TERMS OF REFERENCE: RESEARCH ON EFFECTIVENESS OF COMMUNITY BASED REHABILITATION STRATEGIES OF THE LOCAL PARTNER ORGANIZATIONS OF THE CHILD AND DEVELO

Title: Research on the effectiveness of Community Based Rehabilitation strategies employed by local partner organizations of the C&D Alliance partners in Kenya.

Geographical coverage: Nairobi, Kisumu, Siaya, Homa Bay, Bungoma, Kitale, Turkana, Kajiado, Isiolo, Kitui, Machakos, Kiambu and Murang’a counties.

Duration: 1.1 months

Time-frame: 1^st April – 8^th May 2015

INTRODUCTION

The learning agenda of the Child & Development Alliance (Terre des Hommes Netherlands, Stichting Kinderpostzegels Nederland, and Liliane Foundation) is focused on creating optimum conditions for the development of children and young people. The approach is holistic, taking into account the total environment of the child and the child’s needs based on the Universal Declaration of Children’s rights. This approach is clearly reflected in the following thematic crucial areas of the alliance program:

1. access to quality education


2. access to quality health care


3. access to a decent livelihood and creating income generating opportunities

The Alliance, through its local partner organizations, aims to provide basic needs for their target groups through service delivery while also building local capacity within the target group and their organizations to actively claim their rights to these basic services in their local context. The program operates in five selected countries (Kenya, Uganda, Tanzania, and Nicaragua), where basic services, especially to the target groups, are least accessible. Consciously choosing to work with those who are the most marginalized, the most vulnerable, and also the voices least heard in the social political context, is already an indication for the direction of the learning questions of the alliance.

THE MFSII PROGRAMMME OF THE C&D ALLIANCE IN KENYA

One of the main activities of the local partners of the C&D Alliance in Kenya is awareness raising with regards to the importance of education, the need to access health care and improve health practices, acceptance and integration of CWD (Children With Disabilities) in society as well as eliminating the negative effects of child abuse and exploitation of children (including children with disabilities).

Intervention strategies:

The MFSII Programme of the C&D Alliance is based on three interlinked strategies:

• Direct assistance and awareness through investments at target group level.


• Capacity building of partners, including service providers


• Policy influencing and advocacy targeted towards local and national governments to improve and/or implement policies.

Like for other basic social services, the C&D Alliance believes that it is the role of the government to provide education and health services as well as provide livelihoods opportunities for its citizens. However, large numbers of children do not have access to (basic) quality education and quality health care and most households are experiencing poverty and have limited livelihoods options thus predisposing children to exploitative and abusive situations. As such, the C&D Alliance supports local partners to improve access to quality education, basic health services and, improve livelihood for women and youth.

To achieve these goals, partner organisations have adopted CBR strategies aimed at improving service delivery, providing more equitable opportunities and protecting the rights of children with disabilities using resources that can be locally obtained in a feasible manner as well as ensure sustainability. Among the alliance members it has been agreed that services for children with disabilities will be provided for these children up to and including the age of 25 years.

Activities:

Different approaches to CBR have been employed by the partner organisations. They include:

• Creating a positive attitude towards children and youngsters with disability through community involvement in programme design, implementation and transfer of knowledge about disability issues.


• Training parents, community groups and health care providers on CBR to better care for children with disabilities


• Provision of functional rehabilitation services such as physiotherapy and occupational therapy as well as assistive devices amongst others;


• Provision of education and training opportunities such as daily living skills, Braille training, early childhood intervention and referral, integration in regular schools and special education.


• Providing CWDs with VT training as part of the rehabilitation and reintegration process.


• Creation of income generating opportunities with and for caregivers of CWDs


• Provision of care facilities such as day-care and small homes for CWDs


• Prevention of causes of disability through early intervention of child development to minimize effect of impairment.

LOG-FRAME

Result area MDG 2Outcome result Outcome indicator 2015 Output result Output indicator 2015 Means of

verification Increased enrolment in education Vulnerable children have acquired academic skills 29.400 children finished their education, including CWD’s Children use educational services 45.800 children are enrolled in education PMR’s

Field visits 180primary schools with more than 50% passes 160 schools have an attendance of over 80% Increased quality of education Vulnerable children have acquired life skills 35.000 vulnerable children have improved personal and social skills Children attend extracurricular courses 40.600 children followed extra-curricular courses Teachers have improved their educational practise 1.700 teachers are using new teaching methods and practice pedagogic skills Capacity of teachers improved 3.700 teachers are trained in new teaching methods including pedagogic skills and skills to monitor children 1.500 teachers monitor the academic progress of children 3.300 teachers are trained in inclusive education and teaching CWD Effective educational policies and legislation in place to improve access and quality of education for the poor 35recommendations on enforcement of existing law and/or adaptation of legislation are accepted Educational government policies are addressed by alliance partner organisations 150 village committees are involved in advocating educational issues 120 advocacy issues are identified by alliance partner organisations Increased involvement and participation of stakeholders in education Increased participation of parents and caregivers in education 37.700 parents and caregivers are involved in the education of their children, financially and/or in-kind Parents, teachers and managers are aware of the importance of education 68.300 parents are made aware of the importance of education for their children 90 PTAs established Result area

