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Request for Proposal No.

: 8003 - XX

Conduct an end-line survey for an improved IFA supplementation program for school going adolescent
girls in selected districts of West Java province in Indonesia

Issued by the Nutrition International NI (formerly known as the Micronutrient Initiative)

Deadline for receipt of proposals at the NI:

Friday, July 14, 2017


17:00 West Indonesia Standard Time

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RFP No: 8003-XX

Contents

1. Request For Proposal Notice .........................................................................................................3


2. Introduction to the RFP ..................................................................................................................3
3. General instructions and considerations ........................................................................................4
4. Conflict of Interest ..........................................................................................................................5
5. General Disclosures ......................................................................................................................5
6. Submission of Proposals ...............................................................................................................6
7. Receipt, evaluation and handling of proposals ...............................................................................6
9. Guidelines for preparing Proposals ................................................................................................8
Part 1: Covering Letter and Declaration............................................................................................8
Part 2: General and Technical Proposal ...........................................................................................9
Part 3: Financial Proposal ................................................................................................................9
Annexure A. Terms Of Reference .......................................................................................................11
Annexure B. Template Of Budget .......................................................................................................21

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RFP No: 8003-XX

1. REQUEST FOR PROPOSAL NOTICE

1.1 Request for Proposals

The Nutrition International, a non-profit organization dedicated to eliminating vitamin and


mineral deficiencies worldwide, invites proposals from competent Organizations or Agencies to
conduct an end-line survey for an improved IFA supplementation program for school going
adolescent girls in selected districts of West Java province in Indonesia. The submission
deadline is Friday, July 14, 2017 by 17:00 West Indonesia Time.

2. INTRODUCTION TO THE RFP

2.1. The Nutrition International is an Ottawa-based, international not-for-profit organization


dedicated to ensuring that the world's most vulnerable especially women and children in
developing countries get the vitamins and minerals they need to survive and thrive. Working
with impacted families, communities and nations, we are improving lives of close to 500 million
people in more than 70 countries across Asia, Africa and Latin America.
Nutrition International (NI) formerly known as the Micronutrient Initiative (MI), a renowned
International Development organization based out in Ottawa, Canada, has a commitment to
eradicate global hidden hunger by implementing interventions that focus on women and
children in developing countries. It aims to generate innovative and sustainable solutions to
reduce vitamin and mineral deficiencies among women, newborns, and children. It builds on
robust evidence-based research and evaluation in order to demonstrate excellent return on
investment of scaling-up highly cost-effective micronutrient interventions. NI aspires to be a
global center of excellence in technical and programmatic support in this field.

In collaboration with key stakeholders such as governments, private sectors and civil society
groups, NI seeks to tackle the aforementioned problems that affects one third of the worlds
population. NI engages in tailoring health and nutrition strategies as well as up-scaling existing
program in various regions in the globe including Africa, Asia, the Caribbean, Latin America
and the Middle East. NIs international Board of Directors directs its interventions that reach
approximately 500 million people in more than 70 countries.

One of NIs key strategic goals is to enhance the global impact of micronutrient interventions
by generating cutting-edge knowledge and utilizing it to develop sound policies and
programmes while consolidating political will to achieve its vision. NI aspires to position itself
as a global center of excellence in generating scientific research in the field of micronutrient
programmes. It provides quality assurance for research and programmes while disseminating
and translating new knowledge to influence and improve national and global policies and
programmes. NI provides guidance and support on existing and future programme evaluations
and coordinates the analysis and utilization of evaluation activity results.

Background and rationale:

The data from screening of junior-high school children in Cimahi and Bandung districts in 2013
revealed the prevalence of anaemia among adolescents in the range of 40-50% (DHO, Cimahi,
2013). Based on national guidelines (MoH, 1998), it was recommended to give one IFA tablet
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RFP No: 8003-XX

weekly for 16 weeks consecutively, plus one IFA tablet daily during menstruation for 10 days
to adolescent girls. However, the program was not implemented as envisaged, and giving
supplements during menstruation is not feasible or highly acceptable. Some of the reasons for
this are; lack of availability of IFA tablets, limited promotion of the intervention and no clear
channel for distribution. The MOH has updated the national guideline on prevention and
anemia control among adolescent girls at the end of 2016. The updated guideline is aligned
with WHO recommendation in aspects of dosing regimen; however, the formulation is not
updated. Indonesia. now recommends weekly IFA tablets throughout the year with a dosage
of 60 mg elemental iron and 400 microgram folic acid (WHO recommends Iron: 60 mg of
elemental iron and Folic acid: 2800 g (2.8 mg) Supplementation should be given for a
minimum of 6 months per year. As a minimum scheme one supplement should be given per
week with 3 months of supplementation followed by 3 months of no supplementation after
which the provision of supplements should restart), alternatively supplementation may follow
the school calendar year.
Since end of 2016, the estimation for IFA supplements by government is forecasted and
calculated based on expected population of pregnant and postpartum women and limited
supplies IFA supplements for the adolescent girls. In 2017, the MoH has targeted to supply
IFA tablets to cover 20% of school going adolescent girls. The District Health Office (DHO)
advocates to other sectors such as education/ school to provide IFA tablets for adolescent girls
at school, while the health sector only promotes the benefits of consumption of IFA
supplementation and risk of anaemia, however the provision of IFA tablet is still not available
for all schools.
Therefore, NI Indonesia proposed a trial on Weekly Iron and Folic Acid (WIFA)
supplementation for school-going adolescent girls to reduce the prevalence of anaemia among
them and reinstate the focus of district and national government on the IFA supplementation
program for adolescent girls for improved health outcomes. A formative research to inform the
design and a baseline quantitative survey was conducted prior to the roll out of the program.
The survey data collection of the baseline quantitative survey was carried out during February
and March 2016 in two selected districts of Cimahi and Purwakarta where the program was
first implemented/ in the pilot areas and in one district, which served as the comparison area,
West Bandung.
Following the implementation of the program for about a year, Nutrition International proposes
a quantitative end line survey. This survey will be carried out with the key objective of
estimating the anaemia prevalence, coverage and adherence of weekly IFA supplementation
among school going adolescent girls. This ToR outlines the scope and activities to be carried
out in this end-line survey.
2.2. This Request for Proposals (RFP) and particularly the Guidelines for Preparing Proposals
that follow, are designed to help Respondents to produce proposals that are acceptable to
the NI, and to ensure that all proposals are given equal consideration. It is essential,
therefore, that respondents provide complete information, in the attached formats and on the
terms specified.

