Terms of Reference for Baseline Consultant – Consultancy assistance to DFPA on programme in Uganda and Kenya 0. Background The Danish Family Planning Association is looking for a consultant to undertake a baseline study on an advocacy programme on Women’s Reproductive Health and Rights. This programme consists of one project in Uganda and one project in Kenya being implemented from 2014-2018 (four years). The contract covers a two-months collaboration with the DFPA office in Copenhagen and our partners Reproductive Health Uganda in Uganda (RHU) and Family Health Options Kenya in Kenya (FHOK) resulting in two baseline studies. DFPA completed a regional programme in December 2013 in East Africa. Both RHU and FHOK were part of this programme, and the current projects are continuing a great part of the activities. The project strategy and thus the outcomes and outputs of the projects have changed slightly to become more country focused. A baseline was conducted in 2012, which provides a starting point for the baseline studies to be conducted under this contract. The wish is to have the 2012 baseline up dated and supplemented with similar data from new project sites. The analysis of need for data will be carried out by DFPA and partners. DFPA at the same time wishes to enhance our knowledge management and learning in our projects and our organisation contributing to improving our accountability and adaptive capacity. The baseline could therefor also inform the refinement of the project indicators and/or targets. DFPA has been engaged with our partner in Uganda, Reproductive Health Uganda, since 2005 and with our partner in Kenya, Family Health Options Kenya, since 2010, and is currently implementing programmes on Women’s Reproductive Rights, Reproductive health and rights and Sustainable Development, and Young people’s Sexual Health and Rights. Engagement with other partners in Uganda and Kenya is in the pipeline. DFPAs Theory of Change/intervention logic is to approach community issues from three angles1: Access to improved service provision; empowerment to know and act on rights; advocacy to hold duty bearers accountable. In the project concerning this contract, this is realised as improved access to Reproductive Health services; creating demand among the community; and advocacy involving the women to hold duty bearers accountable. We take a Human Rights Based Approach (HRBA) to our field of work (sexual and reproductive health and rights) and the implementation of projects with Southern partners. Using a human rights framework is powerful because it recognizes and empowers persons as valuable individuals and citizens with a legitimate claim towards their government. The approach is illustrated in the below figure2. 1 2 In line with IPPFs ’triangle’ approach to youth programming, 2014 The figure was developed by HLMConsult for Ibis, 2004 1 Right- responsibility - claim A c c o u n t a b i l i t y Duty bearer Respects, protects and fulfils rights Fulfils responsibility towards Human Rights are: Universal Inalienable Indivisible Claims right from Right holder P a r t i c i p a t i o n The ultimate expected outcome under this thematic area of work is that the project has contributed to the strengthening of women’s Reproductive Health and Rights. The ultimate outcome indicators are: 1. Knowledge, attitude and behaviour (KAB) of women regarding their reproductive rights in intervention areas 2. KAB of duty bearers regarding reproductive rights in intervention areas 3. Increased accountability of health service providers providing RH services 4. Contraceptive prevalence rate in intervention area 5. Maternal Mortality Ratio in intervention areas The expected intermediate outcomes and corresponding indicators are: Expected Intermediate Outcomes Expected Intermediate outcome 1.1 By 2017 demand for quality reproductive health services has increased in intervention areas in Uganda and Kenya Selected Indicators Capacity development and empowerment of women regarding their reproductive rights and local advocacy in intervention areas Expected Intermediate outcome 1.2 1.Partners advocacy capacity index improved3 By 2017 partner organisations have increased access 2.Partners access to, participation in and influence to and influence on prioritized/ relevant local and on policy spaces/ policy implementation improved4 national Reproductive health and rights policy development and implementation processes The outcomes and indicators have been expanded and refined and the logical frameworks of both projects will be available to the Consultant. 3 The advocacy capacity index is a tool that measures advocacy capacity based on a number of specific capacity indicators at the organisational level, capacity to do policy/stakeholder analysis etc. The tool provides a ‘score’, which allows for continuous measuring of progress. The expected increase in % will be specified after an extensive baseline in 2014. 