CARE International in Ethiopia Report on Strategic Impact Inquiry on Women’s Empowerment in Relation to FGC Elimination Project in Awash (EXTRACT) Conducted in the Awash Fentale and Amibera Woreda from November, 2005 through July 2006 Section A. Process These areas are covered in this section Background Methodology Data collection Research Questions Dissemination Young Afar woman caring for her baby during the focus group discussions 3. Background The gender-related development index (GDI) world wide shows Ethiopia to be one of the least developed and the Ethiopia DHS 2000 report states that Ethiopia pastoralists’ poverty and livelihood indicators to be lower than the national average. The current social position of pastoralist/rural women is characterised by low personal autonomy and self-image and an absence of collective identity, social leadership, political influence and institution support. This is in spite of the laws and policies created to promote gender consciousness (HIWOT CARE 2005). Afar rural women live in very poor conditions, have little social position within the community, are affected by wide spread harmful traditional practices such as FGC, and subjected to male dominated gender roles and marriage institutions. Although the Afar pastoralist woman makes significant contribution towards the income and security of her family, she is nevertheless, limited in household decision making and community level planning. CARE Ethiopia’s commitment to strengthening learning, analysis and impact measurement in its programmes commenced in 1996 in the Afar region of the Awash Fentale Woreda with the establishment of community based and managed health care. This area was chosen not only because of the high levels of women mortality and morbidity in pastoral communities but also to address the root causes of the traditional harmful practices, conditions and marginal social position of pastoralist/rural women within their communities. Between 1999 and 2003, CARE Ethiopia (Awash Office), participated in a multi-country FGC elimination research project initiated by CARE USA and funded by CAREs Africa fund. The research project became the foundation for the FGC elimination project implemented in the two Woredas, Awash Fentale and Amibera. CARE Ethiopia’s Female Genital Cutting (FGC) elimination project is widely considered to have been successful in identifying the fundamental issues of women’s marginalization and rights denial in Ethiopia’s pastoralist context. The FGC elimination project was associated with the aim of improving the health and social status of Afar women and girls by eliminating the practice of FGC and other harmful traditional practices, realisation of women’s rights, promotion of safe reproductive health practices, awareness and prevention of HIV/AIDS and strengthening the community based health system. It is generally believed that the project was successful in making a positive impact on the health and social status of the Afar female population. This was achieved through the implementation of strategies that focused on women’s empowerment through advocacy, community participation. The final evaluation and report of the FGC/PHC project in November/December 2005 stated that there has been ‘a significant leap in awareness of FGC, HIV/AIDS, malaria, diarrhoea and family planning The number of people having awareness against FGC increased by 60% and knowledge about family planning 40.50%.’ Comprehensive health education packages made by the project breaks the silence among the community to discuss about the health effects of FGC and other harmful practices and allowed the community to discuss this openly. The project also brought behavioural change regarding discussion related to family planning and other reproductive health issues and has empowered women by enabling them to be present at meetings and openly discuss health related issues with their male counterparts’ (CARE (2) 2005). A typical village setting where many of the focus group discussions took place during the fieldwork research. 4. Research Questions CARE Ethiopia considers some basic questions along with what is described in the Global Research Framework as “basic, impact and approach” research domains, all being of prime interest for CARE Ethiopia. The formulated questions for the SII on Women’s Empowerment: Awash FGC Elimination Project (CARE Ethiopia) as follows. However Question No. 1 “How do Afar women define empowerment?’ will be the main focus as this concept was submitted to CARE UK/USA. 4.1 Basic Questions 1. How do afar women define empowerment? 2. How have FGC practices changed over the past eight years? 3. Have changes in FGC practices over the last 8 years changed anything about how women view their own empowerment/disempowerment? Have they had any effect on how women even define empowerment (agency based dimension of empowerment) 4. Have these changes had much to do with CAREs programming, or are attributed to contextual changes (partly structural dimension of empowerment). 5. What are pastoral institutions [defined as complexes of norms and behaviours that persist over time by serving some collectively valued purposes (Uphoff, 1986) or rules of the game (North, 1995)]. 6. How the answer to #1to #4 relates with/affects these institutions. 7. Is FGC an institution or a behaviour that results from an institution? 4.2 Impact level questions 8. What evidence is there that FGC project interventions promote more interdependent and accountable relationships between women and the key people and institutions they engage in pursuit of their needs and rights?(relational dimension of empowerment and equity). 9. What evidence is there that FGC projects promote a more responsible and equitable enabling environment? (structural dimension of empowerment and equity). 10. What evidence is there that FGC project interventions support expansion of women’s abilities to identify, pursue, and achieve basic needs and rights? (agency-based dimensions of empowerment and equity). 4.3 Approach level questions 11. What types and mixes of interventions that have proven to be the most effective, or counter-productive, in their impact on gender-equity and women’s empowerment? How prevalent are such practices in the FGC project? 