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1. Background
Kenya has a considerably young population, with 46% (21.9 million) of the total population being below the age of 18, while those between the ages of 10 and 19 constitute 11.6 million. Furthermore, adolescents and young people are disproportionately affected by economic and health disparities, which limit their enjoyment of their rights and freedoms as envisioned in the Constitution of Kenya of 2010.
Adolescent Sexual and Reproductive Health (ASRH) and HIV remain a critical concern, particularly for vulnerable adolescent girls in Kenya. The HIV estimate report 2023 revealed that adolescents and young people between the ages of 15 and 24 years accounted for more than 41% of all adult new HIV infections. While the rate of teenage pregnancies has reduced from 18% in 2014 to 15 % in 2022, the absolute numbers indicate the rate is still relatively high. Despite efforts to improve access to sexual and reproductive health (SRH) and HIV services, challenges persist, attributable in part to knowledge gaps, limited resources, cultural barriers, policies, and inadequate infrastructure. Consequently, adolescent girls continue to face high rates of teenage pregnancies and new HIV infections, affecting their overall well-being and prospects.
In response to these challenges, the Joint UN Team comprising UNFPA, WHO, UNAIDS, the SDG Partnership Platform Kenya and the United Nations Resident Coordinator Office in collaboration with TIKO, Joint SDG Fund, the Children’s Investment Fund Foundation (CIFF), KOIS and the Government of Kenya; designed a two-year Adolescent Sexual Reproductive Health Development Impact Bond (ASRH- DIB) programme aimed at increasing access and uptake of SRH and HIV services (testing, prevention, and treatment) among vulnerable adolescent girls (15 and 19 years). The programme implemented in 10 selected counties with a high burden of teen pregnancies and HIV in Kenya (Bungoma, Busia, Homa Bay, Kakamega, Kisii, Kisumu, Nairobi, Nyamira, Migori, and Mombasa) and is due for a mid-term review (MTR).
WHO as the technical thematic lead for the ASRH DIB Learning Agenda has been mandated by the JP technical committee to manage and coordinate the MTR of the programme. The purpose of the MTR is to help assess the progress towards the achievement of the programme objectives and key results, both developmental and financial, as specified in the Project Document and assess early signs of programmatic success or failure to identify changes to be made, if required, to ensure the programme is on track to achieve its intended results. The MTR will also review the strategy of the programme and its risks to sustainability. It is expected that the review will apply a collaborative and participatory approach, ensuring close engagement with the UN Joint team, government counterparts including the Ministry of Health, Council of Governors and county government health officials from the participating counties, private and public sector partners, direct beneficiaries, and any other key stakeholders to provide evidence-based information that is credible, reliable, and useful for the design and implementation of future similar programs in Kenya.
2. Deliverables
The consultant will review all relevant sources of information including documents prepared during the preparation/design phase, the ASRH DIB Programme Document, reports, national strategic and policy documents, and any other materials that the UN Joint Team considers useful for this evidence-based review. The consultant will perform the review based on the following categories: i) Design; ii) Progress/Results to date; iii) Management Efficiency; iv) Risk Management and v) Sustainability. Additionally, the MTR report will also include an executive summary as well as a conclusion section summarizing the findings and recommendations, and a rating section based on the findings and assessments of the 5 categories.
Data collection will include key informant interviews of stakeholders with programmatic responsibilities, County CECs from the participating counties, County Reproductive Health Coordinators, Adolescent & Youth Sexual Reproductive Health focal points, County AIDS & STIs coordinators, Program design and implementation teams from the participating UN agencies, senior officials from the Ministry of Health, and relevant key experts in Adolescent Sexual Reproductive Health and HIV; and include field missions to the selected counties and facilities to conduct qualitative interviews with health care workers, CSO representatives and beneficiaries. Additionally, the MTR is also expected to consult with the donors and financiers of the program including Bridges Outcome Partnerships, Joint SDG Fund, Children’s Investment Fund Foundation (CIFF) which are the outcome funders, and KOIS who provide operational, financial, and legal structuring for phase 1 of the program. The MTR process should use gender-responsive methodologies and tools and ensure that gender equality and women’s empowerment, as well as other cross-cutting issues, principles of Leaving No One Behind, and SDGs, are incorporated into the final mid-term review report. The deliverables are summarized hereunder:
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Deliverable
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Description
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Responsibilities
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Inception Meeting with Consultant
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Review of SOW and firming up Contractual Engagements
The inception report must describe the full approach to be taken and the rationale for the approach making explicit the underlying assumptions, challenges, strengths and limitations of the methods and approach of the review.
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Consultant and All JPs
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1
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MTR Inception Report Based on TOR and to include a Summary Technical Synthesis of ASRH Programming Landscape in Kenya
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The consultant will describe in the inception report the approach and methodology that has been set for the compilation of the Mid Term Review Report
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The consultant will review the ASRH DIB program documents, independent evaluation reports and quarterly and annual progress reports and compile an inception report and share with WHO and the UN Joint Team, Tiko and MOH, and COG and receive feedback from the validation of the report
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2
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Presentation of initial Top-line findings
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Data collection, assessment, and Initial findings
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The consultant will share the initial findings with the UN Joint Team
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3
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Draft MTR Report
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Full draft MTR report including major annexes
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The Consultant will share the draft MTR Report with WHO for reviews, including inputs from the UN Joint team and other stakeholders for validation and feedback – preferably organize a virtual meeting
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4
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Revised MTR report with audit trail and final MTR report
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Revised MTR report with audit trail detailing how all received comments have (and have not) been addressed in the final, clean version of the MTR report
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The Consultant will share the final report with the UN Joint Team
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N/B: The final mid-term review (MTR) report shall be submitted no later than 20th February 2025.
3. Qualifications, Experience, Skills and Languages
Educational Qualifications
Essential:
Desirable:
Experience
Essential:
5- 10 years of proven professional experience leading evaluation in the areas of family planning, HIV and AIDS, Sexual and Gender-Based Violence (SGBV), or Adolescent and Young Peoples Sexual and Reproductive Health.
Desirable:
Functional Skills and Knowledge
Languages and level required.
WAMALA, Nansamba Patricia, Senior Advisor – Sexual and Reproductive Health and Rights (SRHR)
WHO Kenya Country Office, UN Gigiri Complex, Block P, Level 1, P.O. Box 45335, 00100 Nairobi, Kenya
Email: wamalan@who.int
On site:
N/A
Off site:
Yes
The consultant will work off-site but may be required to come in from time to time to the World Health Organization’s office located in Nairobi, Kenya, specifically at the UN Office in Nairobi, UN Gigiri Complex, Block P Level 1.
Level of Education: Bachelor Degree
Work Hours: 8
Experience in Months: No requirements