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Background

Under the broader framework of Provincial Health and Nutrition Programme (PHNP) supported by UK government, a five- year project on Empowerment, Voice and Accountability for Better Health and Nutrition (EVA-BHN) was launched to primarily focus on the ‘demand side’ of reproductive, maternal, new-born and child health (RMNCH) and nutrition services. For its part, EVA seeks to: (i) enhance communities’ understandings of their health rights and entitlements, and to increase their capacities to monitor the planning and delivery of services; (ii) organise communities to advocate for desired service provision and policy changes at the local, district and provincial levels; and (iii) engage and build relationships with key stakeholders around specific activities in order to implement them successfully, including broader changes that affect communities beyond those with which EVA directly works.

The Project that will end in March 2019 is designed to contribute to the goal of reframing citizen-state relations for better RMNCH-N services in Pakistan. This has led to the creation of a holistic model of social accountability that uses multiple components to foster an ecosystem for accountability for the purpose of improving health services for women and children; including community based monitoring of local health facilities, trainings for journalists, engagements with religious scholars and provincial level advocacy.

Scope of the Study

Under EVA project, citizen–state interfaces have been established at multiple governance levels, such as Community Groups (CGs), District Advocacy Forums (DAFs) and Provincial Advocacy Forums (PAFs). The project supports active citizenry through civic mobilization at UC level and builds citizen’s capacities to identify issues, voice demands, advocate for desired service provision and policy changes at the local, district and provincial levels by raising them with state-based duty-bearers and non-state powerholders.

Although social accountability initiatives rarely show much in the way of measurable impact early on, and attribution presents a significant challenge, it is worth highlighting that EVA has had a share of its successes already which have been documented and acknowledged throughout formally and informally. In this regard, EVA-BHN seeks to hire services of a consultant to conduct a tracer study and document impact of 3-5 interventions in the form of case studies.  The study will also look into citizens’ satisfaction, learning, attitudes, and behavioral change. The objectives of the tracer study are manifold: 

  1. To document the processess how civic mobalization and activie citizenry resulted changes in health policies and prcatices
  2. To track and list the adapatation of behaviours by the actors with regard to motivation, capapbility and opportuntities that resulted changes in policies and practices
  3. To document the lesson-learned, challenges and outcomes (intended or unintended) of the success or failures in the process of changes that either occurred in the actors’ behviours or in policies/practices  
  4. To provide evidence of the impact of the EVA BHN activities and to provide a reference for sustainable change in health governance

Role of the Consultant

The consultant will:

  • Conduct Inception meeting with EVA-BHN to identify 3 – 5 stories to investigate;
  • Conduct desk review of appropriate project documents/ materials: this will involve project progress reports, previous tracer studies and other related documents/ materials;
  • Develop a data collection framework, tools and plan to undertake the tracer study;
  • Undertake data collection using agreed upon methodology and tools;
  • Undertake a detailed analysis of the collected data using appropriate data analysis framework/ tools, compile and tabulate the data;
  • Work closely with the programme teams (CE, AA, CCPP and HANIF) to collate all the info required to compete the tracer study
  • Prepare a comprehensive report to address all elements of the stated tracer study objectives 

Methodology

Mixed participatory methods of both quantitative and qualitative approaches will be employed, involving use of desk review, focus group discussion, case stories, and key informant interviews.

Deliverables

  • A Tracer Study plan/methodology including inception report
  • Draft Tracer Study Report
  • Briefing concerned staff on the findings of the tracer studies
  • Final Tracer Study report of publishable quality
  • Power point presentations
  • Photos from the case studies

Time Frame

The study timeframe is estimated 30 days spread.

 

Deliverables

No. of Days

Preparatory Activities

  1. Briefing with EVA BHN
  2. Desk review
  3. Finalization of framework of analysis, methodology including tools, and workplan

5

Field visit/ data collection (spread overtime)

15

Analysis, report writing and submission of

approved draft report with case stories;

Report presentation and debriefing

8

Preparation and submission of approved final report and documentation

2

 

Qualification Criteria

The consultant must have at least 5 years’ experience in conducting similar national-level study. Knowledge of health governance is highly preferred. The consultant shall have the following qualifications: 

  • A minimum of a master’s degree in the disciplines of Development Studies, Statistics, Economics, and Social Sciences
  • Proven track record in leading research projects
  • Knowledge and experience of planning, designing, managing and evaluating governance programs
  • Excellent communication and report writing skills

Application Requirements

  • An Expression of Interest
  • CV of the consultant




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