CONSULTANCY ASSIGNMENT FOR THE REVIEW OF COMMUNITY BASED ENVIRONMENTAL HEALTH PROMOTION PROGRAMME - Medical & Health Jobs

Published date: 26/10/2018
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Details of listing: CONSULTANCY ASSIGNMENT FOR THE REVIEW OF COMMUNITY BASED ENVIRONMENTAL HEALTH PROMOTION PROGRAMME

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CONSULTANCY ASSIGNMENT FOR THE REVIEW OF COMMUNITY BASED ENVIRONMENTAL HEALTH PROMOTION PROGRAMME (CBEHPP) TOOLS


Kigali, Rwanda


Part-time


Company Description


SNV Netherlands Development Organization is a not-for-profit international development organization founded in the Netherlands in 1965 with a global presence in 30 countries across Africa, Asia and Latin America. As an organisation, SNV focuses on the Agriculture, WASH and Energy sectors with the belief that no one should have to live in poverty and that all people should have the opportunity to pursue their own sustainable development. SNV contributes to these sectors by strengthening the capacity of targeted partners and communities at the field level to realize increased skill sets and sustainable performance; reduce poverty levels and expand employment; and improve food security while paying special attention to gender equity, social inclusion of marginalized groups and stakeholder accountability.


I. Background


I.1. Current WASH status


Better hygiene, sanitation and access to potable drinking water accelerate progress toward the Sustainable Development Goals (SDGs). Poor hygiene, inadequate quantities and quality of drinking water and lack of sanitation facilities at household level cause millions of the world’s poorest people to die from preventable diseases each year.


According to JMP report 2017, Worldwide, only 39% (2.9 billion people) used safely managed sanitation services, 68% used basic sanitation facilities, 12% practice open defecation and 71% had access to safely managed drinking water services. In the Sub-Saharan region, 28% of people have access to basic sanitation services, 22% practice open defecation and 24% of people used safely managed water services and coverage of basic handwashing facilities with soap is reported as15%.


SDG 6 has recognized this by 2030: To achieve access to adequate and equitable sanitation, hygiene for all and end open defecation and paying special attention to the needs of women and girls and those in vulnerable situations.


The 2015 Rwanda Demographic Health Surveys (DHS) shows that 12% of the households have a place for hand washing, among those households 37% have water and soap for hand washing.  In regard to latrines, it indicates that 54% of household have access to improved latrines. Research has shown that promoting Handwashing with soap contributes to the reduction of 47% of all diarrheal diseases among children as well as adults.


Job Description


1.2.Community-Based Environmental Health Promotion Programme using the Community Hygiene Club approach


For the past few decades, many approaches have been tried to encourage people to adopt more hygienic behavior and it has been a very real challenge in the sector to find a methodology that does produce hygiene improvement. In Rwanda between 2000 – 2009, the Participatory Hygiene and Sanitation Transformation (PHAST) methodology was widely used within WASH sector, and although there were many positive aspects in terms of empowering a community, research has shown that (UNICEF Kenya 2009) PHAST had largely failed to produce any substantial rate of hygiene behaviour change since the methodology was time-consuming and taught in fixed order which limits its flexibility and weak link of PHAST in relation to monitoring and  evaluation.


In 2009, the Ministry of Health launched CBEHP programme using CHC model to increase community empowerment in solving WASH and Health-related problems, provision of a flexible methodology that is taught in fixed order by introducing an extensive ‘Toolkit’ of visual aids consisting of card sets on a number of topics, depicting a variety of local hygiene behaviour and lay systems on monitoring and evaluation.


The GoR enhanced the implementation of the CBEHPP country-wide through close collaboration with development partners entailing many achievements since inception. However, information related to the programme strengths, possible weaknesses, and constraints related to proper implementation, end users’ response to the programme, gaps in inclusion of key sanitation and hygiene components, possible loopholes that may need attention and sustainability have not been documented systematically and at a national scale.


2 Justification


The CBEHP Program is centred on behaviour change initiative which is a journey that needs a continuous and sustained efforts to have population free from diseases through community active roles and participation in health promotion program. To achieve behavioural change in hygiene and sanitation and to contribute towards the reduction and prevention of WASH related diseases, the Ministry of Health launched the CBEHP programme in December 2009


The implementation of CBEHPP in different districts with support of Development Partners has not been documented systematically since the official launch. Similarly, despite some progress in improving WASH practices across many communities in Rwanda that can be attributed to concerted efforts through the CHC model the CBEHPP tools have not been reviewed since the inception of the program.


The CBEHPP road map was designed for five years (2009 – 2012) aiming to facilitate the WASH related implementation towards MDGs and EDPRS I targets. Since then, there are several developments in the country and globally, which requires the revision in the CBEHPP roadmap. Therefore, there is a need to review CBEHPP and tools to accommodate and be in line with Rwanda National Transformation Strategic targets, Seven Year Government Program, HSSP III and SDGs. In addition, currently WASH promotion in schools is implemented differently by Development Partners, therefore there is need to harmonise and develop a CBEHPP module that is adaptive to school-based WASH interventions.


