INTRODUCTION

Medair is an international humanitarian organization that provides a range of emergency relief and recovery services in health, nutrition, shelter, and water and sanitation.

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 trainings for the future.

Summary of Medair’s Work in Somalia

Medair has worked in diverse regions of Somalia since 2008. Currently, Medair implements an integrated health, nutrition and WASH program that includes both facility and community-based interventions. The primary objective of Medair’s programming in Somalia is to improve the quality of and access to life saving health and nutrition services by vulnerable host and IDP population in the Hawl Waadag, Karan, Daynile, Afgooye, Balcad, Cadale, Badhaadhe and Kismayo districts in Somalia.

Under this project Medair is supporting 7 health facilities in partnership with four local NGOs in Banadir, South West State, Jubaland and Hirshabelle States. Current and future support consists of staff training and supervision, procurement, supply and management of pharmaceutical and other medical commodities. Community health promotion supported by Medair, as carried out by partner NGOs, further fosters health-seeking behaviors to facilities and also increases community-level access through the integrated community case management (iCCM) and Care Group models. In addition, Medair supports a referral system that includes transportation to enhance access to the facilities, especially in case of emergencies. Medair supports the local partners with payment of staff salaries, running costs and supportive supervision for the supported health facilities. All interventions are implemented with the purpose of building health centers capacity to increase utilization rates, improve immunization coverage, ability to respond to outbreaks, prevent and treat acute malnutrition, and enhance reproductive health care with an emphasis on increasing the number of deliveries assisted by a skilled birth attendant. Medair supports rehabilitation and/or construction of health facility infrastructure as well as WASH facilities enhance delivery of quality services to the targeted communities.

SCOPE OF WORK FOR THE CONSULTANCY

The methodology and design of the Knowledge, Practice and Coverage (KPC) survey will be agreed in consultation with the survey consultant and likely take the form of two stage cluster sampling.. This will allow the field teams to measure results in the catchment areas, to measure baseline value for new areas added in current programming and provide guidance on the programmatic areas that requires more attention and/or rethink of implementation strategies.

The proposed catchment area for the survey will comprise;

Follow-up

• Kismayo District – Shagalaha, Abdala Birole,
• Badhaadhe District –Burgabo, Balcad District – Galoley
• Cadale District – Buulo Karame
• Afgooye District – Dameraale
• Mogadishu, In Daynile District – Caawiye.

The goal of the consultancy is to fulfill a health, WASH and nutrition situation analysis:

Gather follow-up data to evaluate the achievement levels of specific project indicators in, Daynile, Afgooye, Balcad, Badhaadhe, Cadale and Kismayo districts of Somalia. Findings will be consolidated to establish a clear understanding of project achievements, specifically how pre-determined indicators have been met based on evaluated outcomes, as compared to the previous year’s evaluation data and project targets for the project cycle.

For all targeted districts, the KPC survey data analysis will also determine community needs and the level of access to health services by the population.

Specific Objectives

Evaluate Medair Somalia’s progress in achieving outcome indicators in prevailing health and nutrition issues that affect children under the age of five years and women of child-bearing age (, Daynile, Afgooye, Kismayo, Cadale, Badhaadhe and Balcad districts).

Follow-up

• Determine the current level of knowledge, practice and coverage towards child health, including immunizations, communicable diseases, and compare this data with preliminary findings from May 2018 and May 2019.
• Determine the current level of knowledge, practice and Coverage towards child nutrition, including IYCF and CMAM, and compare this data with preliminary findings from May 2018 and May 2019.
• Determine the current level of knowledge practice and coverage towards reproductive health, including child spacing methods, prenatal and postnatal care, birth preparations, safer delivery, and sexual violence prevention, and compare this data with preliminary findings from May 2018 and May 2019.
• Determine the current level of knowledge practice and coverage towards community health promotion, including health seeking behavior, disease prevention, safe motherhood and hygiene promotion, and compare this data with preliminary findings from May 2018 and May 2019.
• Analyze follow-up data for set indicators in prevailing health and nutrition issues that affect children under the age of five years and women of child-bearing age.
• Assess any possible un-intended negative and positive effects resulting from the project activities.
• Evaluate improvements on specific target indicators at supported health facilities and catchment populations

Baselines

• Analyze baseline data for all set indicators for use in comparison with the next yearly KPC survey

Analysis

• Apply survey findings to further enhance the monitoring and evaluation processes of the project by:

  o Refining performance indicators
  o Improving routine data collection methods
  o Establishing effective data analysis methods from routinely collected project data

• Redefine, as needed, catchment area population and coverage figures for maternal and child health indicators.

