Terre des hommes (Tdh) External Evaluation Consultant in Kenya

Terre des hommes (Tdh)

Terms of Reference for External Evaluation

MNCH – Garissa County, Kenya – 2019

1. Presentation of Terre des Hommes in Kenya

Terre des hommes (Tdh) is Switzerland’s largest children’s aid organization.

For more than half a century, the Foundation has been working alongside children in distress.

It struggles to enforce their rights, without political, racial or denominational concerns.

In more than 30 countries, Tdh protects children against exploitation and violence, improves the health of children and their mothers, and provides psychological support and material assistance in times of humanitarian crisis.

Tdh has been present in Kenya since 2011 and is currently supporting access to basic services for populations affected by crises and poverty in Hagadera refugee camp, in Garissa county and in Korogocho slum in Nairobi.

Current projects implemented by Tdh in Kenya:

  • Child Protection in Emergencies in Hagadera Camp in Garissa County;
  • Mother and Child Health and Nutrition in Garissa County;
  • Child Protection in Korogocho Slum in Nairobi.

2. Context

Garissa County is one of the arid and semi-arid lands in Kenya which continues to be in chronic situation of vulnerability with protracted periods of drought and flooding.

Over 90% of the population depends on pastoralism.

The county is classified in Integrated Phase Classification (IPC) phase 3, with a global acute malnutrition (GAM) rate of 17.2% and a severe acute malnutrition (SAM) rate of 2.3%.

Main gaps identified and prioritized through a consultative meeting with Garissa Ministry of Health directors and senior health managers are:

  • Inadequate nutrition skills especially for newly recruited health workers
  • Limited awareness by communities on service provided at facility level
  • Low coverage rate in micronutrient supplementation
  • Long distance to health facilities approximately 40 to 50 km on average
  • High turnover of health workers especially for facilities along the Kenya-Somalia border
  • Inconsistent supply of nutrition commodities
  • Lack of key nutrition policy documents in health facilities
  • Weak multi-sectorial coordination and planning

All these factors significantly affect access and utilization of health and nutrition services at facility level.

It also adversely affects intrauterine development, birth outcomes, and growth of children in this area.

Since September 2011, Tdh’s maternal and child nutrition programme (MCNP) activities are complementing county implementation on community resilience by improving access, utilization and demand of services.

Tdh is supporting training of frontline health workers IMAM, MIYCN, and LMIS and facilitates sensitization on VAS alongside UNICEF. Tdh also supports the Ministry of Health to preposition nutrition commodities from county/sub-county stores to facility level.

Tdh supports scaling up of health facilities offering HINI from 74 to 79 (5 more health facilities not yet operationalized for High impact nutrition intervention). Frontline health workers were sensitized on IFAS, Vitamin A and MNP. Roll-out of IMAM surge model was done in 12 health facilities to enable detection of early changes in the nutrition situation.

Tdh also supported joint field monitoring visits (Tdh/SCHMT) to review progress and conduct on-the-job training on the LMIS tool version 2.0 (FCDDRR) MOH 734 in 27 health facilities across 4 sub counties (Balambala, Garissa,Ijara and Fafi sub counties.

Tdh also supported CHMT joint integrated supportive supervisions to assess progress on implementation of MCNP 2 activities, understand status of services delivery in health facilities, identify gaps and provide mentorship to health workers to offer quality HINI services. This was done in 21 selected health facilities across 4 sub counties of Garissa.

Area of intervention: Garissa County

Number of expected beneficiaries (stratified by age and gender): 13,492 (male: 6,611, female: 6,881) and 3,365 pregnant and lactating mothers. 100 frontline health workers.

Project period: 1st October 2018 to 31st December 2019

Total Project budget: KES 27,500,000.

3. Objective of the evaluation

Currently, there are concerns regarding the sustainability of Tdh’s health activities in the Garissa county in terms of financial resources and institutional capacity for service delivery.

Recent results showed a need for a full evaluation to capitalize the lessons learnt and the challenges of this project, but also to explore the cost-effectiveness of the intervention, as well as to measure the relevance for the target beneficiaries, and the outcomes of the project in terms of reducing malnutrition and preventing maternal and new-born morbi/mortality.

Tdh is therefore seeking to evidence based its project for more accountability and visibility, but also to reorient the intervention on the basis of needs assessment and gap analysis and in accordance with existing sectorial policies and plans.


✔ To evaluate Tdh’s nutrition project and make recommendations for future programming in the area.

The following criteria will be covered:

  • Relevance: To what extent the objectives of the intervention are consistent with beneficiaries’ requirements, county’s needs and policies, and partner’s/donor’s constraints?
  • Appropriateness: Is the intervention responding to local beneficiaries needs (i.e. dietary habits) and is it building ownership of the activities?
  • Effectiveness: Are the programme objectives achieved?
  • Efficiency: How efficiently resources and inputs have been converted into results?
  • Sustainability: How durable/sustainable are the benefits obtained with the programme?
  • Impact: Which are the negative/positive, short/long term effects produced by the intervention, directly or indirectly, intended or unintended?
  • Coverage: To which extend all potential beneficiaries have access to programme’s activities?
  • Complementarity and coordination: How the intervention is complementary and coordinated with actions from other stakeholders in place?

