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17-311: Consultant Baseline Survey
Country:Sudan
Department:International Operations
  
Essential Job Duties/Scope of Work:

Terms of Reference

 

Baseline Survey for the EUTF Health System Strengthening Project towards Increased Resilience in West Darfur Project (HSS)

 

 

  1. BACKGROUND

    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[1]. 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[2]. 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:

  • Strengthening the local health systems to better deliver basic packages of health services in West Darfur with the final aim of creating a more conducive and sustainable living environment for host communities and displaced populations.
  • Through strengthening the governance capacity of states and local authorities for a well-functioning and sustainable health services.
  • Improving the access to and quality of primary health care including nutrition services.
  • Creating a more participatory and inclusive health system.

    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.

     

  1. SCOPE OF WORK

     

    1. Purposes 

      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.

       

    2. Objectives of the baseline

       

  • To collect qualitative and quantitative data to have in-depth understanding of the health system functioning in West Darfur State and identify bottlenecks to inform priorities and realigning of planned interventions and activities.
  • To identify the baseline data for all indicators for the Health Systems Strengthening project, that will be used to measure the project’s performance and progress.
  • Provide reliable information that will inform the project’s mid-term review and end line evaluation.
  • To make recommendation that will have bearing on planning to improve implementation of the Health Systems Strengthening project.

     

    1. Tasks 

      In consultation with IMC and Concern’s Country Directors, Program Directors and Health Systems Strengthening project’s technical teams, the baseline consultant will:

       

  • Familiarize with the project through literature review of the Health Systems Strengthening project documents including the project’s proposals, work plan, and M&E framework.

     

  • Designing the sampling based on the set target population.
  • Familiarize with the projects through literature review of the Health Systems Strengthening project documents including the project’s proposals, work plan, and M&E framework.
  • Design the baseline survey based on the project documents and health system strengthening building blocks and using digital data gathering software.
  • Develop both qualitative and quantitative data collection tools for the study based on the logframe and additional indicators set by each organisation.
  • Develop data quality assurance protocols to guide data collection/ entry and ensure data quality.
  • Disaggregate data by age, sex, and beneficiaries’ categories (IDPs, returnees and host communities).
  • In close collaboration/involvement of IMC and CWW technical and administrative staff, recruit and train data collectors and enumerators ensuring gender balance and gender sensitivity.
  • Oversee all data collection, entry, revision and analysis.
  • Pilot and test the questionnaire before data collection.
  • Facilitate transcription of qualitative data. 
  • Design data entry screen for the qualitative data.
  • Produce a first draft baseline report that clearly describes the current health systems, identify bottlenecks and sets recommendations for realignment of project design
  • Present the report for IMC and CWW management and coordinators for comments and feedback.
  • Produce the final report.
  • In collaboration with IMC/CWW project coordinators, organise dissemination workshop to present the findings with relevant stakeholders. 

     

    1. Expected results 

 

  • An insight in the knowledge levels on both the supply and demand side through  Knowledge, Practice, Coverage (KPC) survey with the target population and HFAs/Health Facility Assessments on the provider side located in health facilities and health services provision and management among communities within the targeted by the project
  • Determination of the level of access to health services and factors associated with poor access.
  • Identify the motivation level of health personnel and the approach to improve it.
  • An understanding of the impact of financial hardship and catastrophic health expenditure on households in the target communities.
  • Assess the current status of mental health and HIV and AIDS services in West Darfur, it terms of service availability, MoH approach, and community attitude.
  • To analyse the efficiency of the current national health insurance scheme and parties involved.
  • An understanding of the quality of health services in the targeted areas from the supply and demand side.
  • To ascertain the level of engagement among local authorities, communities and MOH in management and provision of health services in the targeted areas

 

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.

 



[1] Health Resources Availability Mapping System (HeRAMS) Report, FMOH and WHO, Q4 December 2016.

[2] Multi Indicator Cluster Survey (MICS)  Report, MoH and UNICEF 2014

Qualifications:
 

Roles and responsibilities:

 

The Consultant will:

 

