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Terms of Reference for Consultancy Service to Conduct Accessibility Audit of Chub, Nyagatare, Byumba and Kirinda Hospitals

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CBM is an international Christian development organization committed to improving the quality of life of persons with disabilities in developing countries of the world


1. Background information

 The convention on the Rights of Persons with Disabilities of 2006 reinforces and strengthens protection for persons with disabilities in relation to health and rehabilitation. It recognizes that persons with disabilities have the right to the highest attainable standard of health and the State parties must recognize that right without discrimination on the basis of disability. (Art 25).

In this framework, Rwanda has made significant progress towards realizing the rights of Persons with disabilities and call upon The Rwandan community to bear in mind that Persons with Disabilities have the full rights and freedom to use all types of building independently. (Ministerial order on Urban planning and building regulations of 18thth May 2015).

CBM is an International Christian Development Organization committed to Improving the quality of persons with disabilities in developing Countries of the world.

Through funding from FCDO (Foreign, Commonwealth & Development Office – UK Government; former DFID); CBM and KEU are implementing a project entitled ’Improving access to quality, inclusive and comprehensive eye health services in rural Rwanda’’ ’in four targeted Hospitals of CHUB, Kirinda, Byumba, and Nyagatare, with the purpose of improving Access to quality of eye care services at those Hospitals.

In this context CBM Rwanda Country office would like to invite experienced and qualified consultant to submit a technical and Financial proposal to Conduct an Accessibility Audit in four targeted Hospitals.

2. Objectives of the audit

 2.1 Overall objective of the audit

 The Overall Objective of accessibility audit is to identify areas for improvement in order to ensure that eye care services at targeted 4 Hospitals were fully accessible to women, men, girls, and boys with disabilities.

2.2    Specific objectives

2.2.1    Physical infrastructure

  • To assess whether the hospitals’ buildings, roads and paths, indoor and outdoor facilities and equipment (among others: toilets, parking, stairways, beds, etc.) at the Ophthalmology Departments are fully accessible for persons with diverse types of disabilities, including those with visual impairment;
  • To check whether there is adequate lighting and no brightness for deaf persons

2.2.3. Services offered; 

  • To assess whether men, women, girls, and boys with disabilities are able to access the full range of eye health services offered;
  • To check if hospital staff is aware of the particular needs of women, girls, men, and boys with disabilities and their specific barriers in accessing eye health services;
  • To check whether the targeted hospitals’ staff are trained to assist persons with disabilities, including persons with learning disabilities and if hospital staff is aware of rights of persons with disabilities.
  • To assess whether during mobile outreaches/ screening activities people with wide range of disability groups in need of eye consultations are proactively seek out.

2.2.4. Policies and Procedures; 

  • To assess whether organizational policies and procedures include commitment to reasonable accommodation and adjustment of workplace environment to accommodate staff and clients with disabilities and to what extend the working environment is a disability and gender-inclusive.
  • To establish if the targeted Hospitals have a disability focal person in charge who manages the concerns of employees and clients with disabilities and who understands gender-sensitive practice.
  • To assess whether there is a plan to improve accessibility over a set timeframe

2.2.5.  Information and communications; 

  • To assess whether the information about services available is accessible to persons with different disabilities;
  • To assess the accessibility of the clients/patients feedback mechanisms procedure, including reporting safeguarding concerns and provide recommendation for eventual improvement

3. Key deliverable of the accessibility audit 

An accessibility audit report containing an assessment of Ophthalmology Departments at targeted hospitals, against best-practice standards to benchmark their accessibility to women, men, girls, and boys with disabilities, will be prepared and submitted with adequate recommendations for eliminating existing barriers for women, men, girls and boys with disabilities.

4. Consultancy Time frame

The consultant shall report to CBM the duration of the assignment not exceeding 15 calendar days after the accessibility audit is finished. Further work schedule will be discussed and agreed upon with the CBM Authorities.





of Days

Expected Dates


Review of Applicants documents and have shortlist consultants





Interview with shortlisted consultants.





Meeting with the project  team, Consultant and agree on working terms and conditions





Initial briefing meeting with the consultant.








Hospitals Accessibility Audit in four targeted Hospitals.


CHUB,Kirinda,Nyagatare and Byumba Hospitals




Draft  Report writing and sharing to CBM.

Home based




Feedback from CBM, KEU, and respective Hospital .





Finalization of the report by Consultant including all provided inputs and sharing final Report

Home based




Validation meeting with CBM, KEU, and targeted hospitals

Hired Place






27 days


5.  Requirements from applicants

  • Good understanding of the Rwanda disability inclusion context, especially in relation to Inclusive Eye Health (IEH) initiative.
  • Must be a member of DPOs and /or Disabled People Organizations.
  • Demonstrated experience with accessibility audit exercises in the past in recognised organisation(s).
  • The audit team must have an experienced civil engineer with extended records in designing and buildings evaluation and related settings for the sake of persons with disabilities and must include the persons with disabilities among the Team.
  • Good understanding of the UNCRPD principles and experience working in mainstreaming human rights and fundamental freedoms of persons with disabilities.
  • Expertise in the field of eye care settings (infrastructure and services) is an asset.
  • Proficiency in written and spoken English.

5. Interested organizations or individuals are invited to submit an expression of interest including the following documents: 

  1. Technical and Financial proposal (not exceeding 2 page for each):
  2. Profile (s) and capacity of the consultant(s) with evidence documents (CVs and certificates of good service completion, documents for similar works carried out by the consultant(s), registration, and tax exemption in case of company.
  3. Supporting documents of prior expertise and experience in conducting Accessibility Audit in eye health services area or other related works.
  4. Methodology and technical implementation of the audit, responsibilities of team members, work schedule, and other relevant information related to this work.
  5. Financial proposition and availability of the team members.

Safeguarding policy: As a condition of entering into a consultancy agreement, hired team members and co-facilitators must sign the CBM Safeguarding Policy and abide by the terms and conditions thereof.

Intellectual property rights: The copyright for all the documents (even in draft form) produced under the provisions of this ToRs shall be vested exclusively with KEU, CBM, and FCDO. In order to use any documents/parts of documents, prior written permission is required from KEU, CBM, and FCDO.

Confidentiality: The data collected during the assessment, including the results and recommendations, will be kept confidential, and only shared with those involved in the assessment process and implementing partners.

The Expression of interest should be sent to CBM through email No hardcopy will be accepted.

The deadline for submission is 19/09/2021.


Eugenie Mukantagwera

Country Director