The Enhanced Community Health Program is designed to strengthen HRC in its role as an auxiliary to the Haitian government by increasing the skills and outreach of its volunteer network to enhance community health services in partnership with MSPP.
Haiti’s nationwide Demographic and Health Survey, which examined changes in the health, health care access and utilization patterns between 2006 and 2016, showed gradual improvements in key health indicators affecting reproductive, maternal, newborn and child health. While this progress shows that efforts of government and other partners to improve community health care are having some impact, Haiti still presents some of the world’s worst health indicators .
Limited access to safe water and sanitation, low levels of education among care givers, grinding poverty and rising food insecurity are some of the factors contributing to low health status of the Haitian population. Due to their vulnerability to disasters from earthquake and extreme weather events, Haitian women and men are exposed to increased risk of injury and disease spread. Haitians also face risks from epidemics due to poor sanitation, the density of urban areas and weakness of disease control systems.
According to MSPP’s 2012-2022 National Health Plan, the national primary health care coverage currently stands at 60% overall. In communities where higher concentrations of socio-economically disadvantaged groups are found the coverage of essential health services is noticeably lower. The MSPP estimates that that 70% of the population seeks care from traditional healers as the first source health care. The low incomes and limited access to resources faced by Haitians reduces household capacity to transport members to clinical care centers, or afford the medicines and clinical health care they need.
Haitian communities living in poor peri-urban areas and in hard to reach rural areas face financial, physical and information related constraints to accessing health services. This burden additionally weighs most heavily on the most vulnerable – including those stigmatized by diseases such as HIV/AID or women and men with disabilities – and the poorest households who are the most inadequately prepared to cope with and recover from health problems. Women in particular face increased health risk and lack of resources to meet their own health needs and that of newborns, infants and children in their care.
Organizations with national coverage like the Haitian Red Cross Society and other international partners have committed to enhance community health services, under the leadership of the Haitian Ministry of Public Health and Population (MSPP). MSPP’s 2012-2022 National Health Plan has a goal “to ensure that morbidity and mortality from major health problems is reduced through an efficient, accessible, and universal health system”. This strategy also promotes extension of social protection platforms and calls upon all of its partners to support its efforts to accelerate universal access to essential health services.

The evaluator (s) will be responsible for the following:

1. To procure the necessary travel documents and visa(s) in the country of origin (visa fee will be reimbursed) and insurance if required (ARC does not pay for insurance)
2. To bring a working laptop
3. To print the necessary soft copies of the desk review materials while in the country of origin (cost will be reimbursed)
4. To manage the local assistant consultant during the evaluation and assign roles and responsibilities

The evaluator (s) will not be responsible for the following:

1. To hire local facilitator /translator, as needed
2. To arrange transportation for the field visit and to and from hotel and airport
3. To arrange accommodation while in Haiti

The Evaluation team will mainly use qualitative and rapid appraisal techniques. The following is a list of methodologies that are considered applicable; the list, however, should not be considered definitive and contractors are free to propose or add further methodologies.

1. Focus groups and key informant interviews of women from mothers club targeted in the programs – substantive time should be given to this aspect during field work in Haiti.
2. Desk review of key project documents such as the project proposals, the transition strategy, M&E and implementation plans etc.
3. Literature search and review of materials on the environment in which the project operates- esp. in this case national community health strategies.
4. Review of quarterly and monthly progress reports, M&E and ITT.
5. Interviews with key staff members from the project, HRC local committees and community health structure from MSPP and ARC.
6. Interviews of concerned stakeholders such as HRC, MSPP
7. Analysis of results by methodologies such as “before/after” comparison of baseline and endline;
8. To better evaluate the “mothers club” methodology and approach, we suggest a comparison with a control/comparison group

Interested candidates should send their applications to senji.gaetane@amcrossHaiti.org, (copy to: gina.barreau@amcrosshaiti.org) Please put the following in the subject line: “Application for Final evaluation of ECHP Project”

A complete application will be one with all materials listed above in one single file in either Word or pdf format. The title of this file should be the last name of the Lead Evaluator (e.g. if the Lead Evaluator is named Jon Snow, the title of the application document should be “Snow”.)

Interested applicants are encouraged to apply together with lead and assistant consultants.
Application received after the deadline and incomplete applications will not be accepted.

Request TOR by email from: senji.gaetane@amcrosshaiti.org (copy to: gina.barreau@amcrosshaiti.org)