4. Scope of the evaluation

The evaluation aims to cover Garissa MCNP in a wide way, through the analysis of four levels (implementation strategy, outputs, outcomes and impact).

The evaluation should cover the project period since its starting date until beginning of 2020.

5. Intended users of the evaluation

This evaluation is intended for:

✔ Tdh internally: country delegation, Africa zone management, Health program at HQ.

6. Methodology

To answer the questions set above the consultant should start by doing a desk review of relevant documentation, perform interviews with key informants internally and externally to Tdh (i.e. Tdh staff, representatives of ministry of health and district authorities, other stakeholders), focal group discussions with beneficiaries, and analysis of project results and indicators’ data.

7. Chronogram

The evaluation will be scheduled as follows:

  • 5 days desktop review and preparation of inception report
  • 5-7 days field work including data collection and analysis and presentation of preliminary findings
  • 5 days report drafting
  • 2 days presentation in Tdh Nairobi Office and report finalization

8. Deliverables

  • An initial (inception) report in English including: revision of the methodology, schedule and revised working plan, initial document analysis;
  • A de-briefing and presentation of findings to the team in the field;
  • A preliminary report to be provided 5 days after the end of the field mission, and a final version 5 days after Tdh’s feedback.
  • Contents of the final report incorporating:
  1. Executive summary (1 page) that can also be used for external purpose
  2. Narrative report (max. 15 pages)
  3. Summary table with the main evidences, conclusions and recommendations (separate the short, medium and long term) and the lessons learned.
  4. Summary table with the main data analysis and graphs
  5. Annexes: Containing the technical details of the evaluation, as well as the terms of reference, surveys protocols and questionnaires, protocols of interviews and observation, tables or graphics, secondary review references, persons and institutions contacted, list of best practises to be capitalized

9. Roles and Responsibilities

The evaluation will be conducted by an external consultant who will be supported by the local Tdh team.

Tdh Nairobi office will be responsible for contractual arrangements.

The consultant will be responsible for the entire assessment process:

✔ Desk review and documentation
✔ The development of the methodology, the development of research tools (semi-structured interview questionnaires and FGD templates) and their field-testing
✔ Data collection and analysis
✔ To conduct meeting with stakeholders and key informant interviews
✔ Providing a feed-back session with first results at the Kenya office
✔ Drafting and writing the report with conclusions and recommendations for strategic orientation of MNCH activities by Tdh in Kenya

The evaluation team will be composed of nationals for supporting in terms of translation, supporting for the visits with national and local authorities, other stakeholders and logistics.

Transportation and accommodation will be organized by Tdh Kenya.

Internal travelling will be well planned by the consultant in consultation with the Tdh office upon arrival.

The security context will be assessed by the Tdh security officer and decisions on movement will be taken based on a daily security assessment.

The main focal point will be the Programme Coordinator; the secondary focal point will be the Country Representative, for general update about the evaluation process and for introductory briefing.

Technically, the consultant will closely work with the Health and Nutrition Project Manager, and will also have regular skype calls with Deputy Manager MNCH programme and the Desk Officer(HQ based), to discuss and approve the methodology and the main aspects of the assessment.

10. Profile of the consultant (team): qualifications and experience

✔ University degree on health-related topics
✔ Sound technical knowledge and understanding of nutrition and maternal and child health
✔ Track record of similar consultancies with recognized organizations
✔ Proven experience in conducting evaluation of nutrition project in humanitarian aid context
✔ Experience with participative evaluation methods
✔ Experience in leading and managing evaluation teams
✔ Extensive experience in assessment, analysis and report writing
✔ Experience in providing recommendations for improvement
✔ Excellent knowledge of English
✔ Practical, flexible, structured and organized – excellent planning skills
✔ Excellent writing skills
✔ Excellent interpersonal communication skills
✔ Good listening and interviewing skills, be open to ‘unheard voices’, be friendly, non-judgmental and patient
✔ Child-friendly behaviour and language and a gender-sensitive approach
✔ Clean Police background record
✔ Knowledge of Kenyan health context will be an asset

11. Recruitment procedure

The person in charge of the recruitment process will be Celine Beaudic.

The consultancy opportunity will be published until 15/01/2020 and candidates will be interviewed by end the week of 20th to 24th January 2020.

It is expected that a consultancy agreement will be signed before 28/01/2020 in order to start the evaluation as soon as possible in.

Interested consultant individuals or organization should submit a technical offer including detailed methodology, chronogram, and required budget.

The CV of the evaluator as well as evidence of previous evaluations should also be included.

A list of 3 contact references should also be provided.

This should be sent to KEN.recruitment@tdh.ch

12. Budget

Consultancy budget: maximum 3,000 USD.

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Nairobi, Kenya

Nairobi County

Health and Medical, Economics and Statistics, Monitoring and Evaluation, NGO and UN
Updated: January 13, 2020 — 6:54 am