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Terms of Reference: List Study For
Terms of Reference: List Study For
Issued by,
Content
Introduction .............................................................................................................................................. 3
Problem Statement ................................................................................................................................... 3
Project Background ................................................................................................................................... 3
Need of the Study ..................................................................................................................................... 4
Study Objectives ........................................................................................ Error! Bookmark not defined.
Research Design ......................................................................................... Error! Bookmark not defined.
Study Methodology.................................................................................... Error! Bookmark not defined.
Study Geography........................................................................................ Error! Bookmark not defined.
Sample Size ................................................................................................ Error! Bookmark not defined.
Target Subject Population.......................................................................... Error! Bookmark not defined.
Survey Instruments .................................................................................... Error! Bookmark not defined.
Method of Data Collection...................................................................................................................... 14
Scope of work ......................................................................................................................................... 14
Support Required .................................................................................................................................... 15
Deliverables............................................................................................................................................. 15
Essential qualification of the Consultant ................................................................................................ 15
Ethical protocol ....................................................................................................................................... 15
Terms of payment ...................................................................................... Error! Bookmark not defined.
Timeline................................................................................................................................................... 16
Ownership of Materials .......................................................................................................................... 16
Proposal Submission Protocol ................................................................................................................ 16
Annexure-1.............................................................................................................................................. 18
Introduction
Save the children (SC) is India’s leading independent NGO and child rights organization. As of 2019, we
work in 16 states in India. Since its start in 2008, SC India has changed lives of more than 11.7 million
children and has reached 5.06 million children directly, and 6.6 million children indirectly during
emergencies such as natural disaster, humanitarian crisis, and disaster risk reduction. We believe ‘every
child deserves the best chance for a bright future’, and that’s the reason we are committed to ensuring
children not only survive, but thrive. We are proud to be the world’s leading expert on issues pertaining
to children, delivering lasting results for millions of vulnerable girls and boys.
Problem Statement
Despite availability of knowledge and proven cost-effective interventions, pneumonia is a ‘forgotten
killer’ of children. With 30 million new cases of childhood pneumonia reported every year and one child
dying every four minutes1, India tops the list of countries with highest disease burden and largest
number of pneumonia deaths. It is vital to create leadership and determination among Government,
policy makers and international agencies to address this number one killer both in India and across the
world.
Project Background
Intervention Objective: SC through its intervention intend to bring high-quality pneumonia care to
ninety thousand under-five children in two rural blocks and one urban municipality in the states of
Uttar Pradesh and Rajasthan.
Burden of Childhood Pneumonia - India has the highest burden of childhood pneumonia in the world,
both in terms of morbidity2 and mortality3. Around 140,000 children die due to pneumonia annually in
the country. There are 30 million new cases of childhood pneumonia reported every year, with an
incidence rate of 0.26 episodes per child-year4. Approximately ten percent of these episodes tend to be
very severe. Among children under-five years, pneumonia contributes to nearly a sixth (15%) of all
deaths in India, with one child dying from pneumonia every four minutes. The reduction of under-five
mortality from 39/1000 live births in 2016 to 23 by 2025 is one of the prime goals of India’s National
Health Policy 20175. In order to achieve this goal, mortality due to childhood pneumonia needs to be
reduced to less than three per 1000 live births from the current level of 5.7 per 1000 live births, which is
also in tune with the goal of India’s Integrated Action Plan for pneumonia and Diarrhoea (IAPPD)6. Four
of the poorer states in India together contribute to nearly 60% of the country’s total burden of under-
five deaths and more than 50% of pneumonia deaths (Uttar Pradesh, Bihar, Madhya Pradesh, and
Rajasthan). With the absence of accessible quality treatments at both community and public health
1
Pneumonia and Diarrhoea Progress Report 2018 & NHFS IV (2015-16)
2 The rate of disease in a population
3 Measure of the number of deaths in a particular population, scaled to the size of that population, per unit of time.
4
Pneumonia and Diarrhoea Progress Report 2018 by International Vaccine Access Centre and Johns Hopkins School of Public Health
5
National Health Policy 2017
6
http://pib.nic.in/newsite/PrintRelease.aspx?relid=115702
facility level, the most disadvantaged children are the worst affected by pneumonia and other
common childhood illnesses.
