Action Africa help International (AAHI) is a non- governmental organization that works with communities living in conflict, post conflict and other disadvantaged situations in Africa. AAHI strategy and approach to development is to do things with people rather than doing things for people. At community level AAHI works with local community leaders to mobilize communities to access PHC services. At County level, County Health department is embraced to strengthen health care system. Working with government structures at different levels has given AAHI an interactive experience of a two-way system of monitoring performance and feedback mechanism for improving quality of health services.
In the Republic of South Sudan, AAHI has been implementing Basic Health Services in the Western and Central Equatoria States for over two decades, supported by various funders including the Government, UN Agencies, USAID, and Church Organizations.
Mission of AAHI South Sudan Programme is to facilitate communities in South Sudan to improve their livelihoods through a comprehensive Primary health care approach.
AAHI envisions that when it has made its contribution through the various interventions, it will see “Communities living in peace and enjoying improved livelihoods”
The current Regional PHC project funded by EED covers the Counties of Ibba, Maridi, Yei, and Morobo of Western and Central Equatoria States. The project duration is 2years and will end by 31st March 2013. This project has three main components, namely:
- Basic Training of Health Workers at Maridi Nurse Training School (MNTS) where community midwifes and nurses are trained
- Community Based Health Care (PHC-programme) which involves the community and the primary level health facilities
- Support to Maridi County Hospital, which is a secondary-level referral facility that also serves as a teaching hospital for Maridi Nurse Training School.
The major activities in the key project components above include:
- Provision of services in the Seven High Impact Areas (Maternal Health, HIV/AIDS, Child Health, Nutrition, WASH, Family Planning, Malaria)
- Health System Strengthening
- Managing& running Maridi County Referral Hospital
- Supporting the development of Human resources for health through management of Maridi Nurse & Midwifery Training School
Specific activities include:
- Vaccination with emphasis on Expanded Programme on Immunization (EPI) strategy, with particular emphasis on polio eradication programme through collaboration with partners such as WHO, UNICEF & respective State Ministry of Health.
- Control of diarrheal diseases through promotion of WASH - safe drinking water and good sanitation through protection of springs, maintenance of boreholes, distribution of water guard, hand washing facilities and training on good hand washing practices.
- Provision of 24 hour emergency obstetric care and other surgical and medical emergencies at Maridi County Referral Hospital.
- Prevention of mother to child transmission of HIV (PMTCT) in Ibba PHCC, Maridi Hospital, Tore PHCC in Yei , provision of PITC (Provider-Initiated Testing & counseling) in Mundri PHCC. Giving Anti –retroviral like Nevirapine to the pregnant mothers at birth reduces chances of the newborn getting infected by about 50%
- Provision of voluntary counseling and testing(VCT) and Anti-retroviral services at Maridi Referral Hospital
- Health education, promotion and awareness. This is done through a number of avenues like radio talk shows, puppetry, music, dance and drama in collaboration with AAH CAPOR project at targeted locations & audiences e.g. school health committees, churches, health education sessions in antenatal clinics and general OPD.
The broad objective of the project is to improve access to health services in four counties - Maridi, Ibba, Morobo and Yei – of Western and Central Equatoria States in South Sudan through:
Delivery of effective preventive, promotive and curative health services in rural areas, particularly for mothers and children
Provision of hospital services in Maridi
Strengthening of health system at all levels
Terms of reference for the end of project evaluation
The rationale for the evaluation:
The project evaluation is a valuable tool for all stakeholders seeking to strengthen the quality of the project and improve outcome. The project evaluation will answer basic questions about effectiveness, lessons learned and recommendations for similar future interventions.
The objectives of the consultancy are:
To assess the performance of Regional Primary Health Care -project 187, and make important recommendations for the new phase through both qualitative and quantitative community and facility based survey.
To assess the impact indicators (outcome evaluation), as agreed upon at project inception.
Specific tasks to the consultant will include (scope of work):
- Development of a competitive proposal for detailing the methodology to be used among others
- Design a data collection tool that covers all the baseline indicators including EPI, and WASH among others
- Train data collectors on the tools developed and pre-test the tools
- Lead data collection team and closely supervise to ensure quality of data collection is maintained
- Submit inception report within one week from last data collection date
- Submit final end of project report within one month from project evaluation date.
The methodology will be participatory in an effort to include key stakeholders. The consultant(s) is expected to propose appropriate methods s/he will use in the evaluation exercise, with particular emphasis drawn to measuring impact (both quantitative and qualitative). The consultant(s) is expected to provide leadership and will bear full responsibility for the process, findings, comments and content of the final evaluation report.
Expected credentials for the consultant:
- Masters degree in Public health, Epidemiology or Global health and infectious diseases.
- At least 7years of progressive experience in comprehensive primary health care programme management, research,monitoring and evaluation
- Experience of the South Sudan context in a conflict and post conflict environment is a must
- Knowledge of Juba Arabic will be of added advantage for fast hand information
- Deadline for the narrative and financial applications is 31st of January 2013
- Successful candidate will be contacted and contract signed by end of 1st week February 2013
- 2nd week February for the preparations of consultant and review of relevant literature
- 3rd week of February for the evaluation process
- Inception report will be expected from the consultant by end of February 2013
- Final report will be expected by end of March 2013
br /Deadline for the narrative and financial applications is 31st of January 2013