3. GENERAL INSTRUCTIONS AND CONSIDERATIONS

3.1. These instructions should be read in conjunction with information contained in the enclosed
Terms of Reference (TOR), and in any accompanying documents within this package.
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RFP No: 8003-XX

3.2. This Request for Proposals (RFP) is to conduct an end-line survey for an improved IFA
supplementation program for school going adolescent girls in selected districts of West Java
province in Indonesia.

3.3. NI is not bound to accept the lowest priced, or any, proposal. NI reserves the right to request
any (or all) Respondent(s) to meet with the NI to clarify their proposal(s) without commitment,
and to publish on its website answers to any questions raised by any Respondent (without
identifying that Respondent).

3.4. Respondents are responsible for all costs associated with the proposal preparation and will not
receive any reimbursement from the NI.

4. Conflict of Interest

4.1. Respondents must disclose in their proposal details of any circumstances, including personal,
financial and business activities that will, or might, give rise to a conflict of interest. This
disclosure must extend to all personnel proposed to undertake the work.

4.2. Where Respondents identify any potential conflicts they must state how they intend to avoid
any impact arising from such conflicts. The NI reserves the right to reject any proposals which,
in the NIs opinion, give rise, or could potentially give rise to, a conflict of interest.

4.3. With respect to this condition, please be advised that the organizations that may fall within the
scope of this evaluation will include those below, with which any association must be disclosed:
a. The Nutrition International (NI)
b. The Donor who is the primary funding source for the procurement
5. GENERAL DISCLOSURES
5.1. Respondents must disclose:

5.1.1. If they are or have been the subject of any proceedings or other arrangements relating
to bankruptcy, insolvency or the financial standing of the Respondent including but
not limited to the appointment of any officer such as a receiver in relation to the
Respondent personal or business matters or an arrangement with creditors or of any
other similar proceedings.

5.1.2. If they have been convicted of, or are the subject of any proceedings, relating to:

a. criminal offence or other offence, a serious offence involving the activities of a


criminal organization or found by any regulator or professional body to have
committed professional misconduct.
b. corruption including the offer or receipt of any inducement of any kind in relation
to obtaining any contract, with the MI, or any other contracting body or authority
c. failure to fulfil any obligations in any jurisdiction relating to the payment of taxes.

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RFP No: 8003-XX

6. SUBMISSION OF PROPOSALS
6.1 The Technical (only includes detail of previous survey, team composition, detailed methodology
and sample calculation) and financial proposal along with all requisite documentation must be
received in English by NI no later than July 14, 2017.

6.2 For any clarification required, please write an email to Dr. Elvina Karyadi, PhD at the mail id:
ekaryadi@micronutrient.org with subject line including the words RFQ No. 8003-XX.

6.3 The technical and financial proposal in two separate files shall be put into a covering email
specifically indicating with subject line Conduct an end-line survey for an improved IFA
supplementation program for school going adolescent girls in selected districts of West Java
province in Indonesia need to be sent to email: vacancy.miindonesia@gmail.com

6.4 Only email bids will be accepted. Only those short-listed will receive an acknowledgment and
will be called for a personal interaction, at their own cost. The interaction will be held at the NI
office in Jakarta, Indonesia.

6.5 Late proposals will not be accepted in any circumstances. Proposals received after the due
date and time will not be considered.

7. RECEIPT, EVALUATION AND HANDLING OF PROPOSALS


7.1. Once a proposal is received before the due date and time, the NI will:

7.1.1. Log the receipt of the proposals and record the business information
7.1.2. Review all proposals and disqualify any non-responsive ones (that fail to meet the
terms set out in these instructions), and retain the business details on file with a note
indicating disqualification
7.1.3. Evaluate all responsive proposals objectively in line with the criteria specified below
7.1.4. Inform Respondents within 6 business days of the evaluation decision being made.

7.2. The NI reserves the right:

7.2.1. To accept or reject any and all proposals, and/or to annul the RFP process prior to
award, without thereby incurring any liability to the affected Respondents or any
obligation to inform the affected Respondents of the grounds for NI's actions prior to
contract award, and
7.2.2. To negotiate - with Respondent(s) invited to negotiate - the proposed technical
approach and methodology, and the proposed price based on the Respondents
proposals.
7.2.3. Amend this RFP at any time.

8. SELECTION CRITERIA
8.1. Following criteria will be adopted to short list the proposals and identify suitable agencies
for the assignment. Out of the total scores 60% weight is assigned to technical and 40% to
the financial proposal. For detail, please see table 1.

