Scope of Work and Terms of Reference Baseline Survey for integrated project in Somalia Of Health, Protection, Nutrition, Wash and Cash (KAAFIA II)

Scope of Work and Terms of Reference

Baseline Survey for integrated project in SomaliaSomalia job market

Of Health, Protection, Nutrition, Wash and Cash (KAAFIA II)

I. Background and Context

Key Information

Activity Name: Kaafia II: The Somalia Health, Protection, MPCA and Nutrition Activity

Implementer(s): Catholic Relief Services (CRS), SOS Children’s Villages International, Save Somali Women and Children (SSWC) and Trócaire

Period of Performance: 1st Dec 2024 to 30th Nov 2025

Active Geographic Region:

•Jubaland State, Gedo region, Garbahaarey/Buurdhubo District, Doolow, and Luuq.

•Banadir State, Mogadishu Region, Dayniile District, and Kahda District.

•Southwest State, Bay region, Baidoa District, Bakool Region, Ceel Barde and Xudor Districts, Lower Shabelle region, Baraawe district.

Time frame of survey: 1Jan 2025 to 15th Feb 2025

Type of survey: Baseline survey

Kaafia Plus II is aligned with USAID’s Bureau for Humanitarian Assistance (BHA) mandate of providing lifesaving humanitarian assistance interventions to alleviate suffering in humanitarian emergencies while providing the foundations for self-reliance. Through the proposed 12-month Kaafia Plus II activity, CRS and consortium partners Save Somali Women and Children (SSWC), SOS Children’s Villages Somalia (SOS) and Trócaire Somalia will integrate health, nutrition, WASH, protection, and multipurpose cash assistance (MPCA) interventions to support an estimated 497,352 project participants including 281,978 internally displaced persons (IDPs) in Gedo, Bay, Bakool, Banadir,and Lower Shabelle Regions. Building upon successes from previous Kaafia Plus and SHARPEN activities, Kaafia Plus II will advance gender-responsive and safe programming across sectors, mitigate the risk of gender-based violence (GBV) and support GBV survivors and ensure that people with disabilities, young and older people have equitable and safe access to health, nutrition, and WASH services and products.Somalia job market

Kaafia Plus II will advance community access to essential health services while strengthening local health systems. SOS and Trócaire will support 6 existing static facilities and 8 mobile medical units (MMUs), extending quality service provision to IDP camps with high numbers of recent arrivals, improving the capacity of healthcare providers to reach hard-to-access and newly displaced populations, responding to disease outbreaks and strengthening referral systems among facilities, ensuring regular delivery of necessary medical supplies and pharmaceutical commodities, and improving health seeking behavior. These services will be fully integrated into the Somalia Ministry of Health (SMoH) health system but managed through NGO partners. Kaafia Plus II will reduce the incidence of waterborne diseases, including AWD/cholera by increasing access to clean water and safe sanitation; improving hygiene practices and access to hygiene products; and increasing community engagement in waste management. Kaafia Plus II will improve maternal, newborn, infant, and young child

nutrition (MIYCN) by enhancing caregiver knowledge of key nutrition practices; providing a full package of services to manage malnutrition; and integrating community messaging and education with the WASH sector to increase knowledge and ensure that communities connect good hygiene practices with improved nutrition. The WASH sector will support health and nutrition outcomes by improving access to safe water, effective hygiene promotion and safe sanitation services. WASH services will ensure privacy, safety, and accessibility for men, women, boys, and girls in all their diversity including people with disabilities and older people. The MPCA sector complements the other sectors. Kaafia Plus II will provide extremely vulnerable individuals with unconditional cash transfers so that they can purchase food and other basic items and services that will also contribute to improving their health and nutrition status, while health and nutrition commodities will be provided free of charge. All sectors will incorporate protection principles to keep all participants safe from harm.

Kaafia Plus II will enhance the protective environment for women and girls against GBV and improve their ability to recover from GBV incidents, expand access to comprehensive, high quality and safe services for GBV survivors and support legal actors to adopt a survivor-centered approach. Legal actors in this instance refer to councils of elders who resolve cases informally as well as any legal representatives of NGOs and civil society who work in the protection sector on behalf of humanitarian service providers; these legal representatives may or may not be lawyers depending on their personal qualifications. Male and female Community Champions will be engaged to promote positive social and gender norms with the aim of preventing GBV and community members will have improved understanding of the rights of women and girls to be free from GBV and women will be empowered to advocate for their rights.

KAAFIA II target objectives per sector are:

Kaafia Plus II will advance the goal of improving the welfare of crisis-impacted Somalis through the following interrelated purposes and sub-purposes.

Purpose 1: Health status of target populations is improved.

•      Sub-purpose 1.1: Static facilities and MMUs are resourced and function as part of the wider health system.

•      Sub-purpose 1.2 Quality essential health services are available and accessible.

•      Sub-purpose 1.3 Healthy behaviors, including timely and appropriate care-seeking of essential health services (EHS), are practiced by communities.

Purpose 2: Nutritional status of CU5 and PLWs improved.

•      Sub-purpose 2.1 Nutrition behaviors among PLWs and CU5s improved.