  • Develop and present technical proposal for evaluation of Health Systems Strengthening project (understanding of the ToR), work plan and budget. 
  • Design questionnaires and survey assessment tools on digital data gathering software using the standard and appropriate survey methodology and indicators.
  • In close collaboration/involvement of IMC/CWW IT officers, develop the digital data gathering plan ,identifying the electronic devices to be used (tablets/ mobile phones…), the data collection software that enable digitizes the data, and the data transmission from the field to the central database.
  • The consultant will design the baseline enabling it to provide baseline information for the 6 localities collective and for each locality.
  • Ensure that ethical consideration is strictly followed in all survey stages.
  • Be responsible for preparation for the survey including sample size estimation, population size, and clustering of the villages etc.
  • Train the survey teams (including mapping of survey area pre-testing questionnaire at field level).
  • Work closely with the technical team of both organisations, including other consultants working on the same project.
  • Assume overall responsibility for implementation of the survey, including daily supervision of survey teams, daily data quality assurance/check.
  • Be responsible for data revision and analysis using software’s like Epi Info, SPSS, ENA, etc.
  • Adhere to the methodology used in the consultancy proposal.
  • Implement the baseline survey according to the agreed ToR and “understanding of the ToR”.
  • Monitor the data collection on DDG on a daily basis and give feedback to data enumerators and field supervisors.
  • Based on the findings, compile a draft report (of no more than 25 pages excluding annexes) which will be shared with International Medical Corps and Concern Worldwide
  • Incorporate comments and finalize the report as will be agreed between the consultant and International Medical Corps and Concern Worldwide.
  • Produce a summary report within two weeks of data collection completion.
  • Present a complete report set to each organisation, each set has a soft copy of the report as well as 2 well bound hard copies.

 

 

 International Medical Corps and Concern Worldwide will:

 

  • Develop contract agreement with the consultant.
  • Provide relevant background information and relevant documents for Health System Strengthening project.
  • Digital data gathering software and devices.
  • Identify and mobilize target beneficiaries, stakeholders, staff, CHWs and all persons who may be required by the consultant for interview. 
  • Conduct initial stakeholders’ meetings in project areas to identify critical questions that will contribute to the survey.
  • Provide initial briefing to consultant, approve consultant work plan and gather together and provide key documents to consultant.
  • Facilitate movement of consultant according to the agreed contract.
  • Comment on the draft and approve the final report.
  • Honor agreement and effect payment.

 

Qualifications /experiences required for the assignment:

Essential:

  • Qualified researcher with advanced postgraduate degree and experience in epidemiology, public health, and surveys for at least 10 years.
  • Minimum of 5 years of experience in administering studies, collecting data and producing quality baseline/endline study reports, preferably for international non-profit organizations or  multilateral agencies (the applicant will be asked to provide samples of previous baseline/endline study reports he/she produced. These will be kept confidential and used only for the purpose of assessing the quality of work of the applicant). 
  • Demonstrated experience in baseline study design, including sampling, applying a mixed methods approach, developing tools, developing data quality protocols and training enumerators
  • Previous proven experience in HSS projects.
  • Significant experience in community based studies including conduct of surveys.
  • Excellent analytical, report writing and statistical skills.
  • Proven experience in designing and implementing surveys using digital data gathering softwares.
  • Strong communication skills, with excellent written and spoken English.
  • Excellent computing and analytical skills including at least in one of the following: ENA, EPI INFO, SPSS etc. Ability to work on own initiative and to meet deadlines.
  • Excellent reporting and data consolidation and presentation skills.
  • Proven competency and experience in monitoring, evaluation and impact assessment (with particular experience in the sectors of public health and nutrition) Proven experience in participatory research methods.
  • Experience of working with displaced communities.


Desirable:

  • Experience in Darfur context will be an asset.
  • Experience with designing major surveys for international donors (especially EU) will be an asset.
  • Previous experience working on health and nutrition in the Republic of Sudan.
  • Knowledge of Arabic.

 

General Conditions of the consultancy

  • The consultant (s) will be based in Geneina locality, West Darfur and will spend most of the duration in the field in the 6 localities.
  • IMC/CWW will support and facilitate the consultant (s) travel to West Darfur,  and back to his or her home
  • The consultant will be required to abide by the IMC/CWW security procedures and rules in place for IMC/CWW staff. 
  • The consultant will cover his food and subsistence related cost while in West Darfur while IMC/CWW will offer only accommodation. In case of unavailability of accommodation, the cost of accommodation will be provided.
  • The consultant will conduct his/her work using his/her own computer equipment. Other costs related directly to the task, like photocopying of questionnaires, shall be covered by IMC/CWW 
  •  Terms of payment will be negotiated upon acceptance of the consultancy. On the basis of the above proposed activities, the total budget for the consultancy will include VAT as required.
  •  Final payment to the consultant will be dependent on the completion of all deliverables.
  • Consideration of Ethics: The consultant will ensure that written consent is obtained from all participants in the study.

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.

 

Report Language:

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:

  • A cover letter.
  • CV (max 4 pages),
  • 2-3 examples of previous baseline reports, and
  • a budget in Euro specifying the daily fees/ initial breakdown of all costs.