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Call for Proposals – Endline Project Evaluation

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Date(s) - 21/06/2019 - 31/07/2019
12:00 am

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TERMS OF REFERENCE

FOR THE EVALUATION OF THE PROJECT:

Promoting Accountability and Social Justice In Health For All Ugandans

21st June 2019

Background

UNHCO will undertake an end-of-project evaluation for the Open Society Foundations (OSF) funded project titled “Promoting Accountability and Social Justice in Health for all Ugandans”. The overall purpose of the project is to “contribute to an accountable healthcare system that ensures equitable access to healthcare services for all citizens in Uganda.” The project target areas are the districts of Mukono and Dokolo in the central and northern regions respectively.

The two-year project started in January of 2016. However, following a nineteen-month (19) lapse in project implementation (January 2017 to July 2018),  UNHCO revived the project in August 2018 in the target sites starting with field support supervision visits, community sensitization and mobilisation on the right to health through community level meetings and radio, promoting social accountability through application of community scorecards and engaging legislators, policy makers, media and civil society to gainer public advocacy for the Patients’ Rights and Responsibilities Bill (PRRB). It is these interventions that will be evaluated vis-à-vis the project objectives as stated in the proposal.

About the Project

In January 2016, the Uganda National Health Users’/Consumers’ Organisation (UNHCO) received a grant from the Open Society Foundations amounting to One Hundred and Ten Thousand Dollars (US$ 110,000). This grant was meant for “Promoting accountability and social justice in health for all Ugandans.” The project’s target districts are Dokolo and Mukono in Northern and Central Uganda respectively. Upon the realisation that despite the commitment of the Government of Uganda to ensure that its citizens enjoy the right to health and put the client and community at the forefront of health service delivery, Uganda still falls short of guaranteeing an adequate standard of health for its citizens coupled with weak participation of health users and providers in mutual accountability processes.

Uganda’s legislative framework does not explicitly provide for the right to health where health goods and services are claimable entitlements for citizens. The Constitution confers the right to health without adequate reference to the obligations of the State in fulfilling it which should be making health goods and services claimable entitlements for all. To that end, there are limitations on the extent to which the State can be held liable for failing to protect and fulfil the right to health which in itself disempowers the project communities that represent the other citizenry. More so citizens cannot with ease access legal remedies which have been a preserve of the urban dwellers because Uganda’s judicial structures are an amenity. This fails access to justice thus relegating up country communities to their own means- founded in the community paralegal’s concept.

To that end, this project was designed in a three pronged approach; empowering Rights Holders (health users) with knowledge on their rights to demand for better health services; strengthening capacity of health users to participate in constructive engagement through social accountability tools to demand for social justice and redress in respect to health rights; and engage in district and national level advocacy for responsive laws, policies and institutional frameworks that contribute to the progressive realisation of the right to health.

Project Goal: To “contribute to an accountable healthcare system that ensures equitable access to healthcare services for all citizens in Uganda”
Project results:    i.      Increased awareness among citizens in two Ugandan districts on health rights, responsibilities, social justice and  redress mechanisms by August 2019ii.      Strengthened mutual accountability and access to social justice, redress mechanisms for health rights violations among citizens in two Ugandan districts and at the national level by August 2019

  1. Strengthened legal, policy and institutional framework for the progressive realization of the right to health in Uganda

 

Target: Community members, Patients, Local Council (LC) Courts, members of Health Unit Management Committees (HUMCs), members of District Health Teams (DHTs), Justice, Law and Order Sector (JLOS) institutions (police, judiciary, Uganda Human Rights Commission (UHRC), Directorate of Public Prosecutions (DPP), Law Development Centre (LDC), Uganda Prisons Service (UPS), the Law Council, Family and Children’s Courts (FCC), Members of Parliament, academia and CSOs.

The Project is implemented in 2 districts namely; Mukono and Dokolo

The project is implemented at two levels:

  • District and community – In each district there is a focal person who implements activities on behalf of the secretariat. The focal person works with community monitors and paralegals; 20 per Sub County. The Monitors, Paralegals and the focal person work together and draw work plans which they follow during implementation. The plans are shared with the project officer at the secretariat who monitors the implementation of these activities and provides technical backstopping. Every quarter, the project officer has a chance for face-to-face interactions with the community implementers and beneficiaries through support supervision visits.
  • National – The project has a component of advocacy more especially on strengthening the legal framework for the right to health through advoacacy for the passage of the Patients’ Rights and Responsibilities Bill 2018. Through this component the project partners with other key players in the health sector to advocate and monitor health service delivery and its effects to the grass root communities.

Evaluation purpose, audience, and objectives

This evaluation is an ‘utilisation-focused’ exercise, i.e. it should involve ‘the systematic collection of information about the activities, characteristics, and outcomes of program to make judgements about the project, improve project effectiveness, and/or inform decisions about future programming.

The objectives of the evaluation are to:

  • To assess overall project achievement against the project objectives (goal, purpose and intended results)
  • To identify challenges, success stories and lessons learned, as well as suggesting ways to tackle the challenges identified.
  • To assess sustainability of results achieved by the project.

Evaluation methods and questions

Evaluation methods and a detailed timeline need to be proposed by applicants for this assignment. However, it is expected that this will be a participatory evaluation drawing on the input of diverse stakeholders. The evaluation involves desk work, interviews by telephone/Skype, and meetings/interviews in the two districts of project implementation and national level stakeholders.

