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CBM is an international Christian development organisation, committed to improving the quality of life of people with disabilities in the poorest communities of the world. Based on its Christian values and over 100 years of professional expertise, CBM addresses poverty as a cause and a consequence of disability, and works in partnership to create an inclu...
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Terms of Reference (ToR) for a consultant to conduct a research study to explore perceptions of persons with disability towards the inclusiveness of health services in two areas of Nigeria
Introduction
Seeing is Believing (SiB) is a three-year (2017-2020) Comprehensive Child Eye Health in Nigeria (CCEHiN) programme, that seeks to make comprehensive child eye health services available and accessible through promotion, prevention, medical care and rehabilitation/inclusive education targeted at vulnerable children. The SiB programme is being implemented in eleven (11) States of the Federation divided into four clusters as follows: Cluster 1: Oyo, Ogun and Osun States; Cluster 2: the Federal Capital Territory, Nasarawa and Plateau States; Cluster 3: Kano, Katsina and Jigawa States; and Cluster 4: Cross River and Akwa Ibom States. The goal of the programme is to contribute to the reduction of avoidable blindness and visual impairment through the provision of comprehensive child eye health services to over 1.5 million children aged 0-14 in selected states of Nigeria. Quality of care is critical for client’s satisfaction and sustained use of health care services.
Disability inclusive eye health programming provides holistic services that takes cognizance of all members of a community whether they have a disability or do not have a disability. It caters for all ranges and different types of disability. Working in two pilot secondary health facilities, the SiB Project will ensure barriers are identified and removed if possible, and that disability-specific processes are in adequately put in place.
Purpose of Assignment:
This study will provide a endlineline survey for work on disability inclusion at the two pilot facilities under the Seeing is Believing programme. The purpose of the study is to examine the perception of persons with disability regarding the inclusiveness of health services in their local area and compare with a baseline study, commenting on significance of any changes.
The findings of the research will guide planning, programming and policy formulation as well as work to address barriers militating against access to services and inclusiveness of persons with disability. This study will also evaluate how well the SiB programme addressed the identified barriers that affects access to services and inclusiveness of persons with disability in the pilot sites.
Objectives of the research study:
The objective of this research study will be to assess the perception persons with disabilities and other relevant stakeholders about the inclusiveness of basic services (focusing particularly on health, also covering education and other services) for people with disabilities including children with disabilities and their peers without disabilities in comparison to baseline findings.
The specific objectives of the study are to:
Scope of Work
The sample size will endeavour to be representative of the diversity of the population in the catchment areas; the methodology to achieve a representative sample should be clearly outlined in the research protocol. The study is expected to respond to but not limited to the following research questions:
Methodology:
The consultant(s) is/are expected to present, in detail, their approach, methodology and tools, with an action plan and timeframe that addresses the expected outputs, with reference to the overall and specific objectives as well as a budget. A mixed methods study is envisioned, comprising of: a review of hospital records, quantitative survey and qualitative research.
The research protocol will use representative sampling as appropriate, considering both quantitative (survey) and appropriate qualitative approaches. Two sets of tools will be developed; a questionnaire to administer the quantitative component of the survey and qualitative tools. These tools may be as used in the baseline for easy comparative evaluation where appropriate.
Qualitative research is expected to include:
Analysis:
The findings of the survey will, where possible, be disaggregated by type of disability, age, sex, rural/urban, and other standard socioeconomic characteristics.
Ways of working:
Research tools will be developed in collaboration with the research committee from the Seeing is Believing team (Programme Manager, Programme Director, Knowledge Management and M&E Manager) The baseline tool was developed by studying existing tools and questionnaires developed for International Agencies for the Prevention of Blindness (IAPB), other national household surveys, Washington group questionnaires and WHO developed tools.
The consultant will conduct the research in an ethical manner, that is sensitive with regards to different cultures, local customs, religious beliefs and practices, personal interaction and gender roles, disability, age and ethnicity. Requirements for participant informed consent and confidentiality will be maintained, including children participating in the research. Ethical clearance will be sought as required.
Work Schedule:
The consultancy will primarily be responsible to plan, design, manage, conduct and report on the research.
The consultant will be responsible for the following tasks:
Final deliverables:
Structure of the research report:
The Research Report should incorporate the following main components:
I. Title Page and Opening Pages (including executive summary)
II. Introduction and Background
§ Introduction/Background - context of inclusion pilot and purpose of research
III. Research Methodology: Description of the methodology of the research
Rationale for choice and design of methodology, including sampling approach
Data sources used, data collection
Analysis methods used for both quantitative and qualitative data, including how the data was mixed
Major limitations
Description of who was involved and in what capacity
V. Data Analysis, Quality and Results
Sample size and response rates
Key demographics
VI. Key findings of the research, under each research question
Integrated analysis of the findings of different elements of the research (quantitative and qualitative)
Includes key graphs and diagrams to illustrate data
VIII. Conclusions, Lessons Learned and Recommendations for future implementation and the government
Annexes
TOR
Consultant’s Work Plan and Official Travel Involved:
Consultant’s Work Place:
The consultant will be based either at home, in the field or at the CBM country office in Abuja/Jos field office.
Qualifications or Specialized Knowledge/Experience Required:
Qualifications
Experience
Languages
The consultant(s) must have good inter-personal communication and negotiation skills. Excellent English report writing and editing skills and additional knowledge of Hausa language is an asset.
Competencies
Context
Comprehensive Child Eye Health in Nigeria (CCEHiN) is a three-year (2017-2020) Seeing is Believing (SiB) programme that seeks to make comprehensive child eye health services available and accessible through promotion, prevention, medical care and rehabilitation / inclusive education targeted at vulnerable children. The SiB programme is being implemented in eleven (11) States of the federation divided into four clusters as follows: Cluster 1: Oyo, Ogun and Osun States, Cluster 2: the Federal Capital Territory, Nasarawa and Plateau States, Cluster 3: Kano, Katsina and Jigawa States, and Cluster 4: Cross River and Akwa Ibom States. The Seeing is Believing programme kicked off in December 2017 and would be concluded in December 2019. The programme objectives include:
Objectives
The main objective for this study is to conduct an endline evaluation to find out how well the implementation of the Seeing is Believing programme is at achieving the overall objective of the programme, which is to contribute to the reduction of avoidable blindness and visual impairment through the provision of comprehensive child eye health services to over 1.5 million children aged 0-14 in selected states of Nigeria
Specific Objectives
Research Questions
Key Stakeholders Involved
The Programme Director – Seeing is Believing programme, implementing partners (including supported health facilities), Knowledge Management/Monitoring and Evaluation Manager, the Federal Ministry of Health – Eye Health Coordinator, supported schools – mainstream schools and special schools, and the cluster coordinators.
As key actors during programme implementation, they are going to provide their perspective for the triangulation of the information collected during the secondary data review.
Methodology
This study should follow a qualitative approach. A desk review of internal and external documents relating to the SiB programme will be done. Interviews with some key stakeholders will also be done. Observations and checklists can also be used to gather information. Answers to the research questions will be drawn from the desk review and interviews with key stakeholders.
Expected Deliverables
The expected outputs are:
The evaluation report should not exceed 30 pages, excluding annexes. Potential sections to include in the report are:
4. Methodology
a. Data Collection Methods
b. Sampling
c. Research Tools
Timelines
Validation/dissemination
The deadline to complete this exercise is 24/02/2020
Selection Criteria for Consultants
For this exercise, CBM international is looking for a consultant having:
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