TERMS OF REFERENCE
Merlin-Pakistans Integrated Health and Nutrition Program Evaluation through a Cross Sectional Household Survey to Ascertain the Coverage Levels of Knowledge & Practice at the Community level for the targeted interventions
Position: Consultant for Program Evaluation through a Cross Sectional Household Survey
Provisional Time Frame: 9 Weeks
Start Date: November 2012
Location: Islamabad, Pakistan and the Related Project Sites in KPK and Sindh Provinces
Reporting to: Country Health Director Pakistan
Remuneration: £350--£400 per day dependent on experience, along with flights, accommodation and insurance at £10 per day
Only short-listed applicants will be contacted. Due to the urgency of this position, applications will be short listed on a regular basis and we may offer this post before the closing date.1. Context:
Pakistan is a developing country with a large population (180 million) facing the double burden of communicable diseases and increasing levels of non-communicable diseases. Despite the extensive health infrastructure and a mixed healthcare delivery system comprising of both state and non-state providers, the people of Pakistan are facing several major health problems and the country is lagging behind the majority of states in the South Asia region in terms of maternal, new-born and child health. Unmet health needs in Pakistan can be broadly classified into four categories
1) High burden of communicable diseases
2) unacceptable levels of access to and coverage of reproductive health (RH) and child health services
3) widespread and unaddressed malnutrition; and
4) an increasing burden of non-communicable diseases. The situation is further complicated by the scale and impact of frequent natural and manmade disasters, and a variety of health systems development challenges. Deficiencies within the health system stretch across all the major health system building blocks, especially in relation to human resources for health, stewardship, service delivery and health financing. A good proportion of the existing health infrastructure is inappropriately located, with a major urban focus and is inadequately resourced / maintained, which further limits the effectiveness of the system.2. Merlins Program Impact Areas and Response:
Over the last many years Merlin has been implementing integrated health and nutrition program with support of ECHO at community, primary and secondary levels of care. The program impact areas include the targeted locations of district Swat, Buner, Nowshera in KPK province and Thatta, Dadu and Badin in Sindh province. Over the years, Merlin on a rolling on system expanded geographically its program in the mentioned program impact areas and has been implementing the services in a few locations of KPK for 3 or more than 3 years whilst in in other areas around two years.
Over these years, Merlin has established a standardized and integrated health and nutrition services package with linkages and synergies with sector-wide programing and cross-cutting themes. The Merlins program key thematic areas include:
Child Healthcare: focusing on childhood immunization, micro-nutrient supplementation and improved sick child management with a focus on Acute Respiratory Tract Infection (ARI) and Control of Diarrheal Diseases (CDD)
Reproductive Health (RH): focusing on safe motherhood (maternal and new born care), family planning, Post-abortion care and EmOC
Nutrition Services, based on CMAM approach: with focus on a) Screening/community mobilization, b) OTP, c) SFP, d) SC and referral to SC, e) Promote optimal infant and young child feeding practices in emergencies (IYCF)
Communicable Diseases and Surveillance: focusing on tracking outbreaks through early warning and response system ( DEWS), implementing a state-of-the-art HIS and strengthening malaria case management and control measures
Non-communicable and age friendly services: Provide integrated age friendly services and care of non-communicable diseases including mobility aids/assistive aids for mobilizing the people with disabilities and frail elderly
General clinical services (curative services): Outpatient and transient in-patient care before referral
Referral care: linkages and referral of patients to the secondary and tertiary level hospitals including care and referral for elderly
Health promotion: focusing on community-education and raising community awareness 3. Study Objectives and Scope of Work:
The study aims to establish a province level coverage status of knowledge and practices of the priority and key interventions per Merlins program requirements. Over the years, the Merlin program impact areas have been added up at different points in time through a rolling on basis in KPK and Sindh provinces. Thus the study will serve as an end-line assessment in a few locations where Merlin will either scale down or close its program activities. On the other hand, in locations where Merlin aims to continue services, the study will provides Merlin with an opportunity to inform program design to take corrective measures to best fit program needs and set future program priorities.
The specific objectives of the study will be:
4. Studys Key Tasks:
- To estimate and evaluate the results of planned program activities, outcomes and objectives through a concise set of quantifiable indicators collated through the household survey
- To establish quantifiable household/community coverage of knowledge and practices of the priority and key thematic interventions with focus on maternal, new born & child health and communicable diseases
- To assess the services utilization levels and the related conditions through a quantifiable set of indicators related to knowledge and practices at household/community level
The consultant in collaboration with Merlin program team will work through all the phases of the study such as a) Inception Phase, b) Study Implementation phase and c) Preliminary Finding Sharing, Dissemination and Report Write-up phase. The consultant is expected to undertake the following tasks:
- Carry out desk-review of relevant project documents, including project proposal, log-frame, Performance Monitoring Plan and other relevant documents.
- Design the study protocols inclusive of methodology, study tool-kits, training packages for enumerators and data entry personnel, field work plan schedule, data management plan etc. This will be developed and finalized in consultation with Merlin program team
- Develop the databases with support of Merlin HIS coordinators for the quantifiable household survey
- Train the survey field staff (supervisors, interviewers, data entry personnel) who will be recruited by Merlin team against the JD, developed by the consultant
- Consultant will develop the data collection tools (questionnaire) in English while Merlin will provide the necessary support to translate the questionnaires into local languages
- Conduct pre-testing of data collection tools and incorporate the required changes, ideally it should happen during the training of enumerators
- Conduct field study through the survey field team and the consultant will oversee/monitor the process of data collection and provide on the job mentoring and support
- Clean data with support of Merlin HIS coordinator whilst the consultant will run analysis using a suitable software
- Analyze and interpret the findings and share the preliminary findings of the study with Merlin program team for feedback
- Develop and submit the first draft of the study report and carry out a de-brief with Merlin Program team through a presentation to ignite further discussion and insight that will help the consultant to finalize the write-up
- Submit the final report to Merlin-Pakistan Country Director and Country Health Director
This document forms the basis of the agreement between the consultant and Merlin. The planning process for both content and logistics will require significant participation and involvement from Merlin in Pakistan and London. Additionally all the logistics in country including material or human support will be provided by Merlin-Pakistan which is required to undertake this study.
It is recognized that the plans made initially may have to change or be disrupted by external factors. If issues do arise, the consultant should contact Merlin Pakistan to discuss how to proceed in such circumstances.
Tentatively, the evaluation should be planned during November and December at the latest; allowing some weeks of planning between the consultant and Merlin which will be confirmed in consultation with the consultant and Merlin-Pakistan6. Profile of the consultant
- Medical Doctor with Post-Graduate qualification in Public Health
- Significant previous experience of conducting in quantitative assessment in particular of KPC surveys
- Significant experience of Humanitarian work, particularly health programming in wider humanitarian responses and transitional phases
- Excellent interpersonal and communication skills
- Experience of working in South Asia, in particular Pakistan
- Knowledge of relevant local languages
To apply for this position
To apply for this consultancy, please go to Rozee.pk and apply using our online recruitment system. In order to apply for a job with Merlin online you will need to complete a short registration process and create an account the online recruitment system explains how to do this. Once your account has been created, you will be able to save the information that you have entered in your application and re-visit it at any time before you submit it.
Candidates must also provide a brief proposal addressing in particular how to address the scope of work along with technical approach. The proposal should also include a brief overview of the firm/ consultants experience with a focus on similar assignments. Please upload this information as a supporting statement.
Unfortunately due to the number of applications we receive, only shortlisted applicants will be contacted.