Level of Data
Indicators disaggreg
Result Indicator Data Collection
(Outcome ation
, Output) needed
Frequency
Method/
Numerator Denominators
MOV
of
Collection
GOAL
Reduction in Pneumonia Impact State, No. of 1000 live births AHS, NFHS Annual
Pneumonia specific under five District, pneumonia in same time 5, SRS
specific under mortality rate at gender specific under period
five mortality the end of the five death in a
project particular
time period
OUTCOME-
overall
High-quality Number of under Outcome State, Number of Number of Baseline, Monthly
pneumonia care to five children in District, under five under five Endline,
90 thousand under- intervention areas gender children in children with Project MIS
five children in two provided with intervention pneumonia in
rural blocks and high quality areas intervention
one urban pneumonia care provided with areas
municipality in the high quality
states of Uttar pneumonia
Pradesh and care
Rajasthan
OUTCOME- 1
Increased % Increase in Outcome Block, Number of Number of Baseline, Twice –
community knowledge and District HHs with HHS with Endline, once
awareness of awareness among knwledge and children under during
pneumonia and HHs on awareness on five Baseline
improved care pneumonia and its pneuminia and
seeking risk factors and its risk Endline
factors
% Improve in care Outcome Block, Number of Number of Baseline, Twice –
seeking behaviour District HHs with HHS with Endline, once
for pneumonia care seeking children under during
behaviour for five Baseline
pneumonia and
Endline
OUTCOME- 2
Improved case % Improve in case Outcome Block, Number of Total of Baseline, Monthly
detection and its management of District pneuminia pneumoinia Endline and during
management at pneumonia by cases cases in the Project MIS Baseline
both community frontline health managed by community and
level and facility care providers at FHWs at Endline
level community level community
level
% Improve case Outcome Block, Number of Total of Baseline, Monthly
management of District pneuminia pneumoinia Endline and during
pneumonia at cases cases in the Project MIS Baseline
health facility level managed at community and
the facility Endline
level
OUTPUT
Output 1.1.1 % of HHs with Output Block, Number of Total nuber of Baseline, Twice –
Formative research knowledge of District HHs with HHs under 5 Endline once
for behaviour signs of knowledge of years of age during
change needs pneumonia in signs of Baseline
conducted children under 5 pneumonia in and
years of age children Endline
(Cough and fast under 5 years
breathing or in of age
drawing of chest
or difficulty in
breathing)
% of HHs with Output Block, Number of Total nuber of Baseline, Twice –
knowledge on District HHs with HHs under 5 Endline once
indoor air knowledge of years of age during
pollution and its indoor air Baseline
effect on pollution and and
pneumonia its effect on Endline
pneumonia
% of HHs aware Output Block, Number of Total nuber of Baseline, Twice –
of handwashing District HHs aware of HHs under 5 Endline once
with soap and handwashing years of age during
water at critical with soap at Baseline
times critical times and
Endline
Output 1.1.2 No. of trainings Output Block, No. of No . Of Training Post
m-health tool on on M-Health tool District trainings on trainings on M Reports Training
pneumonia conducted M-Health health tools
associated risk tool planned to be
factors and conducted conducted
counselling on No of tools Output State, No of tools No of tools M Health Post tool
pneumonia developed for District, developed for planned to be developmen developme
identification, Pneumonia Pneumonia developed on t nt
management and associated risks associated Pneumonia report/man
treatment for care factors risks factors associated risk ual
seekers developed factors
and piloted No of tools Output State, No of tools No of tools M Health Post tool
developed for District developed for planned to be developmen developme
counselling on counselling developed for t nt
pneumonia on counselling on report/man
identification pneumonia pneumonia ual
identification identification
No of tools Output State, No of tools No of tools M Health Post tool
developed for District developed for planned to be developmen developme
management and management developed for t nt
treatment for and management report/man
care seekers treatment for and treatment ual
care seekers for care
seekers
Output 1.1.3 No of FHWs Output Block, No of FHWs Total number Training Post
FHWs trained on trained on use District trained on of funtional Reports Training
use and application and application of use and FWHs in the
of m-Health tool M Health tool application of area
M Health
tool
Output 1.1.4 % of MCHN days Output Block, Number of Total number Baseline, Monthly
m-Health tool used with focused District MCHN days of MCHN days Endline,
as job aid by FHWs counselling and with focussed celebrated in a Project MIS
at various platforms education session counseling month in the through
and meetings on pneumonia and block MNCH
(home visits, group (Define focused education days record
meetings, VHNDs counselling sesssion on of FLWs
days) elements to pneumonia .
