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MdM Project ToR Assessment in Ukraine

Consultancy for Assessment in Ukraine

Donetsk Oblast
Ukraine

Tensions between Kiev and pro-Russian separatists led to war in the eastern regions of Donetsk and Luhansk Oblast at the beginning of April 2014. Eastern Ukraine has been facing a humanitarian crisis since then with at least 10,000 people killed, including nearly 3,000 civilians. Peace agreements have been negotiated, but never fully implemented. The line of contact (LoC) between government controlled areas (GCA) and non-government controlled areas (NGCA) has stabilized, but regular armed clashes are still common within 5 km on both sides. The populations in Donbass Region, especially those living close to the LoC, continue to experience significant disruption to their daily lives due to the many challenges created by the ongoing fighting.

The social and humanitarian effects of the conflict have been felt by both the host communities and the estimated 1.6 million IDPs. In total an estimated 4.4 million people are affected by the conflict, of whom 3.4 million require humanitarian assistance. Four years into the crisis and with no forthcoming political solution in sight, the vulnerabilities, particularly for the 1.6 million people in need of humanitarian assistance living along the LoC (5km on either side), are increasing at a worrying pace.

The conflict affected population along the contact line is still facing a lack of availability and access to quality health services, while experiencing worsening of their health status due to the conflict. Most vulnerable people’s (mainly women and elderly) access to health services continues to shrink. Freedom of movement needed by both patients and health care providers continue to be obstructed by insecurity, while transportation means are either limited or too expensive. In addition the provision of primary health care (PHC) services has drastically declined especially in remote areas due to interrupted supply of medicines and lack of health care professionals that fled the area of conflict.  Besides the dire situation of PHC, mental health needs and GBV-risks have been exacerbated by the conflict.

Since 2015 MdM is present in Luhansk Oblast by implementing a comprehensive health care programme. The mission was established following an emergency assessment and focused on changes in access to, and quality of healthcare due to the conflict, particularly for the most vulnerable populations including women, the elderly and those with chronic diseases.

Through a mobile unit approach, targeting remote locations close to the LoC (GCA) where the health system is still severely disrupted, access to primary health care services and referral to specialized care is ensured. The mobile unit provides a comprehensive service package, including PHC, mental health and psychosocial support (MHPSS) as well as sexual and reproductive health (SRH) care services and is integrated within the existing health facilities (feldshers ’points) in order to support the existing health system. To complement the mobile unit approach MdM works on one hand towards strengthening and supporting the local health system through targeted donations and capacity building measures (incl. mental health and GBV) of local health staff as well as health authorities.

As the humanitarian access to NGCA is extremely restricted, so far activities are limited to donations of medical equipment to conflict affected health facilities.

To expend the geographical area of the intervention MdM Germany in cooperation with MdM Spain is planning a needs assessment in the government controlled area of Donetsk Oblast.

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Objective of the Consultancy

The consultancy aims to conduct, together with a team of MdM staff members, a comprehensive assessment on the main health needs of the population in the government-controlled area of Donetsk Oblast, providing recommendations for a future intervention. The community outreach approach (mobile unit serving areas along the line of contact LoC) implemented by MdM in Luhansk Oblast shall be considered as possible modality of operation.

 

The assessment is expected to provide among others the following information:

  • An assessment of the relevance and appropriateness of the proposed extension to Donetsk Oblast.
  • Analysis of the area with a special focus on communities located within 20km from LoC.
  • Mapping of different stakeholders involved in providing primary health care services, MHPSS and GBV support services in the predefined Raions.
  • Mapping of the available health facilities and health care providers in the target area and an analysis of the potential synergies with other stakeholders.
  • Analysis of the provided health services on PHC level, particularly regarding MHPSS, SRH, GBV support services at the different levels of care in the targeted area.
  • What are the most updated demographic & public health statistics in the area.
  • Identification of the most relevant area of intervention and analysis of the health data available in the local Primary Medical Sanitary Assistance Centre (PMSAC).
  • Analysis of the contributing factors (barriers and drivers) the population is facing in accessing PHC and MHPSS services in identified area.
  • An assessment of the PHC services provided in the identified health facilities (state of the health care infrastructure, WASH conditions, number of health professionals).
  • Identification of secondary health care facilities in the targeted area with analysis of healthcare available for future referrals.
  • What kind of support is needed to strengthen the existing health system at Raion level?
  • Description of the security, institutional, or logistic constraints that may cause difficulties in setting up a project.
  • A do-not-harm analysis.
  • Recommendation on location for field office in Donetsk Oblast and future pharmacy

 

This list is not exhaustive. The consultant is required to use its professional judgement and experience to review all relevant factors and to bring these to the attention of MdM.