5. Justification of methodology tools used A descriptive qualitative research approach was used for the SII research process to endeavour to understand the level of CAREs impact on the community in terms of contribution to the increase of women’s empowerment and gender equity. The field research involved in the SII focused on the Afar people in the Awash area in order to interpret the level of understanding of women’s empowerment and gender equity, with reference to the norms, behaviours, and attitudes that bind them together as a community or group. To understand any change or past activity that has impacted (positive or negative) on women’s equality within the Afar communities, it was important to understand and explore the interacting groups who share ethical principles, religious beliefs, traditional customs and social values. In keeping with the principles of the SII process, it was vital to develop the methodology in conjunction with the participation of partners, the Afar people and external researchers. 5.1 Open Ended Questions. Open ended questions for the Interview and Focus Group Discussions were selected because the process allowed for unlimited response to each question, were noninvasive and the respondents were able to answer in detail and clarify their answers. This method also contributed richness of detail in the gathered information and allowed for additional factors, if any and not previously considered, to be included in the inquiry. 5.2 In-Depth Interview The purpose of this qualitative approach was to explore and interpret the perception of women’s empowerment in relation to the Afar woman. Face to face interviews have the highest response rates, allow the respondent to speak freely, permit longer question time, and enables interviewers to ask more complex, probing questions. The research team made every attempt to overcome bias with appropriate training of the facilitating group, and would be recorded by a note taker and tape recorder. 5.3 Focus Group Discussion (FGD) Focus group discussions (FGDs) enabled the researchers to gather approximately eight to twelve (8-12) people to discuss the issues related to inequality and W/E. The facilitators were able to present the predetermined open-ended questions to the group, guide the content through the sub-questions and explore the issues by encouraging the group members to contribute their views. The process was noninvasive and allowed views to be written by a note taker for later translation. The process was also tape-recorded to ensure a back up of gathered data. FGDs were important for the SII process because they allowed all members of the group to have an opportunity to speak out, share ideas and perceptions. Care was taken to encourage all participants to speak out and to identify any dominant participants. Also, information gleaned from the FGDs enabled the issues to be further interpreted and explored during future in-depth interviews. 5.4 Observation Observation was an important factor during the FGD and interview process. It was essential for a member of the data gathering team to observe the surroundings, behaviour and reaction of community members during the discussions and assist the facilitator in monitoring the behaviour of individuals or the situation. Observations are also a vital part of qualitative research to add richness to the spoken data. 5.5 Field notes Field notes were a vital part of the data collection as the SII process demands a step-by-step analysis of the proceedings. They were compiled in the form of direct observations, researcher inferences, analytic note taking, on-the-spot translation and a personal journal. Field notes and inferences were presented as part of the main text because of the richness of detail and the relevance to the whole research. Although a substantial part of the field note documentation was observation, translations in the field also significantly contributed. However, the team was constantly challenged with the difficulty of working in three languages, Afar, Amharic and English. Because the fieldwork was almost always conducted in the Afar language, the research team was heavily reliant on the Afar speaking field work team members. This proved difficult and challenging at all times as the Amharic and English speaking team members were unable to keep abreast of the incoming information and guide the questioning. This often meant that debriefing sessions were intense and group analysis identified areas for further investigation to produce clarity on specific areas. Unfortunately the lapse of time and on-the-spot opportunity for more detailed questioning were constant barriers to information gathering. Although the Afar speaking research team members were instructed on probing and other interview techniques, lack of experience in information gathering methods possibly meant that vital information was not documented. Photographs were also taken (with the permission of the group/individual) to support observations, interpretations and conclusions. 6. Theoretical rationale The collected data were construed by using the Interpretative approach. This approach endeavoured to give meaning to the data collection through interpretation of the views of the study group by the Afar researchers and the facilitators. In other words, this approach incorporated the point of view of the Afar people (both participants and researchers) from the beginning of the research process by taking into account how they defined their situation and what the inquiry meant to them. The gathered information included understanding and documentation of personal views, reasons or motives for individual or collective actions and behaviour. The ‘first-order’ of interpretation was examined by the research team (international, national and community) in order to extract underlying meaning of the data to attempt understand related actions or events from a local perspective. This was an important process as the ‘second-order’ of interpretation may eventually be linked to future research process or programmes and general theoretical significance for a broader level of understanding of the Afar community and Afar culture (Neuman 1994). This method was appropriate for the Strategic Impact Inquiry because the collected data and analysis were based on the explanations of the study group. The interpretative approach then enabled the researcher team to attempt to give meaning and understanding to the individual or communal views regarding social behaviour and motives for understanding of past, present and, possibly future actions with reference to women’s empowerment and gender equity. 