Terms of Reference

for

“Capacity and needs assessment of Garowe/Bossaso hospitals and selected MCH staff on FGM/C related complications and their clinical management, clinical management of rape and how to deal with their psychological and mental health consequences’’

Europaid funded Project:

FREE Fundamental Rights, Equality and Empowerment

for Girls and Women in Puntland state of Somalia

Project name:

FREE: Fundamental Rights, Equality and Empowerment

for Girls and Women in Puntland state of Somalia

Title of the consultancy:

Capacity and needs assessment of Garowe/Bossaso hospitals and selected MCH staff on FGM/C related complications and their clinical management, clinical management of rape and how to deal with their psychological and mental health consequences

Locations of the consultancy:

Puntland State of Somalia, Nugal and Bari regions

Duration of the consultancy:

30 days

Background

CESVI is a non-governmental, non-profit organization, operating in the field of international solidarity and development cooperation for the promotion of international cooperation initiatives, emergency and development programmes and human rights. In Somalia, CESVI works in South-Central Somalia in the regions of Mudug, Hiraan, Banadir and Lower Shebelle, operating three bases in Galkacyo, Beletweyne and Mogadishu. In collaboration with CEFA, the organization will soon establish another operating base in Puntland.

Overview of the FREE project

The FREE- Fundamental Rights Equality and Empowerment for girls and women in Puntland/Somalia is a 30 months EU funded project, implemented in partnership with CEFA and SADAR, that aims at supporting Government institutions and CSOs/CBOs in promoting the progressive abandonment of FGM/C practice in Puntland. Within the context of this project, CESVI will seek to enhance the capacity of health facilities to provide a clinical, psychological and culturally accepted response to GBV survivors with a special focus on management of RH complications due to FGM/C and de-medicalization of FGM/C practices. CESVI will address residual lack of capacity among health facilities in Garowe and Bossaso (2 hospitals in Garowe and Bossaso as well as at least 6 MCHs; MCHs to be selected after the capacity assessment), as well as low capacity among TBAs and CHWs. Actors in the formal health system – doctors, midwives and nurses – will be included in this activity both to reduce the trend of FGM/C becoming medicalised and to build technical capacity of formal actors to train others within the system. TBAs and CHWs will be targeted with capacity building and awareness raising, as they have been identified already as key actors which has not been fully included in capacity building. The action will also aim to support bottom-up learning structures.

The Organic Outcome of the Assessment

In order to achieve the second objective of the project stated above, this capacity and needs assessment is expected to provide fertile grounds for the following activities to be undertaken;

· Preparation of a training plan covering the gaps identified from the assessment, Training for TBAs and CHWs on standard and objective health information to become relevant actors in the implementation of grassroots community programs on eradication of FGM/C

· Weekly Safe Motherhood health education group sessions with special focus on FGM/C complications and general health and psychological implications

Objectives of the consultancy

The objectives of the consultancy are:

(1) Mapping of the main hospitals and health facilities (MCHs) in Garowe and Bossaso.

(2) To assess the physical infrastructure at each facility included in the mapping to respond to FGM/C and associated complications, the equipment and supplies including medication available at each facility to respond to FGM/C and associated complications,

(3) To assess the knowledge, attitudes and practices of staff, as well as gaps staff identify in their own capacity.

(4)To identify key knowledge gaps that may require capacity building to improve understanding of the FGM practice and/or activities to promote its abandonment and management;

(5)To analyse existing coordination mechanisms and recommend how to best strengthen coordination roles, implementation structures and procedures across the project area, to allow for more effective delivery of anti-FGM/C programmes.

The tools used for the capacity assessment will draw on existing analysis conducted by UNJP, as well as global best practices outlined in the GBV Area of Responsibility and CESVI in Somalia.

Duration and Timeline of the Assessment

The proposed duration of the exercise is expected to last for 30 days including submission of the final report.

The assessment activities will commence on 7 days after signature to the contarct and the first draft report should be finalized 6 days post-signature to the contract.