 

Methodology

1. Preliminary work

a) Literature/secondary data review: literature review and analysis of existing data from various stakeholders (health authorities, OCHA, INGOs, MdM)

b) Briefing with MdM HQ and coordination team

 

2. Fieldwork

a) Focus group discussions and key informant interviews with representatives of beneficiaries, health service providers, health authorities and INGO/NGO community

b) Health data analysis of the health facilities in the target area

c) Lead the assessment team and coordinate the work of the team according to the framework of the assessment

 

3. Reporting

a) Drafting the assessment report

b) Coordination with team members through skype/email and integration of their input into the report

c) Preparing a final assessment report

 

The Consultant will be responsible for developing and presenting a sound methodology. The draft methodology will be submitted before the departure of the Consultant and discussed between MdM and the Consultant.

 

Management of the Assessment

For the implementation of the consultancy, one consultant will be contracted, who will lead a team of 4 MdM staff (Medical Coordinator, Mental Health Coordinator, Liaison Officer, Driver). The consultants will receive all relevant documents from MdM for its preparatory work and a briefing with MdM HQ and the coordination team based in Kiev is foreseen in order to discuss the objective and workplan of this consultancy.

 

A detailed itinerary for the in-country work will be developed by the consultant in cooperation with MdM at least two weeks prior to departure.

MdM will organise transport and accommodation to and within Ukraine and will provide administrative support. Interviews and group discussions will be organized by MdM in cooperation with the relevant authorities and target group.

 

Deliverables

  • A concept note describing the finally agreed methodological approach as well as a workplan and timetable (to be provided before the field work in Ukraine starts)
  • Debriefing Note (2 pages) with summarized findings and draft recommendations will be distributed to MdM during a debriefing session
  • An assessment report (not more than 25 pages, 1 electronic and 2 bound hardcopies), incl. recommendation on target area and intervention strategy

 

The assessment report and all background documentation will be property of MdM and will be disseminated as appropriate.

 

Location of the Assessment

The assessment will be carried out in the government controlled areas of Donetsk Oblast, Eastern Ukraine. A selection of 1-2 Raions along the LoC (Volnovakha, Marinka, Jassynuwata, Bakhmut, Toretsk).

 

 

Timeframe

The assessment is expected to take place in October 2018. The following preliminary timeframe is foreseen while a final timetable is expected from the consultant

Preparation and desk study, incl. first briefing with MdM (via skype); preparation of a concept note

3 days

Travel

2 days

Briefing and Meetings in Kiev

1 day

Assessment in Donetsk Oblast

15 days

Report writing

5 days

TOTAL

26 days

 

1 week after departure from Ukraine: Submission of draft report in English MdM to comment                           

 

2 weeks after departure from Ukraine: Submission of final proposal in English to MdM departure from Ukraine     

Ihr Profil

Required Expertise

  • Advanced university degree in Public Health, Epidemiology or any other Social Sciences related technical field.
  • At least 5 years of proven experience in emergency/development project assessment M&E or project management
  • Experience of quantitative and qualitative data collection methods and strong analysis capacity
  • Experience in the use of participatory appraisal techniques in data collection
  • Regional experience is seen as an asset
  • Fluency in English (spoken/written), Ukrainian/Russian is an asset
  • Good communication and demonstrable team leadership experience

 

Tenders and Evaluation Management

Bids must include:

 

  • An application describing the methodological approach as well as the management and reporting arrangements which the consultant will employ to ensure oversight of the team. A work plan and timetable is expected.
  • Comments and suggestions on this ToR
  • CV and details of previous work experience on similar surveys
  • Financial proposal
  • Indication of the date from which the consultant will be available

Tenders should be submitted electronically to MdM by the closing date of 11.09.2018 to:

 

Julia Brunner

Ärzte der Welt e.V.

Leopoldstr. 236

80807 München

Germany

Phone: +49 (0)89 4523081 297

Email: bewerbung@aerztederwelt.org