Baseline Survey Y4CARE
Terms of reference
Youth for contraceptive care and education
We are one of the leading youth focused Zambian NGOs that builds capacities of young people to achieve sustainable human development and the eradication of all forms of marginalization. In all our development work, we operate on the principle of non-partisan collaboration with civic, political, and other organizations. On matters concerning youth development. Within the area of strengthening the capacities of young people in its operational areas, CTYA places importance on advocating for changes to laws, policies, practices and behaviors’ that hinder the enjoyment of young people’s social, economic, cultural and civil rights.
What we do
Improve access to, and quality of Sexual reproductive health and rights for young people
Create economic opportunities for young people at all levels
Strengthen community Sexual Reproductive health programmes in Zambia
Influence SRHR policy and practice at all levels of the health system in Zambia
To drive towards better health outcomes for young people, CTYA takes a whole systems approach ensuring that no one is left behind, as such CTYA with support from Grand Challenges Canada Stars In Global Health, will be implementing a study project aimed at assessing the operational workability of youths as frontliners in the distribution of contraceptive care and education to the last mile in rural areas of Rufunsa District by 2023. It is for this reason that CTYA shall be conducting a baseline to inform its programming on the proposed study project in Rufunsa District of Lusaka Province.
About the project
The met need for contraceptives for adolescents is hampered by their lack of access to comprehensive SRHR information, including contraceptive care and education despite the knowledge of Family planning any method of family planning being almost universal in Zambia, and this has been hampered by the current methods of provision which use older women as community based distributors (CBDs) to dispense these services. This has acted negatively on the access by adolescents who fear to seek out the services for fear of being stigmatised by the elderly that they are indulging in sexual activity and are looked at as being promiscuous as is the norm in society.
With the coming of the Covid19 pandemic this has been made worse as economic costs and lockdown restriction of the pandemic have confined adolescents and cut access to essential SRHR services hence making at high risk of unwanted pregnancies, as the WHO estimates that each 3 month lockdown leads to potentially 17 million unwanted pregnancies among adolescents aged 15-19.
Youths for Adolescent Contraceptive care and education (Y-4-CARE) proposes to use youths as frontliners in the distribution of contraceptive care and education to the last mile in rural areas of Rufunsa.
Overall project Objectives
Objective 1: To assess the operational feasibility and acceptability of using youths CBDs to solve the issue of adolescent and young women unmet need of contraceptive care and education.
Objective 2: To explore factors influencing uptake contraceptives care and education among adolescents and young women in Rufunsa.
Objective 3: To identify capacity needs of youths and healthcare workers to provide adolescent counselling and referrals to SRH services.
Objective 4: To Increase uptake through digital application of SRH services.
800 adolescents (400 boys and 400 girls) and 700 Adults (20-49 years) (350 male and 350 female) who receive education demonstrate a 75% increase in knowledge on contraceptive care and education accessed through the mobile application and CBDs
480 adolescents and 480 adults (20-49 years) access contraceptives such as orals, short acting and long-acting modern contraceptives, condoms including emergency contraceptives from the youth CBDs.
25% increase in the met need for family planning or contraceptives among adolescents,
25 Youth CBDs and 15 healthcare workers demonstrated an increase in their capacity to provide adolescent friendly contraceptive care and education.
To assess the operational workability of youths as frontliners in the distribution of contraceptive care and education to the last mile in rural areas of Rufunsa District by 2023.
Purpose of the Baseline Survey
To provide a benchmark based on existing interventions being conducted for beneficiaries and stakeholders pertaining to the prevention of unwanted pregnancies among adolescent girls and young women.
To collect and establish a fixed baseline data or starting points against which project outcomes and progress will be measured throughout the result framework.
If deemed necessary, redefine additional outcome indicators and how to measure them.
