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i- Introduction

World Vision International is a humanitarian aid, development, and advocacy organization, working in about 100 countries around the world to serve all people regardless of ethnicity, gender or religion. We work in Health, Education, and Resilience (Economic Development, Disaster Risk Reduction and Emergency Response). Our Cross-cutting themes are child protection, gender and social harmony.

World Vision International has been working on emergency relief and development programs in Pakistan since 2005. Our relief responses include the earthquake in 2005, floods in 2007, 2010, 2011 and 2012, the internally displaced persons (IDPs) Crisis in 2009 and 2012 and the 2013 measles outbreak in Sindh. Through its various projects, World Vision is focusing on health and maternal & newborn child health (MNCH), education access and quality and resilience through Disaster Risk Reduction (DRR) and economic development. These are achieved through cross-cutting themes of child protection, gender and social harmony. We work with civil society and government partners in parts of KPK, North Sindh and South Punjab and urban projects in Rawalpindi and Lahore.

World Vision Pakistan is implementing various projects on child protection, youth empowerment and education, health & nutrition, disaster risk reduction, water, sanitation and hygiene and advocacy. During the above mentioned emergencies and through our development projects, we have also implemented projects in the areas of food security and livelihoods by partnering with agencies like World Food Programme (WFP) and Food and Agriculture Organization (FAO).

World Vision Pakistan is targeting most vulnerable children, their families and communities directly and indirectly to provide them with access to education, protection, sustainable income generation, health care, food and better care within their homes and communities.

1.     Assessment Summary

Programme/Project

Enhancing Nutrition Services to Improve maternal and Child Health in Asia and Africa (ENRICH)

Programme Phase

First Year

Study Type

Consultant to Conduct formative research to identify appropriate channels and platforms to engage and empower men on nutrition issues. Select/strengthen/establish appropriate strategy, channels or platforms to engage men in nutrition issues through community consultations and to review, develop, select, update training materials to support chosen strategy at three Talukas/Tehsils (Rohri, Pano Aqil and Saleh Pat) of District Sukkur

Assessment Purpose

The main objective of this assessment is to identify appropriate channels and platforms to engage and empower men on nutrition issues. And develop training materials to support chosen strategy at three Talukas/Tehsils (Rohri, Pano Aqil and Saleh Pat) of District Sukkur

Primary Methodologies

Mix Methodology (Qualitative and Quantitative)

Assessment Start and End Dates

July 24  - 14, 2017

Anticipated Assessment Report including implementation and monitoring plan Release Date

Aug 11, 2017.

2.     Description of Project

Background:

World Vision aimed at contributing improved mother and child health indicators by addressing malnutrition among children and mothers. The proposed project will focus on “Strengthening Health systems” and “Improving nutrition”. Pakistan, in the pursuit of achieving Millennium Development Goals (MDGs), in lagging behind particularly in MDG-4 and MDG-5 marked by 74 children die out of 1000 (IMR) and 276 mothers die out 100000 (MMR); on the contrary, it has committed itself to reduce IMR to 40/1000 and MMR to 140 by 2015, respectively. The alarming rate of IMR is directly linked with malnutrition marked by stunting rate among children is 43%, nearly 32% of the children are underweight and wasting rate in 15%. Malnutrition not only contributes to rife in child and infant mortality, it also exacerbates MMR provided that 76% of the women suffer from iodine deficiency and 39% of the women are anaemic.

The Project

World Vision keeping the dire context in view has proposed to initiate an integrated mother and child health and nutrition program in the sub-district of Sukkur district in Sindh including Saleh Pat, Pano Aqil and Rohri. The overall objective of the initiatives is to contribute to the reduction in MMR and IMR by addressing malnutrition in the targeted regions. The program will adopt a synchronized approach that includes strengthening and enhancing service delivery capacity of 43 Basic Health Units (BHU) which operate under department of health, which in turn will benefit directly 443,059 people and 455,850 indirectly. The initiative aims to improve the capacity of health management team at district and sub-district levels, build community level capacity to implement key maternal and child nutrition initiatives, influence policies and guidelines around maternal and child nutrition, improve access to and utilization of improved health and nutrition services, enhance capacity of service providers and increase consumption of nutritious food.

