Terms of Reference Creating district-wide behavioural change by school based approach for Diabetes prevention

Human Practice Foundation

Detailed Job description / requirements:

Terms of Reference

Creating district-wide behavioural change by school based approach for Diabetes prevention

Project Period: March 2020 to Feb. 2023

Application Deadline: 21st Oct. 2020, Assignment to Complete: 30th Nov. 2020 

1)   Background to the baseline survey work

A.   Organisation and program description: Human Practice Foundation (HPF) is a non-religions, non-political social development organisation based in Copenhagen, Denmark. It works on education and local income generation in Nepal and Kenya. In Nepal, HPF is active as an INGOs since 2017 implementing program related to education, health and local income generation. HPF works in partnership with the School Management Committees to implement its program. 

B.   HPF and Diabeters prevention program: Through the financial support of World Diabetes Foundation (WDF), HPF successfully implemented School Based Diabetes Prevention (SBDP) between 2017-2019. This intervention proved to be instrumental in changing anti-diabetic knowledge, skills and behaviors among the schools students, their parents, teachers, and also expand service delivery capacity on the part of health facilities. 

In reference to the successful project implementation and growing need on the part of rural community of Taplejung, HPF has been awarded another grant award by the WDF to implement the project entirled as "Creating district wise behavioural change by school based approach for the period of 3 years. This project is officially approved in March however not on ground due to Covid-19 pandemic. This project works basically through schools as partners covering 52 secondary schools of which 43 are located in Taplejung while 9 in Sahidbhumi Rural Municipality of Dhankuta district. 

Project Aim: 

To prevent diabetes, NCDs and improve the overall health through education and behavioural change in Nepal 

Project Objectives: 

1.   To educate school children in the 3 aspects of health, diabetes and NCD prevention and awareness as well as create behavioural change for the students.

2.   To train health volunteer groups in diabetes and NCD awareness and prevention as well as the 3 aspects of health

3.   To aware and educate the local population in diabetes and NCD prevention as well as the 3 aspects of health.

4.   To influence policy makers on the local and national level to provide more focus on physical health, mental health, financial health and Life Orientation Skills at the schools

Project's result framework

IndicatorsTarget
No. of round table meetings, expert and/or advocacy meeting held locally, nationally, regionally, internationally
21
No (%) of persons reached through mass media campaigns
15000
No of articles published in local, regional and international media
10
No of strategic alliances/partnerships established
2
No of media (TV and radio) reporting on diabetes
156
No of teachers trained in prevention of T2DM
150
No of children/youth trained in prevention of T2DM
20500
No of parents trained in prevention of T2DM
5000
No of community awareness activities conducted
250
No of other HCP trained in T2DM care and prevention
1500 (1350 HCP+150HCP)
No (%) of parents with improvements in KAP
Baseline/endline
No (%) of persons with improved dietary behaviour
Baseline/endline
No of Non-HPF schools starting activities similar to project activities
5
Baseline/endline survey with reference to project's behaviour matrix
Baseline/endline
No of cooking classes conducted
750

Project's behaviour matrix:

S.NBehaviours
What to Measure
1Get up timing in the morning
Early (before 5), reasonable (5-6) Late (6-7), very late (after 7 am)
2Daily Exercise
Whether exercise done or not, if done, for each day or 2 days, 3 days, 4 days, 5 days, 6 days or 7 days per week and how long (15 min, 30 min., 45 min., 1 hour, 1 hour +
3Sleeping/Bed time
Day time sleeping, Bed time (immediately, after half an hour, 1 hour, 1.5 hour and 2 hours and plus)
4Food composition practices
Cereals only, cereals and Palse (dal), Cereal, palse and little bit of vegetables, Cereal, palse and reasonable vegetables but no green veg., cereal, palase and reasonable amount of veg. with green veg. Meat eating frequency with extra fat, little fat, no fat
5Food preparation for cooking
Chooping to much into small pieces, medium chopping, reasonable chopping, washed before chopping, washed after chopping
6Veg. cooking practices
Heavy cooking, medium cooking, reasonable cooking
7Alcohol comsumption
Yes/No, If yes, once in a week-every day in a week, festival time
8Tobacco consumption
Yes/No, if yes, how frequently Less-chain smoker
9Fruit intake
Yes/No, if yes how much (2 - 4 pieces/day, and how frequently once/week-7 days/week)
10Direct sugar consumption (sugar, sweets) consumption 
Excessive, moderate, reasonable, less, not at all

Behaviour outcomes

1Body Mass Index
Obessity, overe weight, boarder line, reasonable, accurate
2Waist circumference
Extra, over, boarder line, reasonable, accurate
3Blood sugar level (fasting) (parents)
Extra, boarder line, reasonable, accurate
4Blood sugar level (after eating) (parents)
Extra, boarder line, reasonable, accurate
5Hypertension (parents)
Extra, boarder line, reasonable, accurate
6Vegetable gardens installed at homes
Yes/No