3 General objective for reviewing CBEHPP


To assess coverage, strengths, limitations, and opportunities related to the implementation of CBEHPP activities in Rwanda between 2009  – 2018.


To review the current CBEHPP Roadmap, topics, toolkits, implementation processes, and training packages in line with national and global WASH policies, strategies and evidences in Environmental Health sector.


Develop and design a School Based Environmental Health Promotion program module


4 Specific tasks in reviewing CBEHPP tools and approaches


To conduct rigorous desk review and field level qualitative assessment on the performance, coverage, challenges, opportunities, strengthen and limitations in the implementation of CBEHPP and application of its tools


Review the training manuals and membership cards based on the practical field experiences and realities in implementing CBEHPP roadmap;


Review the size of CHC members based on new Government structure “Isibo”; global standards and recommend a feasible evidence-based size.


Develop new CBEHPP implementation road map;


Develop and design School Based Environmental Health Promotion Program road map and training materials (modules, manuals, cards, all suite of packages);


·Design CBEHPP approach/modules that can be adapted to emergency or disaster settings as and when they occur;


Design CBEHPP model that can be adapted to urban and peri-urban areas;


Review of CHC graduation model and sustainability thereafter;


Identify, analyse and justify other new topics to be included in the training manual (WASH disability, menstrual hygiene, Baby WASH, gender role in WASH, handwashing after touching animal waste, etc.)


To gather information from the CHC members and partners on changes to be done in dialogue tools and training manuals;


Test the new dialogue tools and get feedback from CHC members on areas of improvement;


Develop CBEHPP activities post intervention after graduation and certification for sustainability;


Design (art work) the picture cards as proposed by CHC members, partner and Ministry of Health and they should be both coloured, and black and white;


Design facilitation approaches for each topic and propose recommended practices;


Presentation of reviewed tools (once solid draft is available) to Environmental Health Technical working group and incorporate inputs obtained from the expertise in the field.


5 Expected results


-       New CBEHP program accommodating new national and global developments in place;


-       Revised CBEHPP tools ready for use;


-       School-Based Environmental Health Promotion program developed.


-       Consultancy report and all raw data collected during the review process


6 Data collection approaches for the consultant


A desk review and a comprehensive conceptualizing of current CBEHPP approach from existing reports, published research, implementing partners reports and documentation, GOR documented challenges, opportunities and successes of CBEHPP.


Conduct focus group discussions and KII with district EHOs and Community Health Workers/ CHC facilitators, other district authorities directly involved in training, monitoring, mentoring and supervision of CHCs to obtain inputs in the implementation process;


Visit CHC members and partners to obtain views on the dialogue tools;


Compile all views obtained against the visual cards;


Consult selected schools to gather relevant information on School Based Environmental Health Promotion activities and potential training needs;


Consult with relevant WASH partners’ staff (at least 7 partners organization)


Solicit preliminary feedback/inputs on data gathered, findings from the field assessments, and draft contents of the new CBEHPP modules through a consolidation workshop with experts in CBEHPP;


Consult MoH, NECDP, and MININFRA to explore gaps and potential topics to be included in the training manuals;


Qualifications


7 Required skills/Experience


The consultancy is open to individual or consultancy firms and knowledge institutions more preferably Rwanda Nationals who meet the following specifications;


A team of experts (2-3) with Environmental Health, Public health, Operations research and social science  qualifications background  at master’s degree/ Ph.D. qualification for the lead consultant is a plus;


Should have background and work experience as consultants in Environmental and Public Health, qualitative and operation research field;


Experience in using WASH participatory approaches;


Past experience in designing and reviewing WASH promotion materials or adult learning modules;


Experience working in the health sector in Rwanda preferred;


Knowledge about Rwanda Health sector especially Environmental Health;


Fluent in Kinyarwanda and English (both verbal and written communication);


Ability to facilitate communication between different levels of Government and Development Partners.


8 Coordination and Supervision


The overall coordination and supervision of the assessment and review of CBEHPP tool will be under the Ministry of Health in close collaboration with Integrated Nutrition and WASH Activities-Gikuriro Program partners.


9 Duration of the assignment


-          90 working days and based on achieving set deliverables.


Additional Information


Work Pattern (Full Time or Part Time) : Part-Time


Contract Duration: 90 working days


Expected start date : As soon as Possible


How to apply?


SNV is, therefore, seeking for technical and financial proposal from competent consultancy firm /consultant to perform the described assignment. The technical proposal should contain the bidder's experience, comments on TOR, work plan, staff composition and summary of curriculum vitae for proposed professional staff. The financial proposal should include the breakdown of the staff time and daily rates as well as direct costs and taxes associated with the assignment.


Deadline:  November 9th, 2018.


 


N.B: Only shortlisted candidates will be contacted

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