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Call for proposals for consultancy to conduct a baseline survey in the three countries of South Sudan, Kenya and Uganda Consultancy at The Johanniter

Terms of Reference

Baseline survey of the project

"Enhance access to and quality of health, nutrition and WASH services for people affected by the South Sudan crisis in South Sudan, Kenya and Uganda."

Final – 27th July 2020

1. Background and Rationale

The refugee crisis in South Sudan currently remains the fastest growing and largest refugee situation on the African continent and the third largest refugee crisis in the world. More than a third of the estimated 12 million inhabitants of South Sudan have been displaced and more than half of the population is affected by the crisis1. Within the country, there are nearly two million IDPs in urgent humanitarian need, while outside the country there are now nearly 2.4 million South Sudanese refugees, with Uganda still the largest receiving country, followed by Sudan, Ethiopia, Kenya, the Democratic Republic of Congo and the Central African Republic2.

South Sudan: South Sudan has experienced cumulative effects of years of prolonged conflict, chronic vulnerabilities and weak essential services have left 7.5 million people – more than two thirds of the population – in need of humanitarian assistance. About 5.29 million people (45.2% of the population) in South Sudan were severely food insecure in January 2020, in a prolonged food crisis projected to worsen in the coming months. Floods, insecurity and low food production exacerbate the food crisis. About 1.3 million children under five years are expected to suffer from acute malnutrition in 2020. The population still faces limited availability and a lack of access to health services which have largely contributed to one of the highest under-five mortality rates (90.7 deaths per 1,000 live births) and maternal mortality rates (789 deaths per 100,000 live births) worldwide. Protection concerns remain significant, with affected populations expressing fear over persistent insecurity, protection threats, human rights violations and gender-based violence (GBV).

Kenya: Although majority of refugees and asylum seekers in Kenya come from Somalia (58.2%), the South Sudanese remain the second largest refugee population in the country (22.9%), followed by Congolese (7.3%) and Ethiopians (5.7%). According to UNHCR statistics, 49% of the population is female3; children represent 44% of the total population. The Government of Kenya, through the Refugee Affairs Secretariat (RAS) and RRP4 partners, provides protection, life-saving emergency assistance and basic services to the wider refugee population for new arrivals.

The majority of South Sudanese refugees are received in the Kakuma camp and Kalobeyei settlement in Turkana Country, with only a small number living in Nairobi. Kalobeyei was established in 2015 following the influx of South Sudanese refugees in 2014 and in response to the urgent need to relieve the Kakuma camp5. According to UNHCR's new arrival registration, Kakuma received on average 1,330 refugees monthly in 2019, which translates to about 16,000 Refugee annually. The refugees are mainly from South Sudan (73.9%) followed by Burundi (10.5%), Sudan (2.6%) and Somalia (2.3%). This trend is expected to continue in 2020.

Uganda: According to UNHCR Uganda is Africa's largest refugee host and third highest host for refugees in the world6. Uganda adopts a self-reliance model allowing refugees the right to work and significant freedom of movement. While such progressive approach allows for less aid dependency, the vast number of refugees strains the already poor service infrastructure in Northern Uganda, leaving many reliant on immediate support of their basic needs. Uganda currently (April 2020) hosts 1,423,740 refugees and asylum seekers7 comprising mainly of people from South Sudan, DRC and Burundi. UNHCR analysis from April 2020 indicates that 82% of these refugees are women and children who face some form of mental health psychological problems. 94% of all Ugandan refugees live in settlements spread in Uganda mainly in North-Western Uganda where majority of South Sudan's over 850,000 refugees live8.

Palorinya and Rhino camp refugee settlements in West Nile of Uganda are currently home to approximately 242,933 refugees with 60,810 households. Of which, Palorinya has a population of 122,825 (64,780 female, 58,045 male) and Rhino camp has a population of 120,108 refugees (60,770 female; 59,338 male) who fled the civil conflict from South Sudan, making the two amongst the largest refugee settlements in the world. 52% of the refugee population are female and only 38% are of working age (18-59)9.

This regional project aims to provide multi-sectoral humanitarian assistance in Western Bahr el Ghazal (South Sudan), Northern Kenya and Northern Uganda with the aim to improve access to lifesaving services in the fields of health, nutrition and WASH for people affected by the South Sudan crisis. Services range from community based and institutional primary healthcare services (incl. basic mental health services); nutrition education, screening and management of acute malnutrition; and improving sanitation and access to safe drinking water. All proposed activities are in alignment with the South Sudanese Regional Refugee Response Plan, in which the Johanniter are explicitly mentioned as a regional RRP partner organization.

