Job Vacancies at CBM International

Terms of Reference (ToR) for a consultant to conduct a research
study to explore perceptions of persons with disability towards
the inclusiveness of health services in two areas of Nigeria
Introduction
Seeing is Believing (SiB) is a three-year (2017-2020) Comprehensive Child Eye Health in Nigeria
(CCEHiN) programme, that seeks to make comprehensive child eye health services available and
accessible through promotion, prevention, medical care and rehabilitation/inclusive education
targeted at vulnerable children. The SiB programme is being implemented in eleven (11) States of the
Federation divided into four clusters as follows: Cluster 1: Oyo, Ogun and Osun States; Cluster 2: the
Federal Capital Territory, Nasarawa and Plateau States; Cluster 3: Kano, Katsina and Jigawa States;
and Cluster 4: Cross River and Akwa Ibom States. The goal of the programme is to contribute to the
reduction of avoidable blindness and visual impairment through the provision of comprehensive child
eye health services to over 1.5 million children aged 0-14 in selected states of Nigeria. Quality of care is
critical for client’s satisfaction and sustained use of health care services.

Disability inclusive eye health programming provides holistic services that takes cognizance of all
members of a community whether they have a disability or do not have a disability. It caters for all
ranges and different types of disability. Working in two pilot secondary health facilities, the SiB
Project will ensure barriers are identified and removed if possible, and that disability-specific
processes are in adequately put in place.
Purpose of Assignment:
This study will provide a endlineline survey for work on disability inclusion at the two pilot facilities
under the Seeing is Believing programme. The purpose of the study is to examine the perception of
persons with disability regarding the inclusiveness of health services in their local area and compare
with a baseline study, commenting on significance of any changes.

The findings of the research will guide planning, programming and policy formulation as well as work
to address barriers militating against access to services and inclusiveness of persons with disability.
This study will also evaluate how well the SiB programme addressed the identified barriers that affects
access to services and inclusiveness of persons with disability in the pilot sites.
Objectives of the research study:
The objective of this research study will be to assess the perception persons with disabilities and other
relevant stakeholders about the inclusiveness of basic services (focusing particularly on health, also
covering education and other services) for people with disabilities including children with disabilities
and their peers without disabilities in comparison to baseline findings.

The specific objectives of the study are to:

• To understand the perceptions and experiences of persons with disability and other community
• members regarding the inclusiveness of health and other services, including the barriers to accessing
• services;
• To determine the level of satisfaction of persons with disability regarding inclusiveness of health and
• other services;
• To understand the perceptions and attitudes of health workers in pilot facilities regarding the
• inclusion of persons with disability in the pilot health facilities;
• To recommend interventions and strategies that should be put in place to make pilot facilities more
• inclusive of persons with disability, and to improve access of people with disabilities to health
• services;
• Understand the broader context for inclusion of persons with disabilities in society in the pilot areas
• (attitudes towards persons with disabilities, root causes of any discrimination encountered).
• To discern how much point 1-5 has changed (if any changes are observed) after programme
• implementation and noting any possible attribution to programme implementation.
• Scope of Work
• The study will focus on two project sites - Gwagwalda (FCT) and Doma (Nasarawa state) - where
• inclusive eye health services were piloted in secondary health facilities.

The target groups for the study will include the following stakeholders:

• community members;
• health facility staff (CHEWs, doctors and Nurses) and non-facility care providers (e.g. TBAs);
• community gatekeepers and opinion leaders;
• parents and care givers of children (0-14 years) with disabilities;
• people with disabilities;
• their peers without disabilities in the same age group.

The sample size will endeavour to be representative of the diversity of the population in the catchment
areas; the methodology to achieve a representative sample should be clearly outlined in the research
protocol. The study is expected to respond to but not limited to the following research questions:

• What are the perceptions of persons with disabilities regarding the inclusiveness of and access to
• public health services in the area?
• What are the perceptions of persons with disabilities regarding the inclusiveness of and access to
• the two pilot secondary health facilities?
• To what extent are persons with disabilities, including children with disability, accessing health
• services at the two pilot secondary health facilities?
• What level of knowledge, awareness and understanding do stakeholders in the pilot areas have
• about accessible and inclusive health services?
• What barriers are faced by persons with disability, including children with disability, in accessing
• health services, in the two pilot secondary health facilities?
• What factors support the access and inclusion of persons with disability, including children with
• disability, in accessing health services, in particular in the two pilot secondary health facilities?
• What interventions and strategies should be put in place to improve inclusiveness and access of
• persons with disabilities to health services, in particular in the two pilot secondary health
• facilities?

