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ToR-Consultant to Conduct a Knowledge, Attitudes and Practices (KAP) Study ASRH Services under the Project: “Strengthening the Capacity of Youth Centers to Effectively Deliver ASRH/Family Planning, Prevention of SGBV and Detection, Prevention Care

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 TITLE OF CONSULTANCY: A KNOWLEDGE, ATTITUDES AND PRACTICES (KAP) STUDY ON ASRH SERVICES

 Tender Ref. N#: 004/ A KNOWLEDGE, ATTITUDES AND PRACTICES (KAP) STUDY ON ASRH CONSULTANCY / SFH/2021

 27th JANUARY 2021

 TERMS OF REFERENCE TO HIRE A CONSULTANT TO CONDUCT A KNOWLEDGE, ATTITUDES AND PRACTICES (KAP) STUDY ON ASRH SERVICES UNDER THE PROJECT: “STRENGTHENING THE CAPACITY OF YOUTH CENTERS TO EFFECTIVELY DELIVER ASRH/FAMILY PLANNING, PREVENTION OF SGBV AND DETECTION, PREVENTION CARE FOR DRUGS AND SUBSTANCES ABUSE IN 7 DISTRICTS IN RWANDA”

I.    ABOUT THE SOCIETY FOR FAMILY HEALTH (SFH) 

Society for Family Health (SFH), Rwanda is a non-profit organization, the largest social marketing, and social behaviour change organization in Rwanda, with five regional offices across the country. Working in partnership with the public and private sectors, and harnessing the power of the markets, SFH provides life-saving products, support the Ministry of Health to improve health care service to all through the construction of health posts and social and behaviour change communications (SBCC) that empower the world’s most vulnerable populations to lead healthier lives. SFH’s core values include a belief in markets and market mechanisms to contribute to sustained improvements in the lives of the poor; results and a strong focus on measurement; speed and efficiency with a predisposition to action and an aversion to bureaucracy; decentralization and empowering our staff at the national and district level; and a long-term commitment to the people we serve. SFH implements diverse public health interventions in HIV/AIDS, ASRH, reproductive health, malaria, and maternal and child health including nutrition as well as Health Systems Strengthening. SFH’s activities range from product sales and distribution to social and behavior change communication, advocacy, reproductive health research, and community mobilization.

II.    BACKGROUND

 SFH Rwanda is currently seeking a consultant to conduct Knowledge, Attitudes, and Practices (KAP) study on ASRH services to strengthen the youth centers services regarding Adolescents & Sexual and Reproductive Health in 7 Districts in Rwanda. The 7 districts are Gakenke, Nyarugenge, Karongi, Gisagara, Rulindo, Nyamasheke, and RusiziThe Youth centers strengthening project is implemented through the framework of Barame project funded by Enabel Rwanda (Belgian development Agency). This project pays attention to the needs of adolescents and young people aged between 10 to 24 years. The youth center strengthening project will be implemented to reinforce youth-friendly centers in the 7 districts (one in the district of Gakenke, one in Gisagara, one in Karongi, one in Nyamasheke, two in Nyarugenge – Kimisagara and Nyamirambo, one in Rulindo, and one in Rusizi), to deliver primary services in youth mobilization and health friendly services. The youth-friendly centers should provide targeted information and high-quality services on adolescent sexual and reproductive health (including FP, unwanted pregnancy, abortion, sexuality, safe sex & sexual transmitted infections, prenuptial consultation), on drug and substance abuse, and on gender-based violence. This project is implemented closely with MYCULTURE with the technical support of the Rwanda Biomedical Center (RBC) through the Maternal, Child, and Community Health (MCCH) Division.

The specific objective(s) of the project are the following:  

  1. Renovate and equip the youth-friendly centers in the 7 districts, as per minimum service package of Youth-friendly centers in Rwanda, ensuring that privacy and confidentiality are respected.
  2. Support the delivery of quality health services in the youth-friendly centers within the 7 districts, as per minimum service package of Youth-friendly centers in Rwanda, and as per additional objectives on drug and substance abuse, ensuring that privacy, confidentiality, and non-discrimination are respected.
  3. Develop a strategy to increase the use of youth-friendly centers and to attract young people into using the health services, ensuring adolescent’s participation in the development of the strategy.

4.Develop feedback mechanisms for adolescents in each youth-friendly center in the 7 districts. These feedback mechanisms shall ensure that YFCs are perceived by adolescents as safe place to discuss and ask all their questions related to ASRH, family planning, teenage pregnancies, GBV, and drug/substance abuse.

  1. Develop a peer education system among youth attending the YFC and provide capacity building to selected peer educators in subjects related to Adolescents Sexual and Reproductive Health, family planning, GBV, and drug/substance abuse.
  2. Develop the behavioural change communication (BCC)/information and communication (IEC) strategies that offer opportunities to young people and the entire community to make informed decision about their reproductive health, including GBV, teen pregnancies, and drug/substance abuse prevention.
  3. Develop a sustainability plan for YFCs, which ensures the strengthening of relationships, (including referral system) with health centers and Youth corners (YCs) in their coverage areas as well as other related institutions to YFCs;
  4. Organize a Knowledge, Attitude, and Practices (KAP) survey to inform the knowledge, attitude, and practices of young people about the Sexual reproductive health, GBV, and drug/substance abuse and reveal potential barriers to behaviour change.

