Terms Of Reference To Hire An Individual Consultant/Consultancy Firm To Conduct Needs Assessment And Mapping Of Malaria Hotspots Among Easy To Reach Groups For Guiding Implementation Process And Service Delivery To Beneficiaries
Background
Malaria remains a public health priority in Rwanda with the whole population at risk of malaria infection. Today, Rwanda continues to make progress in malaria control through multifaceted evidence-based approaches such as Information, Education and Communication (IEC); distribution of long-lasting insecticidal nets (LLINs); Indoor Residual Spraying (IRS) and; early diagnosis and effective management of malaria cases as guided by the National Malaria Strategy.
Following the recent Malaria Program Review conducted in October 2019, a gap in Malaria related SBCC interventions was noted and an urgent need to design and implement key community sensitization interventions for behaviour in malaria control such as integrated messages to sensitize communities so as to ensure the use of malaria preventive measures, early treatment seeking behaviour and support of environmental management including larva source management. It was further recommended that innovative approaches are required for effective SBCC including messages through mass media campaigns, community dialogues, community outreaches for targeted groups, distribution of IEC materials and interpersonal communication and through Community Health Workers, house to house messaging, IVM approaches, etc.

Recently, The Ministry of Health/RBC/MOPDD, in collaboration with partners have conducted an in-depth analysis using the Roll Back Malaria (RBM) Matchbox Toolkit as a guide to ensure that the interventions being implemented are addressing the documented barriers, to identify any additional specific human rights or gender barriers in the context of malaria and to provide guidance on specific interventions to address any barriers. This assessment was conducted between April and May 2021, under the coordination of the RBC/MOPDD, Rwanda CCM with support from The Roll Back Malaria (RBM). The assessment was aiming to identify the most vulnerable groups and key populations at increased risk of malaria infection, the barriers related to access to malaria services for these populations, how gender, humans’ rights and social issues affect malaria programs. It was also intended to contribute robust recommendations for improving malaria services coverage and decreasing malaria risk among the most affected populations.

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The findings of the assessment shows that the NMCP Strategy for malaria control amongst vulnerable groups in the country appears comprehensive, and program data suggest some success in reaching most of the at-risk population, but gaps may persist, These vulnerable groups include Prisoners, Refugees, Pregnant Women, Mothers/Nannies of U5, Rice Farmers, Fishermen, Mining workers, truck drivers, Health Care Providers, Students at School, Hotels Staff and Clients, Female Sex Workers , Security Staff, People with disabilities and travelers ,etc. These results also indicate that there are some important gaps that could be due to these barriers. From the Assessment reports, key recommendations to address malaria vulnerable and risk groups included: (1) the development of a clear Action Plan to address gaps in Malaria in Vulnerable Groups and (2) Ensure CSOs are engaged in addressing malaria in Vulnerable and high-risk Groups. Malaria prevention and control interventions need to respond to geographical hotspots of transmission vis a vis malaria incidence, malaria death and severe malaria related. In order to implement Malaria SBCC Strategic Interventions RNGOF on HIV/AIDS & HP) funded by Ministry of Health through Rwanda Biomedical Centre (RBC).
In this regard, Rwanda NGOs Forum on HIV/AIDS and Health Promotion (RNGOF on HIV/AIDS & HP) is hiring Individual consultant/consultancy firm to conduct and lead the needs assessment and mapping of malaria hotspots among easy to reach groups for guiding implementation process and service delivery to beneficiaries. The assignment will be carried out Countrywide.

Main objective
The overall aim of the assignment is to assess and lead the mapping of malaria hotspots among malaria hotspots among easy to reach groups for guiding implementation process and service delivery to beneficiaries.

The Specific Objectives:
The planned assessment aims to:
• Identify and mapping of hotspots per administrative sector and cell level among malaria high risk groups.
• To Identify Program Partners and beneficiaries
• To identify Peer educators of malaria high risk groups among Malaria high risk groups per administrative sector and cell.
• To identify gaps related to service delivery per Malaria high risk groups
• To provide recommendations to improve service delivery among malaria high risk groups
Scope of assignment
RNGOF on HIV/AIDS & HP is looking for a high caliber individual consultant/consultancy firm to asses and lead the mapping of malaria hotspots among easy to reach groups for guiding implementation process and service delivery to beneficiaries to guide Malaria Control Interventions and inform strategic planning process. The consultancy will be implemented countrywide. After assessment and Mapping, the consultant will submit a preliminary draft, incorporate feedback from stakeholders and submit final assessment report.