Methodology:
The consultant(s) is/are expected to present, in detail, their approach, methodology and tools, with an
action plan and timeframe that addresses the expected outputs, with reference to the overall and
specific objectives as well as a budget. A mixed methods study is envisioned, comprising of: a review of
hospital records, quantitative survey and qualitative research.

The research protocol will use representative sampling as appropriate, considering both quantitative
(survey) and appropriate qualitative approaches. Two sets of tools will be developed; a questionnaire
to administer the quantitative component of the survey and qualitative tools. These tools may be as
used in the baseline for easy comparative evaluation where appropriate.

Qualitative research is expected to include:

• People with disabilities within the community, including parents (of both genders), children and
• young people:
• Key opinion leaders in the communities, community gate-keepers, group leaders, religious leaders ;
• Health facility manager/lead.

Analysis:

• The findings of the survey will, where possible, be disaggregated by type of disability, age, sex,
• rural/urban, and other standard socioeconomic characteristics.
• Ways of working:
• Research tools will be developed in collaboration with the research committee from the Seeing is
• Believing team (Programme Manager, Programme Director, Knowledge Management and M&E
• Manager) The baseline tool was developed by studying existing tools and questionnaires developed for
• International Agencies for the Prevention of Blindness (IAPB), other national household surveys,
• Washington group questionnaires and WHO developed tools.
• The consultant will conduct the research in an ethical manner, that is sensitive with regards to
• different cultures, local customs, religious beliefs and practices, personal interaction and gender roles,
• disability, age and ethnicity. Requirements for participant informed consent and confidentiality will
• be maintained, including children participating in the research. Ethical clearance will be sought as
• required.

Work Schedule:
The consultancy will primarily be responsible to plan, design, manage, conduct and report on the
research.

The consultant will be responsible for the following tasks:

• Review existing literature.
• Develop research protocol, including methodology, tools and analysis plan.
• Adjust and finalize the research protocol.
• Recruit and conduct training of enumerators.
• Pre-test research tools (quantitative and review of hospital records)
• Data collection and entry
• Data cleaning, processing and analysis of data
• Drafting of the Preliminary Research Report
• Present the draft research report to research committee
• Integrate the feedback and comments received from research committee and finalise research
• report

Final deliverables:

• Power Point Presentation including speaker notes
• Research Report with annexes
• Data Sets

Structure of the research report:
The Research Report should incorporate the following main components:

I. Title Page and Opening Pages (including executive summary)

II. Introduction and Background

Introduction/Background - context of inclusion pilot and purpose of research

III. Research Methodology: Description of the methodology of the research

The rationale for choice and design of methodology, including sampling approach

Data sources used, data collection

Analysis methods used for both quantitative and qualitative data, including how the data was mixed

Major limitations

• Description of who was involved and in what capacity
• V. Data Analysis, Quality, and Results
• Sample size and response rates

Key demographics

VI. Key findings of the research, under each research question

Integrated analysis of the findings of different elements of the research (quantitative and qualitative)

Includes key graphs and diagrams to illustrate data

VIII. Conclusions, Lessons Learned and Recommendations for future implementation and the
government

Annexes
TOR

• Research protocol, including tools
• Additional relevant statistical tables and graphs
• List of persons interviewed (anonymized by role)
• List of abbreviations and sources used
• Supervisor Name and Type of Supervision that will be provided:
• Supervision, regular contact, feedback and comments on deliverables will be provided through the
• research committee, led by the Programme Director and KM & M&E Manager. The consultant will
• work under the general guidance of the research committee.

Consultant’s Work Plan and Official Travel Involved:

• The consultant(s) is required to make his/her own return travel arrangements from Place of
• recruitment-Duty Station-Place of recruitment on the most direct route.
• Travel costs will be reimbursed to the consultant upon submission of invoice and travel documents.
• All related (internal/external) official travel of the consultancy will be organized by the consultant and
• costs reimbursed accordingly.
• The consultant(s) is also required to organize his travel schedule. Research committee, wider SiB team
• and partners will support him/her in arrangements.
• Consultant’s Work Place:
• The consultant will be based either at home, in the field or at the CBM country office in Abuja/Jos
• field office.

