During these 3 last years of implementation, International Medical Corps’ response in the North West region in six health districts (HD) since 2021 has been based on the needs and gaps observed in the communities and the health facilities (HF).Based on the background provided above and in line with BHA recommendation, IMC plans to conduct a performance evaluation adhering to the ALNAP Evaluation of Humanitarian Action (EHA) evaluation criteria: coherence, relevance/ appropriateness, connectedness, effectiveness, efficiency, and coverage. This performance evaluation focuses on what the recent three projects have achieved throughout and after implementation, how the project was implemented, how it was perceived and valued by beneficiary communities, and other questions that are pertinent to design, management, and operational decision making. It will also examine where the program's shortfalls may have appeared to iteratively evaluate our programming and make it even more accessible and appropriate for our beneficiary populations.
Overall, this evaluation's purpose is to assess the relevance/appropriateness, coherence, connectedness, effectiveness, efficiency, and coverage of the three years of BHA-funded projects in meeting the target population's needs and priorities. The evaluation will provide insights to identify the best practices, strengths and challenges, and to inform decision-making for future programs. Specifically, This performance evaluation will-:
- Assess the evolution of the project and activities between the first year’s project, and the third year’s project and how International Medical Corps adjusted the design.
- Assess progress, achievements, and limitations of the planned outcomes and outputs.
- Assess changes in demographics of patients accessing health and nutrition services (increase in IDPs, person living with disability, elderly person due to the accessibility situation, and other relevant trends).
- Assess the effectiveness of the training provided on supply chain management in preventing stock out and in increasing the essential medication in the supported health facilities.
- Assess the effectiveness of community health and nutrition services to needs and lifestyles of beneficiaries (health promotion, screening of malnutrition, good MIYCF practices, referrals, etc.).
- Assess direct nutrition beneficiaries and health patient satisfaction with the IMC free services.
- Assess the clinical management of GBV sexual violence and rape cases integration in the projects (process, challenges, bottlenecks, etc.)
- Determine the endline values of the health and nutrition outcomes indicators H15, H20, N08 and N09.
- To document good practices, generate evidence-based lessons and provide recommendations for future projects with a similar financial model of service provision.
To this effect, IMC is soliciting the services of a consultant to implement the various stages of preparation, planning, implementation, data collection and analysis of the Performance Evaluation. The evaluation is expected to include, but not be limited to, the following groups:
- Targeted beneficiaries: IDPs and host population, women and men, persons with disability and older adults to be included in qualitative assessments.
- Stakeholders involved in the project at various levels:
- Implementing organization (International Medical Corps): program management and field teams, logistic teams both in Cameroon and at HQ level, and other IMC staff members as relevant.
- Targeted Health facility staff: Service providers (IHC/MHC managers, medical (nurses, midwives), nutrition (nutrition assistant) and non-medical staff, etc.)
- Community actors: community health workers, informal settlement focal points, etc.
- Government agencies: Ministry of Public Health (Regional, District and Area levels), municipalities (as relevant to particular PHCCs).
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