TENDER NO. C04/2013/14 FOR CONSULTANCY IN CONDUCTING BASELINE SURVEY FOR: INTEGRATED MALARIA AND MATERNAL, NEWBORN AND CHILD HEALTH PROJECT IN TANDAHIMBA DISTRICT, MTWARA REGION. We are requesting you/your firm to submit a proposal for Consultancy in conducting Baseline Survey for INTEGRATED MALARIA AND MATERNAL, NEWBORN AND CHILD HEALTH PROJECT IN TANDAHIMBA DISTRICT, MTWARA REGION The proposal submission is eligible to all consultant firms or individuals. Instructions and Terms of Reference (TOR) are attached. Kindly write on the Subject Line “Consultancy for Baseline Survey: INTEGRATED MALARIA AND MATERNAL, NEWBORN AND CHILD HEALTH PROJECT IN TANDAHIMBA DISTRICT, MTWARA REGION and send to the address provided below. The deadline of submission is 15TH. May. 2014 Thanking you in advance for your cooperation. Please inform the Secretary of Tender Committee if you have received the inquiry and if you will submit the quotation in hardcopy. DO NOT SEND PROPOSALS THROUGH EMAIL, the provided E-mail address is only for inquiries. Tender.SecretaryTZ@Amref.org AMREF Tanzania Country Office BOX 2773, Dar es Salaam. 1 TOR for Baseline Survey for Integrated Malaria and Maternal Newborn and Child Health project in Tandahimba, Mtwara INSTRUCTIONS TO CONSULTANTS 1) The Procuring Entity is AFRICAN MEDICAL AND RESEARCH FOUNDATION (AMREF) The Method of Selection is Combined quality and cost method 2) The baseline survey is to be completed at most within 30 calendar days after signing of contract and being paid an advance payment. (If the Client envisages the need for continuity for downstream work it should outline in the Terms of Reference the scope, nature, and timing of future work and indicate here the manner in which this information would be considered in the evaluation.) 3) Materials, equipments and supplies used by the Consultant are not permitted if they have originated in those states under embargo by UN. 4) For clarification of proposals the Client ’s address is: COUNTRY DIRECTOR Attention: SECRETARY TENDER COMMITTEE-AMREF Address: P.O.BOX 2773 DAR ES SALAAM Telephone: 2116610/2136731/2153104 Facsimile number: 255-22-2115823 Tender.SecretaryTZ@Amref.org 5) The proposals shall be written in the English language. 6) Other documents required to be submitted with the proposal are: Physical address and Telephone number, Business License, TIN Certificate and / VAT, Registration Company (applicable for consultancy firms and not individual consultants) 7) The minimum required qualification and experience of the consultant and professional staff details : Members of the team to undertake this assignment will be expected to have the 2 TOR for Baseline Survey for Integrated Malaria and Maternal Newborn and Child Health project in Tandahimba, Mtwara following: 1. At least a Master’s Degree or equivalent in Public Health or Monitoring and Evaluation and with a basic degree in Health Sciences; 2. Demonstrated understanding of global strategies on integrated approaches to provision of Malaria and Maternal, Newborn and Child health interventions; 3. Sound experience in conducting baseline surveys especially in the area of malaria, maternal, newborn and child health; 4. An understanding of the Malaria and Maternal, Newborn and Child Health policies of Tanzania and related evaluation frameworks; 5. Demonstrated knowledge of multi-stakeholder consultations and participatory data collection methodologies; NB. Remember to attach the CVs of all your staffs. 8) Training is not a specific component of this assignment 9) Additional information on the proposal includes; Interested consultants must provide information on their credibility to perform the service by bringing their profile, description of similar assignments in the past three years, availability of appropriate skills among staff. You will also be required to provide names and addresses of your past and present clients, indicating date and status of the projects. 11) The Procuring Entity will provide the following inputs and facilities: (unless specified otherwise during negotiation) 1) AMREF will provide the funds, logistical support and programme documents for review 2) AMREF will be the link between the Consultant and key partners as well as the communities. 3) Provide technical oversight, quality assurance as well as quality control for the evaluation as necessary. 