Qualifications or Specialized Knowledge/Experience Required:
Qualifications

• Seven years of professional work experience relevant to research and/or disability inclusion. In
• particular, experience of conducting KAP studies is desirable.
• Advanced degree in a relevant social sciences.
• A consultant with multi-disciplinary background such as disability, statistics, research, and analysis,
• social sciences and development is preferable.

Experience

• The suitable consultant(s) should have experience in designing, conducting, and managing studies
• related to disability, children’s issues and/or social development.
• Proven experience in conducting qualitative and quantitative research is required, including
• household surveys
• Experience of consulting with people with disabilities, and experience in conducting research with
• children are desirable.
• Experience in producing high-quality reports and analysis.
• Work experience in international organizations is an asset.

Languages

The consultant(s) must have good interpersonal communication and negotiation skills. Excellent
English report writing and editing skills and additional knowledge of Hausa language is an asset.
Competencies

• Good facilitation and qualitative research skills.
• Understanding of human rights-based approaches to programming and results based management
• principles is required, in particular related to child rights and disability rights.
• Ability to bring together diverse stakeholders.
• Effective oral and written communication skills.
• Ability to work in an international and multicultural environment.
• Sensitivity towards different cultures, local customs, religious beliefs and practices, personal
• interaction and gender roles, disability age and ethnicity.
• Strong quantitative analysis skills.
• Good attention to detail.

go to method of application »

Context
Comprehensive Child Eye Health in Nigeria (CCEHiN) is a three-year (2017-2020) Seeing is Believing
(SiB) programme that seeks to make comprehensive child eye health services available and accessible
through promotion, prevention, medical care and rehabilitation / inclusive education targeted at
vulnerable children. The SiB programme is being implemented in eleven (11) States of the federation
divided into four clusters as follows: Cluster 1: Oyo, Ogun and Osun States, Cluster 2: the Federal
Capital Territory, Nasarawa and Plateau States, Cluster 3: Kano, Katsina and Jigawa States, and
Cluster 4: Cross River and Akwa Ibom States. The Seeing is Believing programme kicked off in
December 2017 and would be concluded in December 2019. The programme objectives include:

Develop skilled and adequate manpower to provide comprehensive child eye health services at
various levels of health care in the targeted project areas

Improve the quality, accessibility and scope of eye health services to children

Embed child eye health in the policies and programme work of the Ministries of Health and
Education

Pilot strategies for inclusive eye health

Establish the school eye health programme as a sustainable model to deliver eye health services to
children

Improve the quality of early intervention and education of blind children and children with severe
visual impairment
Objectives

• The main objective for this study is to conduct an endline evaluation to find out how well the
• implementation of the Seeing is Believing programme is at achieving the overall objective of the
• programme, which is to contribute to the reduction of avoidable blindness and visual impairment
• through the provision of comprehensive child eye health services to over 1.5 million children aged 0-
• 14 in selected states of Nigeria
• Specific Objectives
• To review the internal and external documents (programme reports, case studies, national eye health
• documents, etc.) related to the implementation of the SiB programme.
• To conduct fieldwork to obtain data/information for the evaluation.
• To provide a comprehensive endline report, useful in evaluating the implementation of the Seeing is
• Believing programme in Nigeria.
• Research Questions
• What impact has the SiB programme made in increasing the coverage of primary eye health care in
• Nigeria?
• Has the SiB programme contributed to the increase in the number of cataract surgeries in children at
• targeted tertiary hospitals, in comparison to pre-programme implementation?
• Has the SiB programme contributed to an increase in the number of consultations of children at
• targeted secondary eye care institutions, in comparison to pre-programme implementation?
• Has the SiB programme contributed to an increase in the number of institutions offering specialised
• refraction and low vision services, in comparison to pre-programme implementation?
• What strategies/approaches of programme delivery have been effective and what has not been
• effective?
• Is the implementation approach a sustainable model after the end of the SiB project?
• Do the importance and the quality of the programme (and associated outcomes) justify the amount
• of resources used?