MDG 4,5,6Outcome result Outcome indicator 2015 Output result Output indicator 2015 Means of verificationImproved availability of health care Health staff and community health workers are able to provide qualitative child health care1.100health staff and community health workers use professional health care skills Health staff and community health workers are knowledgeable on maternal & child health, family planning and care of disabled1.400 health staff and community health workers trained in ante- and post natal care, safe deliveries, SRHR and basic health care PMR’s

Field visits Improved and enforced health care policies and regulations in place to improve access to and quality of health for the poor 23 recommendations accepted on enforcement of existing law and/or adaptation of legislation Health government policies are addressed by alliance partner organisations 500 village committees involved in advocating health issues 52 advocacy issues identified by alliance partners Increased use of health services Mothers and children make use of preventative and curative quality health care. 8.000 children under 5 with appropriate weight Mothers and children have access to preventative and curative health care 13.400 women and children receiving supplementary food 24.400 deliveries by trained health staff 43.500 mothers receiving ante & post natal care 115.300 women and children attending medical services and/or outreach clinics Improved knowledge and behaviour in health issues Communities have a healthy lifestyle, preventing diseases (incl HIV/Aids) and disabilities 30.800 men and women practise SRHR and family planning by use anti-conceptive measures Communities are aware of basic health care, early child care, SRHR and nutritious food intake 135.000 persons are made aware of basic health care, early child care, SRHR and the importance of nutritious food intake 24.800 children with improved nutritious food intake Increased access to health care for vulnerable groups Parents and their disabled children make use of therapeutic health care & community reintegration program 12.700 CWD’s have finished rehabilitation trajectory Parents and children have access to therapeutic health care & community reintegration program 21.300 CWDs receive therapeutic care 10.000 CWDs are socially accepted members of their communities 38.000 parents and community members participate in CBR Health staff provide improved care CWD’s 2.000 health staff are able to provide adequate care for disabled children Health staff has improved skills for CWD care 2.400 health staff trained in providing adequate care for the disabled child Result area MDG 2 Outcome result Outcome indicator 2015 Output result Output indicator 2015 Means of verification Increased relevance of education Vulnerable youngsters have a sustainable income 4.314 youngsters are (self)-employed after Vocational Training Vulnerable youth have obtained relevant vocational skills that are demanded in the labour market 6.600 vulnerable youth are trained in vocational skills, that are demanded in the labour market PMR’s

Field visits Result area MDG 1 Outcome result Outcome indicator Output result Output indicator Means of verification Increased development of local market opportunities Vulnerable families have access to improved livelihoods 15.629 persons strengthened or started their own business or Income Generating Activities Women and youth have improved business skills and skills to start an Income Generating Activity 6.670 women and youth are trained in business skills and Income Generating Activities PMR’s

Field visits 13.965 persons with improved livelihood assets Improved access to financial services for vulnerable communities 10.260 persons are organised in (self-help) groups 6.041 persons received credit 3.558 persons made use of saving services

OBJECTIVES OF THE RESEARCH

General objective: The objective of this research is to investigate the effectiveness of the CBR strategies used by partner organisations and to what extent they have contributed to improvement of the quality of life for children with disabilities in the respective project areas covered by the Alliance members in Kenya. The projects of the local partners supported by the C&D alliance with MFSII funds should result in improved access to quality education and quality health care for CWDs and improved livelihoods for children and their families as well as improved opportunities and rights for CWDs.

The research should document some of the good practices in CBR as well as provide recommendations in regards to the effectiveness of the various approaches to CBR employed by the local partners in Kenya.

Specific objectives:

1. Measure the effectiveness of the different approaches to CBR in relation to the defined objectives of the MFSII Programme of the C&D alliance in Kenya.


2. Describe best practices in the CBR strategies of the local partners.


3. Formulate recommendations for improving the effectiveness of the various CBR strategies of the different partner organizations.

RESEARCH QUESTIONS

MAIN QUESTION

To investigate the effectiveness of the strategy of community based rehabilitation for disabled children.

SPECIFIC RESEARCH QUESTIONS

1. What constitutes our partner organisations CBR strategy (ies)?


2. What are the outcomes of the of the CBR strategies on the target group and community


3. What is the level of involvement of stakeholders in CBR activities – Parents, caregivers, Government, other organisations, community?


4. Are partners, implementing CBR activities, fully capacitated (human resource and technical knowhow) to implement CBR activities? If not, where or what are the gaps (based on other good practices by other organisations)?


5. What distinct decision–making roles do children and youngsters with disabilities and/or their parents and caregivers have in design and implementation of CBR programmes?


6. How flexible are the CBR programme models in addressing the needs of the target group?


7. How are the CBR programmes coordinated in terms of service delivery?


8. What are some of the challenges partners face in reintegrating children with disabilities into society? How have the partners addressed these challenges? What could be done to mitigate against some of the challenges?

