Request For Proposal For End Line KAP Survey at Medecins Du Monde

Location: Maiduguri, Nigeria

Career Level: Senior Level (5+ years’ experience)

Category: Short term consultancy contract

Summary of the Assignment: PHC, Nutrition, SRH/GBV and MHPSS End Line KAP Survey in Maiduguri, North East Nigeria in Borno state where MDM is currently operational in four IDP camps.

Expected Starting Date: As soon as the selection process completed

Allocated Time for the Survey: 20 calendar days after signing of the contract

1.  Background Information:

For more than 30 years, MDM as campaigning medical organisation committed for caring the most vulnerable populations. MdM has continued to highlight obstacles that exist in accessing health care, and secured sustainable improvements in health-for-all policies.

MdM currently works on 5 priority areas: emergency and crisis, sexual and reproductive health, harm reduction, migrants and displaced populations health rights, health and environment. Violence in the northeast of Nigeria has caused massive displacement; at the same time restricted movement that seriously disrupted food supplies, hindered access to basic services, and limited agricultural activities.

Since February 2016, increasing humanitarian crisis, extreme food insecurity and malnutrition have been revealed in Borno state. As of 3rd August, estimated 1.82 million displaced people within/from Borno state where 1.63 million of them actually stayed within Borno state. More than 1.2 million of displaced people are living in Maiduguri host community and within others formal and informal camps.

MdM has started its emergency response in the Borno state since October 2016 with its coordination office based Maiduguri and sub-office in Damboa. In 2019, MdM directly runs 5 clinics (4 in Maiduguri, and 1 in Damboa) as well as provide support for two Ministry of Health managed PHCCs in Damboa. MdM developed its internal capacities to respond to existing and/or potential emergencies (mainly displacements of population and cholera outbreak) that improve access to:

• Comprehensive primary healthcare services
• Quality nutrition treatment for malnourished children
• Mental health and psychosocial support
• Lifesaving medical care
• Holistic referral services for survivors of gender based violence

2.  OFDA I Grant Project Sites and Sectors of Interventions, IDPs, North East Nigeria, Borno State

General overview MDM’s key accomplishments (OFDA I Project) as of April 2019:

MdM started provision of emergency health response services in integrated PHC services, SRH, GBV and MHPSS for IDP in Teachers Village in Maiduguri in coordination with other actors, such as ALIMA, IRC, UNICEF and the MOH.  During the reporting period, 4,269 PHC consultations, 278 antenatal care (ANC), 13 post-natal care (PNC) and 42 family planning consultations were carried out. 681 children under five years old were screened for malnutrition, while 10 persons benefitted from GBV services and 24 individuals received psychosocial support. The ERT supported the MOH with mass measles vaccination, 278 were vaccinated.
The project formally trained a total of 10 staff (Male: 2, Female: 8) on clinical management of rape; 17 (Male: 3, Female: 14) health staff on infection prevention and control: and 10 (Male: 2, Female 8) community mobilisers on key messages for behavior change communication (BCC) interventions. Meetings were also conducted with both male and female community leaders, these meetings were to ensure advocacy to increase service utilization and to address issues arising from communities regarding MdM services.
BCC activities reached a total of 82,244 people, both in clinics targeting patients and in the community. 8,588 people were reached with Infant and Young Child Feeding (IYCF) messages and 7,808 people were reached with SRH messages. Most of them were reached through interpersonal communication educational sessions, and through information, education and communication (IEC) materials.
MdM is working with University of Maiduguri Teaching Hospital (MOU) for referral of patients for life-saving emergency services for another year (January – December 2019). A total of 207 patients were referred, including 114 pediatric cases, 29 severe acute malnutrition (SAM) complications and 29 gynecological and obstetric conditions.

3.1. General Objective:

The general objective of this PHC, Nutrition, SRH/GBV and MHPSS End Line KAP Survey is to measure Knowledge, Attitude and Practice of the population on integrated PHC interventions and its impact on the affected communities in IDP camps where MDM is operational, North East Nigeria, Borno state. This end-line KAP survey will also serve as a baseline survey for upcoming OFDA2 and ECHO projects.

