Baseline Survey for the EUTF Health System Strengthening Project towards Increased Resilience in West Darfur Project (HSS)
The protracted crisis in Darfur has had devastating socio-economic effects on the region, displacing millions of people, causing significant loss of lives, loss of livelihoods and infrastructure, and negatively affected access to public services. Since 2004, the International Medical Corps and Concern Worldwide (CWW) have been providing targeted, integrated, and comprehensive live-saving health and nutrition interventions and, in more recent years, transitioning to longer-term multi-sector resilience-building programming, benefiting IDP camp, host communities, nomads refugees and returnees. IMC is operational in Central, West, and South Darfur states while CWW is operational in West Darfur, West Kordofan and South Kordofan States.
Only 360 of the 813 functioning health facilities (i.e. 44%) provide Minimum Basic Health Package in Darfur, with only 10% of the health facilities in West Darfur providing basic obstetric care. The under 5 mortality rate (probability of dying between birth and exactly five years of age expressed per 1,000 live births) is at its highest in West Darfur (92), while the national average is 68. Based on the latest national MICS report, Global and Severe Acute Malnutrition prevalence in West Darfur are at 19.1% and 6.3% respectively.
From April 2017, International Medical Corps and Concern Worldwide have started implementing the inception phase of EUTF supported project aiming in strengthening the health systems towards increased Resilience in West Darfur. This three years project will be implemented in six localities of Geneina, Beida, Sirba and Krenik, Jebel Moon and Kulbus. This project is based on the understanding that strengthening community resilience through the improvement of access to, and quality of health services, in areas affected by displacement and experiencing returns will ensure that local communities, IDPs and returnees are able to receive adequate health care and services which is widely recognized as one of the main push factors of irregular and forced migration.
The overall objective of this project is to improve the living conditions of IDPs, returnees and local communities, and thereby addressing the root causes of irregular and forced migration. This will be achieved by:
Over 36 months (01April 2017 – 31 March 2020), International Medical Corps and Concern Worldwide (CWW) will work with the SMoH and the locality health management teams of six localities – Al Geneina, Beida, Sirba, Kerenik, Jebel Moon and Kulbus – in West Darfur. Moreover, IMC and CWW will support 22 and 11 health facilities, respectively. The targeted population in these six localities corresponds to a total of 884,682. During the project implementation, IMC and CWW will provide medical assistance and essential health care to a total of 741,244 and 143,438 direct beneficiaries, respectively, while the major focus of this intervention remains to be on health systems straining at Al Genina SMOH and the six localities MOH levels.
The purpose of the baseline study is to conduct a robust and objective data collection and analysis in order to measure indicators within the project Performance Measurement Framework (PMF). Collecting baseline information will enable IMC’s and CWW’s Health Systems Strengthening (HSS) project team to have updated and in-depth information on how the health system in West Darfur currently functions (within the decentralized health service delivery system of Sudan) in relation to the six HSS pillars, and bench-mark various components using indicators to facilitate tracking the progress and achievement of results through data collected.
In consultation with IMC and Concern’s Country Directors, Program Directors and Health Systems Strengthening project’s technical teams, the baseline consultant will:
3.0 BASELINE METHODOLOGY
The baseline study will take a cross-sectional approach applying various data collection and analysis methodologies that will include but not limited to; use of literature review, in-depth interviews with key informants, FGDs with various beneficiary groups and stakeholders (Qualitative), and sample survey(Quantitative) as per the logframe indicators and additional organisation-specific indicators.
The consultant will work with M & E and Information Management Officers, Health/Nutrition Advisors, Programs Manager, Project Coordinators, and Project Officers and consultants for the organizations as deemed appropriate.
4.0 REPORTING AND RESPONSIBILITIES/ROLES
The consultant will be reporting to the Health Systems Strengthening IMC Medical Coordinator/Project Director and CWW Health & Nutrition Advisor/EUTF Project Coordinator or their duly appointed designate. The consultant agrees that information obtained or learned while working on this survey on behalf of International Medical Corps and Concern Worldwide is proprietary and confidential.
 Health Resources Availability Mapping System (HeRAMS) Report, FMOH and WHO, Q4 December 2016.
 Multi Indicator Cluster Survey (MICS) Report, MoH and UNICEF 2014
Roles and responsibilities:
The Consultant will:
International Medical Corps and Concern Worldwide will:
Qualifications /experiences required for the assignment:
General Conditions of the consultancy
Intellectual property rights:
All documentation related to the assignment shall remain the sole and exclusive property of IMC and CWW.
Assessment Report Approval:
IMC and CWW Sudan reserve the right to organize a discussion and feedback session where the consultant presents the first draft report of the assessment. The consultant shall incorporate the feedbacks from this session as deemed necessary.
The assessment report shall be written in English
Mode of Submission:
The consultant will submit both electronic and hard copies of the report written in Microsoft Word.
How to apply:
Application packs must include the following: