BAMBARI, BRIA AND BIRAO NEED ASSESSMENT TERMS OF REFERENCE

1. Background 1
CAR continues to face a serious protection crisis, with a steady increase in violations of human
rights and international humanitarian law despite the signing of the Political Agreement for Peace
and Reconciliation in 2019. Those who suffer the most are the civilian population. One out of every
four Central Africans is displaced either within the country or in a neighboring country, and waves
of return of displaced persons and returnees have slowed considerably.

Gender-based violence (GBV) is a scourge, with one incident reported every hour by the
humanitarian alert system, which covers only 42% of the country - and these figures represent
only the tip of the iceberg. Humanitarian actors recorded an almost two-fold increase in the
number of cases of violence against girls and women as a result of the restrictions imposed by
COVID-19. Across the country, children continue to be exposed to protection risks. One out of
every four families feared for the safety of their children, primarily about sexual violence against
girls, forced labor, and recruitment by armed groups for boys.

By 2021, 2.8 million Central Africans - 57% of an estimated population of 4.9 million - will need
humanitarian assistance and protection. Of these, nearly three-quarters have acute needs, in other
words, the physical and moral survival of 1.9 million people, 39% of the population, is at risk.

This situation is indicative of the dramatic consequences of the arrival of the COVID-19 pandemic
in a country already ravaged by decades of armed conflict, underdevelopment, and where natural
disasters are becoming more frequent and severe. The majority of the population is living in a
bleak daily life, in conditions so difficult that they are struggling to feed themselves, provide decent
housing, and ensure a minimum of schooling for their children. This justifies the dependency of
many populations on humanitarian aid and the dangers linked to the disengagement of
humanitarian actors when development actors are slow to take over.

Since last year, the number of people in need has increased from 2.6 million to 2.8 million (+8%).
At the same time, the number of people in acute need of assistance is 12% higher than in 2020
(with 1.9 million people in 2021 compared to 1.7 million in 2020). In five years, never before has
CAR counted so many people in humanitarian distress. This increase is a direct consequence of the
plunge in macroeconomic indicators, the advent of new pockets of violent conflict, the rise in food
insecurity, and the COVID-19 pandemic.

The sector with the most people in need is protection, followed by health, water, hygiene, and
sanitation (WASH), and food security. 40% of Central African households are in a situation of acute
food insecurity. In the capital Bangui, the number of food-insecure people has almost doubled
since last year, now affecting 45% of the people of Banguissois. The number of people in need in
2021 has increased in all sectors except nutrition where there has been a slight decrease.

1
A propos d'OCHA CAR | OCHA (unocha.org)
 BAMBARI, BRIA AND BIRAO NEED ASSESSMENT TERMS OF REFERENCE
CAR is one of the most dangerous countries for humanitarian actors in the world. On average,
more than one incident per day affecting humanitarian workers was recorded between January
and the end of September 2020, with two aid workers killed and 21 injured.
Regarding the insecurity, the sub-prefectures most affected by security incidents of humanitarian
partners were Bangui (50 incidents), Ndélé (39 incidents), Kaga-Bandoro (23 incidents), Bria (23
incidents), Bambari (22 incidents), and Batangafo (22 incidents).
From January to September, burglaries, hold-ups, and break-ins accounted for 46% of the total
number of incidents. Intimidation, threats, and assaults accounted for 22%, and interference or
restrictions 29% (unofficial requests for papers, for example).
Two humanitarians were killed respectively in Birao in February and Ndélé in March during the
clashes. armed who shook the two cities. From January to In September, 21 humanitarians were
injured. From kidnappings have also been used as a means of pressure by armed groups: at the
end of May, a humanitarian team was kidnapped on the Batangafo-Kabo axis and sequestered for
six months. days; and on June 8, a driver from a non-departmental organization government
(NGO) was abducted and released on the same day at Kaga-Bandoro. In August, six members of a
vaccination team were abducted by elements of an armed group in M'boki and then released. after
six days.
The physical and mental well-being of the Central African population has continued to deteriorate
due to new security, socioeconomic, and health shocks without any positive change in the
structural determinants of the crisis. The physical and mental survival capacities of 1.9 million
people are now threatened, representing 39% of the population. This is the highest rate recorded
in five years, and 12% higher than in 2019.
2,834,000 Central Africans will need humanitarian assistance in 2021. This figure puts the
dramatic consequences of the arrival of an epidemic in a country already ravaged by decades of
underdevelopment as well as armed conflict and where natural disasters are more frequent and
severe. This figure also reveals the grim daily life of a majority of the population, living in such
difficult conditions. that she struggles to feed herself, provide decent housing and provide a
minimum education for her children. This figure reveals finally, the dependence of many
populations on humanitarian aid and the dangers linked to their disengagement when
development actors are slow to take over.
Violence and displacement continue to separate families, tear communities apart, and erode
traditional solidarity mechanisms. At the same time, the population is becoming increasingly
impoverished, fueled by the COVID-19 epidemic, forcing it to devote an increasing share of its
income to food. and adopt precarious and dangerous survival strategies. Protection, health, and
education are becoming secondary to the challenges of daily life. Like a vicious circle, dependence
on outside assistance The number of people living in poverty is increasing, living conditions are
deteriorating and the chances of human development are diminishing.