4) AMREF will work with the partners to provide venues for discussions serve as community guides and mobilize the required persons for interviews and group discussions. Proposal must remain valid for 90 days after the submission date. 12) 3 TOR for Baseline Survey for Integrated Malaria and Maternal Newborn and Child Health project in Tandahimba, Mtwara 13) The proposal submission 3 hard copies with a soft copy in CD or Flash Sealed ( DROP AT THE TENDER BOX IN RECEPTIONIST OFFICE) AMREF Tanzania Country Office Ali Hassan Mwinyi Road, Plot No. 1019 P.O. Box 2773, Dar es Salaam, Tanzania Tel: +255-22-2131981/ 2116610/ 2136731 Mob: +255 - 767798081 Fax: +255-22-2115823 Website: www.amref.org The proposal must be submitted no later than 4.00pm._15th .May . 2014 14) Criteria, sub-criteria, and points system for the evaluation of proposal are: Criteria, sub-criteria (i) Points (%) Firm’s general experience, reputation and experience in previous similar assignments -General experience of the firm 25 ( 10) -Experience in similar assignment (15) (ii) Understanding of the terms of reference, methodology and the overall quality of the proposal 40 -Comments on terms of reference (20) -Work plan and Methodology (20) (iii) Qualification of key personnel 25 The number of points to be given under each evaluation sub criteria for qualifications of staff are; 4 [General qualifications] [10] [Adequacy for the project] [15] (iv) Local Firm Participation 5 (v) Participation by national experts 5 TOR for Baseline Survey for Integrated Malaria and Maternal Newborn and Child Health project in Tandahimba, Mtwara (a) Team Leader…………………………….. 3 points (b) Other Staffs…………………………….. 2 points Total Points : 100 The minimum Technical Score St required to pass is: 75 Points. 15) The formula for determining the financial scores is the following: Sf = 100 x Fm / F, in which Sf is the financial score, Fm is the lowest price and F the price of the proposal under consideration. 16) The weights given to the Technical and Financial Proposals are: T = 0.75 and FP = 0.25 17) The address for contract negotiations is: AMREF, Alli Hassan Mwinyi Road-Upanga, P.O.Box 2773 Dar Es Salaam The assignment is expected to commence on 24th May 2014 18) 5 TOR for Baseline Survey for Integrated Malaria and Maternal Newborn and Child Health project in Tandahimba, Mtwara About AMREF The African Medical and Research Foundation (AMREF) is an international health development organization based in Africa dedicated to finding African solutions for lasting health change in Africa and was founded in 1957. With its headquarters in Nairobi, the foundation has country offices in Kenya, Uganda, Tanzania, South Africa, Ethiopia and South Sudan, conducts programmes in over 30 African countries and is currently expanding into West Africa. AMREF’s Vision is “For Lasting health change in Africa-communities with the knowledge, skills and means to maintain their good health and break the cycle of poor health and poverty” and it believes “The power for lasting transformation of Africa’s health lies within its communities. AMREF works side by side with individuals in communities to empower them to build the knowledge, skills and means to transform their own health”, and focuses on “Improving the health of women and children in Africa’s communities”. Communities are at the heart of AMREF’s approach to lasting health change in Africa. This is what sets AMREF apart from many other health development organizations. AMREF listens to, gains respect and becomes a part of the community by empowering its members to build on their resources and inherent strengths to take charge of their own health. AMREF helps communities connect and integrate with formal health systems and acts as a powerful catalyst for lasting health change from within. AMREF’s programmes are guided by three health system strengthening building blocks: Human Resource for Health, Health Management Information System and Community Systems Strengthening. Project This project will work with Community Health Workers (CHWs) to raise awareness of maternal, newborn and child health among community members. The CHWs will encourage community members to seek care at health facilities. The project will also train health workers to provide a quality service. In addition, the project will strengthen the capacity of local authorities including the District Health Management teams and community based organizations (CBOs) in their response to maternal, newborn and child health. This project follows on from a previous malaria control project funded by GSK. Overall Goal The goal for this project is to contribute to the sustainable reduction of maternal, child and newborn morbidity and mortality in Tanzania through strengthening maternal, newborn and child health services in Tandahimba, Mtwara. Specific objective of the project: 6 TOR for Baseline Survey for Integrated Malaria and Maternal Newborn and Child Health project in Tandahimba, Mtwara To increase the access and utilization of maternal, newborn and child health (MNCH) services by pregnant women, newborns and children under five in Tandahimba. Project Objectives 1. To increase community knowledge, demand and access to maternal, newborn and child health services. 