Expected results:
The specific results include:
• Identification and mapping of malaria hotspots per administrative sector and cell level among malaria high risk groups.
• Identification of Peer educators of malaria high risk groups among Malaria high risk groups per administrative sector and cell.
• Identification of gaps related to service delivery among Malaria high risk groups.

Deliverables
The Consultant will develop a conceptual framework including a detailed methodology, work instruments, work plan, analytical plan and development plan. He or she will present a draft document and a final document to be discussed by stakeholders involved in implementation of Malaria strategic interventions. Summary document and reference materials will also be prepared for ease of use. The specific deliverables will include:
1. Inception report, methodology and instruments.
2. Draft of assessment report and printed maps for all identified hotspots(Maps should be per district and Sector where feasible )
3. List and description of peer educators per Malaria high risk group (the report should include list of vulnerable groups (Refugees, Prisoners, Hotels Staff and Clients and Students at School, Security Staff, Immigration Staff and other) per sector, district and their size (number) in form of tables.
4. Final Assessment Report with feedback incorporated and printed maps of all identified hot sports

Qualification, Knowledge, Skills and Experience
• The consultant should have a Master’s degree in Public Health, Epidemiology or Health Research related studies, and having a PhD will be an added advantage;
• Demonstrate evidence of career progression in areas of public Health;
• Have very good understanding of Rwanda Health System;
• Have good understanding of possible factors leading to malaria transmission, morbidity, mortality or how it affects community behavior vis a vis malaria prevention and control interventions in Rwanda;
• Proven experience in carrying out research or health related consultancies in Rwanda;
• Ability to work and engage with a range of stakeholders, including high level policy makers, and civil society organizations, local leaders and the community;
• Excellent communication skills and experience in working with communities in both urban and rural settings;
• Excellent command of English, French and Kinyarwanda both spoken and written will be added advantage.
• Have the ability to collect and analyze data using SPSS, STATA, R Studio, produce graphs and interpret them.
• Have the ability to collect data using electronic tools like ODK, KOBO Tool box.
• Have experience of working with Easy to reach population in health domain

Working Language
The working language for this assignment will be English.

Selection criteria
Applications will be assessed on cost reasonableness (30%) and technical competence (70%)
Timeframe (Duration of the Assignment)
This assignment is expected to be implemented within a timeframe of forty (40) working days starting from the date of signing the consultancy contract. The consultant will be required to work closely with RNGOF on HIV/AIDS & HP /Supervising staff with guidance of RBC/Malaria Division

Application requirements
The application file will be comprised of;
• Letter expressing interest to carry out the consultancy service required;
• Detailed CV (maximum 3 pages) of the responsible consultant
• A brief proposal written in English describing the background, methodology and timeline (maximum 5 pages)
• Price quotations for the consultancy service required
• Copy of national Identity card/ or Passport of the consultant
• Valid proof documents of completion of similar assignments
• Proposals (technical and financial proposal) should be submitted in a properly sealed envelope bearing the name of the consultancy and the name of the consultant/firm and ensure acknowledgement of the receipt.
Documents will be submited to the headquarters of the RNGOF on HIV/AIDS & HP KG 190 St-Gasabo- Kigali not later than August 27th, 2022, at 11:00 am Kigali local time.
Terms of Performance.
• The effective date of the terms of reference and statement of work will be the date of contract signature by RNGOF on HIV/AIDS & HP
• Quality of deliverables must be ensured by the consultant

Report Submission
The final report of the assessment should be a maximum 35 pages, excluding annexes, and should be written in English. It should contain an executive summary of a maximum 2 pages. The report should follow the following format:
• Title page
• Table of contents
• List of Table
• List of figures
• Acronym list
• Short description of reviewers
• Executive Summary
• Introduction/context
• Objectives
• Methods
• Findings
• Constraints
• Summary
• Conclusions and recommendations
• Annexes

Approved on 22nd August 2022
BY:
Kabanyana Nooliet
Executive Secretary
Rwanda NGOs Forum on HIV/AIDS and Health Promotion
(RNGOF on HIV/AIDS & HP)
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