Background and Context:
In 2011, the Bill & Melinda Gates Foundation awarded JSI Research & Training Institute, Inc. (JSI)the Universal Immunization through Improving Family Health Services (UI-FHS) project to develop an evidence-based approach in collaboration with the Federal Ministry of Health (FMOH) to pursue nationwide universal immunization, integrated with family health approaches, and what it will take to do so effectively, affordably and sustainably. Building off the national strategy for strengthening routine immunization in country, Reaching Every District (RED), UI-FHS developed an approach called RED for Quality Improvement (RED-QI) which utilizes quality improvement tools to build immunization management and technical capacity. Between 2014 and 2018, UI-FHS implemented the RED-QI approach in over 100 woredas (districts) across six regions through a phased approach (strategically introducing the approach in a region, a few woredas at a time). In mid-2018, UI-FHS shifted focus from woreda level implementation to capacity building at the regional level, and phased out implementation of the RED-QI approach in all woredas, except for a few (11) demonstration woredas. As UI-FHS continues to support routine immunization at the regional level, the project has a unique opportunity to re-visit woredas where RED-QI had been implemented to examine sustainability of the RED-QI approach in those woredas.
Overview of the work:
The purpose of this RFP is to solicit the services of 6 data collectors (either individual consultants or aresearch firm, hereafter referred to as the “Service Provider(s)”) who are highly skilled in qualitative research and have familiarity with RED to carry out Key Informant Interviews (KIIs) in three woredas of Ethiopia across two Regions– Somali and SNNPR. Service Providers much have the required English, Amharic and Somali language skills (see Section 6 below for more details). Service Provider(s) will administer, record, transcribe and translate 54 KIIs with a combination of management staff, health care providers and community representatives. These KIIs are expected to be conducted with supervision support from JSI over the course of approximately 25 working days, which includes time for training, field-testing, revising tools, travel, conducting KIIs, transcribing and translation.
Sample Population
The inquiry will take place in 6 woredas drawn from the Somali and SNNPR Regions (3 woredas in each Region), specifically:
Key informants for this study will include the following:
The KIIs will follow one of three interview guides developed for use by JSI and provided to the Service Provider(s) with each cadre using both closed- and open-ended questions. These KIIs will elicit respondents’ knowledge, experiences, perceptions, and attitudes regarding RED-QI as it impacts their ability to improve RI. In addition, each KII will consist of a record reviews at administration offices as required to confirm and clarify changes to the routine immunization system and services. The triangulation of data from both KIIs and available records will help ensure that the review is as accurate and informative as possible
Scope of Work for the Service Provider(s):
Service Provider(s) will be responsible for carrying out the following major activities:
woreda #1 | Woreda #2 | Woreda #3 | Total per faculity level | ||||||||||
WoHo | 1 | 1 | 1 | 3 | |||||||||
HC |
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| 6 (1 per HC, 2 HCs per Woreda) | |||||||||
Health Post |
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| 9 (1 per Health Post, 3 HPs per Woreda) | |||||||||
Community Representation |
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| 9 (1 per Health Post, 3 HPs per Woreda) | |||||||||
Total Per Wereda | 9 | 9 | 9 | Total Regional KII = 27 |
In addition to conducting the KIIs, Service Provider(s) will:
Role of JSI:
Contractor:
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Qualifications:
Language requirements:
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