RFP for Consultancy:Knowledge Attitudes and Practices (KAP) Survey for Factors Affecting Services Utilisation in Puntland

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World Vision

World Vision is an international Christian Relief and Development organization, whose goal is to achieve long-lasting benefits in the quality of life for vulnerable children and their families, displaced persons and communities. www.wvi.org 

Job Details
Employer: World Vision
Job Title: RFP for Consultancy:Knowledge Attitudes and Practices (KAP) Survey for Factors Affecting Services Utilisation in Puntland
Job Type: Full-Time
Location: Puntland
Category: Other

World Vision International-Somalia Programme

Terms of Reference (ToR): Knowledge Attitudes and Practices (KAP) Survey for Factors Affecting Services Utilisation in Puntland, Somalia


World Vision Somalia (WVS) has worked with the children of Somalia, their families and communities since 1992 through a variety of emergency and rehabilitative programming to address the emergency needs of the communities while addressing some of the underlying causes of vulnerability in those same communities. During the last 25 years, the program has grown to over 15 districts spread over three main operational regions of Puntland, Somaliland and South-Central with a liaison office in Mogadishu. The strategic aim of the Somalia program is to develop and implement high quality projects that address emergency, rehabilitation and developmental needs in a demand driven and responsive manner. The overall goal of all World Vision programs is to save lives and contribute towards the economic development of the Somali people, while contributing to the child well-being outcomes.

Accordingly; with the support of UNICEF and Ministry of Health (MoH) Puntland, WVS has been implementing the Essential Package of Health Services (EPHS) Programme in the Nugaal region of Puntland since 2014. This is aimed at ensuring increased access to utilization of quality services. The programme focuses on enhancing the capacity of staff to offer quality health care services and increasing coverage. This covers both health facility and mobile/outreach facilities in order to reach more beneficiaries in the catchment population and address the critical community health needs. Specifically, WVS has trained health facility staff, Community Health Workers (CHWs) and the Zonal MoH focal points on Basic Emergency Obstetric and Newborn Care (BEmONC), Integrated Management of Childhood Illnesses (IMCI), Infant and Young Child Feeding (IYCF), supply chain management and outreach programmes in order facilitate effective implementation of the programme.

Currently, WVS with funding from UNICEF and in collaboration with MoH has continued to provide quality integrated health and nutrition services to the communities in Garowe, Burtinle and Eyl Districts in the Nugal region-Puntland. The project focuses on lifesaving services while working towards strengthening the systems and capacities of MoH and communities to enhance sustainability. WVS works closely with the already existing MoH structures while ensuring increased access to health and nutrition services by the target population-providing support to 18 health facilities and 3 stabilisation centers respectively. The project is running for 18 months-from July 2018 upto December 2019, specifically focusing on children under 5 years and Pregnant and Lactating Women (PLW).

In particular, the specific objectives of the EPHS project include;

§ To contribute to the reduction of maternal, newborn and child morbidity through the provision and utilisation of Sexual Reproductive Health (SRH) for Women of Child Bearing Age (WCBA)

§ To contribute to the prevention of vaccine preventable diseases outbreaks including measles and Acute Water Diarrhoea (AWD/cholera) through routine and emergency Expanded Programme on Immunization (EPI) for children

§ To provide access to an integrated essential quality nutrition services for moderately and severely under nourished children in targeted districts of Puntland

§ To improve the knowledge of individuals, households and communities on essential nutrition behaviours and increase their capacities to plan, manage and monitor recurrent stock outs and stresses, and enhance their skills to provide quality health and nutrition services both at health facilities and at community level.

