Nutrition SQUEAC Survey Consultant – Mozambique

Purpose: The function of the Semi-Quantitative Evaluation of Access and Coverage (SQUEAC) evaluation is to evaluate the protection of the vitamin program and examine or establish key components affecting the uptake of CMAM companies in Ancuabe and Metuge districts, Cabo Delgado, Mozambique.

Period of Performance: TBD (Tentatively December 1st, 2022 – January eleventh, 2022)

Place of Performance: Ancuabe and Metuge Districts, Cabo Delgado, Mozambique.

Background

FHI 360’s humanitarian response in Mozambique started in 2019 when it used the nation platform to launch a response to communities affected by Cyclone Idai in Sofala and Cyclone Kenneth in Cabo Delgado province. Currently, in response to the battle in northern Mozambique, FHI 360 supplies lifesaving assist for communities affected by insecurity, battle, and displacement in Cabo Delgado Province by delivering important well being, vitamin, water, sanitation, and hygiene (WASH), and safety help by way of institutional, cell, and community-based ranges. The Integrated Response to Affected Mozambique Populations (IRAMP) undertaking’s objective is to enhance the well being and well-being of conflict-affected populations in Cabo Delgado province, concentrating on susceptible populations—together with ladies and ladies, unaccompanied and separated youngsters, individuals with incapacity, and internally displaced individuals (IDPs) in Metuge and Ancuabe districts. In occasions of emergency, the undertaking pivots and responds to acute humanitarian wants in different districts by way of a speedy response mechanism. FHI 360 works intently with the federal government, native growth organizations, and native well being officers to design and implement community-level packages tailor-made to assist the Government of Mozambique’s responses to HIV/AIDS, tuberculosis (TB), malaria, and malnutrition, and strengthening authorities and native establishments.

The humanitarian scenario throughout Cabo Delgado has continued to deteriorate, and displacement figures have elevated by 20 % to 946,508 within the first half of 2022. Since 2017 Cabo Delgado province has suffered a sequence of assaults by non-government armed teams (NGAGs), which have expanded geographically and elevated in depth since 2020. The fragile humanitarian scenario in Cabo Delgado was exacerbated by the impression of Tropical Cyclone Kenneth in April 2019. Livelihoods have been misplaced, and training stalled whereas entry to requirements resembling meals, social companies, and healthcare is hampered.

According to the June 2022 Cabo Delgado SMART survey outcomes, GAM prevalence ranges from 4 5% to 0.9% by WHZ which falls underneath the low or very low class of emergency threshold classification as per the newest replace WHO/UNICEF 2018 threshold. However, particular consideration and bolstered monitoring are wanted because of numerous underlying danger components within the provinces of Cabo Delgado together with insufficient entry to livelihood alternatives and meals due to the displacements and insecurity. Chronic malnutrition within the province stays of public well being concern. The prevalence of power malnutrition amongst youngsters 6 59 months was 44.5% which is classed as very excessive based on the UNICEF WHO 2018 thresholds.

Results from the 2021 survey performed by UNICEF and WFP on malnutrition highlighted that there was very low GAM remedy protection in Cabo Delgado, with lower than 30% of the circumstances admitted for remedy because of restricted entry to well being amenities and restricted humanitarian companions. The well being facilities’ low and restricted water and hygiene companies compound the scenario. Additionally, suboptimal toddler and little one feeding practices in Cabo Delgado prevented any progress.

FHI 360 IRAMP undertaking vitamin sector goals to enhance the dietary standing of susceptible populations, significantly pregnant and lactating ladies (PLWs), infants and younger youngsters underneath 2, and youngsters 3-5 years, lowering acute malnutrition, morbidity, and mortality. Implementation entails a three-pronged strategy by way of supported static well being amenities, built-in cell medical models (IMMUs), and group mobilization through supported Agentes Polivalentes Elementares (APE) networks.

Goals and Objectives:

The Semi-Quantitative Evaluation of Access and Coverage (SQUEAC) Survey will likely be performed to determine the extent of entry for program contributors to Community based mostly Management of Acute Malnutrition (CMAM) companies, decide the protection inside undertaking places to raised inform implementation, and enhance program supply. Furthermore, the survey will assess the protection of the CMAM program, components affecting protection, obstacles, and boosters to entry and develop suggestions for program enchancment within the survey places.

The particular targets of the survey embrace:

• Determine protection of CMAM and IYCF-E companies, identification of obstacles and boosters to service entry, and vitamin program uptake in Ancuabe and Metuge districts in Cabo Delgado.
• Identify components affecting the uptake of OTP and different CMAM companies within the goal space of operation (Barriers and boosters)
• Develop, in collaboration with the group leaders, Ancuabe and Metuge Serviço Distrital de Saúde Mulher e Acção Social (SDSMAS) and Direcção Provincial de Saúde (DPS) particular suggestions to handle the recognized obstacles to protection of the CMAM and IYCF-E packages.
• Enhance competencies of key FHI 360 technical groups in conducting entry and protection survey utilizing Semi-Quantitative Evaluation of Access and Coverage (SQUEAC) methodology.
• Develop particular suggestions in collaboration with FHI 360 to enhance CMAM protection
• Establish suggestions on actions to handle recognized gaps to assist planning, advocacy, decision-making, and monitoring.
• Determine future program focus to about survey outcomes amongst youngsters aged 6-59 months in FHI 360’s operational areas.

