Consultancy – Evaluation DGD Quiquennal Program – One Health At Doctors of the World – Belgium

Detailed information via this link

Mission context

Mission and vision of Médecins du Monde

Médecins du Monde Belgium (MdM-BE) is an international medical development association that is part of an international network. We provide medical assistance to vulnerable groups in Belgium, South-Eastern Europe, North, West and Central Africa. We want universal health coverage where everyone has access to care, without obstacles (financial, cultural, geographical, etc.).

Our projects are aimed at all people who have no or no longer have access to health care. In particular, they are structured into five axes: people on the margins of society (homeless people, undocumented people, drug users, sex workers, etc.); children in vulnerable situations; women (supported in their fight for equality or against sexual violence for example); migrants or displaced people and victims of crises or conflicts.

To carry out our mission, we base ourselves on three pillars:

• Treat: provide real access to care to populations.
• Change: more than helping, we want to change things in the long term.
• Testify: we do not remain silent.

Thanks to our experience and our presence on the ground, we challenge the powers (local, regional and (international)national) with facts, figures and realities. Our projects follow a series of values common to our entire organization: Social Justice, Empowerment, Independence, Commitment, Balance.

On One Health:

The “One Health” approach is defined as an integrated and unifying approach aimed at balancing and sustainably optimizing the health of humans, animals, plants and ecosystems. It recognizes that the health of humans, domestic and wild animals, plants and their ecosystem, is closely linked and interdependent. This approach mobilizes multiple sectors, disciplines and communities at different levels of society to work together for well-being and to address threats to health and ecosystems, while meeting collective needs for clean water, energy and air, safe and nutritious food, action on climate change, and contributing to sustainable development.

For Médecins du Monde Belgium (MdM-BE), integrating the “One Health” approach into its areas of intervention becomes essential to concretely realize the right to health, respond effectively to reducing the vulnerabilities of populations and to achieve health optimal through the prevention of health risks at the human-animal-environment interface. By adopting this global approach, MdM-BE will be able to better understand the complex links between environmental factors, human and animal health, while taking into account issues of mental health, sexual and reproductive health, climate justice and women’s vulnerability for a sustainable and inclusive development approach.

Objective of the evaluation

General and specific objectives(s)

The objective of this final evaluation is to report on the results obtained from the project “Community resilience is improved in the face of issues involving human, animal and environmental health in the Department of Aderbissinat, Niger”, and “The capacities to act of the populations bordering the Kahuzi-Biega National Park and indigenous peoples are supported by community resilience to health and environmental risks in order to prevent and reduce their impacts on human and animal health in the DRC”, and will cover all of its results and activities implemented in Niger and the DRC. At the end of the five-year program, it makes it possible to assess effectiveness, impact, and sustainability, as well as the transversal integration of gender and the environment.

This final evaluation will be carried out by an external consultant/consulting team who will also identify good practices and provide recommendations for similar interventions aimed at strengthening the capacity of communities and the health system to cope with shocks and crises. The results of this evaluation will make it possible to support advocacy towards health authorities in order to develop health training approaches and models, to better adapt the strategy. They will be arguments for scaling up other health districts at the national level as well as in other countries of intervention.

As the project results are general, the evaluation team should refer to the main types of results framework indicators that will be provided in the project documentation.

The evaluation must analyze the project’s theory of change. In particular, it will be expected to examine the plausibility of causal links, to identify possible necessary adjustments and to assess its differentiated application according to the context of the country.

The joint evaluation of these two distinct One Health programs, implemented in Niger and the DRC, should include a comparative analysis of the intervention model historically designed at MdM headquarters and used in these two projects, and its contextual adaptability.

This final evaluation has the following specific objectives:

Evaluate the performance and results of the project :

• Evaluate the overall performance of the project with regard to the defined evaluation criteria, including relevance, coherence, efficiency, effectiveness, impact and sustainability, in order to assess the level of achievement of the objectives and expected results.
• Measure the changes and effects observed among beneficiaries and other stakeholders, and assess the extent to which interventions contributed to meeting the identified needs.