2. To strengthen the capacity of health workers to provide quality maternal, newborn and child health services. 3. To strengthen the capacity of district, ward and village authorities in their role and responsibilities in the project. 4. To build capacity of Community Based Organizations in the provision of malaria and MNCH information and services Beneficiaries Direct beneficiaries: Women of reproductive age and Children under five Indirect beneficiaries: People in Namikupa division in Tandahimba district. Community Health workers and Community based organizations. Baseline Survey The main objective of the survey is to assess the knowledge, attitudes and practice (KAP study) of people in Namikupa division in Tandahimba district. The baseline survey will assess behavior among the people towards use of insecticide treated nets, use of malaria Intermittent Preventive Therapy (IPT) and early treatment seeking behaviors so as to obtain preliminary results. AMREF uses a results based management approach as a basis for its M&E framework. The baseline assessment will be conducted to identify the gaps experienced from the previous implementation of the same project and set benchmark for monitoring purpose. Specifically, the survey seeks to: 1. Establish the prevailing levels of knowledge, attitude and practices of people around maternal health and childhood illnesses. 2. Identify what are the challenges on accessing quality health care services. 3. Establish the capacity of health care workers in diagnosing malaria and provision of FANC, IPT, BEMONC and PNC. 4. Establish the capacity and readiness of local community structures on referring pregnant women and children upon recognition of danger signs. 5. Identify the key social cultural barriers on early treatment seeking behavior among community members. 7 TOR for Baseline Survey for Integrated Malaria and Maternal Newborn and Child Health project in Tandahimba, Mtwara 6. Identify the key social cultural enablers to mobilizing community fund for emergency transport for pregnant women and under five children. Scope of work The selected consultant, working in collaboration with the project implementation team, will fulfill the following objective. The main objective of the baseline survey is to establish baseline status for all project indicators and provide benchmarks for target setting and effectiveness during implementation and after completion of activities. Specific objectives of the study are; Assess the availability of trained medical doctors and nurses in selected health facilities who can effectively manage maternal health, newborn and childhood illnesses. Assess the current community awareness on issues regarding maternal health and childhood illnesses. Identify what are the key challenges and bottlenecks in providing maternal and child health services in health facilities. Assess the availability of guideline, job aid, essential equipment and supplies for diagnosis and treatment of maternal, newborn and childhood illnesses. Assess the capacity of local community structures in supporting pregnant women, newborns and children upon recognition of danger signs. Identify the key social cultural barriers which delay treatment seeking behavior among community members. Assess the data collection tools if they suffice to capture the project indicators. Approach to be used This shall be a participatory assessment and will involve methodological triangulation of qualitative and quantitative approaches and involve the local community, selected health facilities, government (MOHSW) and civil society. The survey will be conducted by an experienced research consultant who has conducted MNCH/Malaria surveys in the past. Deliverables i. Inception Report detailing the study design, methodology, tools, work plan, budget and resources needed to be submitted within seven days after being selected but before contract signing ii. Data collection tools to be submitted together with the inception report for AMREF review iii. Complete evaluation data set and codebook in soft copy iv. The first draft of baseline survey report should take 30 days from the contract signing. The report should highlight the key project indicators addressing the specific objectives based on quantitative and qualitative methodologies applied (3 bound 8 TOR for Baseline Survey for Integrated Malaria and Maternal Newborn and Child Health project in Tandahimba, Mtwara v. hard copies and a soft copy). The