The initiative will be working closely with provincial, district and sub-district health authorities and with other relevant stakeholders that directly and indirectly impact on maternal and child nutrition outcomes such as department of Food, department of fisheries and livestock, civil society and the community.

Specifically, the project is trying to address the following issues;

  • Gender Equality through male engagement is evident through improved nutrition and health outcomes of pregnant, lactating mothers and adolescent girls.
  • Active participation in maternal health services and care (husband's attendance of antenatal care (ANC); husband’s support/help to wife during pregnancy, delivery or at post-partum);
  • Shared decision-making powers on maternal health with wife
  • More importantly to challenge Gender norms and following issues:
  • Sexual Violence and  crude discriminatory practices
  • Domestic Violence related issues
  • Maternal mortality /Home delivery
  • Adolescent Menstrual/  reproductive health neglect
  • Early marriage & Early pregnancy
  • Female Feticide/ Infanticide – Son preference
  • Women and Girl child neglect in nutrition and health care (cases of Anaemia and malnutrition).

3.     Assessment Target Audiences (i.e., for whom is the Assessment intended?)

Target audience and respective purpose reports serves include:

  • Community leaders including Faith leaders
  • Community – Men, women, Boys & girls.
    • Need Assessment
    • Desk review
    • Gender Assessment
    • Rapid Gender Analysis Report  on the skills of women  and  Access & control to resources: like  food rations and the government, PDS etc. can be assessed and engaging in VSLAs etc

4.     Assessment Type

5.      Purpose of Assessment and Objective

Purpose:

To learn, explore and better understand the gender dynamics within the populations in the context of MNCH. To intentionally engage men and boys through our Men Care Model in achieving gender equality and challenge gender-based violence. * It engages men and boys in developing healthier coping mechanisms and positive masculinities they reject alcoholism and violent behavior

Focus group Discussion questions: 

Use 24 hours a day Gender assessment tool to understand the status of women and disadvantaged group.

This is done using the following themes

Vulnerability and coping mechanisms • Education and school attendance • Nutrition/malnutrition • Migration • Mobility • Social norms and practices • Emerging opportunities • Availability, access and control over resources.

Application:

This is a qualitative tool that allows women, boys, girls and men to easily relate to situations that pictures represent, and tell their reality as they live it and remember

This tool was applied in Focus Group Discussions (FGD), held with men, women, boys and girls in separate groups to help stimulate discussions, in a safe space, what are the issues, how they faced the situation (coping mechanisms); and to identify any emerging or changing social norms and opportunities

6.     Assessment Methodology

  • Detailed desk review.
  • Design of an analysis and tabulation plan of the data provided
  • Statistical analysis and processing of the raw data
  • Final report incorporating feedback from WVC and WVI Pakistan, including interpreting the data, creating summary tables and graphs with key results, descriptive analysis, write-up of data collection methodology and key messages.
  • Production of a stand-alone summary and power point presentation with key messages
  • Production of training material for the chosen strategy to involve men in nutrition issues.

7.     Legal Framework

In the event that there is non-performance, defective performance or late performance due to causes beyond control and occurring without fault or negligence, including without limitation, natural disasters (such as floods, earthquakes, fire), acts of any state or government, fire explosions, epidemics, quarantine restrictions, blackout, or embargoes, neither party will be held responsible. If the consultant fails to provide the services required hereunder as a result of above listed force majored and such failure continues for a period of 10 calendar days, WVI Pakistan shall have the right to terminate this agreement without any further liability resulting from such termination. The consultants will be paid for all services satisfactorily performed and accomplished up to the date of termination as determined by WVI Pakistan.

