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TERMS OF REFERENCE (TOR):
BASELINE CONSULTANT
PROMISE – Promoting Maternal, newborn Infant and Child Sustainable Health Efforts
Funded by: Global Affairs Canada (formerly CIDA/DFATD)

Christian Child Fund Canada

ADRA Canada

Emanuel International Canada

Project Background



Supported by the Government of Canada via its Partnerships for Strengthening Maternal, Newborn and Child Health (PS-MNCH) initiative, the PROMISE project is implemented by a consortium of Canadian partners led by Christian Children’s Fund of Canada in Canada and including Adventist Development and Relief Agency (ADRA) and Emmanuel International Canada (EIC). The project is being implemented in Ghana, Rwanda and Malawi. The Project seeks to reduce maternal and child mortality through an integrated focus on three intermediate outcomes: improved delivery of essential health services to mothers, pregnant women, newborns and children under five (U-5); improved utilization of essential health services by mothers, pregnant women, newborns and U-5; and finally increased consumption of nutritious foods and supplements by mothers, pregnant women, newborns and U-5.

Purpose of Consultancy



PROMISE is a multi-country project and the data collection and analysis process must be consistent. The design of the survey/FGDs and the indicator calculations is coordinated by ADRA Canada and Salanga. Therefore, the purpose of the in-country consultant is to:
Collect and collate Data

Data collection through household survey, design of the FGDs, determining sample size, enumerator hiring/training, supervising or coordinating the data collection and cleaning the survey results.
Analyze survey data and FGD (Focus Group Discussion) results through the local context lens. Indicator results and FGD’s notes will be provided to the consultant. However, it’s the consultant’s responsibility to do further investigation, including: gender trends, location/village trends, affluence differences, validation between different data sources (when applicable), etc. at the consultant’s discretion.
Discuss findings with implementing team (technical leads). The analysis and findings will be discussed with the technical leads and the Project Manager. Generally, the findings should have their buy-in. Any concerns with the findings should result in further investigation in the project areas and should be noted in the report.
Write the baseline report from the local context perspective and based on the provided template. This includes a heavy emphasis on the analysis. For example; What are the implications of the data and results? Is the data and results reflective of the situation on the ground according to the consultant’s experience? Is there any further investigation needed to understand the data? What implications does the data have on the project? Should the indicator targets be adjusted?
Dialog with ADRA Canada and Salanga on feedback, incorporate into final baseline report. The consultant will be expected to dialog directly with ADRA Canada and Salanga as well as the local implementing partner regarding feedback and questions on the report. The consultant will coordinate all responses with the implementing team.

Relevant Topics of Baseline Study



Project indicators can be reviewed in Appendix 1 – Performance Management Framework. All indicators whose baseline values are N/A are not applicable to the baseline data collection.

Competencies



The following competencies are ideal:

  • Proven previous experience as baseline analysis lead and baseline report writer

  • Health – in particular, fields related to maternal-child health such as gynecology, Obstetrics and midwifery, etc. are ideal

  • Food security - understanding of household food security, especially focus on food access, availability and intake

  • Gender

  • Environment

  • Research background with focus in analysis

  • Familiarity with Global Affairs Canada’s (formerly CIDA/DFATD) best practices and approach to baselines/evaluations is preferable



Resources Provided to Consultant



The following resources will be provided to the consultant:

  1. All project related materials including: proposal, logic model (LM), performance management framework (PMF). Others available upon request.

  2. Survey questionnaire

  3. Baseline report template.


Timeframe



The baseline will be conducted and compiled in June 2016. The consultant will be required to write the report, incorporate feedback/answer questions, and finalize and submit the report by August 22, 2016. Please see Deliverables for specific timeframes. As a requirement, the consultant is also supposed to attend a one-day mandatory training on Kinaki (provided by Salanga and ADRA Canada).

Deliverables





Item

Duration

From

To

Comment

Data collection through household survey

15 days

June







Baseline report based on template

10 days

7/13/2016

7/26/2016




Donor Offices review baseline reports, give feedback, feedback incorporated, final reports sent to ADRA Canada (Consultant available for questions and clarifications)

7 days

7/27/16

8/04/16




ADRA Canada & Salanga review each country’s report (consultant available for questions)

6 days

8/05/16

8/12/16




Respond, incorporate feedback, finalize report

6 days

8/15/16

8/22/16

There will be some overlap between these two deliverables.
It is important that the report be finalized on this due date.


Remuneration



The payment will be as discussed and agreed to in terms of rates and schedules between CCFC and the selected consultant. NB: The consultant who wins the bid would be required to adhere to all terms and conditions stated in the TOR during the course of the contract agreement period and the contribution agreement.

Baseline Template



The baseline template will be provided to the selected consultant

Application Submission



Interested candidates should submit their application (or requests) for this consultancy to CCFC Ghana Program Manager (esinkari@ccfcanada, ca) not later than May 20, 2016, 5:00PM.

Only shortlisted candidate/s will be contacted. The application should include a CV and cover letter showing relevant professional experience and requirements listed above. Candidates should also submit sample of previous baseline work.

