TITLE: Al Dhale’e Health, Nutrition, and WASH Knowledge, Practice and Coverage Survey (baseline and endline)

SUMMARY: Medair in Yemen is looking to engage the services of a consultant(s) for implementing a large-scale Health, Nutrition, and WASH Knowledge, Practice and Coverage survey in Al Dhale’e in February – March 2023. For visa processing reasons, candidates must have Yemeni nationality and be able to travel to Aden and Dhale’e in Yemen. In addition, Medair is also looking for a consultant(s) to carry out the analysis and report writing, in April 2023 or (should the survey not take place until May) in May – June 2023. There are no nationality or travel requirements for this part of the consultancy, and this may take place remotely. Qualified candidates are welcome to apply for one or both parts.

BACKGROUND:

The consequences of Yemen’s conflict include the destruction of basic infrastructure, disruption of lifesaving essential services, major displacement, and loss of lives and livelihoods. The Yemeni economy is on the verge of collapse and has contracted by about 50 percent since conflict escalated in March 2015. Employment and income opportunities have significantly diminished.

Yemen currently has the highest number of people in need of humanitarian assistance of any country in the world, with almost 24 million people in need of humanitarian assistance. This is an increase on last year, and 2023 predictions are set to increase again.

Medair has completed three rounds of programming to roll out an integrated lifesaving intervention in Al Dhale’e governorate to reduce morbidity and mortality of vulnerable and conflict-affected communities. Medair is currently applying for a further round of BHA funding and has ongoing funding via SDC and DRA in Al Dhale’e governorate. Medair is responding to the humanitarian needs of vulnerable populations through an integrated health, nutrition and WASH response targeting vulnerable persons in selected districts, though these have changed with each round of proposals.

Basic maternal and child preventive and curative health and nutrition services are provided to deliver a comprehensive Minimum Service Package, targeting Primary Health Care Facilities with outreach activities in secondary and tertiary level areas. WASH activities form an integrated part of the approach addressing unsafe water, poor hygiene, and diarrhoea’s aggravating effect on malnutrition. WASH infrastructure at supported health facilities has been improved to reduce the risk of disease transmission.

Medair strives to protect beneficiaries in all projects, upholding the ‘Do No Harm’ principle. The project design includes gender and protection mainstreaming components and a demonstrated accountability to the affected population.

THE CONSULTANCY

CONSULTANCY PURPOSES

The consultancy constitutes one or more of the following two parts:

1. Part 1: Oversee implementation and quality assurance of the baseline and endline KPC survey.

2. Part 2: Calculate, analyse, and present the results of the 2023 KPC baseline and endline survey for selected Health, Nutrition, and WASH indicators, including where appropriate making comparisons with the 2022 results. Based on the findings, in collaboration with Medair staff make recommendations on adapting future programming.

OUTPUTS

Part 1 of the consultancy will take place in Medair’s project location of Al Dhale’e, Yemen, and be best delivered by a single consultant working closely with the Medair team or a pair of consultants. It is expected to require up to 25 days (subject to final arrangements).

Part 2 of the consultancy could be undertaken by the same consultant(s), or separately by a different consultant(s). This part can be conducted remotely and does not require travel to Yemen. With Part 1 having been successfully completed, it is expected to require 12-15 working days (subject to final arrangements).

The main steps required for each part are:

Part 1:

1. Pre-test survey questionnaire in the field in collaboration with Medair staff

2. Review, update and deliver enumerator training

3. Coordinate and quality assure data collection within the survey timeframe

4. Carry out any residual data cleaning

Part 2:

1. Conduct data analysis of all required indicators using appropriate software, in relation to the YEM126 and YEM 134 coverage areas respectively, while making comparisons with the results of the 2022 survey where appropriate.

2. Draft a comprehensive report (following the KPC manual guidelines) that describes the baseline and endline survey’s results, discusses its findings, including comparisons over time, and presents recommendations for programme adaptation in consultation with sectoral staff.

3. Complete final report

EXPECTED SCHEDULE FOR PARTS 1 & 2

CONSULTANT RESPONSIBILITIES

Depending on the nature of the consultancy (whether an international or national consultancy, or a Medair Special Services Agreement), the consultant will be responsible for:

• Delivering Part 1 and/or Part 2 set out above within the specified timeframe
• Acknowledging all data and results produced by the consultancy as owned by Medair and seek approval from Medair for any utilization of the result out of the defined ToR.
• Signing and abiding by Medair’s Data Protection Policy.
• Providing proof of registration as a consultant in advance where this is normal practice in the consultant’s country of residence.
• Gaining appropriate travel insurance and sufficient vaccination coverage
• Abiding by Medair’s security policies

MEDAIR RESPONSIBILTIES

Depending on the nature of the consultancy (whether an international or national consultancy, or a Medair Special Services Agreement), Medair will be responsible for:

• Covering local and/or international transportation for the purposes of Part 1
• Providing a thorough programme and security briefing prior to the commencement of the work

CONSULTANCY FEES AND TERMS OF PAYMENT

• The consultancy will be arranged either through a Medair Special Services Agreement or to-be-determined daily rates.
• A fee will be paid into a bank account designated by the consultant on the successful completion of Part 1 and/or Part 2 of the consultancy.

INFORMATION ON THE 2023 SURVEY

SURVEY PURPOSE

The Knowledge, Practice and Coverage (KPC) baseline and endline household survey will measure standardized health, nutrition, and WASH indicators for Yemeni populations in the Medair-supported project areas. The survey will provide robust endline and baseline data that will inform Medair and donors on progress made over the life of the project, current conditions, and access to services of the target population and provide a strong evidence base for proposed future programming.

KEY INDICATORS TO BE MEASURED

SURVEY METHODOLOGY

Whereas previous surveys have used Lot Quality Assurance Sampling (LQAS), the 2023 survey will use cluster sampling to gain point estimates at a 95% Confidence Level, with a 5% margin of error for most of the project’s key indicators.

The survey will be conducted in the catchment areas of 12 Health Facilities supported (or to be supported) by Medair across 6 Districts in Al Dhale’e. , 10 of the Health Facilities have been supported under the YEM126 project cycle, 7 of which will continue to be supported under YEM134 along with an additional 2 Health Facilities.

The sampling unit will be all mothers with children aged 0-23 months, and 780 questionnaires will be completed across 30 clusters, representing a cluster size of 26 respondents, across 26 households.

Sampling will take place in two stages; the selection of clusters, followed by the identification of eligible households within them at field level. In line with BHA requirements, field level household identification will be conducted using a combination of systematic random sampling and segmentation.

DOCUMENTS FOR INTERESTED APPLICANTS TO SUBMIT

• Curriculum vitae(s)
• Example(s) of similar work conducted
• An expression of interest, explaining how and why the applicant(s) are best suited to deliver on the work proposed
• A financial proposal
• Timetable proposal to carry out the service