalysis(bothexxpressedasa bsolutedifferrenceinVATpoints,andaas
percentdifference,ontheyaxisoftheleftandrrightplotresppectively).

Figure31VATchangesandinitialvullnerabilityleveelsfor11,123SSCOREhouseh
holds.

Theanalyysisshowsare
emarkableco
ollimationbettweenstartinnglevelofvulnerabilityand
dnegativech
hange
(i.e.impro
ovement)intthevulnerabilitystatusoftthehouseholldsassessed.Thegraphto
otherightism
more
accurateaas,considerin
ngpercentchanges,itisolaatesscaleeffeectstosomedegree.Still,thelinear
associatio
onisvisible,andagoodfiftthofthevarianceoftheoobservedchan
ngesisexplained.Whatwe
makeofthisisthatitlo
ookslikethestartinghypo
othesisisnot confirmedbyyevidence.A
Allthecontrarry.
Rather,itlookslikecritticallyvulneraablehouseho
oldsarethoseewhobenefittfromSCOREEactivitiesthee
most.Thissanalysisisyyettobecompletedbyadd
dingmoreexpplanatoryvarriablespertainingtostructtural
featureso
ofthehouseh
holds,andtow
whatmixofaactivitieshaveebeenreceivvedbywhom,butneverth
heless
showssom
mepromiseintermsofprogrammaticrrecommendaationsbeyond
dtheSCOREp
projectitself.

Sustainable COmprehensive
C
e REsponses (S
SCORE) for Vuln
nerable Children
n and their famiilies
End of
o Year 2 Reportt

36

AdditionalreadingofresultsfromtheVATanalysispointstothefactthatoutcomesforbeneficiaries
correlateacrossobjectiveareas.OnesuchexampleisprovidedinFigure35andFigure36.

Figure35reportstheproportionofSCOREindexchildrenwhoareenrolledatschool,inassociationwith
theanswerthatthesamechildrenprovidedwhenaskedhowmanymealsperdaythey,onaverage,had.
Thepatternshownbythehistogramisindeedverysuggestive.Averageschoolingincreasesconstantly
withtheaveragenumberofmealsperday.Inharmonywiththeseresults,anevenstrongerassociation
emergesbetweenfoodaccess(expressedasaveragemealsperday)andabsenteeism(calculatedas
beingoutofschoolforatleastonemonthinaterm).

Figure 32-Schooling and average meals per day. 11,123 SCORE index children.

0.90
0.88

%responses

0.80

0.80

0.83

0.85

0.84

0.70

0.60

0.50
Noteveryday

2
mealsperday

Total

Figure 33-Absenteeism and average meals per day. 11,123 SCORE index children.

0.5

%responses

0.4

0.42

0.3

0.31

0.29

0.2

0.27
0.20

0.1
0.0
Noteveryday

2
mealsperday

Sustainable COmprehensive REsponses (SCORE) for Vulnerable Children and their families
End of Year 2 Report

Total

37

Figure36showsasteep,decreasingrateofabsenteeismastheaveragenumberofmealsperday
increases.Thegapbetweenabsenteeismamongchildrenwhodonotregularlyeateverydayandthose
whohaveaccessto3mealsperdayonaverageexceeds20percentpoints(theformerbeingmorethan
twicethelatter).Theseobservationssuggesthowresultsobtainedbyonegroupofactivitiesundera
certainobjectiveareaarecorrelatedtooutcomesinanotherobjectivearea,andconstituteanargument
infavorofmultisectoralinterventions.

ConcludingremarkabouttheVATimpactanalysis.
Fromtheconsiderablesizeofdatagatheredandfromtheresultsoftheanalysis,itappearsthatSCORE
beneficiariesmanagedtoachievearemarkablereductionoftheirvulnerabilityprofiles.Onefifthof
householdsmovedbelowtheenrolmentthreshold,andthereforeareonpregraduationpath.Some
variabilityisseenacrossobjectiveareasandacrossregionsandasmallportionofhouseholdswasfound
tohaveexperiencedaworseningintheirsituation.Theseobservationsarebeingaddressedbythe
SCOREteamwiththeaimtobetterunderstandthepathwaysthatleadtomaximumimpact,andidentify
strategiestoimproveimpacttothemaximumnumberofbeneficiaries.Resultsoftheanalysissuggest
thatSCOREhasdeliveredmaximumimpacttothemorevulnerablehouseholds.Thisisanimportant
preliminaryresultwhichdeservesfurtherinvestigation(asisalreadypartoftheSCOREORPlan)inthat
itwouldofferimportantsupporttovulnerabilityreductionmodelswithverylimitedemphasison
handouts.Selfrelianceisnotinotherwordsbeyondthereachofthecriticallyvulnerable.Additional
resultspointtomultisectoralinterventionsbeingabletoexploitsynergiesandmaximizeoutcomes,as
seenfromnutritionalresultsbeinglinkedtoschoolingresults.

Truetoitscommitmenttoworkingonrealityandontheuseofevidencetoinformprogrammingand
learning,andtofittheprojecttothepeople,thejourneyoftheSCOREteamandofthehouseholdsit
hasencounteredinUgandacontinues.