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RFP No: 8003-XX

Table 1: Proposal Scoring Criteria for selection of agency

Proposals
Assessment Category: Technical Proposal Weights

Capacity of Firm (A) 50% 0.0 0.0 0.0 0.0 0.0


Firm's ability to complete preparatory work
30%
(recruitment, training and finalization of tools)

Firm's flexible approach in taking feedback 20%

Recognition and acceptance of firm among


30%
stakeholders
Adequate Professionals / Staff / Resources
20%

Realistic Plan and ability to accomplish the


50%
task (B)

Firm's clarity about methodology to be adopted


20%
to undertake the study

Firm's plan for completing the study 25%

Firm's ability to complete the task as per NI


25%
expectation mentioned in the TOR

Firm's realistic timelines to accomplish the entire


30%
work

Total Score - Technical Proposal (A+B) 100% 0.00 0.00 0.00 0.00 0.00

Overall weightage of Technical Proposal 60%


Assessment Category: Financial

Presented reasonable estimate of fees 25%

Takes into consideration all potential field


30%
expenses (i.e. no obvious omissions)

Presented realistic estimate for field expenses 25%

Reasonable estimate for completing the


20%
research, analysis, report writing expenses

Total Score - Financial Proposal 100% 0.00 0.00 0.00 0.00 0.00
Overall weightage of Financial Proposal 40%
Total Weighted Score (Technical + Financial) 0.00 0.00 0.00 0.00 0.00

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RFP No: 8003-XX

8.2. The Evaluation Team may, in its sole discretion, establish a short-list of Respondents based
on the Technical Scores of the Respondents (the Short-listed Respondents) for the
purpose of conducting interviews. If NI short-lists the Respondents, it will short-list the
Respondents with the highest scores.

8.3. Only the Short-listed Respondents will be interviewed. The number of Respondents short-
listed for an interview is in the sole discretion of NI.

8.4. Interviews of Short-listed Respondents will be carried out by the Evaluation Team or a sub-
group of the Evaluation Team. The Evaluation Team will score each Short-listed
Respondent based on the quality of the Respondents interview (the Interview Score).

8.5. The successful Respondent will be expected to enter into a Contract with the N I for
the duration of the Work. In the event of a Contract award, all the terms and conditions
of the RFP, including the Respondents response, will normally form part of the Contract.

9. GUIDELINES FOR PREPARING PROPOSALS

9.1 Language: Proposals must be submitted in English.

9.2 Structure : Proposals must be set out in four main parts:


Part 1: Covering Letter and Declaration
Part 2: General and Technical Proposal
Part 3: Financial Proposal

Part 1: Covering Letter and Declaration

Proposals must be accompanied by a covering letter on company-headed paper showing the full
registered and trading name(s), trading and registered office address and business number of the
Respondent. The letter must be signed by a person of suitable authority to commit the Respondent to
a binding contract. It must quote the RFP number and title, and include the following declarations:

a. We have examined the information provided in your Request for Proposals (RFP) and offer
to undertake the work described in accordance with requirements as set out in the RFP. This
proposal is valid for acceptance for 6 months and we confirm that this proposal will remain
binding upon us and may be accepted by you at any time before this expiry date.

b. We accept that any contract that may result will comprise the contract documents issued with
the RFP and be based upon the documents submitted as part of our proposal.

c. Our proposal (Technical and Financial) has been arrived at independently and without
consultation, communication, agreement or understanding (for the purpose of restricting
competition) with any other Respondent to or recipient of this RFP from the NI.

d. All statements and responses to this RFP are true and accurate.

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RFP No: 8003-XX

e. We understand the obligations regarding Disclosure as described in the RFP Guidelines and
have included any necessary declarations.

f. We confirm that all personnel named in the proposal will be available to undertake the
services.

g. We agree to bear all costs incurred by us in connection with the preparation and submission
of this proposal and to bear any further pre-contract costs.

h. I confirm that I have the authority of [insert name of company] to submit this proposal and to
clarify any details on its behalf.

Part 2: General and Technical Proposal

The General and Technical section should be structured as follows:

Section 1: Your understanding of the TOR provided with this RFP. You may also propose
qualifications to the TOR that you consider may enhance the value of the outcome to the NI.

Section 2: Technical Response: a concise description of the methodology and approach that are
proposed for the delivery of the TOR and an implementation plan in the form of a work breakdown
analysis. This should describe the activities to be undertaken, the deliverables / outputs and the
milestone and completion dates (grouped by phase where appropriate). The dependency of any
activities and associated results on earlier results needs to be clearly indicated.

Section 3: Personnel Profile: names, designation and Curricula Vitae (CV) of personnel
assigned to work on the Project. CVs must not exceed 3 pages, but must include:
o a brief summary of the professional competencies of the individual relevant to the Scope
of Work/TOR
o a chronological list of relevant professional experience starting with the most recent and
showing key achievements / responsibilities
o brief details of qualifications educational / technical / professional / other
o language competencies other than English (if required to undertake the ToR)

Section 4: Personnel Inputs: include name of personnel, and person days with reference to
activity to be undertaken. Do not include any reference to fees. This will constitute a confirmation
that all personnel will be available to provide the required services for the duration of the contract

Section 5: Company Information: proof of incorporation for registered incorporated entities,


proof of registration for registered entities.

Section 6: Previous experience: documentation demonstrating the Respondents experience


in the proposed area of work. This should include contact details for key clients who may be
contacted in respect of the Respondents relevant prior work.

Part 3: Financial Proposal


The Financial proposal must contain the expected budget for accomplishing the complete
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RFP No: 8003-XX

work with detailed breakup. All amounts quoted must be in IDR. The Respondent
should provide a detailed budget, based on the format attached as Annexure-B.

Fees should be inclusive of all VAT, Taxes, Insurance and standard training
management/overhead cost.

Please note that no fees are payable for travel days.