This project focuses on three different aspects of health that are interconnected in one or other way. These include physical health, mental health and financial health. As described in the project document, physical health is the health connected to one's own physical well-being and body such as diseases, wounds, physical education, training and nutrition. Mental health is the health connected to you mental well-being such as mental illnesses, mental struggles, stress and factors that affect your mental health like alcoholism and drugs. Financial health is how individual’s health is connected to his/her financial situation and how this influence both the mental and physical health. Many studies show that there is a strong correlation between these three aspects, and that issues in one aspect can have a detrimental effect on the other aspects. 

Therefore, the other scope of this study is to find the existing status of the target population in terms of how their financial and mental health situation is, there try finding the interconnections between different health status and diabetes and NCD status. For this purpose, the indicators framework is further expanded to the following: 

Stress Assessment as a part of mental health
Economic assessment as a part of financial health
  • Depression and Anxiety
  • Anger, irritability, or restlessness
  • Memory and concentration
  • Compulsive behaviour
  • Feeling overwhelmed, unmotivated, or unfocused
  • Trouble sleeping or sleeping too much
  • Racing thoughts or constant worry
  • Problems with your memory or concentration
  • Making bad decisions
  • Employment
  • Regular income
  • Food sufficiency
  • Credit/loan
  • Loss/sale of property to pay loan or sustain regular livelihood
  • Savings

2)   Objective of this baseline survey

The baseline survey focuses on the "Documentation of the current status" towards agreed result framework and ‘behaviour matrix” of this project as shown in the above chapter.  

3)   Methodology of the survey

The external consultant adopts quantitative and qualitative methods to conduct the survey, with the view to gathering and processing data to set baseline information under each parameters. These include: 

Preparatory Phase

a.   Carry out initial briefing/planning meetings with HPF to identify relevant stakeholders, target groups and beneficiaries. 

b.   Prepare the detail baseline survey methodology, checklists questionnaire, field visit plan and share with HPF for input. 

Data collection phase

a.   Document review: Review of important documents provided by HPF. These could be project documents, applications, result matrix and previous survey/evaluation reports. 

b.   Carry out data/information collection using qualitative and quantitative methods and through using participatory approaches and methodologies that involves key stakeholders such as HPF country office, Project Office, SMCs, students, teachers, RMs, community people, Health posts and public health officials. Focus group discussion, semi-structured interview and other appropriate meathods should be used to collect qualitative data. 

Data Analysis, dissemination and feedback 

a)   Conduct a robust analysis using both primary data. 

b)   Prepare evidence from data collection phase for presentation in the draft report.

c)   Organize information as per chapter 5 and produce the first draft of the survey report. 

d)   Conduct debriefing meetings with HPF. The pre-final draft report should be circulated to HPF for their comments and feedback. 

Report Finalization and submission to HPF

a)   Incorporate comments and feedback from all relevant as per above 3, give final shape to the report and submit to HPF.

Copyrights and all other rights of this final report shall rest on with HPF. All reports pertaining to the project should be submitted in writing to HPF.

4)  Roles and Responsibilities

The External consultant

  • Agree with HPF on the work, associated methodologies, timeline, proposed remuneration within the agreed date.
  • Conducts the survey of the project with utmost professional diligence in accordance with the time frame and ToR.
  • Carry out the survey in a manner and standards that best realize the objectives of this survey as stated in this ToR.
  • Uses evidence from the data collection phase in presentation of report sections, arguments, conclusions and any important observations/recommendations as relevant.
  • Prepare and present the major findings of the survey at debriefing meeting with HPF.
  • Produces draft and final survey reports within the deadline of the agreement.
  • Considers the comments, response and feedbacks from the project holders in the course of the preparation of the final survey report.
  • If requested, be available for required consultation and information sharing if HPF decides to organise disseminate the report/findings. 

The Programme holders:

A.  HPF Office

  • Make available the required project documents, reports, and all the relevant  information requested by the external evaluator 
  • Participate as respondents in the survey
  • Facilitate communications and contacts with the respective SMCs, RMs and Health Facilities/staff, community people, teachers, students and others as deemed necessary.
  • Arranges meetings of the independent external evaluator with the appropriate stakeholders and project groups in the field sites. 
  • Arrange field visits, provide transportation, accommodation and food cost. 