In five years, never before has the Central African Republic had so many people in distress.
humanitarian than it is today. Among the 2.8 million people whose living conditions have been
affected by the crisis, two-thirds have critical difficulties affecting their physical and moral well-
being, or 1.9 million people. The COVID-19 epidemic has plunged new people into need, as in
Bangui. At the same time, it has altered the living conditions of families already under the yoke of
multiple vulnerabilities, victims of violence such as food insecurity or lack of access to essential
 BAMBARI, BRIA AND BIRAO NEED ASSESSMENT TERMS OF REFERENCE
services. Some communities such as Zemio and Birao saw progress in scaling up the humanitarian
response in 2019.

The Central African Republic (CAR) has experienced a conflict of great violence that began in 2013.
The conflict has caused the loss of thousands of lives and massive displacement of its population.
Six years after the beginning of the crisis, insecurity remains persistent in CAR. The numerous
armed groups present in the territory maintain their grip on most of the country and delocalized
acts of violence continue to target the civilian population. The number of people in urgent need of
humanitarian assistance is increasing. Since the deterioration of the humanitarian and security
situation in 2018, it has been estimated that approximately half of the population is in need of
humanitarian assistance.
The conflict has caused internal and cross-border displacement of an increasing number of people,
particularly between 2017 and 2018. As of September 2019, there are approximately 537,000
IDPs identified by the DTM, in a parallel, the number of returnees (former IDPs) is 600,000
individuals and the number of returnees from other countries is 263,000 individuals.
On 6th February 2019, the warring parties signed the Political Agreement for Peace and
Reconciliation (APPR). in Khartoum, marking the start of an integrated peace process in the
country. After the signing of the APPR, there is a strong mobilization of the various stakeholders in
collaboration with international and national community for the operationalization of the terms of
the agreement.
The socio-political situation in CAR has been marked in recent years by an unprecedented
military-political crisis that has plunged the entire country into a catastrophic humanitarian
situation. The city of Bambari, Bria and Birao served as a theatre of armed conflict between the
various armed groups from 2016, with regular clashes between anti-Balaka and UPC (ex-Seleka)
armed groups in the region. These multiple clashes between armed groups have led to the
movement of people fleeing hostilities and insecurity in the area. This situation of insecurity and
perpetual fighting between armed groups created a situation of acute vulnerability but also has
impacted on livelihoods, the weakening of low-level health care systems and free movement in the
area.
The city of Bambari, Bria and Vakaga had regained relative calm since the signing of the Khartoum
political peace agreement, but sporadic attacks between armed groups continued despite the
agreement, leading to a greater number of displaced persons. The attacks were not limited to cities
alone and, in the months that followed they were extended to the periphery.
Recent OCHA statistics, indicate that 214 454 IDP were recorded by the end of December 2019 in
Central African Republic of which 36991 in Ouaka, 43850 in haute Kotto living in makeshift camps
and host families. The recent crisis in Birao from last September occasioned the displacement of
21,061 in October that decrease to 17,015 in November 2019. These figures show that
communities in and around Bambari, Bria and Birao area need emergence humanitarian
assistance.
In Bambari, in addition to the maternity ward at the maternity ward, IMC supports eight (08)
other health facilities, including a mobile clinic site in PK8 on the IDPs camp and bokolobo. In Bria,
IMC supported 1 IDP sites PK8, and in Birao IMC supports, in addition to 20 fixed health facilities,
3 additional IDP sites: Base chinois, Aerodrome and Minusca IDP site. However, the needs of the
population in the supported sites and health facilities have changed considerably in recent times
 BAMBARI, BRIA AND BIRAO NEED ASSESSMENT TERMS OF REFERENCE
as a result of some return movements in some localities and massive population displacement in
other areas.
According to the “Commission Movement de Populations” (CMP), that is an inter-organizational
mechanism whose objective is to provide indications on the figures and trends of population
movements in CAR, as of 30 November 2019, the total number of internally displaced persons
(IDPs) in the CAR was estimated at 687,191 individuals composed respectively of 216,765 people
in sites and an estimated 470,426 individuals estimated to be with host families.
This represents a slight decrease of 1% in the volume of displacement compared to the
displacement situation in October 2019 when the number of IDPs was estimated at 693,445. This
slight decrease is mainly due to updates carried out by site managers in the prefectures of Haute-
Kotto (Bria) and Vakaga (Birao). The “CMP” members noted return movements of the population
after the withdrawal of the waters that caused flooding in several localities in October and
November 2019. Despite the overall downward trend in the number of IDPs, CMP members noted
some new displacements in the Prefecture of Haut-Mbomou, in the localities of Bambouti and Obo,
due to abuses committed by armed elements. 205 people moved to the Gougbere site in Obo. In
addition, there are reportedly 3 spontaneous regroupings of IDPs in Bambouti.
However, no actor was able to conduct an assessment in Bambouti during the month of November
due to logistical and security access difficulties. 2
The local authorities confirmed that during this period, the population had increased due to
transhumance, particularly of the Peulhs population, and the influx of displaced persons fleeing
the conflict areas. The unexpected increase in population in some of these areas has put a strain on
the resources available in health facilities, including the amount of drugs available, the physical
space for consultations, staff and equipment. Needs in health centers have changed and it is crucial
to assess these needs in order to reorient action to be effective.
In addition, some health facilities in the area are not covered by any organization for humanitarian
actions either IMC or other NGOs present in the region are not able to cope with the increased
demand and insufficient resources. These include, for example, the Ngakobo health facilities on the
Alindao, Dashima, Djoubissi and Seko axes on the Ippy, Awatché and Krakondji axes on the
Kouango axis. In these unsupported facilities, the conditions for patient care remain precarious
due to material deprivation and the quality of service due to the lack of qualified staff in these
facilities. The obvious cases that attest to the lack of quality of service related for example to the
cases of women who are victims of obstetric bladder fistulas following a home birth, another that
retained placenta after a week of delivery in, lack of pharmaceutical products, the head of the
