Save the Children Mid Term Evaluation of MNCH, Family Planning and Nutrition Project in Kibra Informal Settlement of Nairobi County Consultancy

Save the Children
Terms of Reference for Consultancy Services

Mid Term Evaluation of MNCH, Family Planning and Nutrition Project in Kibra Informal Settlement of Nairobi County

1. Organizational Background: Save the Children has been operational in Kenya since the 1950s, providing support to children through developmental and humanitarian relief programmes delivered both directly and through local partners. 
Current programming focuses on child protection, child rights governance, education, health, child poverty, nutrition and WASH. 


Save the Children has an operational presence in Bungoma, Busia, Dadaab Refugee Camp, Garissa, Mandera, Nairobi, Turkana and Wajir counties and we work through partners in many other parts of the country. 
We employ more than 300 staff and had an operating annual budget in 2015 of approximately US$.18-20 million.

2. Contextual background of Kibra informal settlement of Langata sub-county

Kenya is among the countries not on target to meeting their maternal and child health related Millennium Development Goals (MDGs).
The Maternal Mortality Rate (MMR) stands at approximately 488 deaths per 100,000 live births.  The unacceptably high rate of maternal deaths has not significantly improved over last decade. 
The MDG 5 target of reducing maternal mortality to 175 maternal deaths per 100,000 live births or less by 2015 has not been achieved in Kenya. According to the 2014 KDHS the infant and child mortality rates are 39 and 52 per 1,000 live births respectively.
Kibra informal settlement where Save the Children’s MNCH, family planning and nutrition project is being implemented is located in Langata sub-county of Nairobi County and comprises the locations of Kibra, Laini Saba and Serang’ombe with a population of approximately 226,160 people, all of whom reside in a 2.5 square kilometres area. 
Only one dispensary out of 47 health facilities in Kibra informal settlement is a MOH owned health facility. All others are either private clinics or are run by NGOs and faith based organizations. 
The project is being implemented in partnership with Carolina for Kibra (CFK), Family Health Options Kenya (FHOK) and Langata sub-county health management team.  

3. Overview of the Project
Overall objective of the action is to improve maternal and child health status of marginalized urban settlements in Kibra, Nairobi County. 
The specific objective of the action is to increase access to and enhance coverage of quality maternal and child, nutrition and family planning services for  226,160 people  in Kibra informal settlement of Nairobi County (74,840  women of child bearing age, 28,392 U5s, 6,685 U1s & 11,308 pregnant women        
The expected results are:
1) 131,900 people (women and children under five) have improved access to maternal, neonatal, and child health care services
(2) 39,700 mothers, new-borns and U5s have access to nutrition services
(3) 74,840 women of child bearing age benefit from improved modern family planning method uptake
(4) Strengthened Langata sub-county health-care delivery system
4. Objective of the Evaluation
The overall objective of the evaluation is to establish the results that have been achieved in the one year of implementation and the resultant impact this has had on the target beneficiaries. 
Recommendations emerging from this evaluation will:
1. Generate information on the level of achievement of the intervention objectives, outcomes and wherever possible any evidence of emerging impact), information which will be useful to stakeholders, including the County Government of Nairobi
2. Inform and guide the design of future Save the Children projects,
Specifically, the evaluation seeks to address the following issues and provide specific, actionable and practical recommendations for future programming:
I. Assess the project objectives and proposed outcomes by measuring performance against each performance outcome indicator under each result area. Analyze key determinants that, positively or negatively, were critical for obtaining these results
II. Determine current levels of knowledge, attitudes and practice towards MNCH issues and access to MNCH services in project areas in comparison to the baseline survey.
III. Evaluate the efficiency of the organizational set‐up for the project and systems used in the delivery of the project and to what extent these contributed to or inhibited the delivery of the project outcomes.
IV. Assess the level of sustainability (financial, institutional and social) of the individual project components, and identify critical areas that may affect sustainability.
V. Assess the capacity of the sub- county health systems (including public, private and community-based health systems) to provide MNCH services. 
This includes the availability and accessibility of health facilities and services offered for mothers, new born and children under the age of five, in terms of distances, cultural acceptability, affordability, availability and appropriateness (client-friendliness, inclusive, responsive, and hygienic) in comparison to the health facility assessment conducted at baseline.