Key Stakeholders Involved

• The Programme Director – Seeing is Believing programme, implementing partners (including
• supported health facilities), Knowledge Management/Monitoring and Evaluation Manager, the
• Federal Ministry of Health – Eye Health Coordinator, supported schools – mainstream schools and
• special schools, and the cluster coordinators.
• As key actors during programme implementation, they are going to provide their perspective for the
• triangulation of the information collected during the secondary data review.
• Methodology
• This study should follow a qualitative approach. A desk review of internal and external documents
• relating to the SiB programme will be done. Interviews with some key stakeholders will also be done.
• Observations and checklists can also be used to gather information. Answers to the research questions
• will be drawn from the desk review and interviews with key stakeholders.

Expected Deliverables
The expected outputs are:

• Inception report (including tools and methodology)
• Zero draft of the evaluation report for review by the SiB team.
• The final draft of the evaluation report and raw data/tools used for the endline evaluation.
• A PowerPoint presentation of evaluation methodology, findings, and recommendations,
• conclusions and learnings.
• Present findings in a validation/dissemination meeting

The evaluation report should not exceed 30 pages, excluding annexes. Potential sections to include in
the report are:

1. Introduction and Purpose of the endline evaluation

2. Evaluation Objectives

3. Research Questions

4. Methodology

a. Data Collection Methods

b. Sampling

c. Research Tools

1. Findings

2. Conclusion

3. Recommendations – for the government and future programs in eye health

4. Annex

• Timelines
• Tool design
• Inception report
• Primary and secondary data review
• Interview key stakeholders
• Develop Zero draft of the evaluation report
• Integrate feedback and develop draft 1 of the evaluation report
• Integrate feedback and develop final draft of the evaluation report
• Validation/dissemination

The deadline to complete this exercise is 24/02/2020
Selection Criteria for Consultants
For this exercise, CBM international is looking for a consultant having:

• Proven expertise in Child Eye health in Nigeria
• Experience in conducting endline evaluations and ability to distil various viewpoints into a cohesive
• report.
• Advanced university degree in education, social work or another related discipline.
• Experience in conducting studies in West Africa Region
• Fluency in English
• A team of 2 with the lead consultant having at least 10 years’ experience in planning and
• conducting evaluations within the health and development sector.

The consultant's team shall prepare and submit by January 11 th  2020 a financial and technical
proposal including

• detailed curriculum vitae with three references (two professional and one personal)
• a proposal outlining how and when they intend to accomplish this task
• a detailed financial proposal
• The selected consultant will be contracted and will start work shortly after recruitment. A service
• contract will be signed between the team and the SiB Nigeria.

go to method of application »

1. Background of Project
Seeing is Believing (SiB) seeks to improve access to comprehensive eye health services for children.
The project addressed the avoidable, preventable and treatable causes of blindness and visual
impairment among children aged 0-14 in selected states of Nigeria. Equal access to both male and
female, as well as people with other disability was also be ensured on the project.

The components of the project include; Promotion, Prevention, Medical and
Rehabilitation/Education.

SiB was implemented in 11 States, across 4 geopolitical zones in the country, with each zone referred
to as a cluster– Cluster 1 (South-West- Oyo, Osun, Ogun); Cluster 2 (North-Central- FCT, Nasarawa,
Plateau); Cluster 3 (North-West- Kano, Katsina and Jigawa); and Cluster 4 (South-South- Cross
Rivers and Akwa-Ibom).

The key areas of activities for the project include:

• Reducing the risk of eye disease and injury;
• Increasing early detection;
• Improving access to eye health care services;
• Improving the systems and quality of care;
• Improving the underlying evidence base;
• Embedding child eye health into policies and programme of the ministries of health and education;
• and
• Improving the quality and availability of education for blind and visually impaired children.

2. Aims and Objectives

The primary aim of this endline KAP study is to examine the knowledge, attitude and practice of
community members and health care providers towards child eye health (CEH) after the SiB
implementation.

Specific objectives includes;

• To identify level of Knowledge, Attitudes and Practices related to eye health at community level;
• identify what is known and done about eye health-related subjects.
• To identify level of involvement of community and health care workers in child eye care
• management and determine associated challenges.
• To identify existing knowledge gaps with regard to appropriate health seeking behaviors and
• obstacles to initiating or completing treatment.
• To identify barriers that undermine child eye health promotion, prevention, treatment and
• management in the community as well as access and utilization of child eye health services within the
• various SiB intervention communities.
• To determine the attitude of care givers at the various levels of care towards people living with
• disability including children with blindness.
• To assess the perception of policy makers and opinion leaders about child eye health issues?
• To determine the health seeking behaviors on child eye health among community members in SiB
• intervention States?
• To compare points 1-7 with baseline findings, highlighting areas of change.

