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German Foundation for World Population - Deutsche Stiftung Weltbevoelkerung (DSW) Co

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  1. kilimasera

    kilimasera JF-Expert Member

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    Safe Motherhood Baseline Survey Terms of Reference: German Foundation for World Population - Deutsche Stiftung Weltbevoelkerung (DSW) Consultancy

    Terms of Reference for DSW / EC “From Policy to Action: Providing Safe Motherhood and Reproductive Health Services to Young People Programme” - Baseline Survey

    Proposed Baseline Survey on EC Supported DSW Mobile VCT Program
    (Programme Sites: 2 districts in Kaloleni district coast region and Koroghocho Mathare in Nairobi Region. Duration: 10 man days)

    1.0 About the Mobile Safe Motherhood Programme Baseline Survey

    1.1 The Focus of the Baseline

    The proposed baseline survey is expected to establish the status of provision of Safe motherhood services in 2 target districts in two regions in Kenya namely Coast and Nairobi Regions. More specifically it will provide a situational analysis of the delivery of safe motherhood and reproductive health services young mothers in the programme catchment area.

    The baseline report will be an important tool for mapping and guiding the implementation and for monitoring progress as well as evaluating the impact of the EC supported DSW Safe motherhood and reproductive health programme.

    It is expected to identify existing gaps in provision of Youth Friendly Safe motherhood and reproductive health services, propose areas of future partnerships and generate recommendation for future action. The baseline will be widely shared with partners and stakeholders.

    1.2 Scope of the baseline
    The Baseline is expected to provide information and data on the status of all components involved in the delivery of MCH and other RH service as outlined in the EC supported safe motherhood programme proposal.

    Components to be covered will include;

    * Establishing the need for MCH and RH services in the targeted areas.
    * Identifying status of skills for MCH and RH services in the targeted areas.
    * Establishing the coverage of the existing MCH/RH services in relation to youth.
    * Establishing the extent of opportunities for Safe motherhood, Reproductive health services and MCH delivery and referral as well as gaps.
    * Assessing the status of delivery of youth friendly services and identifying the existing gaps in capacity and generating recommendations for action.
    * Reviewing the Status of services provided by existing youth serving organisations, youth clubs and youth networks, developing their data base and identifying opportunities for hooking up to the existing services by government and civil society.
    * Establishing existing opportunities for partnerships and linkages and the region specific factors influencing uptake of Quality FP and MCH services.
    * The consultant will inevitably be required to provide adequate information on the status of uptake of FP/MCH services and a map of need for the services in the targeted districts namely: Kaloleni, Mathare and Koroghocho.

    1.3 Objectives for safe motherhood baseline survey

    * To establish the current status of FP/RH and MCH services in the targeted areas with special reference to young mothers. This should capture demand and access to service, effectiveness of community strategy in delivering KEPH, referral services, Obstetric, post-partum and post-abortion care services available and existing gaps and challenges. Emphasis will be on young mothers aged 13 – 29 years.
    * To document the prevailing attitudes and practices in relation to MCH and FP services and the extent to which they predispose youth to risks as well as existing opportunities.
    * To establish the status and coverage of MCH, FP and OBA’S services in reference to youth in the targeted regions.
    * To establish the level of provision of youth friendly VCT and other ASRH Services in the targeted districts.
    * To establish the level of awareness, knowledge and skills in RH/MCH services to youth in the targeted areas, generate gaps and recommendation for action
    * To document capacity and capacity building needs of organizations including government, NGOs, CBOs youth clubs and youth networks in providing RH/ MCH services for the young mothers.
    * Review the existing IEC materials and provide recommendations on effective methods of designing and developing focused IEC and BCC materials.
    * To establish the critical points of quality assurance needs within the existing MCH/FP service delivery systems and structures and make requisite suggestions on areas for capacity building and routine monitoring to ensure standards and quality.
    * Identify specific MCH/FP uptake motivation factors that can create demand among young persons (13-29 years).

    1.4 The Safe Motherhood Baseline Process

    The Consultant is expected to respond to the terms of reference detailing the various components and costs of the baseline process and obtain feedback from the DSW programme team. The consultant will work closely with DSW officials and partners in respective regions in generating data and implementing the study.

    The assignment is to be completed within 10 man days spread over a period of one month from the date of the commencement of the contract and will include developing baseline tools and methodology, review of literature and secondary data sources, field visits, data collection, data analysis, report writing and dissemination.

    The consultant is expected to prepare all the baseline tools and submit them to DSW Country representative for review. The baseline survey team will embark on the exercise as per the agreed schedule. The collection of baseline data and quality of the outputs will be monitored on the basis of the agreed TOR.

    2.0 Methodology:

    The baseline survey will be conducted in 5 main data collection techniques

    2.1 Literature Review and Content Analysis of Documents

    This will primarily involve a comprehensive review of existing literature on main issues of FP/MCH services in the country and emerging issues in safe mother hood, obstetric care, post-partum, post abortion care, access and utilization of SRH services. More specifically the review will seek to explore each program component contained in DSW-safe motherhood programme.

    The emphasis will be to obtain as much information and data, both in quantitative and qualitative forms that will provide benchmarks of determining the final impact of the DSW-safe-motherhood programme. Some key sources of data will include government sources, research institutions and civil society organizations. All this process will lead to development of tools for the baseline field research.