4 DFPA has developed a tool to measure this, that will be discussed and validated with partners during 2013 2 1. Objectives The main objective of the baselines is to provide DFPA with data that can be used to assess the projects’ impact by project completion. It shall provide an analysis or a ‘snapshot’ of the situation pre-operation in relevant communities, institutions and organisations in the project sites concerning Sexual and Reproductive Health and Rights (figures, violations, services, plans) , women’s socio-economic status, and advocacy capacity. A secondary objective is to provide the project with data on the target groups’ knowledge attitude and practices concerning their SRHR and influence on this. The target group of women is organised into women´s groups and an assessment of the capacity of the groups is needed. The methodology used for this is open for discussion. 2. Scope of work The assignment is to conduct a baseline study with sufficient data that enables our Planning, Monitoring and Evaluation system to provide learning from monitoring, reviews and evaluation of this data as well as improving our accountability. The detailed tasks to be undertaken as part of the baseline will be proposed by the consultant and developed with DFPA as part of the contract. The concrete content of the baseline will be defined together with DFPA. The baseline in Uganda and in Kenya is to be conducted before October 2014 The Consultant will: Ensure a well-functioning baseline team Hold Skype meeting with DFPA, preparatory and after field trip Hold meeting with RHU in Uganda and FHOK in Kenya, preparatory and after field trip Develop a framework, timeline and work plan for the baseline to be shared share with the team Develop a brief inception report based on a desk study of among other documents the existing 2012 baseline and outlining approach, theory and methods to be used and available data Develop relevant tools and/or revision of existing tools for collecting data Travel to project sites in both Uganda and Kenya Carry out two baselines and compile two baseline studies Develop two draft baseline reports with a useful presentation of data and share the results with DFPA and RHU/FHOK Complete the two final Baseline Reports Give recommendations to possible refinements of project indicators These outputs should the DAC criteria and reflect state of the art within baseline studies. The consultant is expected to begin with a desk study of the relevant project documents, data and theory to form an inception report. This will be followed by field work in Uganda and Kenya at HQ level and in the local project sites. The consultant will meet with RHU /FHOK at the onset of the consultancy, and with RHU and FHOK respectively when presenting the baseline framework and after the field study when presenting the draft report. The first meeting will also be used for requesting further information, documents and 3 contacts from the partners. The consultant will have a debriefing with RHU, FHOK and the target groups before leaving the countries. The consultant will develop the baseline framework and necessary tools based on dialogue with DFPA and RHU/FHOK. The Consultant will be responsible for organising the baseline and the team including the travel and stay in Uganda and Kenya. The Consultant will be responsible for setting the Consultant team to include possible field assistants and interpreters and ensuring a well-functioning team with clear roles, responsibilities and timelines for all team members. RHU and FHOK will be available for assistance in terms of establishing contact to stakeholders, interpreters and if necessary research assistant candidates. It is suggested that the Consultant ensures to include senior management in the study to anchor the methodology and the outcomes of the study in the organisation. 3. Approach The baseline study should provide an accurate estimate of pre-operation conditions, and provide the relevant and adequate data upon which the projects’ progress on generation of outputs, contribution to outcomes and impact is assessed. It should provide data for monitoring the progress during implementation and assessing the effectiveness and impact by project completion. This entails, in dialogue with DFPA and our partner, to define and concretise the theory of change and assumptions embedded in the project logic to ensure covering the right issues. The baseline study is the first step in the project’s PM&E system. The baseline study gathers the information to be used in subsequent assessments of how efficiently the project is being implemented and the eventual results of the project, and forms a basis for setting performance targets and ensuring accountability to partners and other stakeholders. It should be considered how data from the baseline can most easily be integrated in the PM&E system for regular monitoring at field level, Head Quarter level in Uganda and Kenya and at programme level in Copenhagen. The baseline study will also serve to test indicators and determine the refinements necessary. The key intention with the baseline is to have a basis from which the project can determine the change that the intervention aims to bring about (i.e. expected results). Secondary changes and underpinning assumptions may be assessed. The Consultant should thus apply state of the art within baseline studies and preferably look