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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.
Sustainable COmprehensive REsponses (SCORE) for Vulnerable Children and their families
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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
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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.
Sustainable COmprehensive REsponses (SCORE) for Vulnerable Children and their families
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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 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.
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
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Objective:
Stabilize and
promote to
economically
viable level
Sustainable COmprehensive REsponses (SCORE) for Vulnerable Children and their families
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STRATEGIES
Develop referral
systems and
partnerships with the
private sector
ACTIVITIES
3.5 Conduct family visits and provide counseling and other support services
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
Referral to agric
&Nutritional Health
Services
Mobilize communities
and increase their
awareness around
child protection
2.1 Establish and Support Farmer Field School (FFS) and urban horticulture.
Improve Food
Utilization
Increased HH food
production
Critically VC
HH
Facilitate Market
Inclusion
Objective:
Prevent from
falling into
critical
situation
Moderately
VC HH
1.1 Establishment of and Support to Village Savings and Loans Associations (VSLAs)
Objective:
Maintain
stability
Increase HH financial
resources
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
End of Year 2 Report
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
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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
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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
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).
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.
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.
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%.
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.
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
41