Health and Nutrition Knowledge, Practices and Coverage Survey Analysis and Report Consultancy 2019

THE CONSULTANCY

CONSULTANCY PURPOSE

The purpose of the consultancy is two-fold:

1. Part 1 is to analyze and report on the data collected from the household survey (see ‘Information on the survey’ section below) and make recommendations on current and future programming for Medair, MOSA, Ministry of Public Health (MoPH) and other Non-Governmental Organizations (NGOs). The analysis and reporting will be based on, but not restricted to, key health and nutrition related indicators, including the following thematic areas:

• Health seeking behavior
• Diarrhea and respiratory tract infection management for children
• Vaccinations
• Reproductive health (including antenatal care, postnatal care and family planning)
• Breastfeeding practices
• Access to reproductive and psychosocial services

1. Part 2 is to carry out a proxy comparative analysis of the 2019 dataset, with those of 2018, 2017 and 2016, to contextually identify and explore statistically significant trends between the four surveys and propose ways forward, including areas for qualitative research, for Medair, MOSA, MoPH and other NGOs. This is intended as a first step towards the dissemination and application of findings.

OUTPUTS (INCLUDING TIMEFRAME AND SCHEDULE)

The consultancy will take place between October and November 2019 and will be divided into two parts, as set out below. The work will take place remotely, except where a locally based consultant is appointed, in which case a short field trip can be arranged.

Part 1

1. 1. Review pre-cleaned data, conduct initial data analysis on the required indicators (using complex analysis in line with the cluster sampling methodology), and provide a written summary of provisional results, including point estimates of all required indicators

1. 1. Using appropriate data analysis software, conduct in-depth data analysis based on the required indicators, and provide a draft report (including project background, methodology, results, discussion, conclusions and recommendations and annexes).
   2. Following Medair feedback (by the Senior Regional Health Adviser, the Health Project Manager, the Global Monitoring and Evaluation Adviser and the Assessments, Monitoring and Evaluation Manager), provide the final report and all raw data analyses (Excel and EpiInfo/SPSS/Stata codes or dashboards) and databases.

Part 2

1. 1. Analyse the 2016, 2017, 2018 and 2019 data sets together and provide a tabular presentation of point estimates for all required indicators, including 95% confidence interval and statistically significant trends, inclusive of disaggregation of Syrian and vulnerable Lebanese population groups. 
   2. Following Medair feedback (by the Medair representatives as mentioned above) provide a concise commentary around the trends revealed by the data. This is to be presented in the context of the environment of the Bekaa, drawing on relevant literature as it relates to the national public health situation. This summary should include some top-line messages that can be shared with stakeholders including community members.
   3. Following Medair feedback on the analysis, provide written recommendations on areas for further, qualitative, study that would benefit from exploration of underlying causal factors for notable movements in indicators, inclusive of recommended approach and next steps. (This follow-up qualitative research will be carried out by Medair either internally, or as part of an additional consultancy, which would be connected directly with its on-going health programming, and linked to strengthening Medair’s M&E system and approach more broadly).  

SECURITY (FOR FIELD TRIP IN THE CASE OF A LOCALLY BASED CONSULTANT)

All reasonable steps will be taken to provide safety and security for the consultant; both Medair and consultant accept the inherent risks in working in humanitarian contexts. Medair will not be required to do more than what is reasonable and possible in the circumstances whilst providing a safe and appropriate work environment.

CONSULTANCY FEES AND TERMS OF PAYMENT

• The consultancy will be carried out remotely, whether by a national or international consultant, though provision could be made for field visits should a consultant within Lebanon be selected.
• The consultancy fees will be negotiated based on a proposed budget that includes daily rates for the consultant
• A fee will be paid by cheque or into a bank account designated by the consultant on the successful completion of the first report.
• The remaining pro-rata fee will be paid when the second report has been finalized and approved by Medair.
• In the case of travel, any reasonable expenses s incurred while in transit will be reimbursed into the designated bank account against receipt.

