Organization: World Vision
Country: Somalia
Closing date:
14 Aug 20161.PROJECT BRIEF
In partnership with WFP, World Vision is implementing a Nutrition Project in Somaliland, Puntland and South Central Somalia; the current phase commenced in January and will run till December 2016. Precisely, the nutrition program is being implemented through adoption of the basic nutrition services package (BNSP) for Somalia as well as the complementary support mechanism of the Health/Nutrition cluster which identifies essential key areas for maternal and child health namely: management of acute malnutrition, micronutrient supplementation, immunization, de-worming, promotion and support for IYCF and maternal nutrition and care, prevention and management of common illnesses, monitoring and surveillance. The Community Management of Acute Malnutrition (CMAM) component is managed using Somalia guidelines for management of acute malnutrition. A multi-sectoral approach has been deployed to make the project practical and to solve the health problems of the community. The project is ultimately targeted to benefit a total of 68,002 beneficiaries from several Fixed and Mobile (outreach) sites in Somaliland, Puntland and South Central Somalia.
Under this program, WFP provides the food requirements, whereas WV does the logistical support; beneficiary screening and providing technical support for the treatment of Moderate Malnutrition cases. At the community level, trained community nutrition/health workers conduct active case finding and referrals. WV deliberately targets beneficiaries by taking advantage of the existing established CMAM structures both at MCH and community level to promote adoption of age appropriate infant and young child feeding (IYCF) practices.
1.1 Project summary table
Project Goal
To improve maternal child health & nutrition, livelihoods and resilience of vulnerable families and communities in Somalia
Project Objectives/ Outcomes
· Improved nutrition and health status of children U5 and PLW in Somaliland, Puntland and South Central Somalia by December 2016.
· Nutrition Partners' capacities developed to progressively address food and nutrition needs of Somali communities
· Enhanced transparency and accountability to vulnerable communities and partners in Somalia.
MAM Prevention Indicators
· Proportion of eligible population who participate in program (Coverage for BSFP & MCHN programs)
· % of pregnant women giving birth under the supervision of appropriate health personnel
· % of births receiving at least four antenatal care visits during pregnancy
· Proportion of women receiving nutrition counseling supported by WV against proportion of planned (input indicator)
· % of women reporting making health-related decisions on own or jointly with their husbands
· Proportion of target population who participate in an adequate number of distributions (output indicator)
Project location
Puntland, Somaliland and South Central
Number of target beneficiaries
· 68,002 beneficiaries supported through selected nutrition activities. These activities include TSFP, MCHN & BSFP
Sectors
Nutrition & Health
Key Project Activities
· Targeted Supplementary feeding Program
· Maternal Child Health and Nutrition
· Blanket Supplementary Feeding Program
· Outpatient Therapeutic feeding Program
Donor
United Nations - World Food Programme (UN-WFP)
Length of Project
One year (January - December 2016)
2. Rationale & Survey OBJECTIVES
In the recent past, World Vision has conducted four separate SQUEAC Surveys in Burtnile, Eyl, Dolow & Lughaya whereby program coverage was benchmarked, barriers and boosters to programme services identified and action plans drawn. Aimed at building on the previous surveys, WV intends to review the progress on implementing previous action plans and equally conduct similar investigation in other 3 selected districts. To achieve this, the program is seeking services of an experienced Consultant to lead the SQUEAC Surveys in Somaliland, Puntland and South Central Somalia aimed at establishing and documenting the level of coverage and access to nutrition intervention; the same survey shall be expanded to include MAM intervention (MCHN & BSFP). The surveys will be conducted to establish the point coverage, period coverage, single coverage and equally identify factors that hinder or promote access to treatment for both moderate and acute malnutrition.
2.1 Objectives of the survey
The objectives of the coverage survey shall be:
a) Review the implementation of the previous SQUEAC findings and recommendations.
b) To identify barriers and promoters of access to MAM and SAM interventions below:
· Targeted Supplementary Feeding Program (TSFP)
· Maternal Child Health and Nutrition (MCHN) program,
· Blanket Supplementary Feeding Program (BSFP)
· Outpatient Therapeutic Program (OTP).
c) Establish and document Point, Period and single coverage of nutrition interventions where appropriate.
d) Identify and propose actions/recommendations for referral of severely and moderately malnourished children not covered by the current interventions.
e) Generate practical recommendations that would lead to better access and coverage of the nutrition program.
f) Build the capacity of WV staff, MoH and Partners in conducting coverage surveys using Semi Quantitative Evaluation of Access and Coverage
2.2. Geographical scope (catering for homogeneity and Livelihood zoning)
The SQUEAC surveys will be conducted Garowe, Luuq and Lughaya districts. These districts have been carefully selected from all regions to help in investigating the coverage of nutrition interventions in the program. Additionally, the survey will include three extra districts (Eyl, Gabiley and Dolow)) implementing MCHN/BSFP to particularly measure coverage indicators for the MAM preventive Program. Before the start of the survey, WV shall suggest to the consultant the districts of choice and reasons for selecting these areas.