    2.2 Key Informant Interviews and FGDs

    This will involve interviews with DSW staff, MOH, DRH, community strategy coordinators, services providers, beneficiaries, partners and key service providers in the areas targeted by the programme. Service providers include organizations involved in delivery of FP, MCH, programs and DSW partners who include NGOs, Youth Clubs and Youth Networks.

    Key representatives of the various stakeholders will be interviewed. Interviews will also be conducted with national level officer’s representatives of the respective agencies and organizations to identify MCH/FP policy issues and gaps.

    2.3 Structured Interviews

    Interviews will be conducted involving different service providers NGOs, CBOs, members and community members.

    The sample of the persons and groups to be interviewed will be determined during the planning stages of the baseline taking into consideration representation and strategic programme implementation needs.

    2.4 Conferencing

    The consultant will present the preliminary findings from the baseline in a national level stakeholder’s workshop which will provide a forum to share, validate and disseminate the findings. The national level workshop is also expected to generate additional recommendations for action.

    This will assist to document important lessons and experiences that will guide the implementation process and provide clear benchmarks to determine the impact of the final output of the programme.

    2.5 Data Processing, Analysis and Report Writing

    The consultant will be expected to undertake both quantitative and qualitative analysis of the data. Analysis will be done using appropriate analytical and data processing programmes.

    The process of data processing and analysis will cover data cleaning, editing, coding and data entry. Appropriate analysis will be made with emphasis on the key indicators that will provide information required on each component of the safe motherhood programme.

    3.0 The Consultant

    3.1 Responsibilities and Tasks of the Consultant

    In close consultation with DSW country Representative and Programme Manager, the consultant will facilitate a 10 man days’ baseline survey exercise covering 2 districts in the two programme sites namely Coast, (Kaloleni) and Nairobi (Mathare Koroghocho) Regions.

    Preparatory issues such as comprehensive literature reviews and review of all supporting materials on all components of the Safe motherhood programme focus should be completed before embarking on the field work. The baseline exercise is expected to be completed in one month period upon commencement.

    Specifically the Consultant will undertake the following tasks:

    * Develop baseline tools
    * Propose appropriate methodology
    * Conduct literature review
    * Conduct field work
    * Work closely with DSW staff and partners in developing a data base of youth clubs and youth networks
    * Conduct data analysis
    * Prepare a draft and a final report.
    * Disseminate baseline findings to partners

    3.2 Expected Outputs

    * An up to date summary statistics on the current maternal and infant mortality rates, in the respective program sites.
    * Current distribution, coverage and location of FP/MCH services points including public and privates services in the targeted areas.
    * An audit of existing MCH/FP service delivery including coverage, cost, best practices and level of utilization and involvement of young people.
    * A data base of service providers in the area of FP/MCH services in the targeted programme regions.
    * Areas of need for strengthening service delivery particularly in relation to different population categories.
    * An analysis of issues hindering access and utilization of FP and MCH services in the programme target areas.
    * A detailed description of good practices and lessons in delivery of MCH and FP services in the targeted areas
    * An analysis of socio economic and cultural and gender factors that influence uptake and utilization of services in the targeted areas.
    * Existing advocacy issues and opportunities for response in promoting youth friendly RH services.
    * A detailed analysis of the capacity gaps of the existing referral systems.
    * Establish the status of the HMIS and information management systems among the target districts.
    * Establish the status of volunteers in delivering services to clients including the terms of service and other motivational factors.
    * Establish issues of access to youth friendly services to clients.
    * Establish the issue of RH commodity security and chain supply management in the programme target areas.
    * Documentation of important considerations to assist in the development of IEC and BCC materials with special reference to youth friendly messages.
    * Establish the status of the economic status of young mothers within the programme target areas.

    3.3 Outline On Expenditure Items

    The consultant is expected to respond to the TOR providing a proposal with detailed budget and schedule of activities. The budget should be provided in the format provided below.

    The detailed schedule of activities should indicate how the baseline will be implemented over a period of 10 Man days spread over 1 Month from the date of commencement of agreement.

    Activity Unit Cost Time (Days) Total
    Preparations and development of tools for the baseline.

    Literature review

    Field work and Interviews ( primary data collection)

    Data processing and Analysis.

    Report Writing



    Total days and Cost
    10 Days

    3.4 Consultant Qualifications

    The consultant should at least have a post-graduate qualification in relevant field (social and health) preferably in research with specialization in children, youth and grounded on program, organizational development and MCH and FP issues.

    The consultant is expected to submit a CV and a sample of past work for review. In addition the consultant should provide proof of contributions made in the subject matter of the proposed baseline.

    3.5 Responding To the Terms of Reference

    Eligible consultants are expected to read and respond to the terms of reference for the proposed safe motherhood Program baseline survey including a brief proposal detailing their understanding of the expectations of the baseline and how they plan to implement the exercise.

    In the response they should also provide the schedule of activities and the proposed budget.


    Please send your application to:

    The Country Representative,
    German Foundation for World Population- (DSW),
    Jabavu Road, Jabavu Court, Hurlingham Hse 21,
    P.O Box 2438-00202,
    Nairobi – Kenya.
    Tel: 2731398, 3871245

    E-mail: baselinesm @ dswkenya.org

    This should reach DSW on or before 05th April 2010.

    ONLY shortlisted consultants will be contacted