CONSULTANT RESPONSIBILITIES

• Submit to Medair before the starting date of the contract proof of registration as a consultant. (Only if in Consultant’s country of residence such registration is normal practice.)
• Fulfil the above outputs as listed within the timeframe stated.
• Comply with Medair Lebanon security plan and recommendations on dress and behavior.
• Acknowledge all data and results produced by the consultancy is owned by Medair and seek approval from Medair for any utilization of the result out of the defined TOR.

INFORMATION ON THE 2019 SURVEY

SURVEY PURPOSE

The Knowledge, Practice and Coverage (KPC) household survey will measure standardized health and nutrition indicators for Syrian refugees and vulnerable Lebanese, in the Medair-supported SDC project areas. The purpose of the survey is to provide robust data that will inform Medair, MOSA, Ministry of Public Health (MOPH) and other NGO programming and provide a strong evidence base to current and potential donors. The analysis will serve to compare key indicators across key target groups, as well as enable a comparison with the 2016,2017 and 2018 KPC surveys.

SURVEY METHDOLOGY

The survey to be conducted will use a cluster design to enable the calculation of 95% confidence interval point estimates with acceptable degrees of precision. The sampling frames will be distinct for both Syrian refugees (made up of those living in informal settlements) and vulnerable Lebanese, such that two cluster surveys will be conducted.

OBJECTIVES OF SURVEY

The objective of the survey is to collection data on key health and nutrition related indicators at the household level, including the following thematic areas:

• Health seeking behavior
• Diarrhea and respiratory tract infection management for children
• Vaccination
• Reproductive health (including antenatal care, postnatal care and family planning)
• Breastfeeding practices
• Access to reproductive and psychosocial services

KEY INDICATORS TO BE MESAURED : PLEASE read the  Attached ToR for info

SURVEY METHODOLOGY

The surveys to be conducted will use a cluster survey design to achieve 95% confidence interval point estimates with an acceptable degree of precision.

The sampling frames are Syrian refugees (made up of those living in informal settlements only) and vulnerable Lebanese in the catchment areas of the 6 Medair-supported SDCs (Talia, Brital, Marj, Kabelias, Jib Janine and Rafid). For further details on the clusters selected, see the Annex below. The respondents will be women of child bearing age with children under the age of 5, or their care givers. The data will be collected by approximately 70 enumerators, trained and supervised by Medair staff, using tablets and ODK (Open Data Kit) data collection software. A total of 2250 questionnaires are planned to be completed.

TIMEFRAME / SCHEDULE:

Survey questionnaire pre-testing – August 2019

Enumerator training – September 2019

Field data collection: 16^th – 27^th September2019

Consultant: Data analysis and report writing: October - November 2019

Review of draft report – November 2019

SECURITY

Medair will liaise closely with the local authorities and Municipalities for security information across Bekaa.

PERSONS TO CONTACT

Survey focal point: Farah Darwiche (Medair Health Project Manager:  [email protected]

M&E focal point: Alastair Punch (Assessments, Monitoring and Evaluation Manager): [email protected]

FUNDING

Funding for this consultancy will come from Medair donor, EU-Madad. The other costs of the survey are also supported by Medair donor Global Affairs Canada-IHA

Consultant required for Lebanon’s 2019 KPC survey report

A consultancy opportunity for a consultant with experience in analysing household survey data and report writing for Medair’s health and nutrition survey in Lebanon.

Organisation requiring the consultancy service: Medair

Location of work: Remote consultancy or short field visit to the Bekaa Valley in the case of a locally-based consultant.

Timeframe: October – November 2019

Title: Health and Nutrition Knowledge, Practices and Coverage Survey Analysis and Report Consultancy 2019.

Qualifications, experience and skills required: The consultant will need to have proven experience in designing and conducting large scale household surveys and performing statistical data analysis, using appropriate software, such as SPSS, to analyse data using complex analysis functions for cluster sampling. A degree in public health and strong experience in monitoring and evaluation is desirable. Strong proficiency in English is essential.