TOR for consultancy – EndlineBACKGROUND

Medair is an international humanitarian organization that provides emergency relief and recovery services in health, nutrition, shelter, and WASH (water, sanitation, and hygiene).

As signatories of the International Committee of the Red Cross and Red Crescent Code of Conduct, we believe that aid should be given to everyone who is in need and not be used to further a particular political, social, or religious viewpoint. The needs of the people we serve are our utmost consideration. For that reason, we pursue the highest professional standards of quality, accountability, and sustainability and carry out our projects in close connection with communities, listening to their needs and supporting improvements and training for the future.

Summary of Medair’s Work in Somalia

Medair has been working in diverse regions of Somalia since 2008 to improve the quality of and access to life-saving primary health and nutrition services for the vulnerable host and IDP population. Medair currently works in the Banadir, Middle Shabelle, Lower Shabelle, and Lower Juba regions, offering an integrated health, nutrition, and WASH program through Primary Health Care (PHC) facilities and community-based interventions. Additionally, Medair is expanding its operations to include Gedo region.

Medair currently supports PHC with integrated management of acute malnutrition in 12 health facilities and 41 outreach sites in Banadir, Southwest State, Jubaland, and Hirshabelle, in partnership with four local NGOs. Support includes staff training and supervision, the rehabilitation of health facility infrastructure, including WASH facilities, and the procurement, supply, and management of pharmaceutical and other medical commodities. Community health promotion, supported by Medair, encourages health-seeking behaviours in facilities and increases community-level access through integrated community case management (iCCM) and Care Group models. Medair supports a referral system that includes transportation to access the referral facilities, especially in emergencies. In addition, Medair has supported emergency water trucking to IDP settlements, rehabilitation of community water points, and distribution of key WASH NFI, including water containers and hygienic items.

SCOPE OF WORK FOR THE CONSULTANCY

This consultancy will lead the design, implementation, and analysis of knowledge, practice, and coverage (KPC) survey in Medair’s operational areas of Middle Shabelle, Lower Shabelle, Banadir, Lower Juba, and Gedo Regions in Somalia.

The General Objective of the KPC survey:

The Knowledge, Practices, and Coverage (KPC) Survey is designed to gather representative data on households regarding Health, Nutrition, Mental Health, Psychosocial Support (MHPSS), and Water, Sanitation, and Hygiene (WASH) indicators. The KPC Survey aims to assess the effectiveness of interventions, track progress toward project targets for outcome indicators, which relate to both facility and community-level activities, focusing on children under five and women of childbearing age, and inform evidence-based decision-making for improving health, nutrition, and well-being outcomes among targeted populations.

SPECIFIC OBJECTIVES

•       The KPC Survey will focus on health, nutrition, MHPSS, and WASH-related indicators at the household level to determine the current level of knowledge, practice, and coverage towards o Health seeking behaviour of caregivers of children under five years (including sources of health messaging)

o Child Health: child sickness (including fever, diarrhoea, and respiratory infections), vaccination, breastfeeding, and nutrition.

o Reproductive health (including antenatal and postnatal care, safe deliveries, family planning, and SGBV services) o Water, sanitation, and hygiene (WASH), including safe drinking water coverage and

water treatment, and the use of improved sanitation and hygiene practices. o Access to mental health care, delivered at the primary health care level.

o    Health, hygiene, and nutrition promoting behaviours, including MIYCN, health seeking, disease prevention and safe motherhood.

o    Awareness of services, including mental health and psychosocial support (MHPSS) and WASH.

•       The results for each indicator will be reported and compared with the findings from the previous KPC surveys.

•       Analyse follow-up data for set indicators of prevailing health and nutrition issues affecting children under five and women of childbearing age.

•       Analyse baseline data for all set indicators for use compared with the next annual KPC survey.

•       Identify people with a disability in the population and their accessibility of services by The Washington Group Short Set is a set of questions.

•       Assess the effectiveness of Complaints and feedback mechanisms in implementing Accountability to Affected People (AAP) and the level of community involvement in project development, goal setting, and implementation.

METHODOLOGY

KPC survey: The KPC survey will follow standard tools and questionnaires, measure the outcomes and impact of the current project compared to previous years in some locations, and provide an endline and baseline current project locations and a baseline in the Baardheere district. A comparative proportions method will be used to compare previous years' data for sample size calculation. The Consultant will expect to employ a quantitative data collection method for outcome indicators in line with data collection of their PIRS to ensure the same methods of data collection are used for the baseline and endline to enable comparison.

SCOPE OF WORK

Medair will provide the consultant with a detailed list of indicators, specific catchment areas, and population size estimates.

CONSULTANCY DELIVERABLES

•       Desk review of relevant project documents before the implementation of the study, including project proposal, MEAL plan, and previous KPC evaluation report.

•       Inception report detailing the KPC design (methodology, sampling plan, data collection tools), activity plan, and proposed report structure. Medair will approve the inception report before commencing the evaluation.

•       Finalized survey questionnaire in both paper and ODK form.

•       Database for data entry and analysis.

•       Raw data collected from the household survey, including original field notes.

•       Summary tables of findings in Excel using the Medair template (needed for data validation). A Draft survey report detailing the KPC Survey design, methodology, samples, tools, work plan, data collection tools, data set with codebook, analysed findings, and recommendations.

•       Graphs and charts will be used to inform the survey participants of the key findings of the survey.

•       Final evaluation report, ready for donor submission

TIMEFRAME / SCHEDULE:

The assignment is expected to commence on 1 May 2024 and take a maximum of 40 working days, including preparation time, data collection in the field, and report writing. The final report must be submitted no later than 15 June 2024. The consultant is expected to submit a detailed work plan highlighting dates for the specific survey tasks, including submitting draft and final reports.

MEDAIR SUPPORT TO THE CONSULTANCY

Medair Somalia staff will be available to the consultant to implement the assignment. This will include overall coordination of consultant activities with the Medair Somalia country program, including review and approval of

tools and protocols and design, liaison with the advisor team, and technical support to ensure quality control of the deliverables and final approval of the final report.

 and Baseline KPC survey.