Country: Uganda
Closing date: 20 Dec 2019
TERMS OF REFERENCE
DEVELOPMENT OF A POSITION PAPER ON FINANCING FOR WCA IN KASESE DISTRICT
December 2019
Summary Profile
Assignment:
Development of a position paper on financing for WCAH in the district
Type of Assignment:
Research
Purpose:
Support RMNCAH advocacy at district levels
Primary Methodologies
Secondary data review
Start and end dates:
23rd December 2019 to 15th January 2020
1.0 Introduction
Over the years, Uganda has experienced significant and accelerated improvements in most reproductive, maternal, newborn, child, and adolescent health (RMNCAH) indicators. Most notable are the marked reductions in under-five and maternal mortality rates, respectively plummeting from 187 to 62 deaths per 1,000 live births, and from 780 to 360 maternal deaths per 100,000 live births between 1990 and 2015 (UDHS 2016). Despite such achievements, health system challenges remain still remain predominant in areas such as inadequate health infrastructure, equipment, and medical supplies continue to impede on positive RMNCAH outcomes.
Kasese district health sector is composed of 105 health unities of these 3 are hospitals, 5 are health Center IV, 42 are Health Center III, and 69 are health Center II. Each health sub district has got a health unit implying a well distributed health services related maternal, infant and child feeding services. In 2018, the district was estimated to have a total population of 737,274 people – majority of whom (51%) are female increasing from 523,000 people in 2002 having increased from 343,601 people in 1991 reflecting an annual growth rate of 3.6% which is over the national growth rate of 3.4% during the same period.
Health services in the district are delivered at 106 health facilities covering all sub counties. However 17% (5) sub counties of Bwesumbu, Buhuhira, Bwera, Nyakatonzi and Isango have centres only at level II. This hinders the delivery of a full package of MCH and HIV/AIDS services in the District. The District also faces challenges of blood shortage and there is no blood bank in the district that can supply blood for transfusion to the patients in the District
The majority of the maternal deaths occurred in Kagando Hospital accounting 458/100,000 live birth compared to 104/100,000 in Bwera Hospital and 169/100,000 lives in Kilembe Hospital Respectively. And among the HCIVs Rwesande had the highest MMR at 394/100,000 higher than St. Pauls at 234/100,000 live births.
Common factors underlying maternal deaths in Kasese District
· Delay of the women seeking help
· Lack of partner support
· Herbal medicate on
· Refusal of treatment or admission
· Refused transfer to higher facility
· Lack of transport from home to health facilities
· Lack of transport between health facilities
· Lack of Blood products, supplies & consumables
· Staff lack of expertise
· Inadequate numbers of staff
The GFF in support of Every Woman, Every Child (EWEC), launched in July 2015 is a country-driven financing partnership that brings together stakeholders in sexual, reproductive, maternal, new-born, child and adolescent health (SRMNCAH) under national government leadership. Kasese District was selected among the first wave of districts to benefit from the GFF funding and grant because it is categorised as a high burden district.
This assignment is timely to provide evidence for advocacy engagement with regard to service delivery in the district.
In August 2019, RCRA developed a scorecard on financing for WCAH services in Kasese District. It is from this report and scorecard that a position paper needs to be developed to inform advocacy on financing for WCAH in Kasese District.
2.0 objective of the assignment:
To develop a position paper on WCAH financing in Kasese District
3.0 Description of coverage
The assignment will make use of the findings from the study conducted on WCAH financing and the resultant scorecard for Kasese District.
4.0 Policy position paper target audiences
This document is intended for CSOs, to advocate to policy makers at district and national level towards increased financing for women, children and adolescent health.
7.0 Technical and final reporting requirements
The consultant will report to Rwenzori Center for Research and Advocacy (RCRA). The consultant is expected to submit the technical and financial report within 5 working days.
The report of the assignment will be presented to RCRA. The consultant will be expected to make a power point summary to the civil society partners and other stakeholders in the district.
8.0 Qualifications and experience required
The consultant firm or individual will have proven experience of having carried out such an assignment before and shall have at least five years of experience conducting researches, evaluation, assessment, data analysis and reporting
S/he must have at least a bachelor’s degree in Statistics, Psychology, Social Sciences, Development studies, Economics, Public Health and with significant exposure to conducting social research;
Must have very good knowledge in Data Analysis in using acceptable statistical packages such as SPSS, STATA, EPI INFO etc and the ability to extract, clean and analyze both quantitative and qualitative data;
Should be available to start work immediately upon selection
Should be fluent in English and have strong ability to produce quality report;
The firm/consultant’s experience should be proven by at least two similar works (Completion certificates, testimonials, or recommendation letters). Greater weight will be on policy advocacy/campaigning experience.
9.0 Documents
The consultant shall be provided with the following documents in undertaking this assignment
· Kasese District WCAH CSO scorecard
· Kasese District WCAH report
· Documents related to the GFF process in Uganda
· The Uganda RMNCAH Improvement Project
· List of CSOs in Kasese District
· List of Health facilities in Kasese District
10.0 Deadline for application
The deadline for application of the work is 20th December 2019
How to apply:
Send your bid document together with your CV/team capability statement to;
Addressed to
Rwenzori Center for Research and Advocacy (RCRA)
P.O.Box 588 Kasese
or through rcra@rcra-uganda.org