Delivery for Young Mothers Baseline Survery Advert for Consultants

St.Lukes Mission Hospital Terms of Reference FOR SLMH / EC “Delivering for Young Mothers” – Baseline Survey

Proposed Baseline Survey on EC Supported SLMH DYM Programme
About the Delivering for Young Mothers Programme Baseline Survey

Introduction and Background 

St. Luke’s Mission Hospital in partnership with DSW and WOFAK has received funds from the European Union to implement a 3 year project towards strengthening the Delivery of health services to Young Mothers in three Counties of Kilifi, Mombasa and Kwale in Coast Region. 
Project’s goal 
To increase the quality and uptake of key health services and behaviors that contributes to safe motherhood, sexual and reproductive health, and nutrition among young women in Kilifi, Kwale and Mombasa Counties Project objective 
To contribute to reduction in maternal and newborn mortality rate by 20% in the targeted Counties, thereby contributing to the achievement of the MDGs (particularly 4 and 5)

The Focus of the Baseline
The proposed baseline survey is expected to establish the status of provision of delivering for young mother’s services in 6 districts in coast region in Kenya namely Mombasa, Kilindini, Kwale, Kinango, Kaloleni and Ganze. More specifically it will provide a situational analysis of the Delivery of Safe Motherhood and reproductive health services for young mothers in the programme catchment area. 
The baseline report will be an important tool for mapping and guiding the implementation and for monitoring progress as well as evaluating the impact of the EC supported SLMH delivering for young mothers programme. 
It is expected to identify existing gaps in provision of Youth Friendly Safe motherhood, and reproductive health services including FP, improving nutrition outcomes, and strengthening health service delivery, propose areas of future partnerships and generate recommendation for future action. 
The baseline will be widely shared with partners and stakeholders.

Objectives for DYM Baseline Survey

  • To establish the current status of Safe motherhood, Reproductive health services, nutrition and MCH in the targeted areas with special reference to young mothers. This should capture demand and access to service, effectiveness of community strategy in delivering., referral services, Obstetric, post-partum and post-abortion care services available and existing gaps and challenges. Emphasis will be on young mothers aged 12 – 24 years.
  • To document the prevailing attitudes and practices in relation to MCH and FP services and the extent to which they predispose youth to risks as well as existing opportunities.
  • To establish the status and coverage of MCH, FP and OBA’S services in reference to youth in the targeted regions.
  • To establish the level of provision of youth friendly VCT and other ASRH Services in the targeted districts.
  • To establish the level of awareness, knowledge and skills in HIV and AIDS, RH/MCH services to youth in the targeted areas, generate gaps and recommendation for action
  • To document capacity and capacity building needs of organizations including government, NGOs, CBOs youth clubs and youth networks in providing RH/ MCH services for the young mothers.
  • Review the existing IEC materials and provide recommendations on effective methods of designing and developing focused IEC and BCC materials.
  • To establish the critical points of quality assurance needs within the existing MCH/FP service delivery systems and structures and make requisite suggestions on areas for capacity building and routine monitoring to ensure standards and quality.
  • Identify specific Safe motherhood, Reproductive health services, nutrition and MCH uptake motivation factors that can create demand among young persons (12-24 years).
  • To provide information for planning the project, including information about Safe Motherhood; and specifically looking at the 3 focus Counties. (Looking at both the demand and efficiency)
  • To provide information on the status of community participation especially the target group.
  • To provide information on the number of Men Groups/youth groups actively engaged in issues of Safe Motherhood in the target Counties.
  • To identify benchmarks and indicators this can be used as a point of reference for monitoring and evaluation of the Delivery of Young Mothers.
  • To review current monitoring and evaluation tools, identify gaps and clear indicators for the DYM
  • To review the LFA with inclusion of baseline and targets.
Literature Review and Content Analysis of Documents
This will primarily involve a comprehensive review of existing literature on main issues of FP/MCH services in the country and emerging issues in safe mother hood, obstetric care, post-partum, post abortion care, access and utilization of SRH services. 
More specifically the review will seek to explore each program component contained in SLMH –delivering for young mothers programme. The emphasis will be to obtain as much information and data, both in quantitative and qualitative forms that will provide benchmarks of determining the final impact of the SLMH –delivering for young mothers programme. 
Some key sources of data will include government sources, research institutions and civil society organizations. All this process will lead to development of tools for the baseline field research. The baseline survey will be comprised of a desk review/survey and field visits. 
Conduct a desk review including an analysis of documents, policy papers, national surveys and reports that have been produced in connection with the project thematic area. Review internal Forum DYM documents related to this project including data already gathered.
The consultant will present the preliminary findings from the baseline in a national level stakeholder’s workshop which will provide a forum to share, validate and disseminate the findings. 
The national level workshop is also expected to generate additional recommendations for action. 
This will assist to document important lessons and experiences that will guide the implementation process and provide clear benchmarks to determine the impact of the final output of the programme.