consultant should also plan to de-brief the AMREF team after submitting the first draft of the report. The final report concisely written and with AMREF’s comments incorporated should be submitted within 15 days of the end of the survey. Expected profiles of the Consultant The consultant should have a good understanding of national health sector policies, plans and systems, Malaria, Maternal Neonatal and Child Health policies and strategies and frameworks in Tanzania as well as human rights and gender related issues in communities in Tanzania. S/he should have previous consultancy experience in the area of public health and reproductive health. The suitable candidate should possess postgraduate training in public health, social sciences or related disciplines, and have a minimum of five years of experience evaluating health and development programmes. Experience in evaluating CSOs’ organizational capacities in Tanzania is highly desirable. Technically should have the ability to carry out the survey as stipulated in the TOR by having; Proven evidence of documentation skills; Organizational development Skills; applicants with specialization in MNCH and M&E will have added advantage; previous experience conducting baseline surveys in Tanzania and in particular RH; proven record of excellent documentation skills in English and Swahili knowledge an added advantage. In addition the consultant must be proficient in data analysis and report writing and in the use of computers, especially the use of statistical analysis software packages for qualitative and quantitative data analysis. Role of AMREF (and Partners) 1) AMREF will provide the funds, logistical support and programme documents for review 2) AMREF will be the link between the Consultant and key partners as well as the communities. 3) Provide technical oversight, quality assurance as well as quality control for the evaluation as necessary. 4) AMREF will work with the partners to provide venues for discussions serve as community guides and mobilize the required persons for interviews and group discussions. Duration of the consultancy The baseline survey is expected to take a maximum of 30 days. The final report is to be submitted within 15 days of completion of the baseline survey. 9 TOR for Baseline Survey for Integrated Malaria and Maternal Newborn and Child Health project in Tandahimba, Mtwara Proposal The consultant will submit a full proposal for conducting the Baseline Survey with a technical and financial component reflecting the following: Technical Understanding and interpretation of the TOR Methodology to be used in undertaking the assignment. Time and activity schedule Profile of the Consultant Curriculum vitae of key personnel Financial Detailed cost proposal in Tanzania shillings for the consultancy work; that is Consultancy fees i.e. consultant’s daily rate in Tshs. Activity costs Other costs for the consultant (only) e.g. perdiem while in the field and travel costs for the consultant will be met by AMREF Organizational and Personnel Capacity Statement Relevant experience related to the assignment Appropriate references Curriculum Vitae of key personnel Some detailed activities to be included in the technical proposal Conduct desk review including key project documents i.e. project proposal, log frame Interviews with key district partners Interviews with project beneficiaries Present the draft report to AMREF technical team and use feedback to finalize report. Submission of Proposals The consultant is expected to submit a detailed response containing: A technical proposal A financial proposal Individual consultant’s capacity statement including relevant experiences related to the assignment and contact of organizations worked with Curriculum vitae of key personnel who will be involved in the assignment Date of submission 10 TOR for Baseline Survey for Integrated Malaria and Maternal Newborn and Child Health project in Tandahimba, Mtwara AMREF will evaluate the proposals and award the assignment based on technical and financial feasibility. AMREF reserves the right to accept or reject in part or the whole proposal received without giving reasons and is not bound to accept the lowest or the highest bidder. Reporting requirements Share the zero draft of the report to be reviewed by the technical project team then present the first draft to AMREF and partners. Submit final report with comments from AMREF and collaborators incorporated. AMREF report format The baseline evaluation report is expected not to exceed 40 pages excluding annexes and should conform to the following format: Executive summary Introduction Methodology Results/Findings Discussion Conclusions