Methodology

The evaluation is anticipated to dissect and deeply analyze the protection challenges/obstacles and enablers/boosters by way of an interactive course of that makes use of each secondary and first knowledge assortment strategies. A full and detailed SQUEAC survey methodology will likely be designed by the Consultant in session with FHI 360 employees.

Responsibilities of the Consultant/Agency:

• Design the survey protocol and develop complete instruments for knowledge assortment consistent with the usual FHI 360 analysis templates.
• Hold stakeholder conferences with the vitamin cluster, SDSMAS, and different companions.
• Conduct a one-week coaching for FHI 360, SDSMAS, DPS, and Partner businesses’ vitamin technical employees on SQUEAC methodology and information and supervise them as they participate within the evaluation processes – planning, knowledge assortment, knowledge evaluation, and reporting.
• Assume total accountability for the design and implementation of the SQUEAC Survey, together with each day supervision of survey groups and each day knowledge assortment high quality assurance, sufficient supervision, and coordination of the survey groups within the subject
• Clean and analyze knowledge utilizing acceptable software program
• Prepare and lead a validation workshop for MOH and related stakeholders in Cabo Delgado, Mozambique to develop particular suggestions and a joint motion plan to enhance protection of the CMAM program within the goal areas and the prevalence of acute malnutrition amongst youngsters aged 6 to 59 months. The presentation outcomes will likely be shared through the sub-national Nutrition Cluster.
• Develop a remaining SQUEAC survey report together with however not restricted to abstracts, methodology, limitations, outcomes, conclusions, and suggestions incorporating suggestions from FHI 360 and the Nutrition cluster on the draft report.
• Validate the findings with the Senior Emergency Nutrition Advisor, Nutrition Coordinator, M&E Coordinator, Deputy Response Coordinator, Response Coordinator, FHI 360 employees, DPS, SDSMAS, and Nutrition Cluster.

Deliverables

• Final SQUEAC survey report with an entire listing of annexes (survey design protocols, listing of knowledge sources, detailed SQUEAC survey work plan, knowledge assortment instruments, and so on. A full listing of annexes to be developed in session with the FHI 360)
• Presentation (Slide Deck) of findings and suggestions to FHI 360 and key stakeholders as wanted.
• The advisor/company will current the findings utilizing the slide deck developed.
• A cleaned quantitative and qualitative Data Set and/or summaries to make sure the authenticity of the report in a format accessible by FHI 360.

Duration of Activity and Level of Effort (LOE):

The advisor/ company will likely be required to develop the implementation and supervision technique of the SQUEAC survey together with survey protocol, knowledge assortment instruments, coaching materials, SQUEAC survey studies, and so on. inside 31 days from the date when the contract has been signed. For additional reference, see beneath.

• Develop the design, implementation, and supervision technique of the SQUEAC survey together with survey protocol, knowledge assortment instruments, and coaching material- 5 days
• Train the survey staff and take a look at the tools- 5 days
• Complete knowledge assortment in Ancuabe and Metuge, Cabo Delgado, Mozambique- 10 days
• Draft SQUEAC survey findings together with background, methodology, outcomes, limitations, conclusions, and suggestions (short-term and medium-term suggestions)- 6 days
• Submit a SQUEAC draft report incorporating the suggestions from the FHI 360 IRAMP staff, CO, HQ, SMOH, UNICEF, and the vitamin Cluster- 3 days
• Submission of all coaching supplies, knowledge, and evaluation outputs (each uncooked and remaining authorised report) electronically to the FHI 360 IRAMP staff earlier than remaining payment- 2 days
• Total variety of days: 31 days

Qualifications of the Consultant/Agency:

• The advisor/staff lead ought to have a complicated diploma in Public Health, Nutrition, Monitoring and Evaluation, Research Methods, or a associated subject,
• Relevant technical information and expertise within the implementation of SQUEAC surveys and different protection surveys.
• Prior expertise in main a SQUEAC survey in an analogous context is most well-liked.
• Advanced proficiency in MS suite (MS Office, MS Excel, MS PowerPoint) and analytical software program (ENA for SMART surveys software program, EPI Info, or alternate statistical software program), and Mobile Data Collection (ODK/Kobo gather).
• Strong and confirmed expertise, a minimum of three years, in community-based vitamin surveys
• Knowledge of designing and implementing CMAM and IYCF packages
• Excellent qualitative and quantitative knowledge assortment, evaluation, interpretation, and reporting abilities
• Strong communication abilities with the flexibility to current data successfully and clearly and reply appropriately to questions from FHI 360 employees and different related stakeholders
• Ability and willingness to journey to FHI 360 subject websites and vitamin supported amenities
• Familiarity with the Northern Mozambique context is an added benefit
• Fluent in written and spoken English is required; information of Portuguese and the native languages within the operation space is a bonus.

How to use

Interested and certified events are inspired to use. Applicants should submit: (i) a letter of expression of curiosity together with a story description of candidates’ {qualifications} for this consultancy; (ii) a Technical proposal demonstrating an intensive understanding of this Terms of Reference and together with, however not restricted to the next: Consultant / Agency profile, detailed description of the Methodology, proposed exercise work plan, staff composition (together with CVs of every staff member), and detailed earlier expertise in SQUEAC surveys; and (iii) Financial proposal. Proposals ought to present easy, concise data that satisfies the necessities of the ToR.

Bidders should submit an digital model of their proposal by electronic mail to: [email protected] no later than November 9, 2022. Applications submitted previous the deadline is not going to be thought-about.