III.    OBJECTIVE AND SUB_OBJECTIVES OF THE STUDY

The main objective of this study is to reinforce and to better orient the Sexual and Reproductive Health (SRH) services at Youth Centers level by:

  • Assessing the knowledge, attitude, and practice of adolescent and young people (10-24) in relation to their Sexual and Reproductive Health.
  • Identifying attitudes, practices, and beliefs of health care providers regarding provision of Adolescent & Sexual and Reproductive Health (ASRH) services at facility and community level.
  • Identify knowledge gaps, cultural beliefs or behavioral patterns and practices of the community that create barriers to ASRH practices.
  • Assess the determinants SRH among young people of 10-24 years old in 7 districts of intervention considering the following: sex, residence area, age group, education level, marital status, employment situation, the social-economic aspects of parents (Ubudehe classification), custodianship of adolescent, family situation (both parents alive, orphan, etc.) and any other determinants already reported in the literature.
  • Provide general recommendations based on the main findings of the study.
  • Generate data on current Knowledge, attitudes, and practices on ASRH in the selected districts.

IV.    JOB SUMMARY / RESPONSIBILITIES: 

The consultant will carry out the following tasks:

  • Develop a study protocol with strong and valid method based to address the objectives of the assessment.
  • Apply to The Rwanda National Ethics Committee (RNEC) for research permit and ethical clearance.
  • Conduct an in-depth desk review, including, but not limited to, literature, policies, and strategies related to ASRH program in Rwanda, operational guidelines, and technical documents, and reports to enrich/frame the study.
  • Conduct meeting with key implementing partners to inform about the objectives and sub-objective of the study, about the methodology and the data collection tools.
  • Develop a detailed inception report highlighting the research methodology (sampling plan, data collection tools and methods, data analysis plan, action plan, and timeframe).
  • Develop a structured closed-ended questionnaire in English and Kinyarwanda, designed to obtain information on the factors defined as an outcome.
  • Pre-test the data collection tools.
  • Collect data while observing applicable research standards and rigorous data quality, through quantitative and qualitative methods.
  • Conduct data cleaning, entry, and analysis.
  • Provide frequency and cross tabulation tables for all key indicators, with applicable comparisons with other studies.
  • Develop a draft report for review.
  • Convene meeting to present and validate findings with program technical leads and senior management.
  • Develop final report based on feedback from the program teams.

V.    EXPECTED DELIVERABLES 

  • Inception report detailing the study methodology, tools, action plan, and timeframe.
  • Draft report for review with qualitative and quantitative data analysis, report, discussions, and recommendations
  • Final KAP study Report

VI.    PROFILE OF THE CONSULTANT

Applicants will be assessed based on the following criteria.

  • Relevant educational background with a master’s level in either of the following disciplines: medicine, public health, international development, sociology with training in research and data analysis in the field of public health or similar field
  • Demonstrate proven experience (at least 5 years) in program design and implementation including relevant experience in the design of quantitative and qualitative evaluation studies, including KAP or baseline or completion studies. Provision of contracts and certificate of completion are a must.
  • Demonstrate proved experience (at least 3 years) working in the domain of ASRH with at least one similar exercise (certificate of completion)
  • Demonstrated competence in oral and written English and Kinyarwanda language skills, including a proven ability to prepare reports and proposals in a clear, concise manner.
  • Strong organizational skills, attention to detail, and ability to meet deadlines.
  • Demonstrated ability to conduct qualitative study as well as computer and data analysis skills, including proficiency in use of Microsoft Office software and statistical software (SPSS, STATA epi Info etc).
  • Sound knowledge of the Rwanda Health Sector and broad understanding of issues related to Adolescents and Sexual Reproductive Health.

VII.     GEOGRAPHIC SCOPE

The consultant(s)/consulting firm is expected to carry out the assignment in seven districts supported by Enabel-Barame Project which are located Southern, Western and Northern and City of Kigali as listed in the table below:

Province

District

Number of sectors

Number of cells

City of Kigali

Nyarugenge

10

43

Northern

Gakenke

19

97

Rulindo

17

71

Southern

Gisagara

13

59

Western

Karongi

13

88

Nyamasheke

15

68

Rusizi

18         

74

VIII.    TIMEFRAME AND DURATION

 The total number of days allocated to this assignment is estimated at a maximum of 45 days to be covered from 10th March 20201 to 31st May 2021.

The consultant will be expected to deliver to the following key dates:

  • Approved inception report and tools by 26th March 2021
  • Draft report by 7th May 2021
  • Final report by 28th May 2021

IX.    APPLICATION REQUIREMENTS

The application file will be comprised of:

  • Letter expressing interest to carry out the consultancy service required.
  • Detailed CV (maximum 2 pages) of the individual consultant(s)
  • A brief proposal written in English describing the background, methodology, and timeline (maximum 5 pages)
  • Price quotations for the consultancy service required.
  • Certified copies of academic and professional qualifications.
  • Copy of national Identity card/ or Passport of the consultant.
  • Valid proof documents of completion of similar assignments

X.    TERMS OF PERFORMANCE.

  • The effective date of the terms of reference and statement of work will be the date of contract signature by SFH Rwanda.
  • Quality of deliverables must be ensured by the consultant

XI.     PAYMENT MODALITIES.

The Successful consultant will be awarded a contract by SFH Rwanda that will be directly supervising the assignment as well as paying the Consultant. The first payment of 30% will be paid upon the receipt of the inception report. Final payment of 70% will be paid upon the receipt of the final project proposal approved by SFH Rwanda and Enabel project management team.

XII.    HOW TO APPLY

Interested applicants are requested to submit electronic copies of their technical and financial proposals (in English), at  tenders@sfhrwanda.org

This is open for national consultants and application can be done individually or as a team of consultants considered as a venture.

Submission deadline by March 11th, 2021 at 10:00AM local time and all submissions should mention the consultancy reference name as:

Tender Ref. N#: 004/ A KNOWLEDGE, ATTITUDES AND PRACTICES (KAP) STUDY ON ASRH CONSULTANCY SFH/2021

Any Inquiry regarding this tender can be through only the contact email procurement@sfhrwanda.org