Purpose: The purpose of the Semi-Quantitative Evaluation of Access and Coverage (SQUEAC) assessment is to assess the coverage of the nutrition program and investigate or identify key factors affecting the uptake of CMAM services in Ancuabe and Metuge districts, Cabo Delgado, Mozambique.
Period of Performance: TBD (Tentatively December 1st, 2022 – January 11th, 2022)
Place of Performance: Ancuabe and Metuge Districts, Cabo Delgado, Mozambique.
Background
FHI 360’s humanitarian response in Mozambique began in 2019 when it used the country platform to launch a response to communities affected by Cyclone Idai in Sofala and Cyclone Kenneth in Cabo Delgado province. Currently, in response to the conflict in northern Mozambique, FHI 360 provides lifesaving support for communities affected by insecurity, conflict, and displacement in Cabo Delgado Province by delivering essential health, nutrition, water, sanitation, and hygiene (WASH), and protection assistance through institutional, mobile, and community-based levels. The Integrated Response to Affected Mozambique Populations (IRAMP) project’s goal is to improve the health and well-being of conflict-affected populations in Cabo Delgado province, targeting vulnerable populations—including women and girls, unaccompanied and separated children, persons with disability, and internally displaced persons (IDPs) in Metuge and Ancuabe districts. In times of emergency, the project pivots and responds to acute humanitarian needs in other districts through a rapid response mechanism. FHI 360 works closely with the government, local development organizations, and local health officials to design and implement community-level programs tailored to support the Government of Mozambique’s responses to HIV/AIDS, tuberculosis (TB), malaria, and malnutrition, and strengthening government and local institutions.
The humanitarian situation across Cabo Delgado has continued to deteriorate, and displacement figures have increased by 20 percent to 946,508 in the first half of 2022. Since 2017 Cabo Delgado province has suffered a series of attacks by non-government armed groups (NGAGs), which have expanded geographically and increased in intensity since 2020. The fragile humanitarian situation in Cabo Delgado was exacerbated by the impact of Tropical Cyclone Kenneth in April 2019. Livelihoods have been lost, and education stalled while access to necessities such as food, social services, and healthcare is hampered.
According to the June 2022 Cabo Delgado SMART survey results, GAM prevalence ranges from 4 5% to 0.9% by WHZ which falls under the low or very low category of emergency threshold classification as per the latest update WHO/UNICEF 2018 threshold. However, special attention and reinforced monitoring are needed due to various underlying risk factors in the provinces of Cabo Delgado including inadequate access to livelihood opportunities and food because of the displacements and insecurity. Chronic malnutrition in the province remains of public health concern. The prevalence of chronic malnutrition among children 6 59 months was 44.5% which is classified as very high according to the UNICEF WHO 2018 thresholds.
Results from the 2021 survey conducted by UNICEF and WFP on malnutrition highlighted that there was very low GAM treatment coverage in Cabo Delgado, with less than 30% of the cases admitted for treatment due to limited access to health facilities and limited humanitarian partners. The health centers’ low and limited water and hygiene services compound the situation. Additionally, suboptimal infant and child feeding practices in Cabo Delgado prevented any progress.
FHI 360 IRAMP project nutrition sector aims to improve the nutritional status of vulnerable populations, particularly pregnant and lactating women (PLWs), infants and young children under 2, and children 3-5 years, reducing acute malnutrition, morbidity, and mortality. Implementation involves a three-pronged approach through supported static health facilities, integrated mobile medical units (IMMUs), and community mobilization via supported Agentes Polivalentes Elementares (APE) networks.
Goals and Objectives:
The Semi-Quantitative Evaluation of Access and Coverage (SQUEAC) Survey will be conducted to ascertain the level of access for program participants to Community based Management of Acute Malnutrition (CMAM) services, determine the coverage within project locations to better inform implementation, and improve program delivery. Furthermore, the survey will assess the coverage of the CMAM program, factors affecting coverage, barriers, and boosters to access and develop recommendations for program improvement in the survey locations.
The specific objectives of the survey include:
Methodology
The assessment is expected to dissect and deeply analyze the coverage challenges/barriers and enablers/boosters through an interactive process that utilizes both secondary and primary data collection methods. A full and detailed SQUEAC survey methodology will be designed by the Consultant in consultation with FHI 360 staff.
Responsibilities of the Consultant/Agency:
Deliverables
Duration of Activity and Level of Effort (LOE):
The consultant/ agency will be required to develop the implementation and supervision strategy of the SQUEAC survey including survey protocol, data collection tools, training material, SQUEAC survey reports, etc. within 31 days from the date when the contract has been signed. For further reference, see below.
Qualifications of the Consultant/Agency:
Interested and qualified parties are encouraged to apply. Applicants must submit: (i) a letter of expression of interest including a narrative description of applicants’ qualifications for this consultancy; (ii) a Technical proposal demonstrating a thorough understanding of this Terms of Reference and including, but not limited to the following: Consultant / Agency profile, detailed description of the Methodology, proposed activity work plan, team composition (including CVs of each team member), and detailed previous experience in SQUEAC surveys; and (iii) Financial proposal. Proposals should provide straightforward, concise information that satisfies the requirements of the ToR.
Bidders must submit an electronic version of their proposal by email to: CrisisResponse@fhi360.org no later than November 9, 2022. Applications submitted past the deadline will not be considered.
Tagged as: FHI 360, Mozambique
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