Linkageswithotherprogramsandcoordinationmechanisms
SCOREmaintainedclosecoordinationwithMGLSD.MGSLDhasapermanentrepresentativeinthe
SCORETSC,andSCOREregularlyinvolvesMGSLDrepresentativesinmonitoringactivitiesthroughits
ZonalMeetings.SCOREledadeterminedeffortaimedtoensurethatimplementingpartnersreportin
theOVCMIS.Atprojectstartup,onlytwoimplementingpartnerswerereportedlysubmittingOVCMIS
reports.Inthecourseofthisquarter,41outof52implementingpartnersfiledOVCMISreportsat
districtlevel.ThisisamajorachievementthatshowshowSCOREcontributestomatchingits
collaborationswiththecivilsocietyandlocalstructurestothecoordinationsystemsontheground.The
targetforthecomingquarterwillbe100%OVCMIScoverage.Furthermore,SCOREalsomaderesources
availabletosupportBuikwedistrict(whichisnottargetedeitherbySDSorbySUNRISE)tobuildthe
capacityofitsstakeholdersintheareaoftheOVCMIS.SCOREfacilitatedarepresentativeofthe
MGSLDsNIUtoparticipateintheexercise.

SCOREestablishedcontactswithanumberofUSfundedprojectsinordertoshareinformation
regardinggeographicandthematiccoverage,aswellasbeneficiarynumbers,locationandpossible
crossreferrals.MeetingswereheldwithLEAD,STARE,STAREC,STARSW,NUHITES,SURE,SPRING,
FANTAIII,PIN,andInitiativetoEndChildMalnutritionIECM.

SCOREhasledactivitiesthatcreatedalinkwithalltheSTARprojects(E,EC,SW),givingthepossibilityto
referfromPMTCTandARTsitesbeneficiariesforSCOREtoassessandpossiblyenroll.Atotalof206
householdsreferredbytheSTARshavebeenenrolledinSCORE.TheYear3Workplanmaintainsa
Sustainable COmprehensive REsponses (SCORE) for Vulnerable Children and their families
End of Year 2 Report

38

STARsSCOREreferralpathwayfortheenrolmentofbeneficiaries.AsimilarworkwithNUHITEShas
progressedmoreslowly,alsoduetochangeintopmanagementinNUHITES,buthasrecentlystartedin
earnestwithSCOREreachingout.SCOREhasinvitedaNUHITESdelegationtoitsMidTermReviewand
hasshareditslistofsubcountiesofoperation,aswellastheCDswiththeSCOREdevelopednutritional
messages(whicharetranslatedinLuoandarecertifiedbytheMOHandbyUSAID).

SCOREisactivelyreachingouttoandcoordinatingwithFeedtheFutureprojectssuchasFANTA,
SPRING,CommunityConnector,Harvest+andPIN.Thecoordinationtakestheformofregularinformal
meetingsforinformationsharing,jointactivity,andcoordination.WithPIN,SCOREproposedalink
betweenSCOREsupportedFFSandRECOindustries,aimedtoincreasethecapacityofSCOREsupported
FFStoproducegroundnutsinlinewithquality,quantityandtimingparametersthatwillmakeitpossible
forRECOtopurchasefromthemandproduceRUTFA.Furthermore,SCOREhassharedwithPINitsentire
programmingframework,programguidelinesandmonitoringandevaluationtools,sincePINrecognized
itasthebestapproachforitsOVCcomponent.SCOREalsocommittedtohelpPINwithcapacitybuilding
andlinkstolocalIPs,ifneeded.

SCOREmaintainedcloseinteractionswithSUNRISEandSDS.Withtheformer,SCOREcontinued
initiativesofsynergybetweenthecommunityandserviceprovidermappingexercisesandmonitoring
projectactivities.Withthelatter,SCOREanditsmembersandimplementingpartnershavecoordinated
theirparticipationintheDistrictManagementCommittees,coordinatingtheDistrictOperationalPlans.

MajorChallenges,ConstraintsandLessonsLearned
Internalcapacitygaps
TheSCOREProjectisatechnicallychallengingadventure.Itrequiresconsortiummembersand
implementingpartnerstobeconversantwithawiderangeofprogrammaticstandards,andto
coordinateaverysizeableflowofdata.TheTechnicalSteeringCommitteeandtheSCOREproject
officershavemanagedtoincreasethecapacityofmanyIPs,butseveralstillneedcontinuous
supporttomatchtheneededqualitylevels.SCOREwillcontinuetosupportimplementingpartners
throughmentoringandcapacitybuilding,guidedbytheassessmentoftheOrganizationalCapacity
AssessmentTools(OCATs).Furthermore,SCOREwillcontinueitsexperienceofcollaborationwith
ASSIST,toidentifymodelsforQualityImprovementthatcanbeadoptedbyalargergroupofIPs.
AbigimprovementhasbeennoticedintheareaofM&E,whereactivitytrackinghasbecomeless
andlessspotty,butasignificanteffortisexpectedduringYear3tosystematizethedatacollection
processbydevelopinganddisseminatingadatadictionary,containingallrelevantindicators,
scope,description,datasourcesandgatheringmethods.Thiswillallowmoreconsistentreporting
andrequirelessdatacleaningeffortatcentrallevel.