prefecture of health (CPS) argued for increased coverage of health facilities by partners. At least
three such health facilities should be evaluated in order to assess the possibility of receiving
support from OFDA funds.
In the period of September 2019 to April 2020, corresponding to the post-harvest
period in most of the agro-climatic zones of the country, it is considered that despite food aid
planned by the humanitarian partners, a dozen sub-prefectures (Obo, Zemio, Bria, Ndjoukou, Ippy,
Kouango, Batangafo, Kabo, Koui) out of 65 analyzed are in Emergency in (CPI phase 4) while 47
sub-prefectures are in Crisis (CPI phase 3). The most vulnerable populations (classified as
Emergency - CPI phase 4) are in areas with a high level of vulnerability. High concentration of
displaced persons. 1.6 million people, representing 35% of the population under analysis (4.6
million) is in a situation of severe acute food insecurity, of which nearly 10% are in emergency
situations. During the lean season, between May and August 2020, in the absence of food
2
https://reliefweb.int/report/central-african-republic/rapport-de-la-commission-mouvement-de-populations-novembre-2019
 BAMBARI, BRIA AND BIRAO NEED ASSESSMENT TERMS OF REFERENCE
assistance, it is estimated that 29 sub-prefectures of the 65 sub-prefectures analyzed would be in
Emergency (CPI phase 4) while most of the remaining sub-prefectures would be in crisis (CPI
phase 3). 2.1 million people, representing 46% of the population analyzed is projected to be in a
situation of insecurity. severe acute food insecurity, including more than 670,000 people in
emergencies. A total of 1.6 million people in the current period and 2.1 million people in the next
two years are expected to be affected. people in the projected period are in need of urgent action
to save their lives. lives, protect their livelihoods and reduce their food deficits.
In terms of geographic location, acutely food insecure populations are mainly in areas where
insecurity continues to threaten, and in places completely prevent household access to livelihoods.
Particularly in the sub-prefectures of Obo, Zemio and Birao, security risks have led to (formal or de
facto) bans on leaving the main town. In some places, this reduced mobility of the population has
affected the agricultural season in the sowing period and will certainly affect the level of
household harvests. More than 80% of households in the sub-prefectures of Bria, Zemio and Rafai
are also registering strong pressure from the displaced on local resources. The main outcome
indicators show that not only do the displaced have inadequate consumption and means of
subsistence, but also that they have no access to local resources of existence in crisis, but also that
resident households are under severe pressure on their already limited resources.
Apart from security challenges and constraints, the late onset of rains more than three weeks late
compared to the seasonal calendar in the western prefectures of the country will result in lower
harvests compared to the previous year and will not mitigate the increase in the prices of basic
foodstuffs observed during the lean season. In some places, excessive rainfall has led to flooding
with significant crop losses in Bouca, Bozoum and Birao.
In addition to these damaging events, the low exploitation of agricultural potential, lack of access
to food, and the lack of access to basic services have also contributed to the deterioration of food
security in the country.
Office for the Coordination of Humanitarian Affairs (OCHA) - Coordination saves lives livelihood
diversification, low coverage and access to basic social services, inadequate levels of household
income are the main subjective structural factors of food insecurity. Food insecurity is one of the
main underlying causes of malnutrition, still affects nearly half of the Central African population.
Measles outbreaks in several places in the Central African Republic were noted Between May and
October 2019, the health districts of Batangafo, Bocaranga-Koui, Ngaoundaye and Nana-Gribizi in
western and north-central parts of the Central African Republic recorded 1,189 suspected cases of
measles, including 25 deaths. The mass vaccination campaign organized in this district in July by
the NGO ALIMA for children from 6 months to 5 years of age allowed the curve to be bent, but new
cases continue to be recorded, especially in the sub-prefecture of Mbrès. This campaign covered
the municipalities of Botto, Nana-Outa and Kaga-Bandoro. In Batangafo, the clinical management
of cases is provided free of charge by the NGO Médecins Sans Frontières (MSF), which supports the
hospital. The health district, in partnership with the NGOs MSF and Mentor Initiative, is continuing
to the care of the sick in Ngaoundaye.
Towards prevention action at the global level, a national measles immunization campaign for
children 6 months to 10 years is scheduled for December 6, 2019. For the four health districts
(Nana Gribizi, Bocaranga-Koui, Ngaoundaye and Batangafo) with a measles epidemic, an
emergency campaign will be organized early in November 2019 to stop the spread of cases.
Vaccines are available from the Ministry of Health to support this immunization through the
 BAMBARI, BRIA AND BIRAO NEED ASSESSMENT TERMS OF REFERENCE
partners Global Alliance for Vaccines and Immunization, and immunization (GAVI) and the United
Nations Children's Fund (UNICEF).3
More than a month into the crisis, humanitarians are continuing to respond to the displaced and to
are planning to extend it to foster families following an ongoing registration. Through profiling
carried out by INTERSOS with the support of the Office of the United Nations High Commissioner
for Refugees (UNHCR) (UNHCR), and validated at Community level during the period from 5 to 10
October, the humanitarian aid workers were able to to note a decrease in the number of internally
displaced persons at the UNMISSA site to 9,824 PDI, and on the Aerodrome site, with 1,261 PDI.
The development of a new site that can The process of de-bottlenecking UNMISCA's capacity is
currently the subject of consultations between the authorities, the humanitarian agencies,
UNMISSA and families living in the vicinity of the site to be developed. The 3,000 people displaced
persons whose presence was reported in Toumou two weeks ago have returned home. According
to the District Medical Officer, who walked to Koundjili as part of the polio immunization
(mentioned above), more than 1,000 displaced persons are estimated to have been vaccinated
against polio (mentioned above).
Due to access constraints, these people have not received any assistance since the beginning of the
crisis. However, thanks to the support of the non-governmental organization (NGO) IMC, children
OCHA Central African Republic (CAR) Update on the situation in Birao, Vakaga Prefecture October
2 to 11, 2019 Situation Update 4 | Birao | 2-11 October 2019 Office for the Coordination of
Humanitarian Affairs (OCHA), Coordination Saves Lives were vaccinated against polio (early
October) and mosquito nets were distributed. Aid workers are exploring the possibility of
providing emergency assistance, including the distribution of fortified high-energy biscuits and
water purification tablets.