7. SII design The overall study design was cross-sectional and followed the guidelines of the global research framework for Care’s SII on women’s empowerment. Qualitative research techniques applied during the inquiry first explored and later interpreted the knowledge, attitudes and practices of the Afar rural community in the Awash Fentale and Amibera Woredas in the Awash region of Ethiopia and was conducted during the period of March and April, 2006. 7.1 SII participants The participants in the SII process were members from the CARE Addis Ababa and Awash offices, local Awash partners, religious leaders, government organisations, local community members and adult members from selected Afar rural villages. All members of the selected villages were invited to participate and care was taken to ensure there was no discrimination such as rank or importance within the community. 7.2 Sample size The sample size during the data collection period was dependent on the availability and cooperation of the village members as many work away from their homes during the day. Also, access to the remote, rural villages was dependent on the weather conditions and the infrastructure within the area. However local knowledge ensured that the sample size was adequate. Sometimes this meant moving to another village or negotiations with village elders to encourage village members to take part in the interview process. 7.3 Sample selection The sample selection was chosen from the Woredas of Awash Fentale and Amibera because of CAREs previous association and work in those areas. The villages chosen by the research team within each district/Kebele was based on the degree of intervention by CARE i.e. more work in some villages and less in others. These areas complied with the purpose of the SII, which was to ascertain any degree of impact CARE had made on the underlying causes of poverty, rights denial and women’s empowerment in the area. The sample selection was at the discretion of the participants of the workshop and CARE Awash staff as both bodies had in-depth knowledge of the villages and their accessibility within the area. The study proposed to include both adult females and males from the respective villages in the research process as well as religious leaders, members of government organisations and professionals (medical personnel, teachers etc). Local knowledge proved invaluable as many of the research team knew members of the communities they visited .For instance, the facilitators were informed that Fridays and Saturdays would not be convenient days to visit and collect data because of religious commitments and market activities. Therefore, any research activity had to avoid these days in order to gain maximum participation. We also learnt through local knowledge that villages are usually absent in the latter part of the morning because of work commitments such as livestock minding or wood and water gathering. This familiarity ‘opened doors’ for a more personal approach and encouraged people to engage in group discussion or individual interviews. It also appeared to develop a certain level of trust between the respondents and the Afar research teams. I feel that the communities were more comfortable in speaking about personal issues with other Afar people, rather than outsiders, and were more inclined to divulge factors about their lives. Also, a characteristic of the Afar woman is shyness, so having other Afar women speak about personal issues appeared not to be so invasive. 8. Procedure The process of the data collection for the entire research process has been found to be rich in information that could be very informative for future work or study. As a result, this report will include full field notes and documentation of the progression during the entire time. 8.1 Initial workshop and field trip planning and question formulation. The starting point of the SII process began at CARE Addis Ababa (AA), where the group of facilitators from the office discussed the aims and objectives of the research programme in relation to the guidelines of the SII principles. The first workshop took five drafts of planning before there was final approval and agreement by all team members. Being mindful of the principles and processes that were vital to the concepts of the SII, the team from CARE AA then proposed to take the ideas to Awash, interact with the stationed CARE members, religious leaders, the relevant organisations and community members themselves in order to explain the planned project and invite all participants to contribute in the research process. The SII team from CARE AA planned to conduct three visits to the Awash area to arrange and implement meetings, workshops and field trips. However, these visits eventually expanded to four to ensure as complete coverage of information as possible. The first meeting made the initial contact with CARE Awash staff members, explained the proposed SII initiative to be held in the Awash area and recruited the assistance and participation of CARE Awash staff and Afar speaking community members already known to the office. 8.2 Formulation of the question structure. Being mindful of the research questions, particularly question No. 1, the structure for FGDs and in-depth interviews were compiled over the period of the four visits to Awash and one in Addis Ababa. The 1st field trip and initial visit and contact with the rural Afar people created a starting point for the question content and behaviour in the field. The 2nd, 3rd, 4th and 5th workshops and field trips built on the existing information. Question formulation and was pilot tested in the field. The question structure and content was constantly changed and adapted to accommodate the understanding of the Afar participants in order to target the research subject. Formulation of the question content proved to be challenging for both facilitators and workshop participants and this will be discussed in the following sections. 8.3 Defining the word ‘empowerment’ in the Afar language. In the beginning of the SII, the research team had difficulty in finding a suitable translation of the English word ‘empowerment’ into the Afar language. The research team found no common understanding of ‘empowerment’ and this caused much debate. (See field notes to follow process of establishing a common understanding). The Afar people, under the guidance of the Afar research team members eventually decided on the words ‘Hilaly’ (powerful) and ‘Dieto’ (capable) as being closest to the Afar peoples understanding of ‘empowerment. These two words have been used simultaneously throughout the research as the accepted replacement