Terms of Reference
Integrated WASH (emphasise on hygiene promotion) - Nutrition link and
Community Lead Total Sanitation training in Kismayu, Somalia
1. Background
Somalia has witnessed over 2 decades of protracted conflict, recurrent drought and disease
outbreaks, which have made the country, thrive on humanitarian assistance. The country
however began a new leave of life when a democratically elected Somalia National
Government (SNG) was put in place, signally stability and laying ground for opportunities of
development.
Somalia is prone sporadic cholera/ AWD outbreak. Lately, polio has been declared a health
risk, with over 180 cases already diagnosed.
Globally, diarrhoea, pneumonia and birth
complications are the top three killers of children under age 5 worldwide. Each year,
diarrhoea alone causes the death of 760,000 children under 5 (11 percent of all child
mortality). Diarrhoea is also a leading cause of under nutrition in this age group and one-third
to one-half of all child mortality cases are linked to under nutrition. UNICEF estimates that
more than 90 percent of deaths from diarrheal illnesses in young children can be attributed to
unsafe or inadequate water, sanitation, and hygiene (WASH) practices. If mothers and other
caregivers used basic hygiene practices and had better access to safe water and adequate
sanitation this could greatly reduce Under 5 deaths and improve child nutrition.
Oxfam believes that integrating Nutrition and WASH interventions can maximise the
outcomes of emergency response programmes for beneficiaries and reduce the rate of
malnutrition in children under 5 years as well as children deaths. As part of this strategy
Oxfam is implementing an integrated WASH and Nutrition program in Kismayu, Somalia. The
program is designed to address the link between malnutrition and WASH by adapting the
more often WASH related Public Health Promotion activities to respond to the underlying
causes of malnutrition. Malnutrition in children increases the risk of infections such as
diarrhoea, which in turn leads to loss of appetite and reduced absorption of food intake. This
is basically the idea behind the integrated approach. Elsewhere, the Somalia intercluster
agency has realised this and work to promote multi-cluster approach to addressing the
humanitarian needs. It largely believed that there are neglected and underestimated adverse
nutritional impact of lack of safe water, sanitation and hygiene (WASH), and seeks to make
apparent important for agencies working in food and nutrition security especially to also make
WASH investments. Reducing faecal infections through sanitation and hygienic behaviour is a
major means for reducing the under nutrition of children, enhancing the wellbeing of
children, women and men, and achieving the MDGs. The goal is to get an in-depth
understanding of this neglected link and to provide constructive impulses for promising ways
forward to strengthen this nexus at scale and push towards fulfilment of the human right to
water and sanitation
2. Project objectives:
In response to these concerns, Oxfam initiated a one year project titled, Integrated
Emergency WASH and Nutrition Response, Lower Juba region, Southern Somalia.
The overall aim of the project is to alleviate suffering and reduce mortality, morbidity and
vulnerability of the most conflict and drought-affected IDP and host community households
living in Kismayu in Lower Juba region, South Somalia.
2.1. Broad objective:
To address part of the objective of the project, Oxfam seeks the services of a qualified
trainer/firm with high level experience in WASH programming and considerable experience in
integrated WASH & Nutrition to undertake the task. The trainer is expected to facilitate a
tailor made training to community, partner organisations and staff on integrated WASH, with
focus on hygiene promotion and the link to nutrition, and a community Total Led Sanitation
training in Kismayu
3 main tasks and deliverables are required in this task
2.1 Facilitation of training on community Led Total Sanitation to staff,
selected staff and community beneficiaries in Kismayu
2.2 Training of public health promotion/Hygiene promotion, linking to
practices that increases levels malnutrition amongst community, and
together identify ways to break barriers
2.3 Guide partners and community towards results based monitoring and
identification of key progress indicators as defined by the project
Specific tasks:
2.1. Facilitation of TOT training on community Led Total Sanitation in Kismayu
Conduct an analysis of community faecal disposal practices- Use secondary data as well as
primary data from group discussion in the field to guide you in developing facilitation kit
Prepare modules for CLTS training, undertake training to selected participants
Assess the effect of community triggering process and uptake to CLTS and identification of
ODF
Develop community monitoring and reporting tool for progress on latrines construction after
triggering
2.2. Training on public health promotion, linking to integrated WASH and nutrition
programming

Facilitate community training focus on the causes of WASH related disease, more
importantly diarrheal diseases and identify barriers to poor hygiene. Borrow heavily on
the Somalia WASH cluster training tools, but not limited to it

Identify key WASH risk behaviours that would contribute to increased risks of
malnutrition amongst the community, and guide beneficiaries in identifying barriers to
these poor practices

Guide participants identify positive attributes to reduce diarrheal disease transmission and
the link to malnutrition

Guide participants in identify process of monitoring and reporting on diarrheal incidences
at households level and link the project objective
2.3. Guide partners and community towards Monitoring of WASH and hygiene
promotion- results against output reporting

Undertake analysis of the secondary data analysis-Project progress report from both
Oxfam and partners Vis a Vis the project objectives, milestones and deliverables- Other
documents to review includes the baseline data report, nutrition training to familiarise
with the project current status.

Identify key success towards meeting objectives, and
facilitate discussion through
focussed group discussion guides to collect views on community understanding on
desirable results and particular diarrheal disease, causes in with nutrition

Facilitate training to partner staff and selected community beneficiaries,
evaluate
participants feedback on training

Develop model for basic monitoring and evaluation of uptake public health promotion
uptake, referencing from the logframe and agreed project indicators
3. Methods:
The consultant involved shall develop relevant and appropriate IEC materials and
facilitation/training packages that reflect the objectives of the assignment and meets the
needs of participants. The trainings shall be experiential, participatory, interactive and
learner-centred and shall incorporate suitable participatory methods such as group
discussions, plenary sessions, case studies and innovative examples. The delivery should also
involve as much inputs as possible from the participants, so as to contextualize the emerging
key issues.
Target group:
Generally middle level staff and selected community members, based in Kismayu. Selection
be done will be done with the assistance of our three Kismayu partners- Somali Aid, DIAL and
MURDO.
Venue: The training will be held in a venue to be identified in Kismayu.
4. Expected outcome / deliverables
1
Training modules, facilitation report on CLTS and Public health promotion. Include
other tools and IEC training materials used for training
2
Report on review meetings, progress and discussions on community understanding
on WaSH malnutrition link
5. Proposed time schedule
The assignment is estimated to last about 21 days, two weeks (One week CLTS and one
week hygiene promotion) and a week for organising and developing the training materials
and reporting.
6. Expertise required
The principle consultant should have the following qualifications:

University degree or equivalent in Community development/social development,
nutrition, public health, water or other related disciplines;

At least 5 years experience in undertaking similar projects in Somalia;

Strong
understanding
and
demonstrated
ability/experience
methodologies and community capacity building;
of
Participatory

Fluency in English, both written and oral;

Working knowledge of Somalia is an added advantage;
In the offer, the consultant should submit CVs detailing qualifications and relevant experience
of the specific consultants to be involved in the assignment;
7. Assistance to the Consultant from the Contracting Authority
For the smooth execution of the assignment, Oxfam shall

Link the facilitator with our partners in Kismayu who will ensure the stakeholders are
informed of the assessment and training, and provide background information
including project documents, relevant reports and document. The partner will
organise for transport, accommodation for the participants when in the field
If you are interested in this task please send you application to somaliajobs@oxfam.org.uk,
latest 26th February 2014