2. Inventory of unsupported health facilities

According to the results of the needs assessment conducted in Bambari in November 2017,
unsupported health facilities in the area have a number of gaps in their operating systems. The
tables below illustrate the situations in the health facilities visited during this evaluation.
Point d’eau Dispositi
Fosse à f de
FOSA Latrines Incinerator Drain
dechet Existant Etat lavage
de main
Available Available Non Available Available Fonctional Non
Seko but to be but to be available but to be available
improved improved improved
Available Non Non Available Non N/A Non
Krakondji but in bad disponible existant but to be available
state improved
Available Non Available Non Available Non Non
Awatche available but in fonctionnel available
bad state
Available Non Non Non Non N/A Non
CRPR
available available available available available
Site IDPs Available Non N/A N/A unavailable N/A Non
Aviation available available
3
https://reliefweb.int/sites/reliefweb.int/files/resources/31.10.2019%20Bulletin%20humanitaire%20-%20octobre%202019%20-
%20VF.pdf
 BAMBARI, BRIA AND BIRAO NEED ASSESSMENT TERMS OF REFERENCE
Available Available N/A N/A unavailable N/A Non
PK3
available
Available N/A N/A N/A unavailable N/A Non
Birao
available
Available N/A N/A N/A unavailable N/A Non
Minusca
available
Available N/A N/A N/A unavailable N/A Non
Aerodrome
available
Available N/A N/A N/A unavailable N/A Non
Aviation
available
Available N/A N/A N/A unavailable N/A Non
Ouabé
available
Base Available N/A N/A N/A unavailable N/A Non
chinoise available
Maternity Available N/A N/A N/A unavailable N/A Non
ward available

