Terms of Reference (TOR) for a study on barriers to gender and sexual health seeking behaviors – Somalia

Terms of Reference (TOR) for a examine on boundaries to gender and sexual well being looking for behaviors

Introduction and Background: CARE International has been in operation in Somalia/Somaliland since 1981 implementing each Humanitarian and Development applications. Over the years, CARE International has cast robust working relationships with native communities and authorities all through the nation. Building on its dedication to strengthen native capacities and emphasis on native actions and options to native points, CARE is working with 19 nationwide NGOs to supply Humanitarian and longer-term growth help throughout completely different areas Somalia/Somaliland.

CARE is registered with each the Somali Federal Government, all member States and companions with authorities (Somalia Federal Government and member states), line ministries and/or departments together with Ministry of Health in addition to the UN (WHO, UNFPA, UNICEF, WFP) for the implementation of Health and Nutrition applications. CARE’s emergency response give attention to the wants of essentially the most weak populations, notably women and girls. CARE implements its emergency response by Health & Nutrition, Education in Emergencies, Protection, Water, Sanitation and Hygiene (WASH), Food safety and livelihood sectors with intention of offering a holistic response to the a number of wants of essentially the most weak locally.

Somalia has had a long time of protracted disasters that has negatively affected nearly social sectors together with well being. The well being care system in Somalia stays weak, un resourced and inequitably distributed and clustered round main cities. There is essential scarcity of well being employees resulting in most looking for service from unregulated non-public well being services. As a end result, round 3.2 million ladies and men in Somalia/Somaliland want emergency well being providers. According to UNICEF’s report on the state of affairs evaluation of youngsters in Somalia/Somaliland 2016, youngsters and ladies face extra well being challenges in Somalia/Somaliland than in nearly some other of the world’s nations.

Pregnant ladies and Girls are confronted with myriad of sexual and reproductive well being challenges emanating from social, financial and bodily boundaries to well being. According to Somalia demographic well being survey 2020, solely 21% of moms get the chance of delivering at a well being facility with assist from a talented well being employee. As a end result, Somalia’s maternal mortality is estimated to be over 692/100,000 reside births which is without doubt one of the highest globally.

Health and Nutrition sectors are key areas of humanitarian interventions for CARE amongst drought affected and displaced communities within the areas of Lower Jubba, Galmudug, Sool, Sanaag, Bari and Togdheer. Over the years CARE has constructed its technical and companions’ experience and techniques to make sure high quality and well timed service supply to the populations who’re in want and expertise frequent shocks (local weather associated and human). Operating beneath a Memorandum of Understanding (MOU) with the regional Ministries of Health (MOH) of Somaliland, Puntland, Galmudug and Jubba Land, CARE immediately helps a community of MOH well being services, constructing MOH institutional capability in service supply, monitoring, and co-ordination. CARE’s built-in main well being care strategy goals to bolster Somalia’s/Somaliland fragmented main well being care system by strengthening MoH’s well being system stewardship capability within the supply of the important bundle for well being providers (EPHS).

Over the final two years CARE has put stronger emphasis in high quality programming within the Health and Nutrition sectors amongst different program sectors by improved joint supervision, capability constructing of its workers and companions in Health and Nutrition and knowledge high quality audits. However, gaps exist by way of entry and utilization of sexual and reproductive well being providers amongst ladies and Girls in CARE’s venture websites. While CARE has put emphasis on equipping Maternity models and Maternal youngster well being (MCH) clinics with important gear and supporting referral providers, utilization of maternal well being together with gender-based providers is low.

To get a greater understanding of this and inform its sexual and reproductive well being element, CARE seeks to interact a short-term advisor to review the boundaries to ladies and Girls accessing and using sexual reproductive and gender providers in venture space. CARE will use the gaps recognized to develop high quality, gender responsive applications to enhance sexual and reproductive well being providers among the many weak ladies and kids.

Purpose of the Terms of Reference (TOR):

Overall objective and aims of the evaluation:

The total intention of the examine is to discover and perceive the boundaries weak ladies and Girls face in looking for and acquiring expert, high quality sexual and reproductive well being providers by assessing information, attitudes and practices at neighborhood and facility degree in Somaliland, Puntland, Galmudug and Lower Jubba of Somalia.

The particular aims are:

The examine will information an evidence-based implementation technique for CARE’s sexual and reproductive applications together with that goals to enhance maternal and youngster well being outcomes.

  • Identify well being facility degree components affecting entry to sexual and reproductive well being for ladies and Girls in Somaliland, Puntland, Galmudug and Lower Jubba of Somalia.
  • Assess and describe boundaries and facilitators of sexual and reproductive well being for weak ladies and Girls on the neighborhood degree.
  • Identify perceptions, cultural beliefs, attitudes, and information of the neighborhood about sexual and reproductive well being for ladies and Girls together with Gender based mostly violence (GBV) and household planning.
  • Identify workers ability and information hindering provision of sexual and gender based mostly violence service ah Health Facility
  • Study space

The survey might be carried out in Lascanood, Erigavo, Ceel afweyn, Badhan, Dhusamareeb, Cabudwaq,Kismayo, Dhobley and Afmadow Districts the place CARE is implementing Sexual and reproductive well being providers built-in into well being and diet initiatives.

Women & Girls, Health committees, Health Facility workers and of reproductive age might be interviewed to establish boundaries to entry and utilization of sexual and reproductive well being providers.

The advisor is anticipated to suggest and an applicable examine design involving each quantitative and qualitative knowledge assortment entailing beneficiary survey, Health Facility doc critiques, targeted group discussions, beneficiary, key informant and stakeholder interviews.