measure it
(counselled with
the help of job
aids, M health
tools )
% of HH who Output Block, Number of Total number Project MIS Monthly
were counselled District HHs of HHs through m-
on pneumonia counselled on counselled on health tool
using m-health pneumonia pneumonia record of
tool using M FLWs
health tool
% of meetings Output Block, Number of of Total number Project MIS Monthly
conducted by District meetings of meetings through m-
FHWs on conducted by conducted by health tool
pneumonia using FHWs on FHWs on record of
m-health tool pneumonia pneumonia FLWs
using m-
health tool
Output 1.1.5 No. of children Output Block, No. of Total number Group Monthly
Child champions groups formed District children of children Formation
identified and groups group planned register
trained for peer formed
learning No. of group Output Block, No. of group Total number Meeting Monthly
meetings held District meetings held of group Register
meeting
planned
No. of child Output Block, No. of child Total number Group Monthly
champions District champions of child Formation
identified identified champion register
planned to be
identified
No. of child Output Block, No. of child No. of child Training Monthly
champions District champions champions Register
trained for peer trained for identified
learning peer learning
Output 1.2.1 No. of FLWs Output Block, No. of FLWs Total nuber of Training Six
Number of trained on District trained on FLWs Register monthly
community pneumonia pneumonia functional
facilitators trained associated risk associated
on m-Health tool factors and risk factors
on pneumonia counselling and
associated risk counselling
factors and No. of FLWs Output Block, No. of FLWs Total nuber of Training Six
counselling trained on M- District trained on M- FLWs Register/ monthly
Health tool for Health tool functional M-Health
pneumonia for tool DASH
associated risk pneumonia BOARD
factors and associated
counselling risk factors
and
counselling
% of children with No. of No. of children Project MIS Monthly
symptoms of ARI children under 5 through
under 5 with assessed in records of
symptom of intervention FLWs,
ARI areas PHCs,
UPHCs,
CHCs
% of children Output Block, number of total number Project MIS Monthly
under 5 with District children of children through
symptoms of under 5 with under 5 with records of
Acute Respiratory symptoms of symptoms of FLWs,
Infection (ARI) Acute Acute PHCs,
who received Respiratory Respiratory UPHCs,
antibiotics (as per Infection Infection (ARI) CHCs
GOI guideline) (ARI) who
received
antibiotics
% of U5 children Output Block, Number of Number of Project MIS Monthly
with Pneumonia District children children under through
adequately under 5 years 5 years of age referral
managed at of age with with symptoms records of
Health Facility symptoms of of pneumonia FLWs,
(PHC, Pvt. pneumonia referred to PHCs,
Facility) taken to a health facility UPHCs,
health facility CHCs
% of children (12- Output Block, Number of Number of Project MIS Monthly
23 months) fully District children (12- children 12-23 through
immunized 23 months) months immunizatio
fully n records
immunized of FLWs,
PHCs,
UPHCs,
CHCs
% of children (12- Output Block, number of of Number of Project MIS Monthly
23 moths) District children (12- children 12-23 through
immunized with 23 moths) months immunizatio
three doses of immunized n records
PCV with three of FLWs,
doses of PCV PHCs,
UPHCs,
CHCs
% of children (12- Output Block, Number of Number of Project MIS Monthly
23 months) with District children (12- children 12-23 through
three doses of 23 months) months immunizatio
pentavalent with three n records
vaccine doses of of FLWs,
pentavalent PHCs,
vaccine UPHCs,
CHCs
% of children Output Block, Number of Number of Project MIS Monthly
exclusively District children children 6-23 through
breastfed for 6 exclusively months of age VHND
months breastfed for records of
6 months FLWs,
PHCs,
UPHCs,
CHCs
% of children Output Block, Number of Number of Project MIS Monthly
initiated District children children 6-23 through
complimentary initiated months VHND
feeding complimentar records of
y feeding FLWs,
between 6-8 PHCs,
months UPHCs,
CHCs
Output 1.2.2 No. of Village / Output Block, No. of Village Total number Project MIS Quarterly
Village / Urban Urban Health District / Urban of Village / through
Health Nutrition Nutrition and Health Urban Health Training
and Sanitation Sanitation Nutrition and Nutrition and records of
Committees Committees Sanitation Sanitation VHNSC
trained on trained on Committees Committees
community community trained on planned to be
monitoring and monitoring and community trained on
accountability tools accountability monitoring community
for improved tools for and monitoring and
service delivery improved service accountability accountability
delivery tools tool
Output 1.2.3 % of MCHN days Output Block, Number of Total Number Project MIS Monthly
MCHN days counselling District MCHN days of NMCHN through
equipped with focused on counselling days observed records of
pneumonia Pneumonia focused on VHNSD/M
counselling and Pneumonia CHN days
management
sessions % of MCHN days Output Block, Number of of Total number Project MIS Monthly
having sessions on District MCHN days of MCHN days through
prevent, protect, having observed records of
diagnosis and sessions on VHNSD/M
treatment prevent, CHN days
protect,
diagnosis and
treatment
Output 1.2.4 % counselling Output Block, Number of total number Project MIS Monthly
m- Health based sessions where District counselling of counselling through
live application on M-Health tools sessions sessions taken DASH
counselling and were used for where M- by FLWs BORAD of
identification of pneumonia Health tools M-Health
suspected severe counselling by were used Tool,
pneumonia cases FLWs for Session
pneumonia Records of
counselling by FLWs
FLWs
% cases where M- Output Block, Number of Total number Project MIS Monthly
Health tools were District cases where of cases through
used for M-Health identified as DASH
identification of tools were suspected BORAD of
suspected severe used for severe M-Health
pneumonia by identification pneumonia by Tool, Case
FLWs of suspected FLWs Records of
severe FLWs
pneumonia
by FLWs
Output 2.1.1 % of treatment Output Block, Project MIS Monthly
ICT based case coverage for District through
management tool children with records of
for informed suspected FLWs,
decision making at pneumonia, PHCs,
community level including care by UPHCs,
developed for an appropriate CHCs
FHWs FHW and
antibiotics
% increase in Output Block, Number of Number of Project MIS Monthly
identification of District pneumonia cases screened through
pneumonia cases cases records of
identified PHCs,
CHCs
Scope of work
Run the Tool, data analysis, report writing and recommendation: The agency would be required to
arrange the information provided by Save the Children as per the requirement of the tool. Run the LiST
TOOL provide us with the results and its interpretation. Save the Children will review the same and get
back with feedback before finalization of the results and its interpretations.