Appendix 1 – Performance Management Framework



EXPECTED RESULTS

INDICATORS

BASELINE

TARGETS

DATA SOURCES

COLLECTION METHODS

FRQ

ULTIMATE OUTCOME



















1000 Contribute to the reduction of maternal and child mortality in targeted regions

Maternal mortality ratio (deaths per 100,000 live births)







Government reports




Baseline, midterm, end of project

Under-five child mortality, with the proportion of newborn deaths (deaths per 1,000 live births) (targeted regions) (MNCH indicator)




`

Government reports




Baseline, midterm, end of project

INTERMEDIATE OUTCOMES



















1100 Improved delivery of essential health services to mothers, pregnant women, newborns and children under five


1100a ANC visits: Percentage of women attended at least four times during pregnancy by any provider for reasons related to the pregnancy *




Pending baseline (an Increase of at least 20% per country by project end)

Sample households
Verification: Health Facility ANC Registers

Household surveys
Verification: HIS Report Analysis/Document Review;

Annually (Beginning at end of Year 2)



1100b Thermal/newborn care: Percentage of newborns who received positive care practices, including newborns dried immediately after birth, newborns wrapped immediately after birth, newborns with delayed first bathe after birth, newborns with nothing (harmful) applied to the cord*




Pending baseline – at least 20% increase at targeted sites

Sample households
Verification: Health centres

Household surveys
Verification: HC profiling


Annually (Beginning at end of Year 2)

1200 Improved utilization of essential services by mother, pregnant women, newborns and children under 5

1200a Skilled attendant at delivery: Percentage of live births attended by skilled health personnel. *





Pending baseline – at least 20% increase at targeted sites

Sample households,

Household surveys;

Baseline, midterm, end-of project

1200b Postnatal visit for mothers and babies: Percentage of mothers who receive postnatal care within two days of childbirth*




Pending baseline – at least 20% increase at targeted sites

Sample households



Household surveys
Verification: focus group discussions


Annually (Beginning at end of Year 2)

1300 Increased consumption of nutritious foods and supplements by mothers, pregnant women, newborns and children under five (U5).

1300a Minimum acceptable diet - percentage of children 6-23 months of age who receive adequate nutrition*




At least 65% of boys and girls


Sample households


Household surveys

Baseline, midterm, end-of project

1300b Exclusive breastfeeding (< 6 months): Percentage of infants aged 0-5 months who are exclusively breastfed* (including not giving water)




80% of girls and boys in aged 0-5 months to be adjusted based on baseline

Mothers in community with 0-5 month old newborns

Household surveys


Baseline, midterm, end-of project

1300c % of mothers and pregnancy women with a MUAC greater than X cm







Sample households

Household survey

Baseline, midterm, end-of project

IMMEDIATE OUTCOMES



















1110 Enhanced capacity of relevant district/county health authorities to manage and coordinate gender responsive integrated MNCH services

1110a # of health facilities with an operational HMIS (equipped with laptop/desktop, training provided, ability to produce quarterly report)







HC management

Key informant interviews




1110b # of health facilities with an operational referral system







TBD

TBD




1120 Health workers (male and female) have increased knowledge and skills to deliver gender responsive

integrated MNCH

services

1120a Number of health workers who are certified in BEmONC.







HC records
Health Centres

Record check
Verification: HC profiling




1120b % of health workers who feel that their MNCH training has reduced child mortality







Health workers group

Focus group discussions




1130 Increased access of target groups to equipped and functional health facilities to deliver gender responsive integrated MNCH services

1130a # of HC equipped with at least minimum items to provide standard appropriate delivery care







Health Centres

HC profiling




1130b % of mothers who report having been assessed within 15 mins of arrival at a health centre for the delivery of their last child







Sample households
Health Centres

Household survey
Verification: HC profiling




1210 Strengthened capacity of community based health promoters and influential community members including women to implement and support gender responsive integrated MNCH services

1210a % of group leaders who conduct regular home visits







Project monitoring records

Records check




1210b % of group members who are “somewhat satisfied” or “very satisfied” with their group leader (timeliness, personal interest, follow up, knowledge)







Sample households

Household survey




1220 Increased knowledge and skills among mothers, fathers and other target groups on prevention and early treatment of leading diseases

1220a % of target WRAs, caregivers and men (by age, by profession) who feel ‘very confident’ or ‘somewhat confident’ that they can identify danger warning signs in pregnancy, post-natal mothers and newborn/under-five babies








Verification: Sample households

Focus group discussion
Verification: Household survey




1220b % of WRAs, caregivers and men who can list 3 out of 4 key sanitation/hygiene practices to prevent leading diseases







Sample households

Household survey
Verification: Focus group discussions




1230 Improved capacity of women and their families for decision making in health seeking behaviors and uptake of gender responsive integrated MNCH services

1230a % of mothers and fathers who make at least 3 of 4 key decisions in partnership about maternal and child health (family planning, when to go to the health facility when a child is sick, how long to breastfeed, family nutrition).







Sample households

Household survey
Verification: Focus group discussions




1230b % of mothers and fathers who feel that males should be involved in MNCH.







Sample households

Household survey
Verification: Focus group discussions




1310 Improved knowledge and skills of communities (male and female) on optimal feeding and nutrition practices especially during the first 1000 days

1310a % of target WRAs, caregivers and men (by age, by profession) able to identify essential nutrition practices for pregnant women, and girls and boys (U5) with a special focus on the first 1,000 days







Sample households

Household survey




1310b % of target WRAs, caregivers and men who feel ‘somewhat confident’ or ‘very confident’ that they have a good knowledge of the specific nutritional and physical needs of children in the first 1000 days







Sample households

Focus group discussions




1320 Improved access to community-based nutrition interventions

1320a % of targeted mothers and primary caregivers who are aware of regular growth monitoring screening for children under 5 in their community







Sample households

Household survey




1320b % of under 2 children who were referred to a health centre and were able to attend their appointment







HC records

Record check




1330 Increased accessibility of nutritious foods, micronutrient supplements and therapeutic products to prevent and rehabilitate malnutrition

1330a % of targeted WRA (by age) and girls and boys U2 who regularly take micronutrient supplements (Ghana)







Sample households

Household survey




1330b % of targeted households who have access to a kitchen garden (Rwanda, Malawi)







Sample households

Household survey






PROMISE: BASELINE CONSULTANT TOR Page

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