5. Scope of Work

a) Verbal briefing with Save the Children Country office Technical Staff to discuss background and key issues for the evaluation.
b) Background desk review: review of all relevant project documents including, and not limited to, the project proposal, baseline survey report, monitoring and evaluation plans, project log frames, work plans, budget, progress monitoring reports, and financial reports.
c) Develop a detailed evaluation inception report that should present the approach, methodology, detailed planning and logistics support requirements and data collection tools to be used. 
The inception report should be developed within 3 days after the meeting with the Country Office Technical staff.
d) Hold a briefing meeting with the field office technical and implementation staff.
e) Undertake the End Term Evaluation field work exercise at the project site in Langata sub-county of Nairobi County
f) Prepare draft report based on the field work findings. The report should include concrete recommendations as stipulated in the specific objectives above.
g) The draft report will be shared with relevant Save the Children staff, key informants and stakeholders who participated in the exercise (Langata sub-county health management team), with the purpose of informing the group of the findings and obtaining feedback for inclusion in the final reports. 
Comments and inputs on the draft reports should be incorporated into the final reports within 5 days after receipt by consultant.
h) Present 3 copies of the final report and a soft copy within 5 days of receipt of comments. Consultant will further be expected to prepare a PowerPoint presentation of the final report highlighting the findings in comparison to the baseline. 

The final report should not exceed 40 pages, excluding annexes, and should conform to the following format; Executive Summary (including main findings and recommendations), Introduction, Methodology, Results/Findings presented per each project result area and evaluation objectives set out in a results matrix against each indicator, conclusions and recommendations, annexes (including data collection tools, list of evaluation team, target group interviewed and consulted and reference to the documents reviewed
i) Submit all data sets including transcribed qualitative data/information

6. Deliverables for the Mid-Term Evaluation
I. A technical proposal outlining the methodology with mention of the data collection tools and approaches to be used for the evaluation. The technical proposal should also include a detailed implementation plan outlining key timelines within a 15 day period.

II. Financial proposal should only include the fees payable (In Ksh) to the consultant(s).  The consultants are expected to cover all other costs related to travel, accommodation, meals and allowances. Save the children will provide resources required for identification and remuneration of research assistants for the data collection and data entry.

7. Qualifications and Experience

The consultant(s) will be expected to be specialized in evaluating or implementing Maternal, Newborn and Child Health (MNCH), family planning and nutrition programmes.  
The consultant(s) will have the primary responsibility for conducting the evaluation and writing of the evaluation report. 
The consultant (s) will be expected to lead and coordinate the data collection, entry and analysis of data and report writing.
Specifically, the (Lead) Consultant will possess:
a. Advanced university degree in public health/ health systems management or related health field.
b. At least 10 years’ experience in the area of maternal, newborn and child health and public health.
c. Sound knowledge and experience working and familiarity with the Kenya county health systems.
d. Be well informed in gender and rights based programming in the development sector.
e. Demonstrated knowledge of project evaluations and possess strong research skills.
f. Experience in the formulation, monitoring and evaluation of MNCH projects.
g. A demonstrated high level of professionalism and ability to work within tight deadlines.
h. Strong interpersonal and communication skills
i. Excellent spoken and written English.
j. Good computing skills.

8. Duration and Timeline of Consultancy:
The consultancy is expected to take a maximum of 15 days
Intellectual Property Rights: All products developed under this consultancy belong to the project exclusively, guided by the rules of the grant contract between EU and Save the Children. 
Under no circumstances will the consultant use the information of this evaluation for publication or dissemination without official prior permission (in writing) from Save the Children.

9. Submission of Proposals
The submission of proposals is only open to the prequalified consultants (firms) using Expression of Interest available HERE.
The technical and financial proposals should be e‐mailed to with a copy to by close of business (5.30pm) day of Tuesday 22th April 2016.

10. Evaluation and Award of Consultancy
Save the Children will evaluate the proposals and award the assignment based on technical and financial feasibility criteria guided by this ToRs. 
Save the Children reserves the right to accept or reject any proposal received without giving reasons and is not bound to accept the lowest, the highest or any bidder. 
The consultancy is subject to Save the Children policies.

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