B.  Implementing partners: SMCs, students, teachers and communities

  • Participate as respondents in the survey and make available information and documentation required by to the external consultant within the given time frame

5)  Final Report

One report should be prepared in English covering the entire survey and signed electronic copy in PDF must be submitted. Report must be logical and coherently arranged with at least the following contents with relevant appendices and front pages:

  • Table of content 
  • Acronyms
  • Executive Summary-maximum of 2 pages inclusive of main findings and summary of baseline information towards each appropriate indicators and behaviour matrix. This could include any important suggestions and recommendations for the future project focus.
  • Introduction part (objectives, scope, methodology)
  • Context and Background.
  • Analytical assessment towards the baseline situation across relevant project indicators and each behaviour matrix using charts and figures.
  • Conclusion and suggestions/Recommendations as relevant. 
  • Appendices (as required ToR, work schedule, list of respondents, reference documents and others as required).

Copy rights and all other rights of this final report shall be vested with HPF. All reports pertaining to the project should be submitted in writing to HPF. 

6)  Timing and Deliverables

Overall time frame for this survey shall be 10th October to 30th Nov. 2020 with the following specific time frame and deadlines for specific type of work:  

Datelines
Activities/Deliverables
Working Days
4th week of Oct. 2020
Pre meeting and terms and conditions of contract set, and signed. Orientation on HPF, its work, projects and program Document Review and associated clarification completed. Methodology/tools defined/refined
6
1st-2nd week of Nov. 2020
Field visit and data collection completed
16
3rd Week of Nov. 2020
First draft of the survey report written, and shared with HPF for comments/feedback
5
4th week of Nov. 2020
Final Report submitted to HPF after incorporating feedback from HPF
3

Total working days
30

Final report of the assignment should be handed over to HPF, in PDF version, by the 30th Nov. 2020

7. Qualification and Experience of the Evaluator or the Firm

  • That the consultant holds at least Master Degree in social science/education/development evaluation. 
  • Language fluency, both Nepali and English
  • Should have previous experiences of doing evaluation and research with NGOs, INGOs or Bi/ Multilateral agencies in the area of development
  • Proven research and evaluation skills such as methodology and indicator development, sampling, use of varied methodologies with participatory methods.
  • Skills of analyzing, systhesizing, consolidating and report writing skills.
  • Any previous work experience doing similar survey-evaluation in the field of Diabetes prevention or health sector will be an additional asset.

8. Procedure for EOI and Selection Criteria

Interested individual Consultant or firm with the required qualifications and experience to undertake the consultancy work should submit their Expression of Interest, CV(s), a copy of separate previous survey/research report and with total consultancy amount inclusive of VAT/tax to the address below latest by 8th Oct. 2020.  

9. Criteria of evaluation of the Applicants

The selection of the Evaluator will based on the following:  

  • Academic Qualification
  • Experience of Research and Evaluation in the development field with extra points for having similar research and evaluatioin in health field or diabetes subject.
  • Price quote for the survey work

10. Budget and Logistics

The consultancy fee for the baseline survey shall be negotiated and decided further if the financial proposal does not fit within the HPF's capacity.  

Travel and DSA, and cost related to holding meetings of partners and/or stakeholders, stationary will be directly born by HPF, Nepal.

HPF will not be liable to pay any other costs apart from what is mentioned as above.  

11. Remuneration

Total remuneration shall be as agreed with the Consultant and reflected in the signed TOR.

12. Method of Payment

1.  Once both parties; HPF and Consultant sign the agreement, 25% of the total cost of the assignment will be paid to the Evaluator in the consultant’s bank account at the start of the assignment;

2.  The remaining 75% of the total cost of the assignment will be paid upon submission of the satisfactory survey report and its approval from HPF.

13. Special Matters

a.  If the Consultant/Firm fails to submit the final report hereof on the stipulated date of 30th Nov. 2020, the Consultant/Firm concerned shall be charged NRs 10,000 for each days of delay and this will be deducted from the final payment. 

b.  If for any reason, the Consultant/firm concerned abandons this assignment after its commencement, the Consultant/Firm shall refund to HPF all funds obtained by them and in addition thereto the Consultant/firm shall pay 10% of the full budget to HPF. 

14. Resolving disputes

In the event of any dispute arising between the HPF and the Consultant, a maximum and genuine effort should be made by both parties to resolve such dispute through discussions. If they fail to resolve it in this manner, it should be resolved through arbitrator approved by both parties and in final instance by the Courts for which either party can proceed on their own cost

Address to send the Application:

vacancy.hpfnepal@gmail.com, with copy to sr@humanpractice.org

Human Practice Foundation (HPF) Nepal

Pipalbot, Dillibazzar, Kathmandu, Nepal

Contact: 9851112082

Selected candidates may be be contacted via telephone or email for further clarification, thereby to finalise the assignment. HPF Reservers all rights to select or not to select candidates through this job advert or to cancel this assigment.

Job Overview

Category Development and Project
Openings 1
Position Type Contract
Experience Please check details below.
Education Please check details below.
Posted Date 12 Oct, 2020
Apply Before 21 Oct, 2020
City Kathmandu