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RFP No: 8003-XX

ANNEXURE A:
TERMS OF REFERENCE
To conduct an end-line survey for an improved IFA supplementation program for school
going adolescent girls in selected districts of West Java province in Indonesia

1. Introduction

Nutrition International (NI) formerly known as the Micronutrient Initiative (MI), a renowned
International Development organization based out in Ottawa, Canada, has a commitment to
eradicate global hidden hunger by implementing interventions that focus on women and children
in developing countries. It aims to generate innovative and sustainable solutions to reduce vitamin
and mineral deficiencies among women, newborns, and children. It builds on robust evidence-based
research and evaluation in order to demonstrate excellent return on investment of scaling-up highly
cost-effective micronutrient interventions. NI aspires to be a global center of excellence in technical
and programmatic support in this field.
In collaboration with key stakeholders such as governments, private sectors and civil society
groups, NI seeks to tackle the aforementioned problems that affects one third of the worlds
population. NI engages in tailoring health and nutrition strategies as well as up-scaling existing
program in various regions in the globe including Africa, Asia, the Caribbean, Latin America and the
Middle East. NIs international Board of Directors directs its interventions that reach approximately
500 million people in more than 70 countries.
One of NIs key strategic goals is to enhance the global impact of micronutrient interventions by
generating cutting-edge knowledge and utilizing it to develop sound policies and programmes while
consolidating political will to achieve its vision. NI aspires to position itself as a global center of
excellence in generating scientific research in the field of micronutrient programmes. It provides
quality assurance for research and programmes while disseminating and translating new
knowledge to influence and improve national and global policies and programmes. NI provides
guidance and support on existing and future programme evaluations and coordinates the analysis
and utilization of evaluation activity results.
2. Background and rationale

The data from screening of junior-high school children in Cimahi and Bandung districts in 2013
revealed the prevalence of anaemia among adolescents in the range of 40-50% (DHO, Cimahi,
2013). Based on national guidelines (MoH, 1998), it was recommended to give one IFA tablet
weekly for 16 weeks consecutively, plus one IFA tablet daily during menstruation for 10 days to
adolescent girls. However, the program was not implemented as envisaged, and giving
supplements during menstruation is not feasible or highly acceptable. Some of the reasons for this
are; lack of availability of IFA tablets, limited promotion of the intervention and no clear channel for
distribution. The MOH has updated the national guideline on prevention and anemia control among
adolescent girls at the end of 2016. The updated guideline is aligned with WHO recommendation
in aspects of dosing regimen; however, the formulation is not updated. Indonesia. now
recommends weekly IFA tablets throughout the year with a dosage of 60 mg elemental iron and
400 microgram folic acid (WHO recommends Iron: 60 mg of elemental iron and Folic acid: 2800 g
(2.8 mg) Supplementation should be given for a minimum of 6 months per year. As a minimum
scheme one supplement should be given per week with 3 months of supplementation followed by

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RFP No: 8003-XX

3 months of no supplementation after which the provision of supplements should restart),


alternatively supplementation may follow the school calendar year.
Since end of 2016, the estimation for IFA supplements by government is forecasted and calculated
based on expected population of pregnant and postpartum women and limited supplies IFA
supplements for the adolescent girls. In 2017, the MoH has targeted to supply IFA tablets to cover
20% of school going adolescent girls. The District Health Office (DHO) advocates to other sectors
such as education/ school to provide IFA tablets for adolescent girls at school, while the health
sector only promotes the benefits of consumption of IFA supplementation and risk of anaemia,
however the provision of IFA tablet is still not available for all schools.
Therefore, NI Indonesia proposed a trial on Weekly Iron and Folic Acid (WIFA) supplementation for
school-going adolescent girls to reduce the prevalence of anaemia among them and reinstate the
focus of district and national government on the IFA supplementation program for adolescent girls
for improved health outcomes. A formative research to inform the design and a baseline quantitative
survey was conducted prior to the roll out of the program. The survey data collection of the baseline
quantitative survey was carried out during February and March 2016 in two selected districts of
Cimahi and Purwakarta where the program was first implemented/ in the pilot areas and in one
district, which served as the comparison area, West Bandung.
Following the implementation of the program for about a year, Nutrition International proposes a
quantitative end line survey. This survey will be carried out with the key objective of estimating the
anaemia prevalence, coverage and adherence of weekly IFA supplementation among school going
adolescent girls. This ToR outlines the scope and activities to be carried out in this end-line survey.
3. Overall objective

The purpose of the consultancy is to provide Nutrition International with information to assess the
potential impact of the intervention on changes in prevalence of anemia, adherence, coverage of
WIFAS for adolescent girls 12-19 years of age in specific schools in selected districts of West Java;
and the level of knowledge and awareness and benefits of weekly IFA supplements among
teachers, influencers and adolescent girls 12-19 years of age in selected districts of West Java
who are currently or who were recently attending school.

Specific objectives of the quantitative survey:

To achieve the purpose the following specific objectives should be met:

1. Estimate the prevalence of any anaemia and iron deficiency anaemia among school going
adolescents girls.
2. Estimate the coverage and adherence of IFA supplementation among school going adolescents
girls and any change since baseline
3. Assess the knowledge, attitude and practices among school going adolescents girls and
teachers about causes and consequences of anaemia and the benefits of IFA supplementation
and any change since baseline
4. Assess the local enabling environment relative to WIFA and experiences with implementation:
teachers/ health worker knowledge and practices, available stocks, challenges and
opportunities for delivery by teachers, attendance and WASH issues for girls etc.

The following questions layout the types of information that will be required to meet the specific
information these questions should be interpreted as a minimum requirement for the information
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RFP No: 8003-XX

to be obtained in this consultancy but consultants should feel free to propose the collection and
utilization of any additional information that may strengthen their ability to respond to the specific
objectives.

