1.1. About CBM
CBM is an international Christian development organisation whose primary purpose is to improve the quality of life of the world’s poorest persons with disabilities and those at risk of disability.
CBM works with partner organisations in low income countries to both develop and ensure that persons with disabilities and their families have ready access to affordable and comprehensive health care and rehabilitation programmes, quality education programs and livelihood opportunities.
Working with persons with disabilities, CBM advocates for their inclusion in all aspects of society, and for the inclusion of disability in international cooperation.
Refer to www.cbm.org for more details
1.2. About CORSU (Comprehensive Rehabilitation Services in Uganda)
CoRSU was established in 2006 as a private non profit, non government organization in Uganda after extensive consultation with various stake holders. It is a Ugandan initiative which was encouraged and supported by CBM with the main aim of expanding and improving the rehabilitation services for children and people with disability.
The primary focus is on children with physical impairment for whom CoRSU provides orthopaedic and plastic/reconstructive surgical interventions and rehabilitation services. CoRSU provides free surgery for children with disabilities below 17 years of age; parents/guardians are expected to contribute towards hospital stay (accommodation and food).
Refer to www.corsu.or.ug for more details.
2 Introduction
The following are the Terms of Reference (‘ToR’) on which CBM Africa East agrees to engage the Consultant to perform a comprehensive evaluation of the Medical Rehabilitation Work and to report in connection with the above partnership. This ToR has been prepared solely for the use of the Consultant and CBM Africa East and must not be disclosed to unauthorized persons or organization without the approval by CBM Africa East Regional Office.
3 Aims of the Technical Evaluation
The overall aim of the technical evaluation is to establish level of the partner performance in relation to the surgical and medical rehabilitation program implementation, current standards and practices, quality of the service delivery, adherence to Ministry of Health and Ministry of Social Welfare protocols and clients’ level of satisfaction. The Evaluation will also focus on the main evaluation elements (i.e. sustainability, impact, relevance, efficiency and effectiveness).
Specifically, the evaluation will include but is not limited to the following technical areas:
1. Program Operations:
a) Strategic relevance of the partner for CBM
• Contributes / has potential to contribute to the programme objectives of CBM in Uganda and within the Region.
• Works within national policy context.
• Has clear understanding of role in the wider Disability and Inclusive Development (and other cross-cutting themes such as Gender and Child Safeguarding) context.
• Level of collaboration with other CBM key partners within Uganda and neighbouring countries.
• The program is gender inclusive.
• Services and facilities are child friendly.
• The strategic focus remains on children in need.
b) Operational capacity/adherence to standards
• Adheres to CBM operational standards and deadlines as per contractual obligation.
• Delivers quality reports and adheres to CBM F&A standards.
• Good budget utilisation rate according to approved cost plan (>90 including accountability%).
• Solid and realistic planning/Inclusive Project Cycle Management capacity.
c) The Service User.
• Services apply a client-oriented approach.
• Clients are provided opportunities to meet, interact and support each other.
• Service users’ waiting time at the centre is made useful.
• Service users and persons with disabilities are employed in the service.
d) Accessibility
• There is public awareness about the existence of the centre and its services which are known to potential service users.
• Non-discrimination principles apply: services are open to any person in need.
• Services and buildings are physically accessible.
• Services are communicated adequately to entire scope of potential service users
• Services are financially affordable.
e) Service Provision.
(Orthopedic, reconstructive and plastic surgery; production and provision of orthopedic devices; physiotherapy services; Community Based Rehabilitation; disability awareness.)
• Availability and type of services provided.
• Utilization of services (eligibility for enrolment, waiting list, dropouts and reasons).
• Linkages and referral system.
• Community participation, structures established.
• Gaps and challenges.
• Medical and clinical work is based on international standards and adheres to national protocols.
• A clinical team/holistic approach is applied for all departments and for all clients.
• Physiotherapy and orthopaedic technology services are an integrated part of the program.
• number/types of surgeries and how the surgical work networks with all other departments.
• Standard working procedures and are defined and followed.
• Safety rules are adhered and properly followed.
• Follow-up services for clients are provided.
• Services for maintenance and repairs of orthopaedic appliances are available.
f) Integration and Collaboration
• The work of the centre is an integrated part of the national health care structure.