The table illustrates the conditions for sanitary installation in unsupported health facilities in the
Bambari area. It appears from this table that these structures have real needs in their operating
system.
3. Objectifs
3.1. Objectif global
The main objectives of this assessment is:
- Identify the humanitarian needs in Bamabari, Bria and Birao health facilities and IDP sites
in,order to ; develop a proposal to submit to ECHOOFDA
3.2. Specific objectif
 Assess humanitarian needs in the health, nutrition and protection sectors in the selected sites
of the Bambari community and its periphery;
 Identify existing gaps in the needs identified by the community and the services provided;
 Identify groups of people who are particularly vulnerable and in need of humanitarian
assistance;
 Assess the capacity of health facilities, hospital maternity and IDP site covered by IMC so far.
 Assess situations in unsupported ans supported health facilities and IDP sites in the area.
4. Geographic scope of the evaluation
This needs assessment will be conducted in Bambari, Bria and subprefecture Vakaga health
facilities particularly: Minusca IDP site, Liwa, Madomale, Siou, Ngaloua, Batobaja, Bokolobo, PK8
IDP sites; and the maternity ward of the Bambari Regional Hospital (HRUB) ,in Bambari; PK3,
gobolo, kolaga and villages along kotto river, in Bia and Aerodrome, base chinoies and Minusca in
Birao will be visited during this evaluation to assess the capacity of these facilities to cope with
changes due to population influx into the zone.
- Unsupported structures
During this evaluation, IMC plan to visit unsupported health structures in the Bambari and its
outskirts. This includes:
o The Awatché structure located 25km away and Krakondji 60km away on the Kouango axis in
Ouaka, where the structure remains unsupported despite sporadic donations of a few
molecules provided by UNICEF in previous years according to the 2017 need assessment
results for Awatché while the Krakondji hospital did not receive any assistance during this
 BAMBARI, BRIA AND BIRAO NEED ASSESSMENT TERMS OF REFERENCE
period, communities for care issues descending to 10km from Bambari on the Sudanese
refugee care clinic site of Pladama Ouaka provided by the NGO JUPEDEC;
o SEKO's health structure located 60km along the Ippy road where the humanitarian situation
remains worrying following conflicts between armed groups and communities have found
refuge in the camp for internally displaced persons in SEKO parish;
o Ngakobo's structure on the Alindao axis where the structure operates without the support of a
partner. Recent situations report three women referred from this area to the maternity ward in
Bambari who later in derisory conditions are victims of obstetric bladder fistulas, one of whom
retained the placenta after one week of home delivery;
o The health structures of Dashima and Djoubissi on the Ippy axis which were cut off from the
Bambari area for several months due to insecurity because the areas were controlled by the
UPC armed groups (ex-Seleka).
4.2. Scope of information collection
Data needs will include general information on the sites to be visited, including populations, ethnic
composition, vulnerable groups, organizations working in camps or villages in any area, distance from
the nearest health center.
Information on health and nutrition services will also be collected to assess challenges in nutrition
programs; primary care; secondary care; food distribution, income-generating activities, malnutrition
screening and vaccination campaigns). This will include health risks; health surveillance system;
water, sanitation and hygiene gaps and assets; and health priorities, as identified by community
members. In addition, the nearest health facility to each camp will be assessed to determine what
services are available and what gaps exist.
5. Methodology and methodology
a. Type of evaluation:
This evaluation will be a rapid assessment, limited to health, nutrition, food security water, sanitation,
and hygiene (WASH); Mental Health. Very basic information on livelihoods and income generation will
also be collected. Gender representation as well as representation of vulnerable groups will be
ensured through the inclusion of representatives from different communities in group discussions.
These participants will be identified through interviews with key informants, such as community
leaders. Parents of children under five years of age will also participate in the group discussions
b. Secondary data sources:
Basic information, such as the population of IDP sites and the actors present at the sites, will be
obtained through the health district as well as local organizations, the health cluster and OCHA. The
health district chief in particular, in particular, will be well placed to provide some information on the
situations of health facilities in the area by lover, as he serves as a focal point for government action in
this area. The information provided will be triangulated with that provided by the key informants at
each site. Additional information that can be obtained from secondary data includes distance to
hospital, which is crucial for the referral of complicated cases or for services that are not provided in
health facilities. OCHA's population movement figures will serve as a springboard for identifying
potential intervention areas and will continue to serve as the basis for population estimates in IDP
sites.
The HCNO 2021 zill be used as a second source of information that will be used to inform the proposal
to be developed.
 BAMBARI, BRIA AND BIRAO NEED ASSESSMENT TERMS OF REFERENCE
satisfaction surveys carried out by the IMC in the health facilities covered by current action in July-
August 2018 provide data on existing gaps in health service coverage and will be used to identify
other topics for further discussion with community members to be visited during this evaluation.
Interviews with presidents and members of health facility management committees, health facility
managers, and the health district chief will be used to identify the resources available at each site and
the gaps that remain in addition to the PBF and IMC interventions in some health facilities.
Assessment conducted by other partners will be taken into account to inform this proposal as well.
c. Primary data collection:
The main data needs are site-specific information on available health services, the health and
nutrition needs and priorities of each community, logistical difficulties related to the implementation
of the intervention at the sites and gaps in service delivery. The evaluation consists of an evaluation of
mixed methods including observation, direct measurement, key informant interviews, focus group
discussions and an intentional survey.
d. Primary data sources:
Village and site chiefs and others community leaders will be the first person selected for interviews
with key informants in each of the selected sites. Chiefs will also help identify the second person who
can be considered a key informant in the village or site context. These people are well placed to
provide general data related to the sites, as well as the needs of the community themselves.
Focus groups will be held separately with women and men, boys and girls due to cultural barriers
between the two groups. In addition, parents of children under 5 years of age will be included to
ensure that information on nutritional needs and additional concerns regarding this vulnerable group