Data Processing, Analysis and Report Writing
The consultant will be expected to undertake both quantitative and qualitative analysis of the data. Analysis will be done using appropriate analytical and data processing programmes. 
The process of data processing and analysis will cover data cleaning, editing, coding and data entry. 
Appropriate analysis will be made with emphasis on the key indicators that will provide information required on each component of the delivering for young mothers programme.
Responsibilities and Tasks of the Consultant
In close consultation with SLMH CEO and Programme Manager and partners (DSW and WOFAK) the consultant will facilitate a 21 man days’ baseline survey. 
Preparatory issues such as comprehensive literature reviews and review of all supporting materials on all components of the delivering for young mothers programme focus should be completed before embarking on the field work.

Expected Outputs

  • An up to date summary statistics on the current maternal and infant mortality rates, in the respective program sites.
  • Current distribution, coverage and location of FP/MCH services points including public and privates services in the targeted areas.
  • An audit of existing MCH/FP service delivery including coverage, cost, best practices and level of utilization and involvement of young people.
  • A data base of service providers in the area of FP/MCH services in the targeted programme regions.
  • Areas of need for strengthening service delivery particularly in relation to different population categories.
  • An analysis of issues hindering access and utilization of FP and MCH services in the programme target areas.
  • A detailed description of good practices and lessons in delivery of MCH and FP services in the targeted areas
  • An analysis of socio economic and cultural and gender factors that influence uptake and utilization of services in the targeted areas.
  • Existing advocacy issues and opportunities for response in promoting youth friendly RH services.
  • A detailed analysis of the capacity gaps of the existing referral systems.
  • Establish the status of the HMIS and information management systems among the target districts.
  • Establish the status of volunteers in delivering services to clients including the terms of service and other motivational factors.
  • Establish issues of access to youth friendly services to clients.
  • Establish the issue of RH commodity security and chain supply management in the programme target areas.
  • Documentation of important considerations to assist in the development of IEC and BCC materials with special reference to youth friendly messages.
  • Establish the status of the economic status of young mothers within the programme target areas.
A contract will be drawn up after a call for tender where skills and costs of potential consultants will be assessed and evaluated by St. Luke’s. 
The contract will be a formal consultancy contract between St. Luke’s and the consultant. 
A consultant will be selected in accordance with EU Policy guidelines.
Consultant Qualifications

The consultant should at least have a post-graduate qualification in relevant field (social and health) preferably in research with specialization in children, youth and grounded on program, organizational development and MCH, nutrition and FP issues. 

The consultant is expected to submit a CV and a sample of past work for review. 
In addition the consultant should provide proof of contributions made in the subject matter of the proposed baseline.
Responding to the Terms of Reference
Eligible consultants are expected to read and respond to the terms of reference for the proposed safe motherhood Program baseline survey including a brief proposal detailing their understanding of the expectations of the baseline and how they plan to implement the exercise. 
In the response they should also provide the schedule of activities and the proposed budget.
Please send your application to:
P.O Box 65, Kaloleni – Kenya. 
Tel: 0703613402
This should reach SLMH on or before 30th July 2012
Only shortlisted consultants will be contacted

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