Independent Final Evaluation of the Funded Project - Consultancy Tender, USA - 21294760

Procurement Summary

Country : USA

Summary : Independent Final Evaluation of the Funded Project - Consultancy

Deadline : 31 Mar 2018

Other Information

Notice Type : Tender

TOT Ref.No.: 21294760

Document Ref. No. :

Competition : ICB

Financier : Department For International Development

Purchaser Ownership : -

Tender Value : Refer Document

Purchaser's Detail

Purchaser : HANDICAP INTERNATIONAL - HUMANITY & INCLUSION
8757 Georgia Avenue Suite 420 Silver Spring MD 20910 Tel +1 (301) 891-2138
USA
Email :consultancy.jord@hi-me.org
URL :http://www.hi-us.org

Tender Details

Tenders are invited for Independent Final Evaluation of the DFID-Funded Project - Consultancy - Jordan.

Independent final evaluation of the DFID-funded project “Towards sustainable rehabilitation services in Jordan 2016-2018”

1 Background

Out of the 655, 624[1] Syrian refugees who sought refuge in Jordan, 79% settled in non-camp settings in urban and rural areas with around 90% located in the northern governorates (Amman, Mafraq, Irbid, Zarqa, Jarash and Ajloun). The influx of refugees represented an increase of at least 10% of the total population living in Jordan. This has been a burden on Jordanian public services and resources, which had already been strained by previous influx of refugees (Jordan is for instance hosting 52, 643[2] Iraqi refugees). The situation led the Government of Jordan to adopt stricter policies towards the refugee populations, further aggravating their vulnerability and forcing them to increasingly use negative coping mechanisms, such as reduction in food consumption, withdrawing children from school and taking on informal, exploitative or dangerous jobs. Syrian refugees must deal with multiple challenges, such as lack of access to stable and safe employment opportunities; hard-to-reach prerequisites to access public services; successive cuts in the World Food Programme food assistance; public health services are no longer free for Syrian refugees who now pay the non-insured Jordanian rates.

Despite the fact that the Syrian crisis has lasted for over 5 years, few resettlement options still exist, especially with limited European migration policies and no prospect of a quick resolution to the situation in Syria. Even with the lack of employment opportunities and reduction of assistance, most Syrian refugees have stayed in Jordan. Newly-arrived Persons with Disabilities (PwDs) and/or Persons with Injuries (PwIs) require medical attention and post-operative medical follow-up inside Jordan to avoid and prevent the risk of longer term impairment and increased vulnerability. Additionally, Jordanians PwDs and/or PwIs needing comprehensive rehabilitation services in the long term in order to promote their independence, enhance their participation in everyday life, and ensure respect for their dignity and human rights. A survey by HI in Jordan in 2015 indicated the following key areas of concern:

1. Gaps in the system of services: Limited or absent rehabilitation services provided at community level where most refugees live; rehabilitation services, professional member societies and university training programmes exist but have barely been involved in the Syria crisis response; rehabilitation services in Jordan are spread over various service providers and ministries and no coordination mechanism is in place; Rehabilitation services rely on private practices and limited treatment of complex cases; Lack of standardisation, regulation and recognition of comprehensive rehabilitation services.

2. Gaps in services: insufficient early comprehensive rehabilitation care to insufficient prevention and management of complications for long-term issues such as spinal cord injury (SCI) and traumatic brain injury (TBI); Psychosocial Support PSS) supporting rehabilitation remains limited; insufficient quality of the services provided (lack of functional approach, lack of adapted assistive devices, lack of caregiver education, etc.); Excessive early discharge from medical facilities due to overload; variable quality of comprehensive rehabilitation services often related to caseloads; services are considered better in the University hospitals, Royal Military hospitals, private clinics and hospitals, international non-governmental organisations (INGOs), and non-governmental organisations (NGOs). However, all services, except those provided by INGOs and NGOs, are difficult to access for most vulnerable population.