Exogenouseventsinfluencingprogramming
SomeofthegroupstargetedbySCOREhavesignificantdegreesofmobility(forinstance,children
livingonthestreetsinKampala,fisherfolksinBuikweandBuvuma,crossbordermigrantswithDRC
andTanzania).Thishascausedanumberofhouseholdstoessentiallydropoutoftheproject.The
SCOREteamisgoingtofollowupallhouseholdrecordstoensurethatsocalledinactiveVATsare
identifiedandmarked(toallowformorerealisticplanningandresourceutilizationbytheIPs).
Thegeographyoftheprogrammingarearemainsaheavychallengetologisticalresourcesand
programactivities.TheflexibleapproachesdevisedbytheSCOREIPsdosofarseemtohave
managedtocontainanynegativeimpacts,withthepossibleexceptionofafluctuationinactivity
Sustainable COmprehensive REsponses (SCORE) for Vulnerable Children and their families
End of Year 2 Report

39

costperhousehold,whichhasneverthelessremainedwithinreasonablelevelsandhasnotrequired
significantresourcereallocations.
Teachertransfershave,alsoduringthisyear,removedtrainedhumanresourcesfromsomeofthe
schoolstargetedbySCOREforprotectionactivities.Thismayrequireadditionalroundsof
intervention.SCOREisintheprocessofverifyingthedegreeofattritionthatitsschoolbased
capacitybuildinginterventionsmayhaveexperiencedduetothis,andwillaccordinglymake
programmingconsiderations.

Cultural/socialconstraints.
Highexpectationsbybeneficiariesintermsofhandoutsarenowarelativelyminorissue.Thiscanbe
creditedtothedegreeofempowermentthatSCOREseemstohavemanagedtorekindleamong
beneficiaries.Thekeystrategyoftheprojectnottogivethings,butknowledgetopeople,hasinfact
beenrecognizedbyscoresofbeneficiaries.
SCOREimplementingpartnershaveencounteredawiderangeofnegative/harmfulculturalbeliefs
andmisconceptionsinthebeneficiarycommunities.Insomeinstances,malnutrition,diseaseand
povertyhavebeenassociatedwithwitchcraft,childrenhavebeenblamedforhousehold
misfortunes,andwidowshavebeenstrippedofland/assetsuponlosingtheprotectionbytheir
malespouse.Asobservedfromhealthseekingbehavior,feedingpracticesforindexchildren,and
childprotectionandschoolingdata,evidenceissuggestivethatprogressisbeingmadewithregard
tothesedimensions.FamilyvisitsandcommunitydialoguesunderObjectives3and4willcontinue
toaddresstheseandothersimilarissuesinordertodefusetheirnegativepotentialonproject
successand,ultimately,householdandcommunitywellbeing.

Externalcapacitygaps
AnumberofstakeholdersaimingorsupposedtocontributetoOVCrelatedprogramsremarkthat
theyarenotadequatelysupportedtoplaytheirrolesandclaimtheyneedcontinuouscapacity
building,facilitation,resources.Thisgoesforlocalgovernmentoffices(seeforinstancethe
challengeinuploadingOVCMISreportsreceivedbySCOREIPs)andforpublicservicestructures
alike.Inparticular,healthcentershavelimitedorunsteadysupplyofessentialitems(suchasfood
supplements)orequipmentandpersonnel.SCOREcannottakechargeofsystemswidesupport,but
strivestostrategicallytargetsupporttolocalstructureswhodirectlybenefitSCOREhouseholds
(VHTtrainingonnutritionaleducation,facilitatingoutreachbyhealthcenters,etc).Constant
advocacyismadewithrelevantactors(forexampletheMoH,asreportedabove).
SeveraldistrictswhereSCOREisactivearenottargetedbyeitherSDSorSUNRISE.Asaresult,
districtandsubdistrictformalstructureshavegapsinresourcesandskills.Inordertomitigatethis
gap,SCOREhasengagedwhenneededinsomeactivitiesaimedatalsoreinforcingformalstructures.

Resourceutilization
BytheendofYear2,resourceutilizationhasbeenat87%andcostsharecontributionsat84%.This
showsanoverallbalancedprogressionofactivities,resourceuseandagencycontributions.Itistheaim
oftheSCOREteamtosurpass93%utilizationratebytheendofYear3,andtoequalizeittocostshare
contribution.
USAID
CostShare
TOTAL

ABudgetYear1+2
13,094,538
1,293,734
14,388,272

BExpenditure
11,418,580
1,091,672
12,510,252

Balance(AB)
1,675,958
202,062
1,878,020

BurnRate(B/A)
87.2%
84.4%
86.9%

Sustainable COmprehensive REsponses (SCORE) for Vulnerable Children and their families
End of Year 2 Report

40

MapofSCO
OREActivityD
Districts

Sustainable COmprehensive
e REsponses (S
SCORE) for Vuln
nerable Children
n and their famiilies
End of
o Year 2 Reportt

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