4. Key research questions for the quantitative survey

The key research questions are as follows:


1. What is the regimen that is given for IFA supplementation among school going adolescent
girls?
2. What is the coverage of weekly IFA supplementation among school going adolescent girls?
3. What is the adherence of weekly IFA supplementation among school going adolescent girls?
4. What are the reasons for non-adherence, if any?
5. What is level of attendance of adolescent school girls? How does this impact coverage and
adherence?
6. What are reasons for not attending school/missing days of schools?
7. What is the knowledge level and attitudes of school going adolescent girls regarding IFA
dosage, duration and its side effects following consumption?
8. How are WIFAS distributed by teachers and what are their experiences with WIFAS
supplementation?
9. What is the knowledge level and attitudes of school teachers involved in the WIFAS
program?
10. In addition to delivery what is the level of counseling on WIFAS or nutrition reported by
school going adolescents and teachers regarding solutions to potential side effects from
consumption of IFA?
11. Who else, if anyone counsel the school going adolescents regarding solutions to the side
effects from consumption of IFA?
12. What is the supply management and delivery system for the weekly IFA supplements among
the school going adolescent girls?
13. What is the situation with supplies of IFA in the schools?
14. How do teachers describe their experiences with the WIFAS delivery? And what challenges
and opportunities do they see?

5. Design and method

The study will involve the use of both quantitative and qualitative methods of data collection. A pre
and post intervention cross-sectional survey design with comparison group will be adopted for this
study for quantitative purposes. The quantitative surveys will be conducted at two time points the
two program districts and one comparison district of West Java. The qualitative formative research
was an one-time, cross-sectional, guided by health behavior theory. The current qualitative
component aims to understand the feedback of the program strategies to improve IFA
supplementation among school adolescent girls and teachers. This qualitative component will be
based on purposive sampling for diversity and will include FGDs with school going adolescent girls
of 12 to 14 years and 15 to 19 years of as well as in-depth interviews with teachers and other
influencers and structured observations of classrooms to assess 1) delivery experiences and 2)
enabling environment (WASH, water, supplies etc.) and pedagogical methods. Please note that if
there are not enough health instructors to form a focus group in a particular school, teachers who
instruct on similar topics should be included in FGDs. Structured interviews were carried out with
school going adolescent girls aged 12 to 19 years. Health workers, teachers, principals and religion
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RFP No: 8003-XX

officers were also interviewed in the qualitative formative research, which was combined with the
quantitative baseline survey

Target respondents: School going adolescent girls in the age group of 12 to 19 years will be the
respondents of the quantitative survey at the baseline and end-line. In the qualitative component,
focus group discussions and in-depth interviews will be conducted among school going adolescent
girls, school teachers, principals, religion officers, health workers like; midwives, cadres, other
potential influencers like; parents of unmarried adolescents and husbands and in-law of married
adolescents.

Sample size for the quantitative end-line survey : The target respondents for the study will be
school going adolescent girls in the age group of 12-19 1 years from randomly selected households.
The sample size is powered to detect a difference from the assumed value of 18.4% from Riskesdas
survey; the prevalence of anaemia for the school going adolescent girls at baseline and an
anticipated 15 percentage point change at end-line, with 95% confidence, a power of 80% adjusted
for a design effect of 2 and incremented by a probable non-response rate of 10%. The sample size
is powered to provide combined project area level estimates for the two program districts. The
sample is not powered to provide individual district level estimates 2.

The prospective agency needs to propose two budget options for the suggested sample of
adolescent girls:

1. Budget including estimation of any anaemia only along with the other indicators of
KAP: It is proposed to use capillary HemoCue to estimate haemoglobin concentration in the
blood to measure the anaemia levels for estimation of anaemia prevalence.

2. Budget including estimation of any anaemia and iron deficiency anaemia along with
the other indicators of KAP: The agency needs to propose use of capillary HemoCue for
estimation of any anaemia and venous HemoCue or any other reliable and acceptable
methods of estimation for the measurement of iron deficiency anaemia [Serum for ferritin,
C-REACTIVE PROTEIN (CRP) and ALPHA-1-ACID GLYCOPROTEIN (AGP)].

1
12-19 years is being taken considering those who are in junior/ senior secondary high school students would have
had menarche. The menarcheal age in Indonesia is 12.19 from mothers with university, 12.88 with high school and
12.93 with low education (source: LD Hendrawati and Josef Glinka SVD. Age at Menarche in Indonesia, Vol. 20 39 No.
1 January March 2003). One more study showed that most of Indonesian girls will have their menarche at the age of
12-14 years (mean age of 12.96).
2
For separate district level estimates, we need a higher sample size, which will have higher cost implications.
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Table 1 : Sample size for the baseline and end-line surveys


Outcome variable: prevalence of anaemia (18.4%, Required sample of households Villages/
Riskesdas, 2013 for 15 to 24 years age youth 3 used in the =0.05 and & = 0.80 and clusters 6
sample size calculations) 4 adjusted for an assumed design
effect of 2.0 and 90% response
rate 5
Program areas (two program districts of Cimahi and 170 17
Purwakarta of West Java province)
Comparison areas (a district in West Java with similar 170 17
socio-economic, demographic and health characteristics
to the two program districts, West Bandung)
Total 340 34

Sample selection for the quantitative survey


The sample of households will be selected in a two stage cluster sampling design. In the first stage,
all the villages in the two program districts as per census 2010 will be listed and 17 villages will be
selected by probability proportional to size (PPS) method. Similarly, 17 villages will be selected in
the selected comparison district by PPS method. At the second stage, all households in the selected
cluster will be listed to prepare a sampling frame for households with a school going adolescent girl
in the age group of 12-19 years. The required number of respondents (10 in each cluster) will be
selected by a systematic sampling method from the sampling frame of households. A cluster/ village
with more than 200 households will be divided into two equal segments, with each segment of about
100 households. Then, one segment will be randomly selected for the preparation of the sampling
frame. In case, the desired number of households is not available in the selected segment, then the
nearby segment will be covered to get the required number of respondents.

