Wednesday, December 5, 2012

MNCH Project Consultancy Job in Kenya

Terms of Reference carrying out a Situational Analysis on Maternal Newborn And Child  Health (MNCH) Project in Garissa and Kwale Counties

Purpose of this TOR

Consultancy to conduct a situational study for the Maternal, Newborn and Child Health pilot program in Garissa (Hola) and Kwale Counties.

Introduction and Background

St. John Kenya is a charitable organization founded in Kenya in 1928 and established by Cap 259 of the laws of Kenya. 
It is one of the 41 semi autonomous organizations that form the worldwide order of St. John which is about 1 000 years old, making it the oldest charitable organization. 
Our vision is to be at the heart of the nation we serve as volunteers in the provision of a continuous community service ensuring every household has access to a trained first aider, a world class emergency response and is empowered to care for their health needs.

Working with communities in over former 8 provinces, our programmes include Volunteers and Young People Program, Community Health Program, HIV/Aids Response, Emergency First Aid and Safety Training, Highway Emergency Rescue Centers.

St John Kenya is an affiliate of 5 St John Associations (countries) that shall pilot the MNCH project in Kwale and Garissa counties. 
Coordinated by the International office, the International development program (IDP) among other objectives seeks to:
  1. Reduce the proportion of women dying from preventable pregnancy-related causes
  2. Reduce the proportion of children dying from preventable diseases before their 5th birthday
Geographical Focus

Garissa and Kwale Counties

Assessment Purpose

To design a MNCH Programme including:
  • Understanding the current situation of MCH in context in Kenya specifically in Garissa (Hola) and Kwale Counties
  • Identifying opportunities, vulnerabilities, capacities and resources for MNCH interventions
  • Deciding feasibility and setting priorities for MNCH interventions
The assessment will help to generate information that can be used by International Development Programme in the Kenyan context in improving maternal new born and child-health outcomes. 
Kenya being one of the 5 countries to pilot the IDP, the approaches would be adapted for use in any of the other St John associations in other countries with a commitment to Maternal Newborn and Child health.

Objectives of the Situational analysis

The assessment should meet the following objectives
  1. To facilitate clearer understanding of what already exists within the communities; which other organisations are working there and what they are doing in relation to MNCH;
  2. Establish community needs, priority gaps, perceptions in the 5 aspects of MNCH mentioned above
  3. To establish capacity needs: this will seek to investigate organisational capacity, systems in place, tools needed, and relevant capacities St John  needs to deliver an effective programme on MNCH and to meet both programmatic and organisational objectives

The assessment will be comprised of a desk review/survey and field visits.
  1. Conduct desk review including an analysis of documents, policy papers, national surveys and reports that have been produced in connection with the project thematic area. Review internal St John documents related to this project including data already gathered.
  2. Conduct field visits and interviews with citizens, CSOs, NGOs, Volunteers, community health workers, local leaders, local authorities in the selected counties (Garissa - Hola and Kwale counties).
  3. Develop a comprehensive data collection tool for the above assignment.
  4. Develop participatory methodologies for the survey.
Specific responsibilities of the consultant will include the following:
  • Analyse current/existing IDP documents and review relevant literature.
  • Design data collection tools.
  • Train enumerators for the field work.
  • Conduct field survey. Methods may include questionnaire, interviews, focus group discussions, and meetings with local community organizations, local leaders, other NGOs operating in selected areas and government units in the proposed regions. The survey must clearly ascertain the present status on levels of community participation in constituency development initiatives.
  • Design database for data entry, analyze the data; identify specific gaps/deficits both at organization and community; and clarify training and other needs in regard to the MNCH program.
  • Identify lead agencies or local community organizations/groups that can be used for lobbying/advocacy and collaboration purposes.
  • Prepare and present draft report of findings at a forum to be attended by St John Kenya, local partner organizations, other stakeholders.
  • Prepare and submit final report of the situational analysis, incorporating feedback from stakeholders.
Report and Presentation

A report from the assessment will be written in English. 
The report should be concise in its findings and follow the required format. The report will be presented to St John Kenya Chief Executive Officer and Programme Manager.

A first draft of the report will be presented to the stakeholders at a workshop forum in one of the project regions.

Expected outputs/deliverables will include the following:
  1. Recruit enumerators from program regions, fully equipped with skills to conduct field work using the specific tools developed.
  2. Report containing the main findings of the assessment and recommendations. The report will be in the form of three bound hard copies and a soft/electronic copy. The report must incorporate the following:
  • Set of assessment tools.
  • Quality data and analysis from individuals focus groups and organizations.
  • Present status, gaps and recommendations for future interventions, including suitable implementation methodology, appropriate structures for the project success, and possible MNCH sustainability strategy.
Time Plan

Due to the urgency of the exercise, the survey will be initiated on 11th Dec 2012 and will comprise of the following:

Applications from prospective consultants should be received not later than 7th Dec 2012. The application should contain CVs of principal consultants, capacity statement, and proposed schedule of activities, technical and financial proposal.

The selected consultant should commence the assignment not later than – 10th Dec 2012.

Preparation, training of enumerators and desk survey should be concluded by – 13th Dec 2012. Relevant literature will include project documents.

Participatory field work in the selected districts, including interviews, and meetings should be concluded by – 21st Dec 2012.

Report writing and presentation, first draft by 3rd Jan 2013

Submission of final report – by 11th Jan 2013

The above timeframe is meant to be used as a reference for the consultant in order to prepare the proposal. 
The definitive timeframe and organisations will be agreed within the assignment.

Profile of the Consultant

The assessment will be assigned to a consultant with in-depth knowledge of Project design and Project Cycle, Maternal Newborn and Child health programming, local governance issues; public health sector monitoring; and Kenyan civil society. 
The consultant must also be experienced in planning and carrying out situational analysis, stakeholder mapping, baseline surveys, stand performance measurement (especially qualitative measurements).

It is also desirable that the consultant has experience from working with issues around child protection, safe-motherhood and organizational capacity assessment.

The consultant should have proven experiences of previous assignments with development of analyses, feasibility studies, baselines, of similar nature and engaging communities using participatory methodologies. 
The survey and analysis should be conducted by a consultant with the capacity to deploy in the two regions simultaneously.

The survey will be supervised by the Chief Executive Officer, Programme Manager and the regional executive officer in Nairobi and Mombasa.


A contract will be drawn up after a call for tender where skills and costs of potential consultants will be assessed and evaluated by the Chief Executive Officer and the Programme Manager. 
The contract will be a formal consultancy contract between St John Kenya in Nairobi, Kenya and the consultant. 
A consultant will be selected in accordance with St John Kenya procurement policy guidelines.

Send applications to the undersigned not later than 7th Dec 2012;

Write to

Programme Manager
St John House,
St John’s Gate, County Lane,           
Off Parliament Road, P.O. Box 41 469 00100, Nairobi
Email: copy to 

Source:, Date of Publication: Wednesday, December 5, 2012.