EXPRESSION OF INTEREST (EOI)

S. No

TENDER NO.

DESCRIPTION

1

WVSOM/01/FY24

Request for Proposal for Third Party Monitoring-Global Fund TB Programme

World Vision is a relief, development, and advocacy organisation dedicated to working with children, families, and communities. We work with community members, supporting them to overcome poverty and injustice. Our aim is to lift poor and marginalised households out of the vicious cycle of dependence by addressing the underlying causes of vulnerability to environmental and socio-economic shocks*.* We hereby invite expression of interest from registered, approved and reputable consultants to provide above-named services to World Vision Somalia

IMPORTANT NOTES TO BIDDERS

1. Interested bidders must be registered to provide consultancy services in their respective countries.
2. Request for Proposal documents will be available Free of Charge to all interested bidders who express interest by filling the form provided in this link https://forms.office.com/r/WjfwqfAQCQ by 5:00pm Friday ,8th March 2024.
3. For enquiries and questions, kindly send an email to Somalia_Procurement@wvi.org
4. Instructions for submission of completed proposals shall be indicated on the Request for Proposal document.
5. Nothing in this Expression of Interest shall be construed to give rise to contractual obligations with World Vision.
6. World Vision, may at its absolute discretion, suspend or defer this EOI process.

“World Vision reserves the right to accept or reject any Bid and is not bound to give reasons for its decision”

Global Fund – TB program Third Party Monitoring-Terms of Reference (ToR)

1. Monitoring Summary

Project Name

Somalia Global Fund Tuberculosis (TB) program

Monitoring Type

Periodic monitoring and evaluation of TB activities

Purpose of the monitoring

Third Party Supervision, Monitoring and Evaluation

Proposed approaches

Support supervision of TB Management Units (TBMUs).

Support supervision of MDR Facilities.

Support supervision of both testing and culture laboratories

Data quality checks for TB data at all levels both paper and electronic/ DHIS2.

Key informants interviews on TB implementation and management as per the strategic plan

Advocacy communication and social mobilization monitoring

Public private Mix uptake monitoring

Proposed Monitoring Dates

1st January 2024 – 31st December 2026

Reporting Dates

Biannual (Every 15th of the following month after end of 6 months )

2. Description of Program being Monitored

Project Goal

End the tuberculosis epidemic in Somalia by 2035 which means to have 10 incident cases per 100 000 population

Project Objectives / Outcomes

Project Objectives

• 50% reduction in TB incidence rate (compared with 2015).
• Sustain and maintain treatment success to at least 90% in all forms of Drug Sensitive TB (DSTB) detected.
• To increase the number of RR/MDR TB cases enrolled on treatment from 376 in 2018 to 806 in 2024 while increasing the treatment success rate from 80% in the cohort of 2016 to >85% in the cohort of 2022.
• Ensure that 100% of new staff receive induction training and that 50% of TB service facilities receive regular supervision and monitoring by 2022.

Project Outcomes

• TB O-1a: Case notification rate of all forms of TB per 100,000 population – bacteriologically confirmed plus clinically diagnosed, new and relapse cases by age and gender
• TB O-5(M): TB treatment coverage: Percentage of new and relapse cases that were notified and treated among the estimated number of incident TB cases in the same year (all form of TB – bacteriologically confirmed plus clinically diagnosed)
• TB O-5(M): TB treatment coverage: Percentage of new and relapse cases that were notified and treated among the estimated number of incident TB cases in the same year (all form of TB – bacteriologically confirmed plus clinically diagnosed)
• TB O-6: Notification of RR-TB and/or MDR-TB cases – Percentage of notified cases of bacteriologically confirmed, drug resistant RR-TB and/or MDR-TB as a proportion of all estimated RR-TB and/or MDR-TB cases
• TB O-4(M): Treatment success rate of RR TB and/or MDR-TB: Percentage of cases with RR and/or MDR-TB successfully treated

Project location (Districts

and # of villages/ sub-

Puntland, Somaliland and Federal Government of Somalia states

locations)

Number of targets

Total population of Somali Country

Beneficiaries

TB patients and their contacts

Sectors

Health and other related sectors

Key Project Activities

Active DSTB and DRTB case finding and ensure case notification

Monitor diagnosis of TB disease among presumptive cases.

Ensure proper uptake of Care and management of TB patients diagnosed as per the guidelines

Advocate and monitor Surveillance for DRTB among eligible clients.

Ensure Care and management of DSTB.

Strengthen and Sustain TB/HIV collaborative activities.

Ensure ACSM.

Establish and sustain PPM.