3
The World Health Organization (WHO) defines adolescents as those people between 10 and 19 years of age. Youth is
defined by the United Nations as 1524 years and young people as 1024 years, a term used by WHO and others to
combine adolescents and youth. The World Health Organization (WHO) defines adolescents as those people between
10 and 19 years of age. The great majority of adolescents are, therefore, included in the age-based definition of child,
adopted by the Convention on the Rights of the Child as a person under the age of 18 years.
4
Considering the budgetary constraints, the sample size has not been updated based on the estimates of the actual
baseline survey. The assumed value considered at baseline has been considered at the end-line also.
5
The sample size has been computed using Stata 12.0 Statistical Software for two sample tests with standard statistical
assumptions (two-sided test; alpha= 0.05; 0.8 power, and non-continuity) and has been increased to account for design
effect and assumed non-response rate and rounded off.
6
The Intra cluster correlation coefficient (ICC) is 0.111, which falls within the recommended range. The or ICC of a
given variable is typically determined by looking at pilot or baseline data for your population of interest. Should you
not have the data, another way of estimating the is to look at other studies examining similar outcomes amongst
similar populations. Given the inherent uncertainty with this, it is useful to consider a range of s when conducting
your power calculations (a sensitivity analysis) to see how sensitive they are to changes in . We will look at this a little
further on. While the can vary widely depending on what you are looking at, values of less than 0.05 are typically
considered low, values between 0.05-0.20 are considered to be of moderate size, and values above 0.20 are considered
fairly high
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RFP No: 8003-XX

In addition to canvassing of a structured questionnaire with the 340 school going adolescent girls
in the age group of 12-19 years regarding coverage and adherence of IFA and their knowledge,
attitude and practices related to anaemia and IFA supplementation, haemoglobin tests will be
conducted among them during the baseline and end line surveys to measure anaemia prevalence.
An Ethical Committee will approve the blood sample collection, testing device, method of testing
and disposal procedures that will be undertaken in the survey, adhering to the international
standards. Prior to collection of the blood samples, informed consent will be obtained from the
adolescents. Trained health investigators from the commissioned research agency/ institution/
organization will be employed to collect the blood samples for testing at the field level. The health
investigator will read out a detailed informed consent statement to the adolescent girl informing her
about anaemia, describing the procedure to be followed for the test and emphasizing the voluntary
nature of the test. The health investigator will sign the questionnaire to indicate that the informed
consent statement has been read to the adolescent girl and it will then be signed by her. If the test
is performed, at the end of the test, the adolescent girl will be given a written record of the
haemoglobin status. In addition, the health investigator will interpret the results to her and advise
the adolescent girl regarding IFA supplementation. In cases of severe anaemia, an additional
statement will be read to the adolescent to help her determine whether or not she would give
permission to the research organization to inform a local health official about the problem so that
appropriate medical treatment can be provided.
In addition to the school going adolescent girls, a sample of teachers from the relevant classes of
grades 7-12 will also be interviewed to understand their level of knowledge with regards to IFA
supplementation and anaemia. The indicative sample is presented below:

Table 2 : Proposed number of interviews of school teachers of districts of Cimahi and


Purwakarta and West Bandung of West Java province, Indonesia
Respondent category Intervention area Comparison area

School Teachers (Grades 7 150 150


to 12)

Qualitative component
In addition to the quantitative component, there will be a quantitative component to understand the
knowledge, attitude, practices (KAP quantitative questionnaires and qualitative sampling and
design to assess experiences and perceptions about the intervention and IFA supplementation and
its relation with iron deficiency anaemia. The following proposed qualitative sample is just indicative
and not powered to measure any indicator, and sampling should be done for qualitative aspects
should be purposive in nature.

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RFP No: 8003-XX

Table 3: Proposed number of Focus Group Discussions (FGDs) and In-depth Interviews
(IDIs) proposed for the qualitative research component in the program areas in the
Districts of Cimahi and Purwakarta of West Java province, Indonesia
Respondents FGDs IDIs
Cimahi Purwakarta Cimahi Purwakarta
Among 12-14 year old school going girls 5 5 5 5
Among 15-19 year old school going girls 5 5 5 5
School Teachers 2 2 5 5

Health staff at Puskesmas 2 2 2 2

Program officer of Ministry of Health 2


Program officer of Ministry of Education 2
Provincial Health officer 2
Provincial Education officer 2
District Health officials - 2 2
District Education officer - 2 2
District Religion officer - 2 2

6. Qualifications of the proposed survey team

a) Nutrition epidemiologist with PhD level training and more than 5 years of experience (or Masters
degree and 10 yrs experience) in designing and conducting epidemiological studies. A track
record for publications in high impact peer reviewed journals is a plus. This individual will directly
guide the development and implementation of the end-line survey, in collaboration with and
upon approval from Nutrition International.

b) Maternal and child health expert with more than 5 years of experience in conducting maternal
and newborn health research and or adolescent and womens health programs. A track record
for publications in high impact peer reviewed journals is a plus. This individual will provide
technical guidance on tools and data collection related to adolescent health components of
questions for women and as relevant for health facilities, health services and health posts.

c) Statistician with more than 5 years of experience in data management and expertise in design
and analysis of quasi-experimental studies and/or program evaluations. The statistician will be
responsible for developing the data analysis plan, ensuring data collection tools are adequate
for the approved collection methodologies and for conducting or supervising quantitative data
management and cleaning and data analysis according to the approved plan.

d) One of the above or an additional member will also be an expert in qualitative data collection,
transcription, coding and interpretation or an additional team member will be included who is
such an expert. This individual will lead on reviewing all qualitative questionnaires and guides,
and will supervise required training of staff conducting IDIs / KIIs / FGDs and implementation of
qualitative activities including entry, coding and analysis using appropriate software program

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RFP No: 8003-XX

such as Nvivo or atlas Ti. This individual will ensure that all qualitative questionnaires and guides
are approved by NI prior to implementation.