SCOPE OF THE RESEARCH

The research covers the MFSII Programme of the C&D Alliance in Kenya. The two main alliance partners in Kenya are Terre des Hommes and Liliane Foundation. Terre des Hommes in Kenya has 18 partners implementing 23 projects in Nairobi, Machakos, Kisumu, Siaya and Turkana Counties. Liliane Foundation under the MFSII grant has 30 partners in 5 regions in the country including Nairobi, Central, Eastern, Rift Valley and Western. All local partner organisations selected by both Alliance partners should be involved in the research.

METHODOLOGY FOR THE RESEARCH

The research will include the following methodologies:

● Review of existing programme documentation and literature

● Review of existing research reports on CBR and its effectiveness (Regional and Kenya specific).

● Review of the available project evaluations and monitoring data

● Interviews with Terre des Hommes and Liliane Foundation Country Program staff

● Interviews and focus group discussions with beneficiaries

● Interviews and focus group discussions with staff of partner organisations, local governments and other relevant stakeholders

ASSIGNMENT AND COMPOSITION OF THE RESEARCH TEAM

Assignment:

In response to this TOR, the consultant or team of consultants is expected to submit a technical proposal, which will detail the sampling methods and tools of data collection and analysis, budget, work schedules, expertise and composition of the team that will achieve the research objectives stated.

The following qualifications are sought:

● Experienced researcher(s), with professional track record in conducting social research

● Preferably background in development and more so relevant experience in working with persons and children with disabilities.

● Ability to analyse situations, draw conclusions and provide practical recommendations

● Excellent reporting skills.

● Proficiency in English

● Independence and objectivity in research.

● Ability to work under pressure and deliver good quality work.

COORDINATION OF THE RESEARCH

The research will be commissioned and coordinated by the Terre des Hommes Kenya Country Manager in liaison with the Liliane Foundation Country Manager. All communication and documents related to the research will be provided by the Terre des Hommes Kenya Country Manager.

Any needed assistance in preparing partners, logistical arrangements, identifying and organising beneficiaries etc will be provided by the programme staff of Terre des Hommes Netherlands and Liliane Foundation in Nairobi; detailed plan for logistical support to be agreed upon with the successful consultant/firm.

The research team will present a proposal including how they will interact with the main stakeholders.

EXPECTED OUTPUTS AND TIMEFRAME

Expected outputs

After initial discussion with Terre des Hommes Netherlands the successful consultant is expected to prepare a brief research plan to further detail the research questions and the research methodology and to define the scope of the field missions. This plan should include the more detailed planning for the field phase.

The Consultants will further present a final research report (initially in draft form), including findings, conclusions and recommendations for Terre des Hommes and Stichting Liliane Fonds for future considerations. The report shall be drafted in English and be in the range of 40 to 60 pages (including annexes). The report should be written in such a way that it can be easily used for learning in the organisation. The final version shall be presented to Terre des Hommes and Liliane Foundation 1 week after submission of the draft report. The Evaluation team shall review the draft report based on the feedback to be received from Terre des Hommes and Liliane Foundation and their partners on findings and recommendations.

The final research report should be presented in a simple and easily understood format (not a technical scientific research report). The target group of the research and the people to be using the lessons learned from this research are the project holders at the grassroots levels. The report should come up with innovative conclusions, recommendations and lessons learned.

Proposed timeframe

A detailed work plan for conducting the research shall be agreed upon between the consultant and Terre des Hommes, based on the proposal submitted by the consultant in response to this ToR. The deadline for submission of research proposals is 19^th March 2015.

Indicative time-frame

• Start date 1^st April 2015

• Literature review and preparation 1^st – 8^th April 2015

• Field work/data collection 10^th – 23^rd April 2015

• Data analysis and Draft report 24^th – 29^th April 2015

● Feedback on draft report by TdH-NL 30^th April – 4^th May 2015

• Final Report 5^th – 8^th May 2015.

Child Safeguarding

In line with the UNCRC, Terre des Hommes strives to keep children safe in all its undertakings. The successful applicant will be required to read, understand, and commit to abide by TdH-NL Child Protection Policies and guidelines. The institution/firm or individual Consultant will sign the policies to indicate an understanding of, and intention to follow the policy requirements. The methodologies used in this study must abide by the universally acceptable standards for involving children in research.

Proposal Requirements

The consultant will submit a full proposal with both technical and financial components including the following.

Technical proposal

a. The consultant’s understanding of the terms of reference

b. Clear and detailed work plan including a Gantt chart

c. A detailed methodology

d. Full details of proposed consultancy team members, including their CVs which relates to their experience and skills to this study

e. Evidence of past work relevant to this study

f. Names, email addresses and telephone numbers of three references for the consultancy organization/ individual which must relate to major work done within the last three years, and the contact details (names, addresses and email and telephone numbers) of the persons who were ultimately responsible and accountable for contracting the consultants for that work

g. Full names, post office box number, telephone number(s), email addresses, and contact person(s) of the consultant(s)