2. Purpose, Objectives and Use

The purpose of this consultancy is to conduct the baseline data collection as defined hereunder of the project.

It is expected that this baseline data collection and review will interrogate the implementation methodologies geared towards establishing the following:

- Improved utilization of health, nutrition and WASH services by pregnant and lactating women, children and other vulnerable people in South Sudan, Kenya and Uganda by 2023.

- The Baseline will seek to collect baseline data on the indicators which will guide achieving the above mentioned specific goal of the project, as defined in the project proposal (will be made available to consultant).

Key data to be collected for the baseline include:

Data related to the below indicators will be collected/ included in the baseline.

Outcome level:

- Number of health consultations provided for beneficiaries

- Proportion of children under 5 years presenting with malaria who have received effective malaria treatment within 24 hours of onset of their symptoms.

- Proportion of children exclusively breastfed until 6 months of age in the target area.

- Prevalence rate GAM (MAM and SAM) in children under 5.

- Prevalence of diarrhea in children under 5

Output level:

- % of identified GBV survivors referred to treatment Centers for medical and psychosocial care

- Number of health referrals (from community to health facilities)

- Number of healthcare consultations

- Number of women who attended ANC visits (New and re-visits)

- % of HH in the target area with basic knowledge on gender based violence

- % of persons identified with mental illnesses receiving psychosocial care (counselling and play/sport activities)

- % of <5 children with MAM attaining normal weight

- Cure rate (%) of children with severe acute malnutrition with medical complications admitted at the Stabilization Center

- % of malnourished children (SAM) who have recovered following treatment.

- Proportion mothers who are aware about new-born early initiation of breastfeeding

- % of households in the target area with access to safe, clean and sufficient quantity of water

- % HH with 2 water containers (as per SPHERE Standard)

- % of households in the target area who know at least three critical times for hand washing

- Number of staff trained

The above baseline data should be sub aggregated into host community data and refugees' data, disaggregated by sex, age and disability and should allow for comparison with the end line report data.

The purpose of this baseline study will be to provide an information base against which to monitor and assess an intervention's progress and effectiveness during implementation and after it is completed. The data collected will form a basis against which the degree and quality

of change during an intervention's implementation will be measured. Therefore some data might be available from the secondary sources but will be included in the baseline to form the baseline against which the end line will be measured/ compared.

3. Scope of Work

The baseline study will take a sample of community members and other stakeholders from the above-mentioned locations.

The assignment shall generally be divided in the following summary steps;

1- Developing data collection tools based on the indicators and information needed.

2- Defining the sample size households and individuals from the population targeted on this data collection

3- Oversee remotely (no travel in-countries possible/ planned) the pre-testing and overall data collection

4- Consolidate and analyze the data collected

5- Produce draft and final reports for this assignment

4. Duration of the baseline:

The baseline study shall be undertaken in the months of August and September 2020.

5. Methodology

The consultant is expected to propose scientifically, culturally and socially appropriate approaches that will be used to answer the questions raised in this ToR.

Mainly quantitative approach should be used as well as primary and secondary data in analysing the baseline survey findings. Additional propositions to be determined by the consultant and discussed before contracting to form part of this ToR.

The consultant must demonstrate ability to remotely manage the survey by providing details of the process including the tools to be developed, formats and method

Therefore to achieve this the consultant is expected to:

- Develop the primary and secondary data collection tools that will be used to collect information related to the above indicators

- Clarify the population(households/ individuals) sample for each indicator from which the sampling shall be done to ensure statistical representative of the results

- Provide oversight of the data collection process to the teams in the field in all three countries via remote management.

- Undertake data analysis from the three countries

- Validation and sharing workshop. The baseline findings should be validated through workshop among key staff of the JOHANNITER, partner NGO staff, and any other stakeholder.

- Make a draft report based on findings and final report writing based on the feedbacks from JOHANNITER team.

6. Process:

The baseline evaluation study shall be conducted in August ending September 2020. However, due to COVID-19 restrictions some activities will be done simultaneously as data collection may happen concurrently in all the three countries, as the consultant will be based possibly in one of the countries or elsewhere but guiding the activity remotely. Each country will have a team locally at project sites led by in country M&E officers who will do the selection of enumerators, training and data collection. Note that there is a possibility that the assignment shall be conducted simultaneously for Uganda and Kenya, while the data collection process in South Sudan will happen slightly later. But in either scenario data from the three countries will form one final report.