3.SURVEY METHODOLOGY
The survey will use the SQUEAC (Semi-Quantitative Evaluation of Access and Coverage) methodology[1]to measure coverage for TSFP and OTP. However, an appropriate complementary methodology to measure MCHN/BSFP indicators should be suggested by the consultant. SQUEAC is a low resource method that can be used on a regular basis to monitor program performance, identify barriers to service access and uptake and hence evaluate coverage. It is an investigation rather than a survey and uses a mix of quantitative (routine program data and small and wide area surveys) and qualitative data (anecdotal information from various relevant respondents). It equally, employs specific statistical analysis to provide an overall coverage estimate and show areas of poor coverage; and the methodology is action-oriented and practical, highlighting appropriate interventions needed to increase Coverage and access. The survey will adopt stages as follows:
Stage 1: Analyze routine data and other relevant available data to identify areas which suggest low or high coverage. Some of the information needed for this analysis includes program admissions over time, exits (cured, defaulters, non-response and deaths), listing and mapping of all settlements in the catchment area for the nutrition program, home locations of all beneficiaries and defaulters, home location and number of community volunteers. The Selected Districts Health Information System and routine program data shall be used to generate information on admission, default, and death rate in the nutrition program to develop trend of admission over time.
Stage 2: Collect information from the target communities, beneficiaries and health staff to explain and better inform the program data and build on the hypothesis of high or low coverage. This involves informal group discussions, household interviews where necessary, semi structured interviews and simple structured interviews with respondents such as caretakers, health workers and community health workers in the survey area. The information collected shall be used to triangulate the quantitative information collected in stage1. This stage also helps to identify factors promoting or hindering program coverage.**Stage 3: Developing a Hypothesis and area Surveys**
Likelihood surveys shall be used to test hypothesis of spatial distribution of coverage. The likelihood surveys shall adopt active and adaptive methodology which involves looking for cases of both moderately and severely malnourished (those in program and those not in programs). Sampling approach for the villages to be visited shall be determined by the consultant.
Stage 4: Estimating Programme Coverage Using SQUEAC Calculator.
This should be guided by the following:a. The Prior building: The Prior is the expression of beliefs about coverage based on qualitative data (or quantitative data transformed into qualitative data) provided by the Mind Map exercise.
b. Coverage estimation: Based on the Prior developed through mind mapping, a SQUEAC Bayes Coverage Estimator shall be used to estimate coverage.
4. LOGISTICS AND ACTIVITY PLANNING
4.1Logistics
In the technical proposal, the consultant should clearly indicate the approaches and budget for this engagement. After receiving the inception report from the successful consultant/firm, WV shall arrange all necessary logistical needs of the survey including travels, accommodation, allowances for Field Assistants and partners, transport to the field and other necessary items. Upon approval of the technical approach and signing the contract, a meeting will be arranged with the consultant and project team to agree on the frame of operation and responsibilities of each party.**4.2 Timeframe and Description of main Activities**
This survey will last for two (2) months i.e. September – October 2016. This period will cover all survey processes including: Pre-field preparation, compilation and analysis of routine program data, training of field assistants, field data collection, data analysis and reporting. Notably, field data collection shall cover but not limited to the following: seasonal calendars, labour calendar, food availability, disease patterns, and interviews with caregivers, health workers and small area surveys.
4.3. Team composition and Authority
This survey will be undertaken by a highly experienced Consultant and Co-consultant as this is hoped to deepen the field supervision hence quality of the information gathered. The successful Consultant shall be under the Supervision of Quality Assurance Department supported by the Regional Nutrition Managers. World Vision shall recruit and allocate field assistants based on the agreement with the consultant. As part of capacity building and nurturing synergies, the surveys will have nutrition program partners participating including Ministry of Health (MOH), WFP, Implementing Partners in SCZ and UNICEF among others. Regional WV Nutrition Managers together with M&E Officers will ensure adequate mobilization and coordination of all field activities related to this survey.
5. REQUIRED EXPERIENCE
The consultant should possess the following qualifications
- Extensive experience in nutrition research, SQUEAC surveys, monitoring and evaluation fieldwork (data collection, validation, entry and analysis)
· Experience in leading teams in field (training, field logistic management, human relations, teamwork)
· Prior experience with nutrition, health and food security programming.
· Excellent writing skills, with publication record (in any language) in one discipline related to assignment
· Good knowledge of Somalia and humanitarian operations in fragile contexts.
· Demonstrable ability and experience in working with communities in a survey setup.
· Demonstrable ability to facilitate capacity building sessions for people with different backgrounds.
· In addition, the consultant should be willing and able to work under a tight timeframe.
6.TECHNICAL PROPOSAL CONTENTS
Proposals for this consultancy should include the following information (at a minimum)
· Proposed approaches – this should clearly elaborate the methodology and logistics required
· Proposed timelines for each sub-activity covering the 3 regions highlighted.
· Proposed budget – this should majorly focus on consultancy fees as logistics will be handled by WV.
· Curriculum Vitae for two key team members intending to lead this investigation.
· Individual/Company Profile – Showing clear experience in facilitating SQUEAC and Coverage surveys. Preferably include justification that you completed previous assignments with other agencies.
7.EXPECTED PRODUCTS FROM THE SURVEY
On completion of the survey, the consultant shall be expected to submit the following to World Vision Somalia:
· Prepare a pre-survey presentation for the methodology and delivered it to the AIM working group in Nairobi.
· A well written survey report with clearly disaggregated findings by Region, District, Category (SAM&MAM) and livelihood zones. The reporting format shall be agreed with WV at the survey inception.
· Soft copy of raw data set for any quantitative data collected
· Soft copies of qualitative data collected (i.e. interview notes).
· Two pager summary on progress made in the implementation of previous recommendations together with current findings and recommendation attached to the main report.
· Summary MS- Powerpoint presentation of the survey results – this will be done to all stakeholders including MOH, WV and WFP Managements at all levels.
How to apply:·Applications from qualified firms/individuals should be submitted by 14th August 2016 to somo_supplychain@wvi.org