Appreciate the integration of transversal dimensions:

• Analyze the extent to which gender principles, the environment, the participation of host communities, particularly indigenous communities in the DRC, and equitable access of all groups to the project, especially the most vulnerable, have been integrated into the design and project implementation.
• Assess the effects of the project on the different beneficiary groups, taking into account in particular possible disparities linked to gender, vulnerability or access to services.

Identify good practices and learn lessons learned:

• Identify, document and analyze good practices, innovative approaches and success factors that contributed to achieving project results.
• Identify key challenges, constraints and lessons learned during implementation to inform the design and implementation of future interventions.

Make recommendations for future interventions:

• Formulate operational, realistic and contextualized recommendations based on the results and lessons of the evaluation, with a view to strengthening the effectiveness, impact and sustainability of future interventions.
• Identify the conditions necessary for the sustainability and/or replication of approaches that have demonstrated their relevance and effectiveness.

Evaluate accountability to populations

• Appreciate to what extent the mechanisms of participation, information, feedback and complaints management have made it possible to strengthen the accountability of the project towards the populations.
• Evaluate the perception of populations, authorities and stakeholders regarding the relevance, quality and results of interventions
• Document the main results and lessons of the evaluation in order to promote transparent and evidence-based communication with different stakeholders.

Profile sought

Education

• 2nd cycle university diploma (BAC + 5) in: social sciences, public health, environment, management, protection or other related discipline.
• Having a valid certificate in humanitarian or development project evaluation techniques, or being a member or affiliate of a recognized association of evaluation experts, is an asset.
• Proven training or expertise in gender, human rights, research ethics or participatory approaches is appreciated.

Experience

• At least 5 years’ experience in project evaluation work, in the healthcare sector and, preferably, in a One Health approach or integrated healthcare approach.
• Proven experience in the use of qualitative, innovative and participatory evaluation methods (semi-structured interviews, group discussions, observation, workshops, visual and interactive tools adapted to low literacy contexts), as well as in the collection, qualitative analysis and triangulation of data.
• Experience in integrating gender and power analysis into assessments, including data collection and analysis, and consultation with marginalized groups (women, youth, people in situations of vulnerability).
• Experience in implementing rigorous ethical approaches: informed consent, confidentiality, “do no harm” principle, safeguarding (safeguarding) and management of sensitive situations, including with minors and adolescents.
• Experience in the country or countries of intervention. Evaluation teams including people residing in project countries or regions, or involving national experts, are appreciated.
• Experience in evaluating projects financed by the DGD appreciated.

Quality and justification of the methodology

• Clear, adapted technical proposal based on a good understanding of the evaluation questions.
• General description and relevance of the proposed qualitative methodology, demonstrating how it guarantees the participation of all stakeholders, in particular the populations concerned, in an approach based on human rights and in a decolonial approach (recognition of local knowledge, limitation of power relations between the evaluation team and the people consulted).
• Effective integration of gender and power relations within communities in the collection and analysis of results.
• Precise description of the ethical procedures provided (consent, confidentiality, “do no harm”, protocol for managing sensitive situations, necessary authorizations, training of collection teams).
• Presentation of the tools proposed at each stage of the evaluation process, including the methods of validation and feedback to stakeholders.
• Work schedule consistent with the methodology and expected deadlines, taking into account the deadlines for obtaining ethical authorizations.
• Demonstrated ability to deploy evaluation teams in intervention areas, with an adapted team composition (gender, local languages, knowledge of the field).

Other assets

• Excellent command of French.
• Knowledge of local languages is appreciated.
• Experience working within or with an international association, particularly in the One Health/One Health field.
• Knowledge of the context of the countries of intervention.

Content of the Offer

The submission file must include:

• A technical offer including the updated CV of the consultant or consulting team (maximum 4 pages per CV) and a description of the methodological approach envisaged to answer the questions and objectives set out above (maximum 15 pages for the methodological approach).
• A financial offer not exceeding 35,000 euros, including a detailed financial proposal in EUR including in particular all the costs envisaged.

*The tenderer’s CVs will clearly and in detail indicate (organization, type of services and period of services) their similar experiences.

*The bidder’s attention is drawn to the fact that the total fixed price relates to a mission, it includes the fees and costs inherent to the missions (travel, insurance and accommodation costs).