Terms of Reference
The Partnership on Health and Mobility in East and Southern Africa (PHAMESA II) Programme
Baseline Assessment and Development of Strategic Plans: Kenya, Tanzania, Uganda
Title of assignment: Baseline assessment and development of strategic
plans for PHAMESA East Africa countries (Kenya, Tanzania, Uganda)
Commencement date: As soon as possible
Assignment duration: 2 months
Coordination office: IOM Nairobi
PHAMESA Regional Support Team, Migration Health
Other coordination with: Regional Baseline Consultant (East and South) based in South Africa
Background Information
Established in 1951, the International Organization for Migration (IOM)
is the leading inter-governmental organization in the field of
migration.
It has 156 member states and is active in 480 field locations.
Together with its partners in the international community, IOM acts to
assist in meeting the growing operational challenges of migration
governance and to advance understanding of migration issues.
This is with the aim of encouraging migration-inclusive social and
economic development, and to uphold the human dignity and well-being of
migrants.
In 2014, IOM’s regional migration and health unit for East and Southern
Africa received funding from the Swedish International Development
Agency (Sida) to implement the second phase of its health programme, the
“Partnership on Health and Mobility in East and Southern Africa,’’
referred to as PHAMESA II.
This is a four-year initiative to be implemented in 11 countries in the
two regions that are among the most significantly affected by migration
and the key priority diseases such as HIV, tuberculosis (TB), malaria
and other communicable diseases.
Through the PHAMESA II programme, IOM will support governments to
respond to the public health needs of migrants and communities affected
by migration and will promote the development and implementation of
evidence-based policies and programmes that support equal access to
services that improve health for all – including vulnerable migrants and
communities affected by migration.
The programme will also mobilize and build the capacity of other
non-state actors such as civil society organizations (CSOs), UN
organizations, faith-based and private sector partners to mainstream
migration health in their programmes so as to scale up the migration
health response in the two regions.
Overall Objective of the PHAMESA Programme
The overall goal of PHAMESA II is to contribute to the improved standard
of physical, mental and social well-being of migrants and migration
affected populations in East and Southern Africa, which enables them to
substantially contribute to the socioeconomic development of their host
and home communities.
To achieve this, PHAMESA II will collaborate with strategic partners at
local, national and regional levels, including relevant government
departments of Member States in East and Southern Africa, UN
organizations, the private sector, Civil Society Organizations (CSOs)
and community structures, to implement the four-year intervention.
The intervention seeks to contribute to the following four results,
which are directly aligned to the 2008 WHA Resolution 61.17 on the
health of migrants.
1.Improved monitoring of migrants health to inform policy and practice;
2.Policies and legislations comply with obligations with respect to the right of health of migrants;
3.Migrants and migration affected communities have access to and use
migrant-sensitive health services in countries of origin, transit and
destination;
4.Strengthened multi-country/sectoral partnerships and networks for
effective and sustainable response to health challenges associated with
migration in East and Southern Africa.
2. Purpose of the Baseline Survey in Kenya, Tanzania and Uganda
PHAMESA II follows a results-based management (RBM) approach, which
emphasizes the shift from inputs and activities to focusing on whether
the project is addressing the problems it is meant to address and
therefore achieving targeted immediate, intermediate and long-term
results through a dynamic theory of change.
In order to create a benchmark for progress, impact and results
tracking and evaluation as well as to provide evidence for development
of strategic plans, a determination of the current status on the
programme indicators at each country will be carried out.
Specific Objectives of the Baseline Survey
The specific objectives will include the following:
Generate comprehensive qualitative and quantitative data
that determines the baseline status of the PHAMESA programme indicators
in each country;
Generate quality information that will inform IOM’s
decision-making on the overall PHAMESA II intervention as well as
potentially inform and shape interventions by IOM partners at local,
national and regional levels within the East and Southern Africa regions
in the remaining three years;
Develop, through a participatory process, country migration
health strategic plans for the four years of PHAMESA based on generated
information through the baseline assessment.
Methodology, Scope, Duties and Responsibilities
Methodology, scope and coordination
The baseline and subsequent development of strategic
plans which are the subject of this call will be conducted in Kenya,
TanzaniaandUganda.
Prospective service providers may apply to undertake this
exercise for all the three countries, in two of the three or in just
one of the countries.
The application must specify which countries they wish to
cover. Applications to conduct the exercise in all the three countries
are preferred but not mandatory.
The assessment will cover indicators under all the four
PHAMESA programme result areas, which represent the expected results
emanating from interventions in transport corridors, urban spaces,
extractive industries/mining sites and mixed migration settings.
These four geographical areas are referred to in IOM terms as “Spaces of Vulnerability”.
A space of vulnerability isidentified as a geographical
area where migration and mobility create a conducive environment for
increased health vulnerability for everyone in that community, whether
they are migrants or non-migrants, and no matter of their profession.
Health vulnerability among migrants stems not only from
an individual’s health profile and behaviour but also from a range of
social, political and economic factors specific to the unique conditions
of the location they are in.