Timeline:

The survey will be conducted over a period of eight (8) weeks. The first week will be used for desk
review and development of the survey protocol, tools and instrument. Training of research/data
collection team and pre-testing of survey tools will be conducted in the second week. Field data
collection will be done in 5 sampled states. Data analysis and report writing will hold in week five and
six.

Location:

The study will be undertaken in 5 sampled states divided into 4 clusters based on the programme
implementation structure and will be repeated in the exact communities where the baseline KAP
study was conducted.

Target Population/Stakeholders
Study Participants:
Community Members: household members, care givers, community leaders, group leaders, religious
leaders, TBAs.

Clinical Group: CHEWs, Nurses, Health facility leads/Managers and policy makers
3. Evaluation Objective, Scope and Intended use

• One of the components of SiB is eye health promotion, which includes activities geared towards
• engaging and empowering individuals and communities to adopt positive child eye health behaviors,
• and create awareness to change harmful practices or attitudes; thereby improving uptake of child eye
• health service.
• A baseline KAP study was conducted before implementation. This KAP study identified knowledge
• gaps, cultural beliefs, or behavioral patterns that may facilitate understanding and action, as well as
• pose problems or create barriers for the programme. It revealed the understanding of the community
• on CEH, their feelings towards the subject, as well as any preconceived ideas that they may have
• towards it, and the ways in which they demonstrate their knowledge and attitude through their
• actions. This endline study seeks to measure the same by using the same tools and similar
• methodologies to discern how well the SiB programme worked in improving the knowledge of
• beneficiaries and changing unwanted attitudes and practices of beneficiaries.

In order to achieve the study objectives as above, the study team will follow the steps as outlined
below:
4. Development of the Research Protocol
A research protocol will be developed to provide the road map for the conduct of the KAP study. The
protocol will also be used to obtain an ethical approval from the National research and ethical
committee.
1. Desk Review: A literature search of relevant materials, documents, journal articles, and global
best practices will be undertaken by the research team under the leadership of the PI with support
and guidance from the PD. The results will be used as a broad guidance, which could be adapted
in the context of this study.
2. Develop Data Collection Tools: Data collection tools will be will be adapted from the baseline
tools to collect quantitative and qualitative data for key study questions.
3. Training for local enumerators and Finalization of Tools: A two-day training will be
organized for local enumerators and a one-day field testing of tools. After testing, the data
collection tools will be finalized and sampling will be reviewed and adjusted (if necessary) to
ensure appropriateness to local contexts.
Data Collection and Analysis:

Experienced local enumerators will be responsible for data collection on the field. Household survey will be conducted using structured questionnaires for household members. Health facility staff (CHEWs and Nurses) and non-facility care providers
(TBAs) will also receive a structured questionnaire, to explore their opinions and experiences.
Focus Group Discussions (FGD) will be held among different groups within the community, including women groups and religious groups; to allow dynamic group interaction and exchange of perspectives among peers. In-depths Interviews (IDI) will be held with key informants including key opinion leaders in the communities, community gate-keepers, group leaders,
religious leaders and health facility manager/lead. Qualitative data will be transcribed for analysis. Transcripts will be analyzed, while quantitative data generated from the study will be analyzed using descriptive and bivariate analyses.
5. Report Writing: Final report writing will be done by the Principal Investigator and submitted to
the Programme Director for review and for final approval by the Project Steering Committee.
5. Evaluation Questions

• 1. What is the current level of Knowledge, Attitudes and Practices related to eye health at
• community level; including what is known and done about eye health-related subjects within the
• various SiB intervention communities?
• 2. What are the existing knowledge gaps with regard to appropriate health seeking behaviours and
• obstacles to initiating or completing treatment?
• 3. What is the level of involvement of communities and health care workers in child eye care
• management and what are the associated challenges.
• 4. How does the attitude of health care workers affect persons with disability including children with
• blindness of visual impairments?
• 5. What are barriers that undermine child eye health promotion, prevention, treatment and
• management in the community as well as access and utilization of child eye health services within
• the various SiB intervention communities?
• 6. What are the perception of policy makers and opinion leaders about child eye health issues and
• programmes?
• 7. How do evaluation questions 1-6 compare with the baseline research questions?
• If any, what progress or barriers have been made since the baseline study?