However, the Standardised Monitoring and Assessment of Relief and Transitions (SMART) Nutrition survey conducted by WVS in August 2018 in Burtinle and Garowe Districts reported very poor health seeking behaviour and child care practices among the caregivers. An overwhelming 75% of caregivers from Burtinle district who had sick children 2 weeks prior to the survey did not seek any form of medical assistance. Likewise, 57% of caregivers from Garowe district who had sick children did not seek for any medical assistance. In the same survey, the results from the assessment of proxy indicators for Infant and Young Child Feeding (IYCF) with focus on the timely initiation of breastfeeding, complementary feeding and dietary diversity were very low. In particular, Garowe district reported 27% timely initiation of breastfeeding, 63.6% complementary feeding and 3.7% dietary diversity scores. In Burtinle, 58.6% timely initiation of breastfeeding, 52.2% complementary feeding which were all below the recommended WHO standards. Therefore, WVS intends to conduct a comprehensive Knowledge Attitude, Practices and Behaviour (KAPB) survey to provide an in-depth understanding of the IYCF indicators of interest and factors affecting health services utilisation in Garowe, Burtinle and Eyl Districts in Nugal region of Puntland.

Objectives of the Survey

The main objective of this assignment is to assess the knowledge, attitudes and practices and behaviours of the community on utilisation of health and nutrition services especially during pregnancy and the first five years life as well as the hygiene at household level. In particular, the KAPB survey will;

§ Measure the level of knowledge of those in charge of children under five in terms of maternal and child health and Nutrion related issues

§ Determine the nutritional practices of children under five, the health of children and household hygiene in general

§ Identify the knowledge gaps, cultural beliefs or behavioural patterns and practices that create barriers to infant and young child feeding and care practices.

§ To provide practical and feasible recommendations based on the survey findings to improve the health and nutrition services utilisation among the communities assessed.

Scope of KAP Survey

To achieve the survey objectives, WVS is seeking the services of a competent consultant who will lead the entire KAP survey process ranging from design, data collection, and analysis and reporting inter alia.

  • The KAP survey will generate strategy that will help to promote positive behaviours that are appropriate to the setting and also provide a supportive environment that will enable the community to initiate and sustain positive behaviours on maternal and child health and IYCF practices.
  • The KAP survey result must also include appropriate methodology for upcoming health campaigns for the community with the set of messages and recommended ways of delivery, including the main messages for informative brochures and posters that will be used during the health campaign.
  • The results of the KAP survey will be used as a baseline to design activities to increase awareness and knowledge on identified gaps and needs to improve the health and nutrition outcomes of the target population.

§ The KAPB survey will cover the three districts of Garowe, Burtinle and Eyl in Nugal Region of Puntland where WVS is implementing EPHS project. This includes the 18 health facilities and mobile clinics running throughout the project locations.


The potential consultant will be required to prepare a detailed proposal on how they intend to conduct the survey. The Consultant is expected to propose and design a suitable methodology for gathering information and delivering results. However, the final proposed survey methodology designed by the consultant will be discussed with World Vision Health and Nutrition and Quality Assurance before approval for implementation.

Time Frame

The KAP survey process is expected to take 45 days including preparation, data collection, and analysis and reporting. The Consultant should be able to undertake some of the tasks concurrently to fit within the planned time-frame, without compromising the survey standards. The assignment is expected to commence as soon as possible

Authority and Responsibility

WVS will establish a survey team to oversee all the related activities. The DME Manager will be responsible for the overall coordination of all the KAP survey activities. The Health and Nutrition Project Manager will provide the necessary technical support required throughout the survey process.

Support from WV Somalia

World Vision will be responsible for the following:

§ Recruit the external Consultant and finalize the consultancy agreement

§ Share all necessary documents to the Consultant to finalize the KAP survey design and tools

§ Provide input in the KAP survey methodology, data collection tools and report

§ Ensure that input from WVS is coordinated and shared with the Consultant

§ Flight expenses for the Consultant to Puntland (where necessary)

§ Vehicle hire to support the KAP survey process

§ Food and accommodation for the Consultant in Puntland

§ Working space for the Consultant while in Puntland

§ Recruitment and payment of data collection team

§ Stationery for data collection

§ Overall accountability of the KAP survey process

§ Guidance and coordination throughout all the phases of the KAP survey, keeping communication with the Consultant throughout all phases

§ Provide support to the Consultant during field visit processes

§ Closely supervise the data collection process, ensuring quality control, daily debriefing, meeting the timelines set for assignment;

§ Inform the KAP survey audience including MoH, UNICEF among others for their involvement and validation of the findings.