This agreement shall be deemed terminated automatically without further liability or obligation of WVI Pakistan if the consultant, is adjudicated as bankrupt, petitions or consents to any relief under bankruptcy, reorganization, receivership, liquidation or similar arrangements or makes an assignment for the benefit of creditors.

8.     Limitations

All of the data collection will be guided by World Vision Pakistan MOU with relevant government authorities; it will be consultant responsibility to ensure the get maximum understanding of limitations and constraints from World Vision Pakistan. This study has to be concluded before the mid of Aug, 2017.

9.     Ethical Consideration:

All interaction with the beneficiaries will be only made after their consent and they will be explained purpose of the data collection, and also use of the collected information. Consultant will strictly avoid indulging into any conversation of political or religious nature, and will not use any jargons, words or gestures those can be offensive on religious, ethnic, gender, age or any other ground.  Consultant will strictly avoid any sexual advances, offers or favours to beneficiaries, neither will promise any favours to survey participants. Consultant will not guide/or instigate respondents to provide specific answers, consultants will not misinterpret survey participant inputs or distort these. Safety and security of the survey participants is of the paramount importance consultant will not act in any manner putting security & safety of the survey participant at risk. Interaction with the children will be guided by World Vision Child Protection Policy and protection protocols.

10.  Authority and Responsibility

10.1.      Team Members and Roles

Phase

Responsibilities

Team Member

Planning

  • Development of TORs for assignment.

 

 

PM ENRICH

Review and Approval of the TOR

  • To review the TORs according to the protocols of the World Vision-MEER

ADM, COP & Gender Advisor

Hiring of Consultant

Advise on TOR for national consultant and minimum competencies

ADM

Advertisement of the TORs.

Logs

Technical review of the consultant proposal.

PM ENRICH, Gender officer ENRICH and ADM

Shortlisting of the consultants bid committee.

Logs + PM+ ADM

Pre-selection interviews with shortlisted consultant Health specialist & Area Development Manager.

ADM +PM + Logs

Award of the contract.

PM + ADM

Technical Supervisions Liaison and Coordination.

 

Briefing to the consultant on the project, process and expectation.

PM+ ADM

Provision of required documentation to the consultant.

PM ENRICH + Gender Officer

 

Coordination of feedback on the development on tools for the assignment. 

Follow ups on the agreed plans and deliverables.

Coordination with stakeholder to organize the assignment.

ENRICH Team

Ensuring compliance to agreed standard in data collection, respondent selection and geographic coverage.  

MEAL Team

Overall supervision of the assignment in the field.

MEAL Team

Study Design,

Data Collection & Analysis

Submission of the technical & financial proposal and profile. 

Consultant

Design tools for quantitative & qualitative data collection.

Providing detailed plan for the assignment with milestone.

Approval assignment plan and tools.

Consultant

Tools pre-testing and validation.

Consultant

Qualitative and Quantitative Data Collection.

Data Cleaning & Analysis.

Reporting  & assignment closeout 

Draft Report on the agreed timeframe.

Consultant

Coordination of World Vision feedback on the report. 

MEAL , PM , COP

Response to rounds of feedback provided by World Vision Pakistan.

MEAL , PM, COP

Report’s approval.

MEAL , PM, COP

Processing of invoices and payment.

Logs

Final Review

To review of the deliverables, provision of feedback and approval.

PM + ADM + COP

How to Apply:

Sealed proposals through Courier services are required to be submitted “TO: Procurement Committee address:3rd Floor,  Plot 33, Al Rehman Plaza G11 Markaz, Islamabad. Last date for submission of proposals is  July 08, 2017. Consultancy title should be clearly mentioned on envelop.

Note: Tender bids received after the last date will not be accepted and final selection of the potential Consultants/Institutes will be based on technical & financial evaluation. Organization reserves the right to accept or reject any proposal without assigning any reasons