The survey agency needs to submit previously carried out study reports similar to the current study.
The survey team will also be responsible for having the licenses for both qualitative and quantitative
data analysis software. The survey teams up-to-date CVs with current level of time commitment
and previous/current grants must be provided to Nutrition International as annex to the project
proposal.
The survey will collect information on the following in addition to other details to be incorporated in
the questionnaire from the adolescent girls:

Socio-economic-demographic background characteristics of the households and


adolescent girls
Exposure to mass media, interpersonal communication and social media
Knowledge of anaemia and IFA supplements (dosage, duration and benefits)
Regimen of IFA for school going adolescent girls
Receipt and adherence of IFA
Reported Attendance and absenteeism (along with reasons)
Supervision of receipt and consumption of IFA among adolescents in schools
Counseling provided by teachers/ principals/ health workers
Side effects and knowledge of methods to overcome side effects
Description of enabling environment and implementation experiences

7. Deliverables

The following deliverables are to be submitted in hard copy and electronic form by the firm as the
implementation progresses to the Nutrition International:

Timeline to complete the survey


Ethical clearance
Final English and Bahasa Indonesia structured questionnaires and consent forms with
proof of field testing and adjustments made based on findings
Plan for training interviewers and supervisors
Field procedures manual in English and Bahasa Indonesia.
Detailed procedure used for multi-stage sampling including list of clusters and
respective population size.
Codebook including questions, variable names, value names
Qualitative sampling framework and analyses plan
Detailed documentation of procedures used for sampling
Data analysis and tabulation plan (to be approved by Nutrition International according to
Nutrition Internationals reporting requirements)
Cleaned and labeled quantitative datasets in PASW/ SPSS format
All coded qualitative transcripts and un-coded originals
Report of survey finalized after review and final approval by Nutrition International
Power point presentation summarizing the key findings

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RFP No: 8003-XX

8. Report Outline

The selected agency/ consultant will submit to Nutrition International a consolidated report
(comparing / analyzing both baseline and end-line data) which may constitute the following broad
sections / chapters: The agency / consultant/ institution needs to disseminate the key findings to
stakeholders after the presentation is approved by Nutrition International.

1. Executive summary
2. Introduction
3. Study design
4. Key findings from interviews of school going adolescent girls
5. Key findings from interviews of teachers and other potential influencers
6. Overall emerging themes on enabling environment and experiences with WIFAS
7. Discussion and Conclusions
8. Annexures: Questionnaires, in-depth interview (IDI) guidelines and FGD guides,
observational checklists etc.

The agency/ consultant will submit a draft report to Nutrition International for review and will be
finalized after incorporating suggestions and comments from Nutrition International.

9. Timeline
The selected agency for this consultancy will adhere to the following timeline. The timeline is in
reference to the time of signing the contract with Nutrition International. It is expected that period of
consultancy will be 22 weeks and the final report will be finalized within this period.

Table 4: Tentative Timeline


Weeks
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
Translating and
Pretesting data
collection
instruments (semi-
structured
questionnaires,
FGD guides, guides
for in-depth
interviews, and
checklists for
structured
observations ) and
sampling plan
IRB clearance
Training of
investigators
Data collection

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RFP No: 8003-XX

Data entry and


analysis
Report writing and
finalization

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RFP No: 8003-XX

ANNEXURE B
TEMPLATE OF BUDGET OPTION 1

Time
Account
Activity Quantity Unit Cost/Unit Amount
number Week/month

A PREPARATION

Development of training materials,


1 sets x
questionnaires and template database

Preparation: training tools, pretesting and


2 data collection, Stationary tools, training kits, sets x
questionnaires, meals and beverages

Ethical approval, Permit/authority letters and


3 sets x
site arrangement
subtotal A. Preparation
B TRAINING

Training for technical support, field supervisor


1 days x area
enumerator, and prelister

2 Training for data base manager and staff days


3 Honorarium for facilitators days x people
subtotal B. Training
TRAINING, PRE SURVEY, PRETESTING
C
and SITE SETTING
Cimahi District

1 package x people
Transportation Jakarta-Cimahi-Jakarta
package x days
2 Local transportation in district

3 people x days
Per diem for Project Director and Assistant
Research
4 people x days
Per diem for Technical Coordinator
people x days
5 Per diem for Supervisor
people x days
6 Field enumerator

Purwakarta District
1 package x people
Transportation Jkt-Purwakarta-Jkt
package x days
2 Local transportation in district

package x days
Per diem for Project Director and Assistant
3 Research
4 people x days
Per diem for Technical Coordinator

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RFP No: 8003-XX

5 people x days
Per diem for Supervisor
people days
6 Field enumerator x

West Bandung District


1 package x people
Transportation Jkt-West Bandung-Jkt
package x days
2 Local transportation in district

Per diem for Project Director and Assistant package x days


3 Research
4 people x days
Per diem for Technical Coordinator
5 people x days
Per diem for Supervisor
people days
6 Field enumerator x
package x people
7 Transportation at Jkt
Subtotal C. Pre Survey and Pretesting
D OFFICE SUPPLY

Copying material/questionnaire/training
1 all package x set
module etc.