Methodology

The methodology to be adopted by the consultant shall generate both quantitative and qualitative information, and be participatory. The methodology will follow the following steps:

· Preparatory phase:

Consultant will gather key documents of the project, review all documentation, and prepare a workplan. The consultant will also finalize the methodology of the study, including but not limited to the finalization of the sample size, the development of the questionnaires for the qualitative data (focus groups and individual interviews with key informants) and the finalization of the questionnaire for the quantitative survey. The finalized methodology will need to be validated by the project team.

· Data collection and desk review:

Consultant will outline this when finalizing the methodology including how to collect, analyse, and present data.

· Logistical support during the assignment

The consortium members will provide all the necessary background documents prior to the commencement of the assessment. This will include:

· Proposal documents;

· Any relevant studies in the specific countries;

· Possible organizations for interviews;

· Prompt feedback on all deliverables, generally providing written feedback within one week of receipt;

· Organize for virtual meetings where necessary or face to face meetings to present the methodology to CESVI team.

· CESVI best practices document on capacity assessment.It is the responsibility of the consultant to hire the enumerators

Description of the Activities of the Assessment:

0. Preliminary activities

0.1 Submission of the proposed methodology including the proposed data collection tools for the assignment, approach to the assessment, schedule of data collection activities and locations, including description of selection criteria of organisations and communities who are key respondents

0.2 Desk review and overall description of the main socio-economic and demographic attributes of the area of intervention

1. Preliminary consultations with relevant community leaders and local authorities

1.1 Conduct a preliminary meeting with the MOWDAFA, MOJRA, MOH, existing pool of TBAs/CHWs Health workers implementing SGBV activities to explain the main objectives of the assignment.

1.2 Conduct preliminary meetings with the CSOs to inform them on the conduction of the study and to agree on the involvement of other actors focussing on FGM/C.

2. Conduction of Capacity and Needs Assessment

On the basis of a representative sample, quantitative and qualitative data collection form should be used to provide the baseline data upon which the project will design the following activities;

i. Preparation of a training plan covering the gaps identified from the assessment, endorsement by MOH and roll out through the engagement of Puntland health professionals associations: Midwifery association (PAM) and Nursing association (PAN).

1. Training for TBAs and CHWs on standard and objective health information to become relevant actors in the implementation of grassroots community programs on eradication of FGM/C
2. Weekly Safe Motherhood health education group sessions at GGH/Bosaso hospital with special focus on FGM/C complications and general health and psychological implications
3. Creation of a network of Health Facilities – Inter-Facility Dialogue and Advocacy Groups (IFDAG) to share evidence and learning and engage front line health providers as champions in the eradication of FGM/C and other forms of psychological and physical violence and abuse on Women and Girls.

3. Submission of Baseline Report

3.1 Submission of the 1^st draft of the report.

3.2 Integration of CESVI comments, request for amendments and finalization of the report.

4. Presentation of results

4.1 Validation workshop will be held with the consortium, to discuss the findings of the of the assessment for programming.

4.2 Dissemination workshop with a wider set of stakeholders involved in the project, to ensure that the most recent information is shared including protection cluster and actors working on GBV.

Expected Deliverables of the Assignment

Deliverable1: Inception report

An inception report shall detail a written response to this TOR in terms of a proposal highlighting the technical understanding of the task, proposed methodologies of the assessment, expected activities and deliverables, proposed work plans with schedule.

Detailed CVs of all professional (s) who will work on the assignment. If there is more than one consultant on the proposed assessment team, please attach a table describing the level of effort (in number of days) of each team member in each of the assessment activities.**

Deliverable 2: Assessment Report**

The report shall include the following sections:

1) Methodology used and its limitations

2) A cogent analysis of the physical infrastructure at each facility to respond to FGM/C and the associated complications.

3) A comprehensive analysis of equipment and supplies including medication available at each facility to respond to FGM/C and associated complications,

4) Level of knowledge, attitudes and kind of practices of staff, as well as gaps on in their own capacity.

5) An analysis of existing coordination mechanisms and recommendation on how to best strengthen coordination roles, implementation structures and procedures across the project area, to allow for more effective delivery of anti-FGM/C programmes

6) A summary of each qualitative indicator’s baseline data under outcome 2. Details will be gannered from the project documents, notably the proposal.

