ሪፖርተር እሑድ ጥር 10 ቀን 2018 ዓ.ም
Terms of
Reference for Developing Catchment Based Clinical
Mentorship
Intervention Documentation
1. Background
The Federal Ministry of Health (FMOH)
introduced the Catchment- Based Clinical Mentorship (CBCM) program in 2014 to
strengthen providers' competencies in Reproductive, Maternal, Newborn, Child,and
Adolescent Health and Nutrition (RMNCAYH-N) services. The national RMNCH CBCM
guideline defines clinical mentorship as a capacity-building strategy in which
experienced clinicians provide continuous, structured, practical support to
less-experienced providers within the same referral catchment.
Over the past three years, under the
Takeda-funded project, Ipas Ethiopia has implemented a CBCM training approach
to enhance the delivery of family planning and abortion services in five
regions namely Oromia, Amhara, Sidama, Central and Southwest Ethiopia. This
approach defines the structure, timing, and team composition of clinical
mentorship from hospitals to health centers and health posts. The model is
designed to strengthen referral systems, accelerates service initiation, builds
confidence among providers, and ensures continuity and sustainability of SRH
services.
2. Objectives of the
Documentation
2.1 General Objective
The objective is to document the
overall process of the catchment based clinical mentorship training implemented
by IPAS in five regions by focusing on key achievements, cost effectiveness, lessons
learned, and challenges of the Catchment based Clinical Mentoring Approach.
2.2 Specific Objectives
The task has also the following
specific objectives
1. Analyze the CBCM training
model (contact hours, time for theoretical and practical sessions, on call
support, and case availability) and determine its adequacy, design, and implementation
process.
2. Assess key achievements of the
CBCM approach by measuring provider knowledge and skills, early initiation of
the service and service uptake within the catchment area.
3. Identify strengths, weaknesses,
and contextual enablers and barriers influencing the implementation and
performance o the approach.
4. Conduct a cost-effective
analysis comparing CBCM versus traditional in-service training models by
evaluating the average cost invested per site (for training, supervision, and material
support) in relation to service uptake.
5. Document lessons learned and
sustainability strategies for scaling or institutionalization.
6. Document CBCM acceptability by
trainees, facility heads and health system managers.
3. Methodology
The documentation will employe a
mixed methods approach that integrates quantitative and qualitative data to
comprehensively address all study objectives. The approach combines a desk
review, key informant and in-depth interviews, analysis of routine service statistics
and a cost-effectiveness analysis. The use of multiple data sources will allow
triangulation of findings and strengthen the validity of conclusions related to
the CBCM approach.
3.1. Desk Review
3.2. Primary Data Collection
3.3. Quantitative Service Data
Analysis
3.4. Cost-Effectiveness Analysis
3.5. Data Triangulation and
Analysis
4. Deliverables
1. Inception report outlining the
consultant's understanding of the assignment, documentation methodology, data
sources, stakeholder engagement approach, ethical considerations, and detailed
work plan.
2. Comprehensive documentation
report capturing the design, implementation, outcomes, lessons learned, best
practices, and scalability of the Catchment-Based Clinical Mentorship
Intervention.
3. Development of three case
studies or success stories illustrating facility- or catchment-level impact,
including qualitative narratives and stakeholder perspectives.
4. Visual
documentation products, including the intervention framework, mentorship process
flows, and catchment-level coordination.
5. Policy and program brief (4-6
pages) summarizing key findings, lessons learned, and recommendations for
policymakers, donors, and implementing partners. 6. Validation of all
documentation products through stakeholder review and incorporation of
feedback.
7. Submission of final,
professionally edited and formatted report incorporating feedback from Ipas and
stakeholders.
8. Presentation deck synthesizing
the intervention model, results, and key lessons for dissemination to
stakeholders.
5. Required Qualifications and
Experience
- Minimum of 7-10 years of progressively
responsible experience in health systems strengthening and public health
programming.
- Demonstrated experience in documenting
clinical mentorship, capacity-building, or quality improvement interventions at
catchment, district, or facility levels.
- Proven experience in project
evaluation and applied health research, including the design and conduct of
cost-effectiveness and sustainability analyses.
- Proven ability to translate technical
and operational program experiences into clear, high-quality documentation
products, including reports, case studies, and learning briefs.
- Strong stakeholder engagement, analytical,
and writing skills, with the ability to manage multiple inputs and deliver
high- quality outputs within agreed timelines.
- Prior experience working with
government health structures, including Ministries of Health, Regional Health
Bureaus, Zonal, Woreda and health facility leadership is an added advantage.
6. Collection & Submission of
Bid Document:
- Technical and financial
proposals should be submitted separately in a sealed and waxed envelopes. In
addition to the hard copies, firms should submit electronic copy of their technical
and financial proposals within 15 days starting from the date of announcement
of this bid
- All competing firms are
required to submit Technical Proposal that includes the firm's legal documents,
profile, recommendations of similar sample tasks accomplished.
Address: Ipas Ethiopia; Micky Leland
Street, 22 Mazoria (Behind Caravan Hotel), Tel: 011 662 6310/ 011 662 6311,
Email: zewdieh@ipasorg, P. O. Box Code 1AKVOM 63001 Addis Ababa, Ethiopia
N.B. Interested and eligible
bidders should collect the full bidding Document from Ipas Ethiopia country
office whose location is indicated above.
Please note that only shortlisted
applicants will be contacted
Note: Female applicants are
highly encouraged!