To undertake the baseline survey mixed methods of data collection will be used including but not limited to desk review;
key informant interviews with key stakeholders, partners and government officials;
beneficiary and health facility surveys and Focus group Discussions where possible at a few selected areas where IOM operates.
The PHAMESA programme has a Regional (East and South)
Baseline Lead Consultant already on board who is the overall consultant
for this exercise in East and Southern Africa.
He is responsible for the overall coordination and
development of the overall baseline survey protocol and tools to ensure
standardization of approach as well as quality assurance.
The successful service provider for this specific
assignment in East Africa will therefore work closely with this lead
Regional consultant to adapt the developed protocol and tools for the
East African context.
No new survey protocol and tools will need to be developed but rather an adaptation of the pre-developed.
The utilization of common protocol and tools for data collection in all
countries is particularly important to ensure standardization and
comparability of data across the 11 PHAMESA countries.
The successful service provider will also work closely with IOM country
coordinators and regional support teams to ensure they are satisfied
with the process and resultant data and reports.
PHAMESA program M&E will be responsible for the overall coordination
of the process in close collaboration with the programme result area
leads and country coordinators in each of the three countries.
Data to be collected
The baseline assessment will collect data spread across the following
strategic result areas (outcomes) which are aligned to the WHA
Resolution 61.17, at the country level.[1].
The successful service provider will be provided with the programme’s
Results Matrix with the full list of specific indicators for which
baseline data needs to be collected.
In summary the programme has four result areas (outcomes) as follows;
A.Improved monitoring of migrants health to inform policy and practice;
B.Policies and legislations comply with obligations with respect to the right of health of migrants;
C.Migrants and migration affected communities have access to and use
migrant-sensitive health services in countries of origin, transit and
destination;
D.Strengthened multi-country/sectoral partnerships and networks for
effective and sustainable response to health challenges associated with
migration in East and Southern Africa.
A. Monitoring Migrant Health:
Standardized cross-comparable data on the extent to
which countries in East and Southern Africa mainstream migration in
their national health monitoring strategies, plans and practices to
enable the monitoring of trends in migrants health over time.
The baseline process will entail analysis of national
and/or sectoral information systems such as Census, DHS, AIDS indicator
Surveys, routine HMIS among others so as to ascertain the extent to
which migrants health data is collected and comparability of this data
across regions or countries.
B. Policies and legislations:
Collect the actual texts of key national policies, laws
and strategies on migration, health and other relevant sectors such as
labour, security, immigration etc, and conduct a detailed analysis to
determine the extent to which they comply with obligations with respect
to the right to health of migrants, as expressed and guaranteed in
international and regional instruments, including the International
Covenant on Economic, Social and Cultural Rights and theInternational
Convention on the Protection of the Rights of All Migrant Workers and
Members of Their Families.
Also ascertain the level of commitment, willingness and
understanding of migration health matters among policy makers in each
country.
C. Migrant-Sensitive Health Services:
Standard cross-country comparable data on the extent to
which migrants and migration affected communities have access to and use
migrant-sensitive health services in countries of origin, transit and
destination in IOM areas of operation (spaces of vulnerability) in each
country.
A survey will need to be designed to collect data on this result area at community level in selected areas.
In the selected spaces of vulnerability, percentage of
health service providers (in selected areas that the IOM program covers)
providing migrant-sensitive services that improve health;
The extent to which service providers and health training
institutions consider cultural competencies and non-discrimination in
their training curricula and service provision;
In the selected spaces of vulnerability, percent of service
providers that involve migrants in their service delivery plans and
implementation at both the national level and in IOM areas of
intervention;
Levels of collaboration, coordination and referral systems
(including cross border referrals) between and among service providers
to facilitate increased access to health services, service access and
use by migrants and migration affected communities, presence of Standard
Operating Procedures (SoPs) between and among different sector service
providers such as immigration, health, labour, etc. on referral of
migrants to relevant services including health);
In IOM intervention areas, the number of health-care
professionals who have received any training on migrant-sensitive
service delivery, including training on caring for trafficked persons
and on GBV case detection and handling;
Availability and accessibility of information and guidelines to service providers on the right to health of migrants;
The existence of functional community structures/platforms
to address social determinants of health in migration affected
communities.
An assessment of health literacy among migrants and host
communities, among others.
D. Multi-Country/Sectoral Partnerships and Networks for Effective and
Sustainable Response to Migration and Health Challenges in East and
Southern Africa:
The extent to which global/regional and national
commitments, declarations and strategies on migration and health issues
(e.g. TB Declaration in the mining sector, WHA resolution on the health
of migrants;
SADC Framework on population mobility and CDs, etc.) are
operationalized and implemented at regional and national levels as well
as levels of coordination and capacity among IOM partners in favour of a
sustainable migration health response.
Service provider’s specific responsibilities
Prospective service providers may apply to undertake the assignment in all the three or in one or two of the countries.