• the centre collaborates closely with other centres and organisation in the fields of orthopaedic and plastic surgery, medical rehabilitation, prostheses and orthotics.
• Collaboration is established with other CBR programs in the country.
g) Priority settings.
• The services are planned according to the needs of the most vulnerable population group.
• Children are given priority.
• Various services and procedures provided have the same level of importance.
h) Service Facilities.
• Existing facilities are of the appropriate size compared to existing and planned workload.
• Service facilities are adequately distributed and their tasks are well defined and differentiated.
• Equipment and equipment maintenance are adequate.
i) Programme Quality.
• Criteria used to ensure quality and adherence to standards, feedback mechanisms and how this is used in quality improvement, guidelines, manuals, policy, audits, etc.
• The quality of services is correctly managed and measured as per the following criteria:
• accessibility;
• affordability;
• attitude of staff;
• availability and accuracy of the information received by the service user;
• professional treatment; privacy;
• time required before clients are attended to in the clinic;
• confidentiality;
• suitability of devices provided;
• satisfaction level of the clients;
• cost-benefit ratio;
• frequency and quality of follow-up of cases.
• Technical capacity in line with CBM guidelines and position papers.
• Ability to respond to triggers for (development) change.
• Community standing/net-working/ability to influence/advocate.
• Delivers outputs and outcomes in (cost) efficient manner.
• Existence of Strategic Plan; M&E Frameworks; Tools and Guidelines/Manuals.
1. Disability Inclusion.
• Contribution to creating inclusion awareness.
• Target group participates/is represented in planning/programme design/decision making.
• Programme work is fully inclusive and used to advocate for inclusive approaches.
• Change brought about as a result of interventions through the program.
4 Approach.
The evaluation will be conducted in a participatory manner using a combination of information gathering methods, including a review of the key project documents, key Informants Interviews (KIIs) targeting key personnel amongst different stakeholders, beneficiary consultation through focus group discussions, and site visits to the field.
Throughout the evaluation process, there will be continuous consultations between the Consultant, the CoRSU CEO and CBM East Africa Regional Office (i.e. Regional Director and Regional Program Manager).
5 Requirements for the Consultant.
5.1 General Principles
By agreeing to these Terms of Reference the consultant confirms that he/she meets the following conditions:
• The consultant and/or the firm are a member of a national professional body or institution duly registered as per the laws of the land.
• The consultant is and/or the firm is in good standing within its regulatory institution or national body.
5.2 Qualifications, Experience and Team Composition
Qualifications and Experience
The Consultant will engage staff with appropriate professional qualifications and suitable experience with Program Evaluation, in particular with experience of huge programs comparable in size and complexity to the PARTNER. In addition the team as a whole should have:
• Experience with evaluation in medical related fields;
• Sufficient knowledge of relevant laws, regulations and rules in Uganda.
• Fluency in English
Curricula Vitae (‘ CVs’)
The consultant will provide CBM Africa East with CVs of the partner or other person involved or responsible for the Evaluation and for signing the report. The CVs should provide full details indicating capability and capacity to undertake the audit as well as details on relevant specific experience.
6 Scope of Work and Tasks.
The Evaluation will be performed at the PARTNER’ Head Office in Uganda. The Consultant should confirm the location(s) for the Evaluation with PARTNER prior to the start of the Evaluation fieldwork and ensure that relevant supporting documents as well as key staff will be available during the Evaluation .
The Consultant should obtain a preliminary understanding of the engagement context prior to start by reading the following documents:
• The Partner Agreement signed by CBM Africa East and PARTNER
• Standard MOU Agreement
• CBM GPS II document
• PARTNER Annual Reports for the period 2012 – 2015
The Consultant will inform CBM Africa East as soon as possible about any limitations in the scope of work he/she may find prior to or during the Evaluation . This may include any attempt by the PARTNER to restrict the scope of the Evaluation , or any lack of co-operation on the part of the PARTNER. The Consultant will consult CBM Africa East Regional Office on what action may be required, whether or how the Evaluation can be continued and whether changes in the Evaluation scope or the timetable are necessary.