The report shall also incorporate all CESVI’s comments and requests for amendment/integration.

All reports should be submitted in Microsoft Word format, in UK English. Graphs or other graphical devices should be editable (i.e. not pictures). All references must be cited according to convention, and detailed in a bibliography, using the Harvard system as set out in the UNESCO Style Manual. All verbatim quotations must appear in quotation marks and must not be of excessive length. All data collected under the consultancy must be submitted with the deliverables, in a widely recognized format such as Microsoft Excel*.*

Everything submitted to CESVI must be the original work of the consultants. Any plagiarism in any form, or any other breach of intellectual property rights, will automatically disqualify the consultant from receiving any further payments under the contract with CESVI, and CESVI will seek to recover any payments already made.**

All participants in any study or other interaction will be fully informed about the nature and purpose of the interaction and their requested involvement. Informed consent must be obtained for any photographs, audio or video recordings, etc., in accordance with CESVIS’s policy on consent. In addition, the consultant will follow an ethical framework for research.

Methods of Payment and Instalments

• 1^st installment – 50% of the total amount will be paid upon completion of inception report
• 2^nd instalment – 50% of the total amount will be paid upon completion of final report

The payments will be made in direct bank transfer in the name of the consultant or firm as indicated in the signed contract. CESVI will deduct with-holding tax at source as per the rules of taxation governing CESVI’s operations and it will be deposited directly to the custodian of such tax. No other benefits shall be admissible beyond what is stipulated in the contract nor does it guarantee a regular position in CESVI.

Qualifications, Skills and Experience

The eligible consultant (s) must have a minimum of a bachelor’s degree in the fields of Health Sciences, Statistics, Demography, Research Methodologies, Development Studies, and any other related field.

The person should have worked with a development/ Humanitarian organization before for at least 5 years and has a minimum demonstrable experience of undertaking desk reviews, as well as rapid assessments & or evaluations.

•The consultant should be able to demonstrate evidence on knowledge and experience having undertaken a similar assignments.

The consultant should be conversant with NGO’s operation with focus on GBV, FGM/C, protection matters. Additional knowledge and experience on networks focusing on GBV/C will be of great importance.

The consultant should have a significant experience of collecting and analysing quantitative data especially medical data that revolves around GBV and FGM/C.

• Experience of working within a dispersed team, remaining self-motivated, using initiative and responding appropriately to constructive feedback will be valued.

• The consultant should be able to reliably access the Internet, as well as relevant national policy/planning documents and surveys.

• Knowledge and experience of E.U regulations is an added advantage

Technical Proposal

The application should include:

· Cover letter with working contact details to express interest and confirmation of availability to undertake assignment in period stated.

· Understanding of the Terms of Reference

· Approach and methodology that demonstrates how the consultant will undertake the assignment

· Work plan indicating number of days for each task, and clear deliverables (use Gantt Chart) and allocation of consultant(s) tasks during the assignment

· Summary profile demonstrating background of key team consultant(s), name and attach CVs separately

Technical proposal to conduct the baseline survey, based on the Programme Logic (Impact-Project Goal-Outcomes-Activities) with the following (minimum) information: What baseline information should be collected and what sources are needed for the information identified.

· In cases of company, please give us your company profile, location, financial status, management, and compliance, such as signed assurances and certifications, pre-award questionnaires, conflict of interest forms, and signed child protection policies may be requested by CESVI following the review of applications.

Financial Proposal should include:

· The financial proposal should include all costs associated with the assignment including (a) remuneration for the personnel; (b) equipment and services, (c) activities costs; (d)administrative costs and taxes.

A Demonstration of relevant experience in undertaking similar work is required. The consultant(s) shall attach the executive summary of at least 2-3 previous baseline studies; and provide the name, designation and contact details of at least three referees from previous assignment. Remuneration for this assignment will be in line with the set procedures of the organisations and the experience and qualifications of the candidate.

In addition, applicants should submit the following;

1. Evidence of similar assignment.
2. Three referees from previous assignments.
3. Valid company certificate of registration at Federal government and or Puntland state.
4. Valid tax compliance certificate

NB; Only candidates who have been selected for an interview will be contacted.