3. Unsupportive environment: Limited physical accessible infrastructure (sidewalks, ramps, roads, etc.) and transportation for people with decreased mobility; Limited knowledge among communities and PwDs about services; Prejudice or discrimination against people with disabilities; Institutional barriers with policies, laws, education, practices that do not take into account different levels of functioning or abilities; and/or do not take into account the right of every individual to participate in society and access services regardless of their impairment; Household socio-economic situation preventing access to services;

2 Project description

With the financial support from the UK Department for International Development (DFID), HI has been implementing a project aiming at promoting access to sustainable comprehensive rehabilitation services and other essential services for Syrian crisis affected most vulnerable population with functional limitations. The table below summarizes the key characteristics of the project:

Project title: Towards sustainable rehabilitation services in Jordan 2016-2018

Project period: 2nd of May to 31st of March 2018

Specific objective: Syrian crisis affected most vulnerable population with functional limitations have access to quality comprehensive rehabilitation services and other essential services through strengthened Jordanian system of services and an inclusive humanitarian response

Outputs and Key activities

Output 1 - “Direct service provision”: Vulnerable populations with functional limitations are identified, have their needs assessed and receive comprehensive rehabilitation services and/or complementary support through referrals to external existing services

· Identification of people with functional limitations and assessment of basic and specific needs (access to basic services, independence, psychosocial wellbeing, protection and vulnerability factors)

· Definition of individualized action plan that include external and/or internal referral

· Comprehensive rehabilitation including physical and functional rehabilitation, education sessions to caregivers, provision of assistive devices, psychosocial support in HI fixed points or through mobile teams

· Provision of mobility aids (wheelchairs, walkers, crutches, etc.), tailored prosthesis and orthotics and other items

· Referral to other organizations for additional basic services or specialized and follow-up

· Tailored discharge kits including home programmes, list of local services and tips and information on warning signs requiring specific consultations

Output 2 - “Indirect service provision”: Local rehabilitation services have improved capacities to provide quality comprehensive rehabilitation services to vulnerable communities affected by the Syrian crisis.

· Identification of potential operational stakeholders among public and private rehabilitation providers

· Technical, organisation, and management capabilities assessment of each selected service provider articulated around 4 core components of rehabilitation service provision: staff capacities, clinical governance, infrastructure accessibility, and service management.

· Tailored an action plan for each targeted service provider and for each category assessed.

· Technical and financial support to assist and plan implementation and ensure the service moves towards sustainable comprehensive rehabilitation services.

· Pilot a safety net mechanism to ensure access of most vulnerable people with rehabilitation needs to services

· Identification of local users through transfer of beneficiaries from direct service provision (Output 1) to local services for rehabilitation care and set-up of Community Based Rehabilitation (CBR) network coupled with referrals from Primary Health Centres- (PHC).

Output 3 - “National rehabilitation platform”: A coordination platform involving representatives from the government, the rehabilitation service providers, the rehabilitation professionals and humanitarian stakeholders is created and set up an initial framework for coordinated quality comprehensive rehabilitation system of service provision

· Development of a coordination mechanism for improving comprehensive rehabilitation services in Jordan involving national and international stakeholders from public authorities, rehabilitation professionals, national services providers and humanitarian actors

· Regular mobilisation of the coordination platform and presentation of 2015 assessment findings, of the existing system of rehabilitation services in Jordan (public, universities, Royal Medical Services, private and humanitarian sector), and reach the most comprehensive shared understanding of the rehabilitation landscape in Jordan.

· Joint definition of appropriate set of measures, means and policy changes required to move the rehabilitation system towards increased responsiveness and sustainability; those being ultimately consolidated within a shared and agreed roadmap.

· After the roadmap has been endorsed, support the coordination platform members to undertake reflections on key priorities from the roadmap with the objective to move towards the realization of the set policy changes. Support the mobilization of key experts and specialists

· Use the pilot service provision model (Output 2) to support the coordination platform continuous joint analysis of possible rehabilitation model run by Jordanian stakeholders and the identification of the gaps in national settings to support changes towards sustainable access to quality comprehensive rehabilitation.

Output 4 - “Inclusion”: The visibility and inclusion of the vulnerable populations with functional limitations in the response to the Syrian crisis is enhanced

· Advocacy to promote enhanced inclusivity of the evolving response among other actors and sectors including publications, presence in coordination mechanisms and high-level meetings where challenges and good practices in facilitating access for PwDs which

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