The following tasks will encompass the scope of work for the Consultant:
• Desk review and analysis of project documents supplied by CBM;
• Development of an Inception Report with summary of desk review, final evaluation timeline, technical areas of work and highlighting main participatory methodology and discussion partners;
• Develop comprehensive tools for data collection and analysis for discussion and approval by CBM;
• Undertake data collection based on participatory methodology using the approved tools and process the information therein gathered;
• Compile and present a draft report of findings and recommendations to CBM;
• Prepare and submit a final report of evaluation findings based on feedback from CBM.
7 Period of the Evaluation.
The evaluation exercise is expected to take a maximum of 2 calendar weeks including the development of a final report.
The inception report prepared by the consultant should have a proposed breakdown indicating how the various tasks will be allocated within the allocated period.
8 Methodology.
The methodology will include but not limited to:
• Desk review of all relevant documents including:
• Existing Strategic Plans, Multiyear Plans
• Disability laws and government policies
• National Health Policy and Strategy Documents
• Annual Partnership Contracts
• Bi-annual Progress Reports
• Existing Constitution and Policies of CoRSU
• Reports of technical evaluation and surveys conducted in the past
• Donor Communication and Audit Reports
• Interviews and discussions with relevant personnel in various departments;
• Interviews and discussions with local partners incl. DPOs and stakeholders;
• Interviews with current development partners incl. Katalemwa Cheshire Services, OURS (Ruharo Hospital) and others;
• Interviews and discussions with clients and service users;
• Review of statistical, programme narrative and financial reports;
• Joint debriefing to CoRSU, CBM, at the end of the review;
• Submission of a final evaluation report.
NOTE: All payment for the Consultancy shall be made in compliance to CBM Financial Policies and Uganda Revenue Authority statutory regulations.
9 Evaluation Procedures and Reporting
The Consultant should perform the Evaluation in accordance with the Terms of Reference and accepted best practices.
The Consultant should exercise due professional care and judgment and determine the nature, timing and extent of the Evaluation procedures to fit the objectives, scope and context of the Evaluation .
9.1 Evaluation Documentation and Evidence
The Consultant should prepare Evaluation documentation and obtain sufficient appropriate information to support the Evaluation exercise and compiling of full report divided into (a). Financial and Adm. Report; and (b). Program Operations Report.
9.2 Planning and Conduct
Start of the Evaluation
The date of signature of CBM Africa East on the contract is the official starting date of the Evaluation . The Consultant should contact PARTNER as soon as possible to prepare the Evaluation work plan and to agree on a date to commence the fieldwork but not before the Evaluation has been formally announced by CBM Africa East and the successful consultant notified of the same.
Procedures for the planning and conduct of the Evaluation
The Consultant should consider both programmatic, and operational controls.
Complementary letter
The Consultant may at any given time during the Evaluation process draw up a complementary letter if he/she considers that CBM Africa East should be informed about facts and issues that are or may be urgent or of particular interest and importance to CBM Africa East.
This letter shall solely be addressed to CBM Africa East.
9.3 Reporting & Deliverables
• Evaluation Findings and Recommendations
The outcome of the Evaluation report (financial statements and report of findings) shall be addressed to CBM Africa East Regional Office.
The consultant will coordinate the work closely with the CoRSU CEO and he/she will report to the CBM East Africa – Regional Program Manager.
• Language
The report shall be presented in English with an executive summary in the same language, Verdana 11 single spacing.
• Timetable for the submission of draft and final Evaluation reports
The execution of assignment, debriefing, submission of draft and final Evaluation reports shall be completed within 2 calendar weeks after the date of CBM Africa East signing the contract.
Summary of Deliverables:
Inception report detailing consultant understanding and interpretation of the TORs (approximately 3-5 pages).
Draft Evaluation report for comments by CBM.
Final report (approximately 25 to 30 pages excluding annexes) to be presented in soft copy (CD format) and 2 hard bound copies as per annex 1.
HOW TO APPLY:
Candidates with the required profile and proven experiences, who meet these qualifications, are invited to submit, in English via e-mail, a letter of motivation, detailed curriculum vitae and sample of work experience to recruit.nairobi@cbm.org
Application deadline: January 21st 2016