is obtained. Each focus group will consist of 8 to 10 participants. Two focus groups will be held at each
site.
In each health facility, the head of the facility, the traditional birth attendant, the chair of the health
management committee and a community health worker will be interviewed, as they have the
necessary knowledge of the services and equipment provided in their facilities.
About ten households will be deliberately chosen for a 20-minute survey in each site.
Group discussions will take approximately 45 minutes. Key informant interviews will last a maximum
of one hour. Similarly, questions to health facility managers will take up to one hour of the
participant's time. Participants in the group discussions will receive a piece of soap for their
participation.
A part these groups, a population population-based survey will be conducted using a household
survey to collect information on a representative’s samples. Data on service availability, accessibility
and barrier will be gathered
e. Direct observation
Some data will be collected from direct observation. Observation will be used to gather data on
infrastructure at health facilities or water point
f.Evaluation team:
This evaluation will be led by the Monitoring and Evaluation Coordinator, with the support of the
medical doctor on field/program manager or field manager, one of the district health supervisor and
assisted by M&E Officer, midwives, wash officer.
 BAMBARI, BRIA AND BIRAO NEED ASSESSMENT TERMS OF REFERENCE
A total of twelve (152) investigating officers, including two (02) reporters for the group discussions,
will participate in the data collection. The team will be equally divided between men and women, the
selection of interviewers will depend mainly on relevant past experience, level of education and
proficiency in local languages. Interviewers will be selected through a transparent process based on
qualifications and previous experience in data collection. The level of education required for
investigators is to have passed the BAC exams. All investigators will be recruited locally.
Investigators will receive three days of training. The training will cover the context of needs
assessment, the importance and meaning of informed consent, the evaluation methodology and
techniques to facilitate group discussions and key informant interviews. Through a practical
component, the teams will gain experience in facilitation and be supervised by the trainers. Note
takers will receive training on transcription and will identify priorities to be noted during group
discussions. Gender sensitivities will be discussed, especially when it comes to group discussions.
g. Data collection tool
The tools and checklists to be used are based on the IMC tools, shared with the monitoring and
evaluation team at headquarters for validation. In particular, the tools developed for the evaluation of
health facilities, as well as the integrated needs assessment guide, will serve as a basis for this
evaluation.
As part of the data collection in the group discussion, gender distribution will thus be taken into
account when assessing needs. More specifically, the focus groups will be separated: one focus group
in each of the camps will be entirely composed of women and one of the men. In additional, all ethnic
minorities residing in the camps should be represented in the groups. The presence of these ethnic
minorities in each camp will be verified through interviews with key informants.
6. Data management
a. Data management:
All primary and secondary data will be stored in a central IMC location. Quantitative data will be
stored in an Excel database and will be disaggregated by sex and age if necessary. Any identifying
information, such as the names of participants, will be removed from the discussion group discussion
notes.
b. Data analysis:
Comparisons of primary and secondary data collected include locations, population, presence of
minority/marginalized groups, presence of other humanitarian actors, distance to the nearest health
center, health services provided, needs identified by them, and priorities for needs. The analysis of
quantitative data must be carried out using the SPSS software. The results will be shared with local
authorities, as well as with evaluation stakeholders, OFDA, and other potential donors who can assist
communities.
c. Validation:
The information gathered during a key informant interview will be verified with the information
obtained during the second key informant interview to ensure that any inconsistencies are identified
and followed up. All needs and priorities identified by the community will be cross-checked with the
known needs of the region, based on secondary data. The degree of priority over needs among
stakeholders will be assessed in group discussions, during which participants will assess the degree of
importance of a condition or need that affects their community.
d. Data utilization
 BAMBARI, BRIA AND BIRAO NEED ASSESSMENT TERMS OF REFERENCE
Data collected from this evaluation will be used to inform the proposal to be submitted to OFDA. They
will be also used to advocate with others partners for sector IMC does not directly support.
7. Security and logistics
a) Safety and security
The security situation in the city of Bambari is a very unstable parameter. It remains potentially
volatile due to the presence of armed groups in the city and recent events. The deterioration of the
situation remains a major challenge and can affect the smooth running of the activities implemented.
A disruption can paralyze any assistance to the vulnerable community by limiting travel to health
facilities and IDP sites as part of the assessment.
b) Logistics
Two vehicles will be used to transport the teams along the axes. These vehicles will be rented locally
and will be adapted to the difficult terrain of Bambari.
Accommodation cases will be provided to teams that exceed 40 km from Bambari while taking into
account the safety of the area. Currently, all sites are more or less accessible. However, security will
continue to be monitored and if one of the sites becomes too insecure for the assessment, it will be
removed from the needs assessment.
8. Role and responsibility
# Libellee Responsible
1 TORs development MEAL Team
2 Review and validation of TORs Program team
3 Data collection tools development MEAL Team
4 Data collection tools development validation Program and meal team
(Pro)
5 Evaluation Design and Protocol (Coordination) MEAL Team
6 Elaboration of methodological documents and collection tools MEAL Team
7 Validation of need assessment documents Program and MEAL team
8 Revision of data collection tools
10 Submission to headquarters for validation MEAL Coordinator
11 Elaboration of the CAPI input and application mask MEAL officer
12 Recruitment of enumerators Field and HR manager
15 Training of enumerators MEAL Officer and MEAL
assistant
16 Testing the CAPI questionnaire and application
17 Field data collection MEAL Team
Data processing and analysis MEAL team
Secondary data review HQ and program tram
(nutrition; protection
mental health and WASH)
20 Data management and presentation of results
21 Data verification and compilation (At the end of each collection) MEAL Officer & FM
22 Data analysis clearing and reporting MEAL & Program team
23 Drafting of the first draft of the report Program
Cleaning and submission of the first draft of the report
24 Review and final report Program and MEAL team
25 Workshop to report the results of the evaluation
 BAMBARI, BRIA AND BIRAO NEED ASSESSMENT TERMS OF REFERENCE