 

The general questions for the evaluation include[1]:

 

Relevance

  • How relevant was the project to the target groups including the government’s priorities?
  • Were the project activities consistent with the goal and attainment of objectives?
  • To what degree did the project objectives remain valid?

 

Efficiency

  • How cost-efficient were the programme activities?
  • Were the project objectives achieved on time?
  • How efficient was the project implementation compared to alternatives.
  • Does the project deliver value for money? Is the donor’s money well spent?

 

Effectiveness

  • What has been the contribution of social accountability and/or community monitoring and paralegal services to the project outcomes?
  • To what extent has the project contributed to an accountable healthcare system in the target areas?
  • What lessons have been learned from this project and how might these be of assistance to other projects/institutions?
  • Are communities better able to hold service providers and political leaders accountable for quality health services?
  • Are effective mechanisms for community monitoring in place?
  • What are the results achieved beyond the set outcomes?

 

 

Sustainability

  • How sustainable are project results? What measures, if any, have been put in place to promote sustainability?
  • Is beneficiary engagement likely to continue after external funding ceases?
  • What factors were responsible for the overall achievement of the project’s sustainability?

 

Impact

  • Has accountability and social justice been improved in the target areas?
  • What, if any, has been the contribution of the project?
  • Has the quality and relevance of healthcare services increased, why, and with what impact?
  • What difference has the project made to beneficiaries

Deliverables

  1. Detailed implementation plan – methods, including sampling and tools and detailed schedule, to be reviewed and agreed by UNHCO Secretariat before commencement of the assignment.
  2. Draft evaluation report – to be submitted by 22nd July 2019 for review.
  3. Final evaluation report – (Maximum 30 pages excluding executive summary and annexes) – a final version should be submitted by 30th July 2019 for final checking and sign off.
  4. Note: all documents to be written in English, submitted in MS WORD file, Times New Roman, font 12.

Assignment schedule

The principal components of the evaluation assignment are: preparation and planning, data collection, analysis, and report. These components include:

Activity

Includes:

Preparation and planning

  • Background reading
  • Preparing evaluation tools to be used in interviews/discussions and fieldwork
  • Development of detailed implementation plan for agreement with UNHCO Secretariat
  • Liaison and planning with UNHCO Secretariat, including for fieldwork travel

Data collection

  • Field visits to project districts for evaluation meetings with stakeholders
  • Evaluation interviews/discussions with project staff
  • Collation of project’s routine data and reports.

Analysis

  • Analysis of routine data and report
  • Analysis of evaluation findings

Report

  • Preparation of draft report
  • Feedback
    • Finalisation of report in light of feedback

 

It is for applicants to propose time allocations for these components and develop a Gantt chart for the assignment.

Note: all aspects of the assignment must be completed by 9th August 2019.

 

Obligation of the Client: UNHCO will organise and coordinate and meet the cost of the field data collection exercise.

 

Skills and experience

Applicants are expected to have the following attributes:

  • Excellent written and verbal communication in English
  • Strong understanding of social accountability and community monitoring and health and rights (understanding of rights based programming is a major advantage)
  • Strong understanding of the health sector in Uganda.
  • Strong understanding of advocacy in the health sector.
  • Strong understanding of the Uganda context (socio cultural, policy) and in relation to the relevant SDGs.
  • Proven track record of conducting similar project evaluations; includes the ability to recruit, train, manage and quality assure the work of field researchers
  • Results-based approach; strong planning and assignment management skills, and ability to set realistic deadlines and meet them.

Contact persons and decision-making

The consultant(s) will report directly to, and address any decision-making issues to, the Executive director, Ms. Robinah Kaitiritimba; UNHCO, Plot 302 Bukoto Rd, P.O Box 70095, Kampala. Email: rkitungi@unhco.or.ug

Operational support is available from the Programme Officer, Aziz Agaba, aagaba@unhco.or.ug and other project staff.

Request for proposals

Maximum 3 page proposals are invited from relevant individual consultants. Deadlines are as follows:

  • Detailed costed proposals (see below for details) to be submitted in PDF format by email or hard copy to UNHCO, Plot 302 Bukoto Rd, P.O Box 70095, Kampala. Email: rkitungi@unhco.com by 5:00pm local time on 5th July 2019
    • Successful applicant to be contacted by 8th July 2019 at the latest, and date/time for preliminary phone call or meeting will be arranged
    • On completion of signing of contract, work can proceed as planned by the successful applicant

 

Proposals should include:

  • Brief Motivation for the assignment and statement of relevance/competence
  • Brief Description of proposed methods and details of approaches/software to be used for data capture, storage and analysis
  • Gantt chart for the assignment, from inception through to final report and handover
  • CVs for the specific individual(s) to do the work showing qualifications, skills, experience and references
  • Professional fees
  • Proposals for payment schedule linked to deliverables.

 

Questions to clarify this TOR can be sent to email address above.

Background materials for RFP

  • Project proposals
  • Project reports

 

Contact the Secretariat at:

Uganda National Health Users’/Consumers’ Organisation (UNHCO)

P. O. Box 70095, Kampala Plot 302 Bukoto Road,

Website: www.unhco.or.ug

Email: rkitungi@unhco.or.ug or info@unhco.or.ug

Tel: +256-772-638451, +256-414-532123

 



[1]Adapted and expanded from http://www.evaluationtrust.org/evaluation

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