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Women First: An Innovative Link Between Income Generation and Health Education in Mozambique Bethany Brown, Cosmin Florescu, Erin Dodson and Ailea Sneller.

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Presentation on theme: "Women First: An Innovative Link Between Income Generation and Health Education in Mozambique Bethany Brown, Cosmin Florescu, Erin Dodson and Ailea Sneller."— Presentation transcript:

1 Women First: An Innovative Link Between Income Generation and Health Education in Mozambique Bethany Brown, Cosmin Florescu, Erin Dodson and Ailea Sneller

2 Todays Presentation GW Capstone project overview Women First program overview Mozambique country context Background research Fieldwork goals & methodology Findings Conclusions Q & A

3 Capstone Project Overview Part of the Master of Arts program in International Development Studies at the Elliott School of International Affairs at George Washington University Teams of graduate students perform background research and fieldwork for development organization partners based on mutual interests and needs Emphasis on research design, developing relationships, subject mastery, professional skills development, writing and presenting

4 Women First: Program Overview Microenterprise, income generation program focusing on family health outcomes Managed by International Relief & Development Links income generation and business skills with health knowledge Provides knowledge and means to act on information Targets at-risk women (generally female heads of household) Program Benchmarks 2005: Began in Inhambane 2007: Expansion to Zambezia Over 400 participants to date

5 Program Objectives Increase household income Reduce HIV/AIDS rate (via behavior change) Improve basic education & business skills Improve household health & nutrition status Reinforce healthy decision making skills Mulheres Primeiro

6 Functional Program Details Targets 22 World Vision womens groups –Affiliated through Ovata community advocacy and health programs Private sector partners sell goods on credit that are loaned to women to sell in communities and markets through progressive kits Sales activities monitored by IRD staff Weekly health training modules presented by IRD staff

7 Participants by Kit Graduates 33.8% 1 st Kit 13.8% 3 rd Kit 28.8% 2 nd Kit 33.8% Attendee 10.0% Value (MT) Sale Price (MT) Profit (MT) Kit 1500800300 Kit 27501300550 Kit 310001600600 Grad - - -

8 Mozambique: A Country Context Former Portuguese colony –Independence July 25, 1975 Brutal & protracted civil war lasted from 1975-1992 Per capita GDP: $900 Population: 19.8 million Population below the poverty line: 70% UNs Human Development Index: Ranked 172 out of 177 GDP growth of 8% in 2007

9 Background Research The Intersection Between Health, Education and Income –Income helps. Education helps. Income + education helps more. Health, Poverty & Gender –Income in the hands of women has greater impact on family health than in hands of men Nutrition Status and HIV/AIDS Mortality –Negative correlation

10 Research Goals and Hypotheses Evaluating the extent to which the program has achieved its intended health knowledge outcomes; Identifying the programmatic strategies that have been employed to ensure the programs success; and Identifying whether two program elements - health and income generation - are effectively connected to strengthen the impacts of both.

11 Initial Hypotheses The Women First program is performing well with respect to its stated health objectives. IRD strategies are relevant and effective for achieving Women First program goals –Ability to identify and address gaps or shortcomings The Women First program provides a successful model for incorporating health education into an income generation program

12 Methodology Conducted focus group discussion with 14 groups –One new group and one former group –Asked about: Experience with selling products Community response to program Opinions of program Conducted individual interviews with 90 women –Asked about: Demographic data Health knowledge and behaviors Program impacts Interviewed key staff

13 Research Challenges Unable to address: Business model, partnership roles, social cohesion, technical health outcomes Limited access to baseline data for participants Limited information available about program operations and objectives Concerns about objectivity/neutrality Logistical issues hindered random selection of interviewees Logistics of interview process - multiple translators, time constraints

14 Interview Findings

15 Participant Feedback Reaction to program overwhelmingly positive 97% of women state program has had positive impact on their life/health 97% have never considered quitting 99% of women want the program to continue 98% of women are willing to mentor new participants Community response generally positive Only one group experienced negative reaction from non-participant market sellers Most groups want more women to be able to participate

16 Obvious and expected correlation between higher kits and higher earnings. Supports womens assertion that it is harder to continue making money after graduation.

17 Average Weekly Sales by Group

18 Marital StatusHusbands Occupation Fisherman 70% of spouses do not contribute income to household

19 The occupation of the husband does not appear to have an impact on the average weekly sales of the wife Correlation is NOT statistically significant

20 Number of school eligible-children not attending school, by case Total children: 355 Total not in school: 26 School Attendance Mozambique:60%* Women First:93% School-eligible Children Not in School * UNICEF, 2000-2006

21 50% 33% 17%33% 67% 13% 53% 55% 17% 28% None Other Bus. Cultivating Other sources of income, by kit status

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