9. Budget

Costs TOTAL COSTS    

Unit Type Number Unit Total Costs Assessme

(month/hour/ of Units Cost Cost Budgeted nt Budget
lump etc) under
Home
Departme
nt
SUMMARY            
PERSONNEL      
811 233 811
FRINGE BENEFITS      
549 - 549
TRAVEL       2 2
,509 - ,509
EQUIPMENT      
- - -
SUPPLIES      
164 - 164
CONTRACTUAL      
- - -
OTHER DIRECT       2 2
COSTS ,906 - ,906
TOTAL DIRECT       6 6
COSTS ,939 233 ,939
             
PERSONNEL            
             
Expat staff            
M&E Coordinator Days 3.00  
110 331 331
Bambari Field Manager Days 1.00  
143 143 143
Bria Program Manager Days 0.00  
144 - -
Public Health adviseor Days 0.00 $
233 - - -
Program manager Days 1.00 $
233 233 233 233
Sub-Total HQ Staff  
707 233 707
Local Staff            
M&E Officer Days 1.60  
7 11 11
Midwive Field (TBD) Days 1.60  
15 24 24
 BAMBARI, BRIA AND BIRAO NEED ASSESSMENT TERMS OF REFERENCE
Protection officer Days 1.60  
27 43 43
Protection assistant field Days 1.60  
16 25 25
Sub-total: Local STTA        
103 103
Sub-Total Personnel      
811 233 811
FRINGE BENEFITS            
International Staff            
Hardship Differential Percentage 30%  
707 212 212
Fringe Benefits - Percentage 28%  
International staff 198 55 55
Monthly allowance Days 5  
50 250 250
Sub-total: Fringe Benefits      
International Staff 518 - 518
Local Staff            
National staff fringe Percentage 30%  
benefits 103 31 31
Sub-total: Fringe Benefits      
Local Staff 31 - 31
Sub-Total Fringe Benefits      
549 - 549
TRAVEL &            
TRANSPORTATION
Country flights Flights  
4 150 600 600
Vehicle Rental Vehicles 1 1
15 109 ,636 - ,636
Vehicle Fuel Liters  
150 2 273 273
Sub-Total Travel &       2 2
Transportation ,509 - ,509
EQUIPMENT (> 5,000)            
Sub-Total Equipment            
EQUIPMENT (< 5,000)            
Recorders   6  
- - -
Sub-Total Equipment      
- - -
SUPPLIES            
Paper binder Piece 18  
1 - -
Notebook, small size Piece 18  
2 - -
Pencil with eraser Piece 18  
0 - -
Blue pen Piece 18
0 - - -
Printing paper Stack 4  
9 - -
Permanent markers Piece 12  
1 - -
 BAMBARI, BRIA AND BIRAO NEED ASSESSMENT TERMS OF REFERENCE
Printing ink Piece 3  
182 - -
Flip chart Roll 1
18 - - -
Soap Box 5  
33 164 164
Sub-Total Supplies      
164 - 164
CONTRACTUAL            
Consulting Labor            
Consulting Travel-            
Lodging
Sub-Total Contractual      
- - -
OTHER DIRECT            
COSTS
Coffee break Days 69  
3 188 188
Lunch break Days 69  
5 314 314
Per diem training Days 57  
5 259 259
Per diem enumerators People 75 1   1
18 ,364 ,364
Per diem note takers People 10  
18 182 182
Per diem of MOH People 10  
supervisor 33 327 327
Per diem of MEAL officer XAF 14  
stafffrom Bangui - - -
Per diem of Protection People  
officer stafffrom Bangui - - - -
Orange phone credit Days 85  
2 155 155
Thuraya credit Pieces 2
45 91 - 91
Water during training Pieces 54  
- - -
Water during Data Bottles 90  
collectiontraining - - -
Unforeseen costs (eg flat   15  
tires, guides, increased 2 27 27
number of days for
perdiem due to rain)
Sub-Total Other Direct       2 2
Costs ,906 - ,906
Room rental XAF  
1 36 36 36
             