•      Sub-purpose 2.2 Malnourished CU5 and PLWs access comprehensive IMAM services.

Purpose 3: Incidence of AWD/Cholera in target communities reduced.

•      Sub-purpose 3.1 WASH infrastructure and management strengthened.

•      Sub-purpose 3.2 Good WASH practices increased.

Purpose 4: Protection of women and girls from GBV is enhanced.

•      Sub-purpose 4.1 Positive social and gender norms are practiced by IDP and host communities.

•      Sub-purpose 4.2 Systems and services in support of GBV survivors and women and girls at risk of GBV strengthened.

Purpose 5: Vulnerable host and IDP households meet their basic needs.

a)      Goal: Ability to cope with the multiple shocks and stresses for the crisis-affected vulnerable communities and IDPs is improved.

a)      CRS and Implementing Partners:

Catholic Relief Services currently addresses water, hygiene, sanitation, health, nutrition, and protection needs of vulnerable Somalis. CRS has been working closely with and channeling resources and support to local organizations in Somalia since the 1960s and has implemented activities in Mogadishu since 2011, in Baidoa since 2012, and in Gedo region since 2014. CRS builds on its global experience implementing high-quality humanitarian programming and its strong experience in South- Central Somalia. CRS provides overall management and technical direction to the activity, ensuring strong coordination, integration, and compliance.

SOS Children’s Villages International – An independent, non-governmental international development organization, working in Somalia since 1983. The SOS School was converted into an emergency clinic during the war, and the mother and child clinic became part of emergency relief programming. More recently, the SOS Vocational Training Center was established, which offers training courses for nurses and midwives. SOS has been working with CRS since 2011 on emergency programs to provide livelihood recovery, basic health, and nutrition services to vulnerable IDPs and host communities.

Save Somali Women and Children (SSWC) was founded in 1992 by a group of Somali female intellectuals from a cross section of the community and has a longstanding history of promoting women’s rights and advocacy. SSWC has worked in the areas of protection, WASH, and livelihoods, and prioritizes supporting grassroots economic projects for women, enhancing their capacity for advocacy on the issue of Female Genital Mutilation (FGM), providing training to Non-Governmental Organizations (NGOs) and Community Based Organizations (CBOs) on women’s rights, and raising awareness on the conditions of women and girls in Somalia in Baidoa, Mogadishu, Afgooye, Caadado, Dusamareeb and Kismayu. SSWC has been working with CRS since 2011.

Trócaire – Trócaire is an international non-governmental organization that works with local partners to support communities with a focus on food and resource rights, women’s empowerment, and humanitarian response. Trócaire has been operational in Somalia since 1992 and is one of the few organizations that continued to provide life- saving interventions without pause throughout the chaotic decades of civil war. Trócaire employs a unique, community-led approach through all its work that has ensured access and safety for its staff and operations. Trócaire has been working with CRS since 2018.

II. Purpose of the Baseline Survey

The purpose of the baseline survey is to establish baseline values for all outcome indicators, which will enable the team to set realistic Targets based on the budget, timelines of the project. In addition, the baseline will generate contextual data to help inform work planning and activity strategies. Below are the two main objectives of the baseline survey:

1.      To establish baseline values for BHA’s approved performance outcome indicators, validate project targets, and provide crucial contextual information on the prevailing condition of the communities and populations supported by the proposed intervention.

2.      To find out physical, social, and cultural barriers to accessing humanitarian services by IDPs and host communities in the target project locations.

3.      To carry out formative research to respond these questions

4.      What are the key factors influencing mothers’ IYCF practices in project supported locations? (include facilitators and barriers)

5.      Do household members involved in food handling and child feeding practice handwashing at the five critical points and if not, why not? (facilitators and enablers)

6.      How can peer support and community networks be leveraged to promote effective IYCF and WASH practices among families in project supported locations?

The baseline survey will establish baseline values for the following indicators through quantitative and qualitative data:

Table 2: list of indicators for the baseline survey

Skills and qualifications

Requirements for the Baseline survey report are as follows:

•         Maximum 30 pages excluding annexes in Microsoft Word and PDF format for the approved version. The BL required template can be found here https://www.usaid.gov/sites/default/files/2022-05/BHA_Emergency_ME_Guidance_February_2022.pdf

•      Written in English.

•      Sections:

o   Title page

o   List of acronyms and abbreviations

o   Table of contents, including a list of annexes.

o   Executive summary – (max. 1 page) including bullets of main findings that

answer the survey question and fulfill the survey purpose.

o   Introduction describing the program’s background and context.

o   Survey purpose and questions

o   Methodology

o   Sector specific key findings and detailed analysis organized by survey question and responding to theory of change.

•      Annexes:

o   Table 1. Indicator Estimates (in the template on page 86 of Annex 4 in BHA Technical Guidance for Monitoring, Evaluation, and Reporting for Emergency Activities, February 2022)

o   Relevant maps

o   Annotated photographs with consent for publication where relevant o List of existing data

o  Finalized data collection tools.

o  List of interviewees from primary data collection

o  Raw datasets, transcribed notes from FGDs and KII and observation notes

o   File containing analyses of data, both end-line and primary data collection.

How to apply