TERMS OF REFERENCE FOR MTSAMBAMA NeCHN DOCUMENTATION OF AC END’S
World Vision Swaziland
The Mtsambama Area Program is among the APs implementing MNeCHN TP The goal for the Maternal Newborn and Child Health and Nutrition Technical Program (MNeCHN) is to improve health and nutritional status of 10072 vulnerable children and 5201 mothers in Mtsambama by 2020, through improving access to quality and equitable maternal newborn and child health services. The TP focuses on promoting behavior change at household level through household level counselling of mother child pairs and their families, strengthening community based health systems (RHMs and CHCs) and building the capacity of local communities to advocate for good quality health and nutrition services. The programme engaged in the roll out of the ttC model to reach pregnant and lactating women and children under 2 years. Timed and targeted counseling (ttC) refers to a MeNCHN model whereby demand creation for health services, counselling for behavior change and general sensitization is done. It operationalizes the 7-I I strategy of World Vision’s Global Health and Nutrition. In Eswatini the ttC model is delivered in partnership with Rural Health Motivators who are equipped with knowledge and skills for household engagement with pregnant and lactating mothers for behavior change and increased utilization of health services. Effectiveness of interventions becomes evident in the number of women delivering in hospitals, number of women who have birth plans, enrolling in family planning for birth spacing, immunization for age, number of children under five years weighed, referred for malnutrition, exclusive breastfeeding as well as male involvement in MNeCHN. Overall a decline in maternal, neonatal and infant deaths should be evident in communities where these interventions are implemented.
The goal of this activity is to describe the status of key MNeCHN behaviors and selected indicators and to document the contribution made in the community through the delivering MNeCHN interventions in this AP The specific objectives will be as follows:
• To describe change in MNeCHN outcomes and behaviors and identify the specific factors of successful implementation of ttC
• To describe the impact of interventions on the lives of those targeted
• To identify the root causes, drivers and hindrances of some of the MNeCHN outcomes and behaviours that are difficult to change
• To capture pictorial evidence showing implementation of MNeCHN in the different chiefdom in Mtsambama
• To Capture and document stories that have evolved at the ground level during the project implementation cycle with relevant photographs showcasing changes and impacts brought out by the project.
• document lessons learnt in the implementation of MNeCHN in Mtsambama
• To use it as a case study for successful MNeCHN implementation in the other APs
3. Scope of work
• Develop an inception report detailing the most suitable methodology for the assignment, and indicating roles and responsibilities as well as timelines. Data collection tools and an analysis plan should be part of the attachments.
• Engage and train data collectors as well as pilot test the data collection tools
• Conduct data collection in the different locations within the study area as per the approved inception report
• Conduct appropriate scientific analysis of the collected data as per the approved analysis plan
• Compile a high quality Assessment report with recommendations and pictorial
• Disseminate the report
The following deliverables are expected from this assignment, noting that the intellectual property generated will belong to World Vision Eswatini:
• inception Report or Assessment Design / Protocol: The design document will be used to guide the analysis, reporting and dissemination of the assessment. This involves the review of the draft TORs to refine the methodology, sampling, develop analysis and dissemination plan
• Data collection tools: Develop approprite collection tools to ensure that they address all the relevant objectives to report on. Ensure that data collection tools are developed in a way that is very easy to administer, understand and analyze.
• Data Collectors Training: Train data collectors on data collection tools. Ensure that all data collectors are adequately capacitated and that data collected is of quality standards.
• Clean / coded data sets: As per the approved methodology: – The consultant is responsible for the cleaning / coding of that data to ensure that data used for the analysis is a clean / coded data set
• Analyze Data: Analyze the collected data as per the approved analysis plan and submit all analysis steps including they syntax or code-book.
• Draft and Final Reports: Develop draft and final reports. Final reports to incorporate all the necessary analysis as well as address comments from all stakeholders.
• Evaluation Findings Presentation: Develop and present the findings to the relevant stakeholders.
5. Duration and administration
• This assignment will be carried out for a period of 25 days including consultation, field visit and preparation and submission of final report. The consultant will work closely with the Health, HIV and Nutrition Technical Program Manager. Payment will be as follows:
• First Installment: 20% upon completion and submission of the inception report detailing the methodology, time frame and budget
• Second installment: 40% of amount shall be paid upon submission of draft report
• Third/Final Installment: 40% of the contract amount shall be paid upon completion and submission and acceptance of final report/ final pictures of implementation sites and beneficiaries.
6. Qualification and experience.
A consultant with a degree in a health field and familiarity with MNCH. Knowledge of the application of ttC will be an added advantage. Knowledge and experience in conducting monitoring and evaluation exercises is a requirement.
7. Application procedure
Interested candidates should apply by presenting the following documents:
• a Technical proposal detailing the proposed methodology and Analysis plan,
• CVs of assessment team indicating experience and expertise
• financial proposal detailing the proposed budget indicating the consulting fees and other associated costs for undertaking the assessment.
• An example / evidence of previous work of similar scope
Applications can be submitted by 06 May 2019 to the Supply Chain Management office of World Vision Eswatini.
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