2 Communication all package x people

3 Other office supplies all package x set

Subtotal D. Office Supply


HONORARIUM (include daily
E transportation)
package x people
1 Database manager
package x people
2 Database staff
weeks x people
3 Research Advisor
weeks x people
4 Project Director
Assistant Research weeks x people
5
Technical Coordinator weeks x people
6

7 Supervisor weeks x people

8 Field enumerator people x set

Qualitative Expert and enumerator people x set


9

Observer (conducted during FGD) people x set


10
Field enumerator (In Depth Interviews) people x set
11
Field enumerator (caregivers) household-
clusters x HH
12 listing

Subtotal E. Honorarium

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RFP No: 8003-XX

TRANSPORTATION, ACCOMODATION
AND RESPONDENTS
F

1 Transportation Jkt-Cimahi-Jkt package x people

2 Transportation Jkt-Purwakarta-Jkt package x people

3 Transportation Jkt-West Bandung-Jkt package x people

4 Transportation at Jkt package x people

5 Local transportation at district package x days

Accommodation for Technical Coordinator at


6 package x days
district

Accommodation for Project Director and


7 package x days
Assistant Research at district

8 Transportation for respondents (FGD) package x people

9 Accommodation for monitoring package x days

10 Respondents gift/reward package x people

11 Respondents gift/reward (respondents IDI's) package x people

Subtotal F. Transportation and


Accommodation
G HEMOGLOBIN ASSESSMENT*
1 Hemoglobin assessment package X
2 Equipment package X

Subtotal G. Hemoglobin and Ferritin


Assessment
H DATA MANAGEMENT

1 Data entry and Cleaning set x day

2 Data analysis and reporting person x day

3 Hardcopy of final report package x set

Subtotal H. Data Management

I Overhead Cost

TOTAL BUDGET IDR


*) for assessment using third party laboratory vendor, please mention name of the laboratory vendor and the
accreditations/certifications it has achieved.

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RFP No: 8003-XX

TEMPLATE OF BUDGET OPTION 2

Time
Account
Activity Quantity Unit Cost/Unit Amount
number Week/month

A PREPARATION

Development of training materials,


1 sets x
questionnaires and template database

Preparation: training tools, pretesting and


2 data collection, Stationary tools, training kits, sets x
questionnaires, meals and beverages

Ethical approval, Permit/authority letters and


3 sets x
site arrangement
subtotal A. Preparation
B TRAINING

Training for technical support, field supervisor


1 days x area
enumerator, and prelister

2 Training for data base manager and staff days


3 Honorarium for facilitators days x people
subtotal B. Training
TRAINING, PRE SURVEY, PRETESTING
C
and SITE SETTING
Cimahi District

1 package x people
Transportation Jakarta-Cimahi-Jakarta
package x days
2 Local transportation in district

3 people x days
Per diem for Project Director and Assistant
Research
4 people x days
Per diem for Technical Coordinator
people x days
5 Per diem for Supervisor
people x days
6 Field enumerator

Purwakarta District
1 package x people
Transportation Jkt-Purwakarta-Jkt
package x days
2 Local transportation in district

package x days
Per diem for Project Director and Assistant
3 Research
4 people x days
Per diem for Technical Coordinator
5 people x days
Per diem for Supervisor

NutritionIntl.org Page 24 of 26
RFP No: 8003-XX

people days
6 Field enumerator x

West Bandung District


1 package x people
Transportation Jkt-West Bandung-Jkt
package x days
2 Local transportation in district

Per diem for Project Director and Assistant package x days


3 Research
4 people x days
Per diem for Technical Coordinator
5 people x days
Per diem for Supervisor
people days
6 Field enumerator x
package x people
7 Transportation at Jkt
Subtotal C. Pre Survey and Pretesting
D OFFICE SUPPLY

Copying material/questionnaire/training
1 all package x set
module etc.

2 Communication all package x people

3 Other office supplies all package x set

Subtotal D. Office Supply


HONORARIUM (include daily
E transportation)

1 Database manager package x people

2 Database staff package x people

3 Research Advisor weeks x people

4 Project Director weeks x people

Assistant Research weeks x people


5
Technical Coordinator weeks x people
6
Supervisor weeks x people
7
Field enumerator people x set
8

Qualitative Expert and enumerator people x set


9

Observer (conducted during FGD) people x set


10

11 Field enumerator (In Depth Interviews) people x set

Field enumerator (caregivers) household-


clusters x HH
12 listing

Subtotal E. Honorarium
TRANSPORTATION, ACCOMODATION
AND RESPONDENTS
F

NutritionIntl.org Page 25 of 26
RFP No: 8003-XX

1 Transportation Jkt-Cimahi-Jkt package x people

2 Transportation Jkt-Purwakarta-Jkt package x people

3 Transportation Jkt-West Bandung-Jkt package x people

4 Transportation at Jkt package x people

5 Local transportation at district package x days

Accommodation for Technical Coordinator at


6 package x days
district

Accommodation for Project Director and


7 package x days
Assistant Research at district

8 Transportation for respondents (FGD) package x people

9 Accommodation for monitoring package x days

10 Respondents gift/reward package x people

11 Respondents gift/reward (respondents IDI's) package x people

Subtotal F. Transportation and


Accommodation
HEMOGLOBIN AND FERRITIN
G
ASSESSMENT*
1 Hemoglobin assessment package X
2 Equipment package X
3 Ferritin assessment package x
4 CRP assessment package x
5 AGP assessment package x
Subtotal G. Hemoglobin and Ferritin
Assessment
H DATA MANAGEMENT

1 Data entry and Cleaning set x day

2 Data analysis and reporting person x day

3 Hardcopy of final report package x set

Subtotal H. Data Management

I Overhead Cost

TOTAL BUDGET IDR


*) for assessment using third party laboratory vendor, please mention name of the laboratory vendor and the
accreditations/certifications it has achieved.

NutritionIntl.org Page 26 of 26