CONTEXT OF THE MISSION
International Medical Corps (IMC) implemented a 12-month integrated multi-sector protection, health and nutrition program funded by the United States Agency for International Development (USAID) Bureau of Humanitarian Assistance (BHA). The project – which began in September 2021 – provides essential services through direct implementation and in partnership with local organizations. The Health and Nutrition components are designed to build on IMC’s years of experience in meeting the needs of the population in the targeted area in these sectors. Activities will mainly focus on the provision of basic primary health care and pharmaceuticals, health systems and clinical support, and the management of acute malnutrition and maternal, infant and young child nutrition. in an emergency (MIYCN-E). The current program cycle is expected to end in September 2022. In accordance with BHA monitoring and evaluation guidelines, an end line should be made for outcome indicators related to these activities as specified in the section below.
PURPOSE OF THE MISSION
The purpose of the assignment is to conduct a mixed-methods evaluation of health and nutrition outcomes in the program’s target communities. The evaluation has two main purposes: a) to serve as an endpoint for the current grant cycle; and b) generate evidence on the performance of selected program components to inform the design of similar activities in the next grant cycle.
End of line indicators
The survey data will be used to calculate the final indicator values under the BHA project for the following indicators:
Number and percentage of community members who can recall targeted health education messages.
- Percentage of infants 0-5 months fed exclusively with breastmilk;
- Percentage of children aged 6-23 months who receive foods from 5 or more food groups;
- Percentage of women of reproductive age consuming a minimum diversity diet (MDD-W); and
- Percentage of children (aged 6–59 months) and pregnant and lactating women (PLW) with acute or moderate malnutrition based on upper arm circumference screening (MUAC).
b) Formative research on the integrated nutrition component of the program
Both quantitative and qualitative data will contribute to the information required by the IMC program team to strengthen the design and implementation of nutrition activities.
What is the level of utilization of IMC-supported health and nutrition facilities taking into account future resource planning?
What are the barriers and enablers of households in acquiring nutritionally diverse diets as promoted during the project?
To what extent did households receive promotional messages through individual nutrition counseling, and to what extent did staff adhere to standard counseling protocol?
How do households perceive the modalities and themes used in health and nutrition awareness activities?
To what extent did the education messages contribute to changing household attitudes and behaviors towards the messages? How could IMC’s social behavior change approach be improved to increase the likelihood that households will adopt these practices? What are the barriers to changing attitudes and behaviors?
3. SCOPE OF THE MISSION
The Health/Nutrition Specialist will be responsible for developing the evaluation methodology, including sampling strategy and sample size calculations (in line with BHA M&E guidelines and support IMC) for the community survey and qualitative interviews. S/he will also support the development and revision of qualitative and quantitative data collection tools in close consultation with IMC’s MEAL and Program teams and advisors. All indicators should be measured in accordance with the latest BHA and World Nutrition Survey guidelines (see WHO/UNICEF 2021 guideline: https://www.who.int/publications/i/item/ 9789240018389).
The specialist will also perform all data analysis, which should be multi-sectoral and include statistical significance testing for evidence of change between baseline and endpoint values, in line with BHA M&E guidelines. The specialist will develop the final report that captures the final indicator values and provides additional evidence/recommendations for the country program related formative research.
4. DESCRIPTION OF DELIVERABLES
- Inception report including proposed methodology, sample size, team composition, tools and detailed implementation plan. The inception report should be based on the initial review of relevant project documents and the baseline survey inception report.
- Remote training (ToT) of enumerators, team leaders and other relevant staff on data collection, sampling and other requirements as needed
- Quantitative data analysis with summary tables and statistics, a PowerPoint presentation reflecting the results
- Qualitative data analysis
- A clear, concise and well-written draft report containing tables, facts and figures demonstrating the state of the current health and nutrition situation (in light of the activities and indicators indicated), and comparisons with reference values with the use of significance tests. In addition, the report should include challenges, recommendations for project implementation and strategy, and next steps. It is recommended to include a staff capacity building plan/recommendations (e.g. sensitization and sensitization techniques) whenever necessary in consultation with the IMC team (potential requirement).
- Final report incorporating all feedback and comments
IMPLEMENTATION OF MISSION DELIVERABLES
The assignment involves the participatory preparation and implementation of the community survey (and other qualitative methods). For the assignment, it is expected that the consultant will coordinate closely with IMC and other relevant stakeholders.
The following specific tasks are to be carried out:
- Document review of key project documents, including but not limited to:
- Logical framework of the project
- BHA M&E Guidelines
- basic report
- Existing data collection tools
- Consult the IMC TU and the national team to better define the objective of the survey.
- With the IMC team, update survey tools as needed.
- Develop a draft inception report for the implementation of the community survey (and other qualitative methods), including
- Detailed sampling strategy and comprehensive protocol for data collection and analysis (revision of baseline sampling approach)
- Main questions to address
- Revision of data collection tools
- Detailed Field Implementation Plan
- Training of enumerators and team leaders on data collection, sampling and other requirements as needed
- Perform data cleaning and analysis, including statistical significance testing of the difference between baseline and endpoint values
- Prepare final report of survey findings (including qualitative methods) and recommendation in consultation with IMC and TU program team. (including activity plan)
SKILLS TRANSFER – Potential Requirement (IF APPLICABLE)
- The final analytical report could include additional trainings recommended by the consultant to improve the results of the health and nutrition awareness activities in accordance with the Syrian context aimed at achieving the planned objective for the upcoming project.
- Master’s degree in public health, epidemiology, community nutrition education studies or equivalent.
- At least 2 years of experience in public and/or community health interventions, including health and nutrition education and hygiene promotion. Demonstrated experience in health/nutrition survey design, including probability-based sampling, mixed-methods data collection approaches, development of a variety of data collection tools, training of enumerators, supervision of data collection and monitoring of data quality
- Familiarity with IYCF survey methodology (especially CARE’s IYCF data collection guidelines). Prior experience in conducting IYCF surveys strongly preferred.
- Experience of remote missions in project monitoring, evaluation, evaluations or research
- Experience in collecting and analyzing qualitative and quantitative data according to scientific research methods
- Experienced with analytical software such as SPSS, STATA, etc.
- Experience in XLSforms data collection systems such as ODK, Ona, etc.
- Previous experience in consulting.
- Excellent report writing skills and communication skills in English.
- Good knowledge of internal displacement, emergency and complex contexts.
- Excellent organizational skills and the ability to multi-task in a fast-paced, high-pressure environment
- Must have the flexibility and ability to work effectively with diverse personalities and cultures
- Remote management experience
- Fluent English (written, read)
Code of conduct As applicable to this position, an individual must promote and encourage a culture of compliance and ethics throughout the organization and maintain a clear understanding of International Medical Corps and donor compliance and ethics standards and comply with these standards.
Equal opportunities International Medical Corps is proud to provide equal employment opportunities to all qualified employees and applicants without regard to race, color, religion, sex, sexual orientation, national or ethnic origin, age , disability or veteran status.
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