to the newest approach and theory to assessing women’s lives, decision making power, and issues around SRHR. The baseline should look at which communities among the women are affected, what are the key issues they face regarding SRHR and participation in decision making in the health sector, what are the relevant socio-economic and educational indicators and trends in this context, what are the main social, political, economic and technological factors that influence the issue in this context. If possible, past and future trends should be included. The project will involve health service providing institutions. The baseline should include health service status in the study area including health workers, and potential baselines for macro-level contextual issues from which to track impact. 4 The Consultant will primarily work with the national and district Project Officers of the projects in question and secondarily with relevant senior management. The consultant will be responsible for managing the process and the timely and participatory involvement of different stakeholders. It is vital that the consultant is able to travel to both Uganda and Kenya within the budget. 4. Methodology The choice of methods should be dependent on the anticipated information. The selected methods should be qualitative and quantitative and a combination of methods is desirable to maximize the reliability of the data. The sampling should be ‘representative’. When selecting data collection methods, the context of the intervention need to be taken into consideration – e.g. cultural aspects (i.e. conduct separate Focus Group Discussion for men and women). Participatory methods are suggested whenever possible, as is the inclusion of stakeholders. The stakeholders that should at least be involved are DFPA staff, RHU/FHOK staff and the target groups who are women (and in Uganda also men), health service providers in RHU and FHOK clinics and management in the health sector in project sites. The exact people to involve and possible other stakeholders will be defined together with RHU/FHOK. An inventory of existing information is vital. The methods used in the study need to be explained and justified in detail in the baseline plan and in the baseline reports. It is vital to show where the data will be accessed, and how many data sources will be used. Indicate which tools and methods will be used to analyse data. A quality-control process should be built into each method used in the baseline study to ensure that the data are collected according to the principles and criteria on which the study was planned. The Consultant should design the data collection tools, present them to DFPA and RHU/FHOK and if possible pre-test them. Visual items, including photographs, maps and diagrams, are important pieces of data and will be welcome in the baseline study. It is often necessary to be creative and innovative about the data sources used. The presentation of the data should include tables, diagrams, etc. to make it user friendly. The baseline study should be meaningful, relevant, cost effective and not too academic. 5. Deliverables The Consultant is expected to deliver the following to DFPA within the time line presented below: Inception report presenting data from both countries Baseline plan Two draft baseline reports Final baseline report 5 6. Reporting Results of a baseline assessment should be interpreted and narrated in a standard, easy-to-read report. The following is a suggestive table of contents. The wishes for data to be entailed in the baseline study will be defined by DFPA before the inception report is expected. The final report should include discussion of the following: (a) The general framework of the assessment (b) Techniques employed in information gathering (c) The participative methodology used (d) Tools used to collect and analyse the information (e) The composition of the assessment team (f) The range of stakeholders involved (g) The limitations or constraints in terms of information gathering, the tool or other constraints faced by the evaluation team. (h) Presentation and analysis of findings in a quantitative and qualitative form. (i) Conclusion with recommendations as how to work with the data through-out the project implementation and as part of the evaluation. 7. Timing and work plan The Consultancy should be undertaken in the period July 2014 – October 2014. The total number of working days is expected to be 38 days. DFPA is open for a discussion of the time schedule. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. Activity Skype meeting with DFPA, preparatory Desk study Baseline plan Field study in Uganda (incl. meetings with RHU) Draft Baseline Report Debriefing with DFPA Final Baseline Report Field study in Kenya (incl. meetings with FHOK) Draft Baseline Report Debriefing with DFPA Final Baseline Report Total Deadline August 1. 2014 August 5. 2014 August 7. 2014 August 8. – August 21. 2014 August 25.2014 August 27. 2014 August 29. 2014 Sep 1. – Sep 12. 2014 September 16. 2014 Sep 18. 2014 September 22. 2014 Working Days ½ day 2 ½ days 2 days 10 days 4 days ½ day 2 days 10 days 4 days ½ day 2 days 38 days 6