Ensure reliable supply chain management.

Donor

Global Fund to fight TB, AIDS and Malaria

Duration of the Program

3 years.

Available Project

Documentation

Somalia TB strategic plan, Global Fund performance framework, Impact assessment reports e.g. Drug Resistance Survey report.

3. Brief Background of Project to be monitored

Globally, new and relapse cases notified reduced significantly to 6.4 million new cases of TB were reported in 2022, equivalent to of the estimated incidence of 10.4 million. According to WHO World TB report 2022, Somalia has been classified as a high burden RR/MDR TB country with an incidence rate of 12/100,000 population. The country has an estimated TB burden of 246/100,000 population which is decline from 270/100,000 with a prevalence rate of 242/100,000 and estimated mortality (excluding HIV/TB) rate of 66 per 100,000 population. According to the WHO report 2022, Somali population is estimated to be 17 million. TB continues to contribute to the disease burden in Somali, with the latest WHO TB report estimating a Case Detection Rate (CDR) of only 42%, meaning 58% for all the cases (estimated) are being missed or undetected and majority of these are believed to be at the community level. In the last 5 years, case notifications have shown continued fluctuation and decline.

In Somali, TB control service provision is managed under the National Tuberculosis Program (NTP) within the Ministry of Health (MOH). However, after the collapse of the central government in Somalia in 1990, TB control service provision have been implemented through key partners who consist primarily of international and national Non- Governmental Organizations (NGOs) with WHO providing the technical expertise in collaboration with Somalia government. From 2004, TB control have been funded chiefly by the Global Fund for AIDS, Malaria and TB (GFATM). World Vision (WV) is the principle recipient. Further, the government contributes to the implementation through provision of infrastructure, security support and facilitation of the NGOs involved in the TB control.

Despite being at its infancy stage and the complex political and security in the country, the Somali government has made progress in TB control and management. Access to TB services has generally improved through an increase in the Out-Patient Department (OPD) services and laboratory network for microscopy services implemented according to the Stop TB Partnership global DOTS strategy. With uninterrupted funding from the Global Fund since 1995, access to TB services and treatment have increased from 12 TBMUs in 1995 to 106 by December 2022. Quality diagnosis and treatment resulted in a treatment success rate of above the 85% global threshold. In 2022, the government finalized the development of the National TB 2023-2026 strategic plan. This will be supported an M/E plan which is under development to be finalized early 2024 as the country embarks on the implementation of the strategic plan. The Strategic Plan contributes to the Somali Health Policy goal of improving the health status of the population through health system strengthening interventions and providing quality, accessible, acceptable and affordable health services that facilitate moving towards Universal Health Coverage (UHC) and accelerate progress towards achieving the health-related Sustainable Development Goals (SDGs) and the End TB strategy.

Without diminishing the TB control and management progress made in Somali, TB program have not expanded as desired. There has been an accelerated plan to improve the existing infrastructure to increase their capacity as well as establishing new health facilities to meet the community needs by ensuring access of quality services. Required additional resources in terms of workforce, infrastructures, equipment and supplies have improved over the last 3 years. . At present, the Global –Fund supported TB program in Somali is implemented by World Vision International Somalia Program (WVI-S) working in with other Somalia TB program implementing partners. The Somalia Health Sector Committee (HSC) and the TB Coordination Team (TBCT) provides the Country Coordination Mechanism (CCM) for the program.

4. Purpose and Objectives of the engagement

The main objective of this engagement is to support both the MoH and PR to ensure periodic monitoring and support supervision visits are conducted in the TBMUs, Culture laboratories and MDR facilities to provide technical support as well as provide vital information to management at the TBMU and all levels for timely identification of any challenges and timely corrective action for improved use of information in decision making.

The successful entity in this engagement will be required to undergo initial orientation from World Vision Somalia Quality Assurance department and equally review the project design documents and its annexes including the Log frame, M&E plan, strategic plan and other relevant documents.

The following key deliverables will lead the monitoring process;

1. Provide PR, MOH, community members and other stakeholders with information to enable them understand overall project performance and expectations
2. Conduct routine support supervision of project activities as described in project implementation documents
3. Measure output indicators through biannual Monitoring and support supervisions
4. Monitor implementation of MoH led policies e.g integration of TB in the EPHS system of MOH,
5. Contribute to development of policy documents and guidelines; and
6. Provide workable recommendations aimed at improving sustainable and quality project interventions
7. Spot on data quality at service delivery points
8. Scope of the Engagement (monitoring).