3.2. Specific objectives:

• To measure percentage increase (proportion) of infants under six months of age who are exclusively fed with breast milk. Baseline 65.% (MDM KAP Survey, April 2018)
• To measure percentage increase (proportion) of children 6-23 months of age who received optimal feeding practice that composed of the four major food groups or more. Baseline 30% (MDM KAP Survey, April 2018)
• To determine percentage (proportion) of target community members who can recall key messages of target health education messages during for last two weeks. Baseline 23.5% (National DHS 2018 findings)
• To measure percentage increase (proportion) of women and girls who demonstrate a better knowledge of GBV, available services, why and when they should be accessed. Baseline 15.8% (National DHS 2018 findings)
• To measure percentage increase (proportion) of men and boys who demonstrate a better knowledge of GBV, available services, why and when they should be accessed. Baseline 23.5% (National DHS 2018 findings)
• To measure percentage increase (proportion) of people who demonstrate improved hygiene and sanitation behavior (knowledge and practice). Baseline 46.8% (National DHS 2018 findings)
• To measure percentage increase (proportion) of household’s knowledge on key prevention methods for communicable diseases (malaria, TB, ARI, Diarrhea, Measles, and STI/HIV). Baseline 32.2% (National DHS 2018 findings)
• To identify actual determinants of IYCF practices such as demographic characteristics, knowledge, beliefs, barriers, norms and potential motivators.
• To measure psychosocial well-being  of men and women using WHO (5)  Wellbeing questionnaire
• To identify what lesson can be learnt from the integrated PHC, Nutrition, SRH/GBV and MHPSS interventions implemented by MDM.

4.  Scope of assignment/consultancy

• To design full survey methodology: including sampling design, defined participants inclusion and exclusion criteria for the study, data collection tools/structured questionnaires, interview guide and observation checklist and present to MDM for comments and approval based on the proposed cross-sectional survey (research design) as an entry point.
• To organize a short launching meeting at the beginning of the field work with respective MDM’s country team, field staffs and government representatives.
• To travel to selected IDP camps and recruit experienced data collectors and train enumerators on quantitative and qualitative data collection methods.
• Conduct a final debriefing session with MDM Country team.
• Write and submit a comprehensive draft report in a maximum of five (5) days after finishing the field data collection and a final report within three (3) days after receiving feedback on the draft report.
• Present a summary of the findings for MDM’s country team by using a power point as soon as the draft report is completed.
• The consultants will make sure that the state ministry of health, nutrition cluster and local health offices will be engaged throughout the intended END line KAP survey process.
• Besides, the selected consultant will work closely with MDM’s internal technical advisors and coordinators throughout the survey process.
• The consultant will routinely communicate with the designated country team of MDM to discuss progress, constraints as well as safety and security of team members as these relate to the assignment.
• Hold preliminary discussions with MDM’s health coordinator, health service quality coordinator, M&E Supervisor, technical advisors and other staff as needed.
• Recruit and manage experienced and professional data collectors/interviewers and supervisors/team-leaders

5. Expected competency of the potential consultant

• Have an appropriate experience and knowledge in conducting survey on the above mentioned sectors with a minimum of 5 years.
• Have appropriate and experienced human resources for administering data collection, quality control of data, data entry and management.
• Have adequate knowledge on ethical considerations and rules and regulations of the local government.
• Have knowledge of the surveyed areas will be get an additional advantage.
• Have renewed license (should submit a copy of your renewed license with your financial proposal).

6. MDM’s Responsibilities

The consultant will directly report to MDM’s M&E supervisor as well as work closely with the health services quality coordinator. MDM is responsible to facilitate the following for the consultant:

• Providing consultants with literature review materials and other necessary documentations
• Ensuring effective coordination of the study logistics to facilitate the consultant(s) in undertaking the assignment
• Consolidating MDM’s comments for incorporation by the consultant
• Coordinating with the consultant to ensure the quality implementation of the study on ground (e.g. training and supervision of interviewers)
• Ensuring field survey logistics are on track e.g. providing accurate and comprehensive beneficiary information to inform the sampling
• Mobilizing/informing beneficiaries/local authorities about survey
• MDM will facilitate transportation arrangement for the consultant
• Ensuring the dissemination of survey findings/report to beneficiaries and other field-based stakeholders
• Providing additional information on ground
• Ownership of Research Data/Findings
• All data collected for this study shall remain the property of MDM

7. Time frame
Consultant is expected to strictly follow the following schedule:

Survey Proposal finalization: 1-6 June, 2019
Study tool development: 7-10 June, 2019
Travel to survey area: 11 June, 2019
Training for data collectors and pilot test: 12-16 June, 2019
Field data collection: 17-24 June, 2019
Draft preliminary report: 25-30, 2019
Final report: 1-5 July, 2019