The Consultant will be responsible for the following:

The following are the specific tasks of the Consultant during the assessment;

§ Submit a report which will include an interpretation of the tasks and methodologies which will be used in the KAP study

§ Develop appropriate tools and instruments for gathering information by using Open Data Kit application

§ Prepare and submit the draft questionnaires to WVS for review and approval

§ Present the KAP methodology to WVS

§ Conduct a desk review (nutrition survey reports, Health Management Information (HMIS) reports relevant to the survey

§ Conduct the KAP survey: Train the enumerators and ensure quality of data being collected on daily basis

§ Undertake consultations with key stakeholders and conduct field data collection (i.e. focus group discussions and key informant interviews)

§ Process and analyse the data, write and submit a draft report of the survey

§ Present the preliminary findings to WVS and MoH as shall be advised

§ Present the draft report of the findings in a stakeholder forum for comments and feedback

§ Revise and submit a final copy of the survey report including recommendations for the health campaigns and the mother support group trainings which include tailor based messages for the community.

§ Provide the required raw data that is complete and labelled in English (variables and values)

Qualifications of the Consultant

Education: The consultant should hold an Advanced University Degree in Nutrition, Public Health, Epidemiology, Biostatistics, Social Sciences or related discipline with the relevant technical knowledge in Survey Methodology, Research Methods etc.

Experience: Extensive experience (7-10 years) in coordinating and managing KAP Surveys is required. In particular, minimum experience of having led KAP surveys; proven team leading and managerial experience, knowledge of working with conflict-affected populations and experience in managing KAP surveys in fragile contexts will be considered a plus.

Technical competence:

§ The consultant must have a strong background in statistics and data analysis.

§ Excellent reporting and presentation skills.

§ Excellent knowledge of and experience with humanitarian guidelines and principles.

§ Fluency in English and local languages spoken in Somalia is an advantage.

KAP Survey Report

The assessment report will follow the following format.

§ Summary

§ Introduction and Justification

§ Literature Review

§ Methodology

§ Results

§ Propositions on strategy for the health campaigns based on the results found

§ Annexes

§ References

Application Process and Requirements

Qualified and interested parties are asked to submit the following;

§ Letter of interest in submission of a proposal

§ A detailed technical proposal clearly demonstrating a thorough understanding of this ToR and including but not limited to the following;

o Consultant/Company Profile

o Description of the Methodology

o Demonstrated previous and excellent experience in KAP surveys is required and qualifications outlined in this ToR (with submission of at least ‘Two Most Recent KAP Survey Reports’ as evidence)

o Proposed data management plan (collection, processing and analysis).

o Proposed timeframe detailing activities and a work plan.

o Team composition and level of effort of each proposed team member (include CVs of each team member).

§ A financial proposal with a detailed breakdown of costs for the study quoted in United States dollars.


All applications should be sent electronically to: somo_supplychain@wvi.org on or before COB (1700Hrs) Tuesday 27th November 2018 East African Time, with all the attachments in pdf and a subject line: JRK/KAP SURVEY PUNTLAND


As part of the Consultant selection process, the candidates may be required to make a presentation of the technical proposal to the Supply Chain and Core Project Technical team to inform the final decision on the award of the contract.

Provision of Taxation as per the Kenya Revenue Authority on Technical Fees

A 5% withholding tax is levied on the payment of technical services fees (as well as professional and management fees) where the services are provided by a resident/resident firm in Kenya.

The rate is 20% where the service provider is a non-resident/non-resident firm, unless an applicable tax treaty provides otherwise.

Consultant firms must be able to demonstrate their tax compliance status at the time of bidding for this assignment as WVS will only engage with tax complain individuals/firms The proposal that complies with all the requirements, meets all the evaluation criteria and offers the best value for money shall be selected and awarded the contract. Any offer that does not meet the requirements shall be rejected.

Publish date: 2018-11-22 00:30:19
Premium Job: No
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