ALIMA recrute 01 Consultant en évaluation
Position : TCHAD – Consultant en évaluation
Last date for applications : 17/03/2019
ALIMA pools the expertise of international aid workers, national medical organizations and global research institutions to provide quality medical care to people in need and carry out cutting-edge research to improve humanitarian medicine. By sharing resources and know-how, ALIMA and its partners are increasing access to care for communities at risk and expanding humanitarian medical response capacity in some of the most challenging contexts in the world. ALIMA invests in operational and clinical research to improve medical care in humanitarian emergencies, including trauma surgery, nutrition, paediatric care, and Ebola prevention and treatment. ALIMA’s 3 pillars are : responding to
crisis, reducing maternal and child mortality and conducting operational research.
Since its creation in 2009, ALIMA has treated more than 2 million patients, conducted 56 programs in 13 countries and launched ten research projects focusing on malnutrition, malaria, Ebola, and surgery. ALIMA has teams dedicated to acute emergencies and recurring crises.
Ngouri and Isseirom in Tchad
Since 2012, ALIMA/AS has been working in the department of Wayi in support of the structures of the Ministry of Health with the aim of reducing child mortality linked to malnutrition and lack of access to care in time. Through this support, ALIMA/AS aims to improve the nutritional and health status of mothers and children under five.
In 2016, this support package that included only the health-nutrition of children under 5 was reinforced by the addition of maternal health activity and WASH.
This support continues in two districts of the department (Ngouri and Isseirom) to ensure quality medical care and free treatment of severe acute malnutrition. As part of the 1,000-day window of opportunity strategy, curative and preventive activities are being implemented in six health centers for pregnant and lactating women and children under five with particular focus on 0-24 months, including community-based pregnancy screening, prenatal care, immunization and malnutrition management.
In addition, the capacity of local communities, especially mothers, is strengthened through training mothers to use mid-upper arm circumference to detect malnutrition in their children early and training traditional birth attendants on the risks associated with childbirth pregnancy to encourage referrals in time to health facilities.
The evaluation subject of this ToR will focus on the work conducted by ALIMA / AS in the districts of Ngouri and Isseirom.
ALIMA in Chad
Evaluation Objective and Expected Results
The overall objective of this mission is to assess the impact of the reproductive health program (Targeting mothers and newborns) implemented by ALIMA in the districts of Ngouri and Isseirom.
More specifically, this evaluation aims to:
(i) Review and analyze the various management tools related to reproductive health;
(ii) Identify and analyze the availability and use of reproductive health materials and inputs;
(iii) Analyze compliance with the country’s reproductive health protocols and standards;
(iv) Analyze the effectiveness of the reference and counter-reference system;
(v) Analyze the impact of ALIMA’s activities in communities, with an emphasis on the participation of traditional birth attendants;
(vi) Meet with different actors (social, humanitarian, administrative, religious) in the region to better understand the barriers to pregnant women’s access to care and use of reproductive health services. And assess whether the project meets their needs;
(vii) Make recommendations based on lessons learned (positive achievements and shortcomings identified).
At the end of this mid-term evaluation:
The impact of the reproductive health program supported by ALIMA is evaluated;
The coverage and quality indicators of the reproductive health program are assessed;
An analysis of the obstacles to access to reproductive health care in the health districts of Ngouri and Isseirom in particular is carried out jointly with health workers and the various actors (social, humanitarian, administrative, religious);
The positive achievements of the project are collected to be duplicated elsewhere
The community itself analyses the opportunities and possibilities for intervention that are more adapted to cultural and religious contexts;
A better knowledge of the actors (social, humanitarian, administrative, religious) of the area of intervention is acquired;
An analysis of the ALIMA response in the HR component is performed and recommendations are made
The evaluation should seek to answer the following questions:
Does the project provide an appropriate solution to the health problems of the mother-child couple in the affected areas?
What are the trends in the main indicators, particularly with regard to rates of assisted childbirth and prenatal consultations?
What are the strengths, weaknesses, opportunities and threats of the project?
Does the presence of the partner and the coordination mechanisms allow the project to achieve the expected results?
To what extent have the project resources contributed to changes in reproductive health behavior?
Do beneficiaries subscribe to reproductive health awareness messages?
Has the project created the conditions for building resilience within health facilities?
Does the design of the project as defined allow for its sustainability?
To what extent have the trained health workers applied the theoretical and practical knowledge taught?
Is the community satisfied with the services provided in the assisted health facilities?
It is expected that the consultant will use a mixed method combining qualitative techniques (document review, structured interviews, focus group, use of questionnaires, etc.) and quantitative techniques (analysis of primary and secondary data sources including those of the health centers and hospitals concerned, minimizing potential sources of bias and guaranteeing the independence of the evaluation. Triangulation of the data is recommended). The evaluation will be based on the literature review and field visits.
The initial desk review should help refine the research questions, the content of the structured interviews and the quantitative analysis. This documentary review must include at least: the documentation provided by ALIMA, the CSs and hospitals concerned and any other documents deemed relevant (EDST, MICS …).
A field trip in the intervention zone is essential for the evaluator. The latter will verify the physical execution of the activities, conduct interview sessions with the 2 district management teams and the provincial health delegation, CSO officials and staff, and the targeted hospitals.
During this field visit, structured interviews should be conducted with people who receive nutrition and primary care services for children and pregnant women. Focus groups will also be organized to complement and triangulate structured interview data. In addition to the beneficiaries, personalities with a strategic position within the communities must not be lost sight of.
The sites concerned by these visits should, for reasons of representativeness, be chosen at random, while taking into account the specificities of evaluation questions.
The evaluation will take place in June 2019 with a maximum field mission duration of 15 days.
The first draft report will be submitted 15 days after the end of the field mission
The evaluation will be carried out by an independent firm or consultant.
The main qualifications of the evaluator required are:
– Proven experience and expertise in public health;
– Experience in facilitating workshops for the presentation of evaluation results;
– Previous experience in the field of project management, design, monitoring and/or evaluation of health actions;
– Proven competence in the analysis of health systems and institutions;
– Prior knowledge of the intervention area is desirable but not required;
– Have a good command of spoken and written French and English.