Reporting

A final KPC report document will comprise two sections:

• A table with breakdown of indicator scores displaying current (2020) performance, and in comparison to previous KPC surveys; this will help evaluate project progress overtime. Program areas will be broadly categorized as rural and urban. Rural areas include; Cadale, Afgooye, Badhaadhe and Balcad and Abdalla Birole in Kismayo District. Urban areas include Kismayo (Shagalaha) and Mogadishu (Daynile);
• A country weighted average for all survey areas shall be presented. The report should clearly articulate possible recommendations on how to address and improve the underperforming indicators.

General Requirements

The consultant will carry out the following:

• Desk review of relevant project documents prior to the implementation of the study, including project proposal, M&E plan, and previous KPC evaluation report.
• In close coordination with Medair’s Deputy Country Director and H&N Advisor;

o Finalize the KPC survey design, including sampling and data collection/management protocols

o Revise and finalize the survey questionnaire

o Create ODK questionnaires to enable ODK data collection.

o Carry out data analysis, interpretation and report writing

o Conduct training of ToTs who will train the enumerators in Somalia.

o Travel to one of the field bases for the training of the ToTs .

o Carry out training for enumerators on both qualitative and quantitative data collection.

o Analyze data using suitable statistical analysis platform, ensuring accurate regression of specific indicators  requiring complex analysis (including, but not limited to, those data requiring disaggregation by age, such as children ages 0-11 months and children ages 12-59 months, and pregnant and lactating women)

o Provide the KPC data set for validation by the GSO M&E/ Health & Nutrition Advisors.

o Interpret findings to develop relevant and specific recommendations for project improvement

o Draft comprehensive evaluation report of findings, clearly and effectively addressing each indicator and documenting key recommendations for implementation.

o Present the preliminary findings to the core Somalia team to provide any opportunity to ask critical question on the survey findings before the finalization of the report.

• Complete final report within 10 working days of receiving feedback from Medair on the draft report.

CONSULTANCY DELIVERABLES

The consultant will be expected to produce the following for Medair’s Somalia country program:

• Design and program the ODK forms for all quantitative tools.
• Develop and provide an online data collection tracker
• Provide final questionnaire tools to be used in the survey in both paper and ODK form
• Completed database, formatted in preparation for data entry and appropriate indicator analysis
• Raw data collected from the household survey, including original field notes
• Excel format of completed and entered data set
• Completed database with entered data, cleaned and ready for analysis
• Cleaned dataset both in Excel and SPSS format with complete data dictionary (needed for data validation)
• Summary tables of findings in Excel using Medair template (needed for data validation)
• Draft survey report detailing the evaluation design, methodology, samples, tools, work plan, data collection tools, data set with codebook, analyzed findings, and recommendations
• GPS derived map of survey area
• Graphs and charts to inform the survey participants of the key findings of the survey.
• Final report, ready for donor submission after reflecting inputs from Medair national and GSO advisors

Medair has sole ownership of all data and any findings shall only be shared or reproduced with the permission of Medair. Please also note that the contents of the report will be analyzed by Medair’s assigned staff, and final payment will be made only upon acceptance of final report by Medair Somalia leadership.

TIMELINE

The assignment is expected to commence on 1^st June 2020 and is expected to take a maximum of 30 working days, which includes preparation time, data collection in the field and report writing. The final report must be submitted no later than 15^th July 2020.**

MEDAIR SUPPORT TO THE CONSULTANCY

Medair has international and Somali Medair staff that will be available to the KPC survey consultant for implementation of the survey in Somalia. This will include training, data cleaning, and data entry, overall coordination of consultant activities with Medair Somalia country program, including review and approval of survey tools and protocols and design, liaison with the Medair GSO Advisor team, and technical support to ensure quality control of the deliverables, as well as final approval of the final report. Medair will be responsible for all in-country efforts (travelling, training, implementation of survey, and data entry).

CONSULTANT QUALIFICATIONS AND ATTRIBUTES

• Master’s Degree or higher in a relevant field (e.g. Public Health).
• Extensive experience with baseline public health studies and applied statistics in developing countries.
• Extensive knowledge and experience using quantitative representative statistical sampling methodologies in general and Cluster in particular and preferably conducting KPC surveys in developing countries.
• Experience providing training for surveys.
• Experience using data analysis software such as SPSS, STATA, Access or EPI info.
• Professional efficiency in English and Somali, fluency in both preferred.