Recommendations Acknowledgement (very short like five lines) References Annex Evaluation and Award of Consultancy AMREF will evaluate the proposals and award the assignment based on technical and financial feasibility. AMREF 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. Only the successful applicants will be contacted. Intellectual property right The product of this survey is AMREF’s property. Under no circumstances the Consultant will use the information of this survey for publication or dissemination without official permission (in writing) from AMREF authority. The consultant will be required to handle over the electronic copy of a database to AMREF on the day of presenting the final report. Reporting Lines and Supervision of the Work i. The lead consultant will be reporting to the Clinical Programme Manager and Monitoring and Evaluation Manager at AMREF Tanzania Country Office. 11 TOR for Baseline Survey for Integrated Malaria and Maternal Newborn and Child Health project in Tandahimba, Mtwara ii. Consultant will neither assign nor sub-contract this assignment. AMREF reserves the right to terminate the consultancy in the any event with regard to the above notice or breach of any clause of the contract. iii. Delays in submission of deliverables by more than 5 business days without prior negotiated adjustments will result in a 5% deduction of the total consultancy fee and a 0.5% additional penalty will accrue per business day that deliverables are not received. iv. The consultant must make a request for extension of time in writing three days before deadline. Provided decision regarding such request will be made before the expiry of the consultancy duration. v. Once completed the evaluation will be the property of AMREF. Any replication of deliverables to any third party will only be accepted when approval is given by AMREF with clearly defined boundaries for its use. Evaluation and award AMREF will evaluate the proposals and award the assignment based on technical and financial feasibility. AMREF 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. Only the successful applicant will be contacted. 12 TOR for Baseline Survey for Integrated Malaria and Maternal Newborn and Child Health project in Tandahimba, Mtwara Annex 1 Logical framework Key results Goal : To contribute to the sustainable reduction of maternal, child and newborn morbidity and mortality in Tanzania through strengthening maternal, newborn and child health services in Tandahimba, Mtwara. Specific objective of the project: To increase the access and utilization of maternal, newborn and child health (MNCH) services by pregnant women, newborns and children under five in Tandahimba. Indicator Maternal mortality Ratio Under five mortality rate Infant mortality rate Neonatal mortality rate - - - Objectives 1. To increase community knowledge, demand and access to maternal, newborn and child health services. 2. To strengthen the capacity of 13 Baseline needed % of women delivering at health facility % of pregnant women who attended at least 4 Ante Natal Care visits by skilled attendant % of women withnewborns attending Post Natal Care % of children attending health facilities within 24 hours of onset of fever. % of pregnant women receiving Intermittent Preventive Therapy % of care givers able to recognize 3 signs and symptoms of malaria % of women and men who are able to recognize 3 danger signs related to pregnancy % of people benefitted by the Community referral fund of those seeking support. % increase of pregnant women newborns and children accessing health services in the health facility % increase of men attending the health facility with their partner or child. % of health workers providing TOR for Baseline Survey for Integrated Malaria and Maternal Newborn and Child Health project in Tandahimba, Mtwara health workers to provide quality maternal, newborn and child health services 3. To strengthen the capacity of district, ward and village authorities in their role and responsibilities in the project. 4. To build capacity of Community Based Organizations in the provision of malaria and MNCH information and services 14 quality Malaria and MNCHs services (to be defined). % of health facilities that have diagnostic equipment % increase in health budget for Malaria & MNCH services at district, ward and village level % of plans and reports that are timely submitted to the responsible health unit. % of reports that are compiled in the district Malaria and MNCH data base % of identified CBOs with their annual Malaria and MNCH plans shared in CBOs network TOR for Baseline Survey for Integrated Malaria and Maternal Newborn and Child Health project in Tandahimba, Mtwara