In addition to the outcome indicators, gather information on following issues. 1.) Current organisations working in SRHR in Rufunsa District, 2.) Overall knowledge among beneficiaries on the right to access SRHR services 3.) Current levels of Young people’s engagement in advocacy and pushing the SRHR agenda forward 4.) Current ease of access to FTP services, 5.) Acceptability of using Youth CBDs to dispense contraceptives and FP education. 6.) Access to mobile phones which can access the internet. 6) Identify areas with high incidences of teenage and unwanted pregnancies in Rufunsa District.
The baseline survey will be used to initiate a process for continued programme monitoring to measure the impact of the planned interventions and activities.
The baseline values will be used at the end of the project evaluation.
Project target groups:
The direct target group comprises 15 HCWs, 25 Youth CBDs, and 1800 Adolescents and young people in 3 Wards (to be informed by this baseline) of Rufunsa District, Lusaka Province of Zambia
The indirect target group comprises the population of Rufunsa District, some 51000 persons/8,500 households.
Baseline study Approach and Methodology
The baseline survey is to be carried out in Rufunsa District of Lusaka Zambia by the Consultant organisation using a mixed methods approach (combination of qualitative and quantitative methods). The Team shall elaborate a detailed baseline design and methodology as part of their work plan. The baseline design document shall include a series of data collection instruments. In addition, the team shall propose a Covid-19 response approach to conducting the assignment by adhering to the Government of Zambia and CTYA`s measures to safeguard against contracting and spreading Covid-19. The team shall ensure that safeguarding protocols are put in place during data collection.
Data Collection Methodology
Methodology is expected to make CTYA’s results framework easy to capture information for the purposes of tracking progress and provide data for the project indicator targets which will allow comparability in the future. The Consultant organisations team shall use different techniques of data collection and analysis to ensure a comprehensive baseline exercise. This will likely include, at a minimum:
Desk based review:
Surveys: Application of structured survey questionnaires with a representative, random sample of target population to quantitatively assess outcomes.
Focus Group Discussions:
Key Informant Interviews: Consultations with key project stakeholders to engage during the exercise. Identification of these stakeholders can be done with the help of DHO and RHP staff members.
Inception report: Within 5 working days after signing the contract, a detailed report on the consultant’s proposed final baseline design and methodology will be submitted to CTYA for approval. This will provide preliminary understandings based on document review, rationale and a detailed description of the methodology and tools, analytical methods, and detailed work plan for the entire exercise. Any draft questionnaires or interview forms will also be submitted for review at this stage.
Interview Notes and List of Resource Documents: The Consultant shall provide CTYA summaries of all key meetings, and discussions conducted during the course of the baseline and copies of any relevant documents and reports gathered during the baseline survey.
Summary Presentation of Findings to CTYA and Stakeholders: The Consultant shall present initial findings to CTYA for review, comment and feedback.
A PowerPoint presentation and handout (maximum of two pages) shall be prepared for the presentation through a meeting. The Consultant shall consider CTYA and relevant stakeholder’s comments and revise the draft report as appropriate.
Baseline Report: A final baseline report to be submitted to CTYA. The baseline report shall include the following:Executive Summary
Findings: Missing Baseline values for indicators; Realign targets for the project
Annexes, including:Scope of Work
Data collection tools
Key data sets, including interview transcript
List of key informants
Profile of consultant/firm
Covid 19 plan
Participant safeguarding plan
60% of the fee for consultancy will be paid once an inception report has been approved by CTYA, the remaining 40% will be paid once the final report has been approved.
Expected time requirements
15 days total – We expect the project to commence in April, and be completed by 30 May 2022
How to apply In order to apply for this role, please submit the following documents to [email protected], c: [email protected] by 17:00 20th April, 2022:
CV – outlining similar work carried out
Two references from organisations where similar work has been completed, including a sample of the work.
Team Leader : Masters in any social science but preferably public or global health, Relevant experience carrying out project evaluations (preferably in SRHR), 5 years’ experience in monitoring, evaluation and learning.