  • Consultant function and accountability
  • Develop and design examine protocol and questionnaires, together with pattern dimension estimation, inhabitants dimension, clustering of the villages and validate contextual instruments
  • Assume total accountability for design and implementation of the Knowledge, Attitude and Practice (KAP), together with day by day supervision of KAP groups and day by day knowledge assortment high quality assurance
  • Train the KAP knowledge assortment groups and knowledge clerks in knowledge assortment requirements and use of the instruments (together with discipline testing)
  • Implement the KAP survey in Sool, Sanaag, Bari, Galmudug and Lower Jubba
  • Be chargeable for knowledge cleansing and evaluation utilizing applicable software program (i.e. Epi Info, SPSS, ENA for SMART, and ODK).
  • Prepare a draft evaluation report for assessment by CARE workforce guaranteeing that the evaluation is complete and consists of all related indicators
  • Prepare and lead a validation workshop (debriefing) for CARE and companions workforce
  • Prepare a last report together with background, methodology, outcomes, limitations, conclusions, and proposals incorporating suggestions from CARE Somalia workers and different Nutrition stakeholders on the draft report and instruments.
  • CARE’s function and obligations
  • Facilitate logistic association together with journey, lodging and many others.
  • Recruit Enumerators
  • Mobilize the goal teams for interviews
  • Provide enter to the inception report, instruments and KAP draft report
  • Activity plan.

No

Activity

Number of days per camp

1

Preparation of survey instruments, inception report and sharing with CARE and finalization after suggestions

4 days

2

Validation of instruments and presentation to cluster and Ministry of Health

2 Day

3

Training of survey enumerators and discipline testing

2 days

4

Data assortment (Quantitative and qualitative)

4 days

5

Data cleansing and evaluation

4 days

6

Report Writing

5 days

7

Technical assessment and feedback by CARE workforce

2 days

9

Final Report

2 days

Total Days

25 Days

  • Deliverables.
  • Inception report that features the design, implementation and supervision technique of the evaluation together with knowledge assortment instruments
  • COVID 19 adherence plan
  • Data Collectors coaching energy level
  • First draft evaluation report together with uncooked knowledge set in SPSS
  • Submit energy level presentation of key discovering
  • Final detailed report with suggestions with emphasis on amongst others on how;
  1. key boundaries social and conventional boundaries to gender and sexual well being for ladies and Girls.
  2. Increased equitable use of well being providers by various teams of girls and adolescent women.
  3. Improved provision of gender-responsive, inclusive and accountable well being providers by well being care suppliers for various teams of girls and adolescent women.
  • Qualifications:
  • Advanced diploma in Reproductive well being, Public Health, Nursing or associated discipline
  • At least 7 years of consulting expertise at nationwide or worldwide ranges in sexual and reproductive well being assignments.
  • Prior expertise engaged on analysis particular to sexual and reproductive well being
  • Prior expertise working with youth and ladies
  • A minimal of 5 years of expertise in conducting quantitative and qualitative analysis
  • Knowledge of gender-sensitive approaches
  • Excellent communications abilities in English, together with superior writing abilities
  • Strong communication abilities in Somali most popular
  • Direct expertise working with ladies and women in various communities in Somalia
  • Experience in qualitative analysis might be an added benefit
  • Application Requirements.

The under necessities might be thought of as a part of the choice course of and due to this fact, all candidates are inspired to ship.

  • A technical and monetary proposal: Should spotlight their understanding of the ToR and the way they suggest to reply to the ToR necessities together with the analysis design, instruments and applied sciences in place for them to carry out the project, implementation plan and monetary quote.
  • Team construction: Details of advisor’s capability and the way they construction the analysis workforce. This additionally consists of the CVs of key analysis groups together with the lead advisor(s).
  • Sample work: At least three (3) samples of comparable work (operational gender and sexual well being examine experiences) carried out for peer group in Somalia or within the Horn of Africa area for the final 3 years.
  • References: Names and phone particulars of no less than three (3) organizations with whom related work has been carried out.

NB: Proposed key personnel used for bidding are anticipated to be the folks executing the work of this contract.

  • Duration of the Assignment.
  • The length of the project is 25 working days after signing of contract. Days are inclusive of travelling, fieldwork and reporting.

How to Apply.

All functions MUST be accompanied by a technical and monetary proposal together with a short define of the proposed methodology, 3 references with contact particulars, a tentative work plan and the candidate’s availability.

Interested consultants or corporations are anticipated to submit their functions, up to date CVs of people to conduct the examine or profile of making use of firm to: [email protected] .Please point out “Study on boundaries to gender and sexual well being looking for behaviors ’’ as the topic heading not later than 14th September 2022.

Female candidates with requisite Somalia expertise are extremely inspired.

CARE is an equal alternative employer selling gender, fairness and variety. Female candidates are strongly inspired to use. Our choice course of displays our dedication to the safety of youngsters from abuse

How to use

How to Apply.

All functions MUST be accompanied by a technical and monetary proposal together with a short define of the proposed methodology, 3 references with contact particulars, a tentative work plan and the candidate’s availability.

Interested consultants or corporations are anticipated to submit their functions, up to date CVs of people to conduct the examine or profile of making use of firm to: [email protected] .Please point out “Study on boundaries to gender and sexual well being looking for behaviors ’’ as the topic heading not later than 14th September 2022.

Female candidates with requisite Somalia expertise are extremely inspired.

CARE is an equal alternative employer selling gender, fairness and variety. Female candidates are strongly inspired to use. Our choice course of displays our dedication to the safety of youngsters from abuse

https://reliefweb.int/job/3881721/terms-reference-tor-study-barriers-gender-and-sexual-health-seeking-behaviors

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