The assignment is expected to include:

- Inception meeting

- Secondary data collection and review of desk documents.

- Data collection tools, methodology and sampling development.

- Remotely pre-test through the country teams

- Oversee remotely the data collection

- Consolidate and analyse data

- Produce final report

The consultant is responsible to define the numbers of days required for the whole exercise in his/her proposal and possibly discussed later with Johanniter.

Each country M&E team will be in-charge of running the pre-testing and eventual data collection with guidance of the consultant as explained above.

In Kenya, the tools, once developed, need to be approved by UNHCR, which may take 2 weeks. This implies that there might be some days break in-between the various phases of the assignment. Also final questionnaire will incorporate the feedback from UNHCR in Kakuma after their reviews especially on data related to Kenyan indicators. But changes shall be integrated possibly for all 3 countries to maintain uniformity for common indicators.

The baseline study shall be undertaken within the following phases.

1) An inception meeting with the consultant with the JOHANNITER and possibly partners to familiarize the parties with each other.

2) Submission of inception report

3) Tools development; the consultant shall prepare the necessary tools for the study and submit them to the JOHANNITER and partners for review.

4) Secondary data collection of relevant data through physical or online reviewing of the respective resources by the consultant

5) Primary data collection by the data collection teams in the three countries with online consultant guide / support to fields teams in South Sudan, Kenya and Uganda. This shall focus on the refugees, host communities, government authorities and JOHANNITER/partner staff.

6) Analysis of data and report writing by the consultant.

7) Submission of the draft report to JOHANNITER and partners by the consultant for reviews and feedback.

8) Final report submission to JOHANNITER and partners by the consultant.

7. Outputs and Deliverables

The deliverables shall include;

1- Inception report

2- Data collection tools, methodology and sampling

3- Report on the pre-testing

4- Data set of all data collected

5- Final report in English language

6- The consultant will provide the electronic version of the draft report, the electronic version of the final report and annexes in Word Format soft copy and four hard copies to JOHANNITER.

8. Expert Profile of the Evaluation Team

The independent consultant/consultancy firm must demonstrate its experience and expertise on:

- Experience in Monitoring and Evaluation.

- Over 7 years' proven experience of undertaking project data collection and analysis for baselines/end-lines with technically sound understanding of WASH, health and nutrition data.

- Experience with Germany Government -funded projects is an advantage.

- Understanding of political, social and cultural context in South Sudan, Kenya and Uganda is essential.

- Have an eye for details.

- Experience in Nutrition and Health in emergency and development interventions especially in Project Cycle Management/ Monitoring and Evaluation.

- Sectoral expertise, contextual knowledge of Western Bahr el Ghazal, Wau and Jur River Counties in South Sudan, Kalobeyei and in Turkana Kenyaand Palorinya and Rhino camp Refugee Settlements in North-Western Uganda is an added advantage.

- Have skills to remotely manage a data collection team, which he/she will constitute, avail and shall be responsible for analysis.

9. Management of the Evaluation

- JOHANNITER-Uganda shall prepare a contract that the consultant shall sign to commit him/herself; the consultant shall be answerable to the JOHANNITER team. The Head of Mission in Uganda shall represent JOHANNITER.

- The consultant shall be responsible for execution of the data collection analysis, report generation and submission.

- The consultant shall work closely with the JOHANNITER/partners who will constitute a data collection team.

- JOHANNITER and partners shall be responsible for the day-to-day field management and all field costs associated with the exercise. All field costs shall not be included in consultant's bid.

- The JOHANNITER/partners will provide that the logistical arrangements related to the baseline study. These include vehicle for transport in the field, JOHANNITER/Partners will facilitate access to all required homes/sites and government officials for any requested data/ information by the consultant.

- All supervision and oversight of the baseline exercise shall be done remotely by the consultant

Documents available upon request

- Introductory project documents

- Structure of the baseline study report

- The project Log-frame

- Indicator sheets

If interested submit the following to the email contact ; This email address is being protected from spambots. You need JavaScript enabled to view it. and the deadline for submission is 15th August 2020.

- A technical proposal

- A financial proposal,

- The detailed CV of the consultant(s) who will be involved on the baseline

- Profile of the consultancy firm if it's not an individual consultant.

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