Methodology
This a mix method approach that will involve the use of both quantitative and qualitative methods. As
differing groups in the community will likely to have differing levels of KAP, hence, communities will
be divided into two groups- (i) the general community members, i.e. community leaders (religious and
traditional leaders, as well as influential individuals, (ii) the clinical community, i.e. the health care
workers and policy makers. However, the same method of data collection will be used for the two
groups, to ensure that differences in the result are independent of the sampling method and depend
solely on the characteristics of the population.
Sample Selection: This will involve multi-stage sampling design. At the first stage,
communities (Primary Sampling Units (PSU)) within the states will be purposely selected. At the
second stage, respondents among health workers within supported health facilities; and
community members and households will be randomly selected (consultant can suggest method
of selection that will be representative).
Sample Size: To select the minimum sample and spread the sample widely, it is proposed to
select 1 state in each of the clusters and FCT. Then 3 communities will be selected in each state to
represent the three senatorial zones; which will bring the total to 5 states and 15 communities for
the entire study. For the qualitative and quantitative data, it is proposed that;
Household surveys: n=225 (45 per state)
IDI: n=30 (6 per state)
FGD: n=30 (6 per state)
Limitations
Limited sample size
Time

Key Deliverables

• A detailed report of the study findings, and recommendations for future interventions and the
• government.
• A hard copy of all collected information
• An e-copy of raw data (SPSS or any other software used for analysis) and final version of report
• (MS Word and PDF).

Research Team and Management Responsibilities
Commissioning responsibility

Research Team

For the purpose of this survey, a consultant with expertise in qualitative and quantitative research will
be contracted on a short-term engagement to act as the Principal Investigator who will lead the study.
The SiB Programme Director (PD) and the M&E Manager will provide oversight and technical
guidance to the study. Other members of the research team will include;

• Data Analyst
• Data Entry Clerks
• Local Enumerators
• FGD &KII moderators
• Translators

Notetakers
Consultant’s Competencies

• CBM will engage the services of a consultant from within or outside the country. The following
• qualifications and skills will guide selection of the consultant for this assignment:
• Proven senior-level evaluation experience (at least 8 years) and ability to provide strategic
• recommendations to key stakeholders;
• Demonstrated experience in conducting KAP study using mixed method approach and providing
• proper recommendation to programmers and the capacity to work collaboratively with multiple
• stakeholders and on a team;
• Good knowledge of strategic and operational management of programmes, preferably in Nigeria; the
• ability to bring on board national consultants(s) from different geopolitical zones would be an asset;
• Good knowledge of the health system and local government and programme implementation
• structures and systems;
• Strong experience in disability and in disability inclusive eye health programme;
• Strong analytical skills and ability to clearly synthesize and present findings, draw practical
• conclusions and to prepare well‐written reports in a timely manner;
• Strong workshop facilitation skills;
• Excellent writing and presentation skills in English
• Availability for the period indicated.
• 9. Management of the Studies and Logistics**
• Programme Coordination office has responsibility for: logistics (accommodation, transport,
• providing communication means to study teams, organizing meetings etc.)
• Project Partner has responsibility for: being available to be interviewed by the consultants,
• facilitating access to data and project team, facilitating meeting beneficiaries if requested by the
• consultants.
• SiB Team has responsibility for: Overall management of the study, providing all information related
• to Seeing is Believing project in Nigeria and being available for interviews if requested by the
• consultants.

Expected Results

• Inception report (including tools and methodology)
• Zero draft of the evaluation report for review by the SiB team.
• Final draft of the evaluation report and raw data/tools used for the endline evaluation.
• A PowerPoint presentation of evaluation methodology, findings and recommendations, conclusions
• and learnings.
• Present findings in a validation/dissemination meeting
• The Consultant is solely responsible for the final products. While maintaining independence, the
• consultant and team members will adhere to professional standards and language, particularly that
• which may relate to the protection of staff and operations. Direct consultations with affected
• populations will be a formal requirement of the study unless security conditions are overriding.
• Additionally, agencies at the country level and the SiB will be consulted prior to the dissemination of
• any products emanating from the evaluation.
• Compliance with CBM study principles standards is expected and the KAP report will be judged in this
• regard. All external study reports will also be submitted to CBM International Office.
• Agreed Terms of Reference.
• Detailed work plan and study tools.