Specific responsibilities of the service provider in any or all the three countries include the following:
Review key programme documents, including the results
matrix and indicator protocols and other relevant documents such as the
WHA resolution 61.17(2008), the Report on the 2010 Madrid Consultation
on operationalization of the WHA Resolution 61.17(2008) among others to
understand programme rationale, design, aims and context;
Produce inception report with a detailed suggested approach
on how the assignment will unfold from the beginning to the end
utilizing the pre-developed baseline approach and tools;
Participate in baseline preparatory workshop with the Lead
Regional Baseline Consultant and the IOM’s M&E and research team and
use the already developed overall baseline study protocol and tools and
tailor them to country level needs or context;
Recruit, train and manage country level data collection teams in Kenya, Tanzania and Uganda;
Undertake data cleaning and analysis for data collected in each of the three countries;
Produce and submit a country-specific baseline assessment report;
Incorporate comments/feedback from the IOM in the final report;
Submit final country reports of the baseline assessment to
IOM regional team in Nairobi and respective country coordinators,
including electronic and three bound hard copies for each country (raw
data will also be submitted to enable any necessary future analysis by
IOM and the regional consultant).
In relation to the country strategy development:
Develop a list of key stakeholders considering government, development partners, civil society, private sector and academia;
In consultation with the country migration and health
coordinator and regional support team engage and/or meet relevant
stakeholders to solicit input to the migration and health country
strategy;
Assess internal structures and capacity of the IOM Kenya,
Tanzania and Uganda country offices and regional migration health
programme team in Nairobi so as to ensure the country strategy is
aligned to country and regional capacity;
Develop a guiding questionnaire/tool to use with partners to
identify their needs, gaps, experiences, etc. related to migration and
health promotion;
Using the baseline assessment report and further
consultations with IOM staff and external stakeholders, produce a
country migration and health strategy covering 2014-2018 to guide
implementation of the PHAMESA intervention in each country of
assessment;
Work with IOM to validate the baseline study findings and strategy to an appropriate audience of stakeholders;
Incorporate feedback from IOM and stakeholders emanating from the validation workshop;
Submit final IOM country migration health strategy document
using the IOM provided template (electronic and three bound hard copies
for each country).
Timelines and Deliverables
The assignment is expected to be completed within 2 months from the date of commencement.
Specific deliverables expected from the service provider who will undertake this exercise include the following:
1) An inception report outlining:
the proposed approach to achieve the baseline data
collection and strategies development for each of the three countries
that is in line with the provided PHAMESA II regional assessment
baseline protocol;
team members and their profiles;
proposed work plan to accomplish the assignment within the shortest time possible;
proposed refined cost budget with clear statement of technical consultancy fees and related information);
2) Adapted protocol and tools to country needs/context;
3) Country Baseline assessment draft report for each country where baseline is undertaken;
4) Final country baseline assessment report;
5) IOM Country migration and health strategy document that has been validated by stakeholders.
IOM’s Obligations
1) Provision of relevant IOM documents to the study team;
2) Provision of supervision, oversight and management of activities of the service provider;
3) Facilitation and logistics support to the study team for smooth and timely implementation of the assignment;
4) Provision of timely feedback or comments to the deliverables on an ongoing basis during the process;
5) Monitor the study progress and provide additional information as need arises.
Fees and Budget Estimates
Interested service providers should submit a detailed itemized budget as
part of their proposal application submitted to IOM clearly stipulating
the consultancy fee and related costs.
The cost associated with air or ground travel will be settled separately
by IOM so travel cost should not be included in the cost proposal.
IOM will arrange the necessary logistics for the consultant including travel.
Payment schedule will be phased and based upon the submission of the deliverables outlined earlier.
Desired Background and Experience
For this consultancy, the following are the three core skills required
in the team: law, public health and migration or population studies.
The service provider will therefore need to constitute a team reflective of these core skills.
This core team must have the following:
A minimum of Master’s degree in the above core areas;
Extensive knowledge and experience working in the East Africa region, particularly in health research and evaluations;
Experience in conducting baseline surveys or situational assessments is required;
Deep understanding of migration and health dynamics;
Excellent understanding of national and regional policy and legal framework in East Africa;
Demonstrated experience in development of strategic plans;
Demonstrated skills and experience in quantitative and qualitative research including data analysis;
Demonstrated understanding of monitoring and evaluation
methods, particularly result-based monitoring and evaluation approach;
Experience and familiarity with TB, HIV & AIDS, malaria and other health priorities in East Africa;
Relevant experience in conducting regional and/or
multi-country research, preferably in East Africa region as an added
advantage;
Strong conceptual and analytical abilities;
Demonstrated ability to deliver quality assignments under tight timeframes;
Experienced facilitator of participatory processes;
Outstanding writing skills.
How to Apply:
Application Process
Interested candidates should submit their proposal (technical and budget) not exceeding 15 pages.
The proposal should outline suggested approach(es), number of days to be
taken to accomplish the assignment, team members and their
qualifications & work experience relevant to this assignment and
estimated budget proposal.
Full proposals to be submitted to:hrnairobi@iom.int
Closing date of applications is: 17th November 2014
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