• All Somaliland TBMUs, NTP offices and MoH offices
• All Puntland TBMUs NTP offices and MoH offices
• All Federal Government of Somalia southern states TBMUs NTP offices and MoH offices

NB: The engagement will include a special focus on the visiting areas that are not accessible due to certain challenges to ascertain inclusivity and also areas where the MoH/NTP 0r PR have raised concern on performance in area related to management of TB in Somalia/Somaliland

6. Logistics

Based on this ToR, the successful entity will propose a suitable approach and budget for this engagement. Upon approval of the technical approach a meeting will be arranged with the project team to agree on the frame of operation and responsibilities of each party. This task is estimated to last until 31st December 2024.

WV Somalia GFTB PR team together with Quality Assurance team will support the successful entity in understanding its program model and the standard tools used in monitoring related activities. WV Somalia will also ensure that necessary linkages are created between the Third-party monitor, field staff and implementing partners.

1. Responsibilities of Third-Party Monitor (Consultant/NGO)

• Conduct biannual Monitoring and support supervision of TBMUs, documenting successes and challenges
• Provide support and on job training to TB staffs at TBMUs.
• Help provide solutions at local level to issues identified during supervision
• Lead the implementation of Community Feedback Mechanisms in all communities.
• Ensure that core monitoring team members are properly trained on the M&E tools
• Work with PR to provide insight for monitoring schedules
• Conduct data verification both during data collection and data entry.
• Provide quarterly reports to PR
• Provide summary presentation of findings at review meetings
• Periodic presentation of key findings to management.
• Conduct asset verification to each TBMUs accessed
• Verify staff numbers, names, cadres and other related information
• Provide status update on any emergencies that have affected the TB patients or the TBMU in any service delivery area

1. WV Responsibilities during evaluation

• Provide necessary orientation and training to the selected entity
• Provide the selected 3rd Party Monitor with necessary documents to enable clear understanding of the project
• Create linkages with field staff, Implementing Partners/SRs and other stakeholders
• Provide on-going supervision and guidance to the selected individual/firm/NGO
• Review and approve field approaches to be used by the Monitoring team.
• Review reports and data sets to ensure quality.
• Equally provide on-going feedback to the selected Monitor.
• Where necessary make arrangement for the Monitor’s travel to field locations for supervisory purposes.
• Provide guidance on the site selection

1. Products

At the end of every 6 months, the third-party monitor shall be expected to submit the following to

World Vision Somalia:

Provide report highlighting the following information

1. Locations/sites visited during the month and individuals who conducted the monitoring
2. Activities conducted during the month
3. Summary findings from the monitoring activities conducted

5, Key lessons learned during the monitoring exercise.

1. Attach photos and quotes highlighting significant change
2. Soft copy of raw data set for any quantitative data
3. Soft copy of cleaned data set for any quantitative data
4. Soft copies of data collected during qualitative data collection exercises
5. An action plan with timelines for the gaps identified during the monitoring exercise
6. Means of Verification

Tasks

Means of verification

1. Conduct biannual Monitoring and supportive supervision of TBMUs and documenting successes and challenges

• Biannual supervision schedule developed with PR and MOH.
• Standard checklist developed by the PR and MoH.
• Letter of acknowledgment of TBMU from MOH/NTP confirming supervision

1. Provide support and on job training to TB staffs at TBMUs.

• Provide in the main report summary of on job training done during supervision

1. Help provide solutions at local level to issues identified during supervision

• Provide summary of solution provided at TBMU level as a segment in main report

1. Lead the implementation of Community Feedback Mechanisms in all communities.

• Provide feedback to hospital/TBMU management on TB control program in the area and performance of local TBMU.

1. Ensure that core monitoring team members are properly trained on the standard M&E tools at all levels.

• Provide updated monitoring tools and show analysis of main indicators in the main report.

1. Work with PR to coordinate monitoring schedules.

• Biannual monitoring schedules shared with PR for records.

1. Conduct data verification both during data collection and data entry.

• Provide data verification findings summary within biannual report.

1. Conduct continuous DHIS2 data. monitoring and basic analysis.

• NTP to share TB DHIS2 data with TPM team for analysis to be included in biannual report.

1. Provide biannual reports to PR.

• Biannual report submission by 15th of August and January to PR to be used for processing of funds every end of semester.

1. Provide summary presentation of findings at review meetings.

• Power point presentations for SRMs filed by PR.

1. Periodic presentation of key findings to management.

• Key findings summary shared semiannually with PR and MOH.

1. Raise the attention of PR when urgent issues/challenges come up.

• Flag urgent issues identified during supervision through e-mails. Filing of such mails by PR.