The report should include recommendation and way forward for scale up.
Support Required
SC will provide all intervention related project documents to the selected agency. However, agency
should clearly indicate any other type of assistance required from SC at the time of proposal submission
(against this RFP) for successful execution of project.
Deliverables
1) Inception Report (Covering objectives of the study, detailed methodology, Gantt chart, operational
plan for primary data collection, type of survey instruments, plan for data analysis and outline of the
final reports)
2) Draft Report after running the tool
3) Final Report incorporating suggestions
4) Raw data and processed data in excel and SPSS with proper labeling and coding of variables.
Ethical protocol
As the Agency will be working on behalf of Save the Children, they will be required to adhere to the
Child Safeguarding Policy and ethical guidelines. The Agency and the researchers engaged in the review
will receive orientation on and sign Save the Children’s Child Safeguarding Policy. Background checks will
be undertaken for all applicants.
The Agency will make clear to all participating stakeholders especially children of all ages that they are
under no obligation to participate in the process. All participants will be assured that there will be no
negative consequences if they choose not to participate. The Agency must obtain informed consent
from all adult participants. For children, informed assent will be sought as well as consent from their
care-givers if a child is to be interviewed or to participate in a focus group discussion. The Agency must
receive prior permission for taking and use of visual still/moving images for specific purposes. The
Agency will assure the anonymity and confidentiality of participants’ data and will assure the visual data
is protected and used for agreed purposes only. As the shortlisted Agency needs to interact with
children s/he needs to sign and abide by Save the Children’s Child Safeguarding Policy.
Data protection protocols must be developed for the storage and analysis of household data and child
profile data. All transcripts must be anonymized.
Timeline
It is anticipated that the assignment period would be of 01 month, starting from 1st of jANUARY, 2022 to
31st January, 2022 and it is expected that agency will complete all aspect of project within this period. It
is recommended that the Consultant/agency should provide a Gantt chart showing clearly the steps of
the study and the time assigned to each step.
Ownership of Materials
Agency may note that all outputs including the study data, reports, sets of tools, training manuals, any
other allied materials etc. produced as part of this study will fully remain the exclusive property of SC.
The raw data and filled-in interview schedules (PAPI) would become property of SC. The data files should
be submitted to SC, in SPSS with proper labeling and coding of variables.
Brief proposal (which includes providing the technical specifications like study design justifying its
appropriateness, estimate of the study design, sample size, data quality assurance, ethical
measures and proposed timeframe to be taken/ adherence to Save the Children’s Child Protection
Policy).
Experience of similar assignments with weblinks /softcopy of report available in public domain
Earlier Experience with Save the Children, India
Financial proposal (budget breakup).-Refer Annexure 1
Capability document of the organisation (in case the applicant is an agency)
CVs of the core team members (PI and Co-investigators) involved in the assignment.
Team structure
Copy of PAN and GST Certificate etc.
Details of 2 agencies / references (to be contacted upon request)
It may be noted that the selected agency will be awarded endline evaluation based on satisfactory
completion of the baseline evaluation at a mutually agreed contract value.
Annexure-1
Budget Template
Financial Proposal
Person
Particulars Rate Total Remarks
Days
A SALARIES/PROFESSIONAL FEES
A1 Professionals
A2 Field Staff/Consultants
Sub Total of A
TRAVEL, TRANSPORTATION (Vehicle Expenses/Local
B Conveyance
B1 Local Conveyance for field work
B2 Local Conveyance for Professional Staff
B3 Local Conveyance for Field Researchers
Sub Total of B
I Total (A to F)+G+H