TOTAL Direct Costs       6 6
,975 233 ,975
 BAMBARI, BRIA AND BIRAO NEED ASSESSMENT TERMS OF REFERENCE

Prepared by: Gerard MBONIMPA

Approved by: Dr CHRISTIAN MULAMBA MENGHE

 BAMBARI, BRIA AND BIRAO NEED ASSESSMENT TERMS OF REFERENCE

TimeLine

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Date
 

Activités Durée                                                              

Evaluation Design and Protocol (Coordination)                                                                

Elaboration of methodological documents and collection tools 2                                                          

Validation of documents by M&E coordinator 2                                                          

Revision of data collection tools 1                                                            

Validation of tool tools by M&E coordinator 1                                                            

Submission to headquarters for validation (M&E Coordinator) 1                                                            

Elaboration of the CAPI input and application mask 5                                                        

Recruitment and training of investigating officers                                                                

M&E team visits the sites for the evaluation 1                                                              

Identification and Recruitment of Investigating Officers ( former
6                                                        
investigating officers available)
Training of investigating officers 2                                                        

Testing the CAPI questionnaire and application 1                                                            

Field data collection                                                                

Data collection from beneficiary communities (Bria and Bambari) 8                                              

Focus group sessions with communities 8                                              

                                                                 

Data management and presentation of results                                                                

Data verification and compilation (At the end of each collection) 8                                              

Data analysais clearing and reporting 5                                                    

Drafting of the first draft of the report 6                                                  

Review and submission of final report 1                                                            

Workshop to report the results of the evaluation 1                                                            

 BAMBARI, BRIA AND BIRAO NEED ASSESSMENT TERMS OF REFERENCE

11/30/2020

12/03/2020

12/06/2020

12/07/2020
12/01/2020

12/02/2020

12/04/2020

12/05/2020
Date
 

Duré
Activités                
e
Evaluation Design and Protocol (Coordination)                  

Elaboration of methodological documents and collection tools 2            

Validation of documents by M&E coordinator 2            

Revision of data collection tools 1              

Validation of tool tools by M&E coordinator 1              

Submission to headquarters for validation (M&E Coordinator) 1              

Elaboration of the CAPI input and application mask 5          

Recruitment and training of investigating officers                  

04/02/2020

06/02/2020

08/02/2020

10/02/2020

15/02/2020
16/02/2020
17/02/2020

19/02/2020
20/02/2020
21/02/2020
22/02/2020

24/02/2020

26/02/2020

28/02/2020
29/02/2020
01/03/2020
02/03/2020

04/03/2020

06/03/2020

08/03/2020

10/03/2020
11/03/2020
12/03/2020
05/02/2020

07/02/2020

09/02/2020

11/02/2020
12/02/2020
13/02/2020
14/02/2020

18/02/2020

23/02/2020

25/02/2020

27/02/2020

03/03/2020

05/03/2020

07/03/2020

09/03/2020
M&E team visits the sites for the evaluation 1                

Date
Identification and Recruitment of Investigating Officers ( former investigating
6          
officers available)
Training of investigating officers 2            

Testing the CAPI questionnaire and application 1                

Field data collection                  

Data collection from beneficiary communities (Bria and Bambari) 8                

Focus group sessions with communities 8                

                   

Data management and presentation of results                  

Data verification and compilation (At the end of each collection) 8                

Data analysais clearing and reporting 5                

Drafting of the first draft of the report 6                

Review and submission of final report 1                

Workshop to report the results of the evaluation 1                

 
D
u
Activités r                                                                            
é
e
Evaluation Design and Protocol (Coordination)                                                                              

Elaboration of methodological documents and collection tools 3                                                                      

Validation of documents by M&E coordinator 2                                                                        

 BAMBARI, BRIA AND BIRAO NEED ASSESSMENT TERMS OF REFERENCE
Revision of data collection tools 1                                                                          

Validation of tool tools by M&E coordinator 1                                                                          

Submission to headquarters for validation (M&E Coordinator) 5                                                                  

Elaboration of the CAPI input and application mask 5                                                                  

Recruitment and training of investigating officers                                                                              

M&E team visits the sites for the evaluation 1                                                                          

Identification and Recruitment of Investigating Officers

6                                                                
( former investigating officers available)

Training of investigating officers 2                                                                        

Testing the CAPI questionnaire and application 1                                                                          

Field data collection                                                                              

Data collection from beneficiary communities (Bria and Bambari) 8                                                            

Focus group sessions with communities 8                                                            

                                                                               

Data management and presentation of results                                                                              

Data verification and compilation (At the end of each collection) 8                                                            

Data analysais clearing and reporting 5                                                                  

Drafting of the first draft of the report 6                                                                

Review and submission of final report 1                                                                          

Workshop to report the results of the evaluation 1                                                                          

BAMBARI, BRIA AND BIRAO NEED ASSESSMENT TERMS OF REFERENCE