Childhood diarrhoea is a major cause of childhood mortality in Pakistan; each year, 53,300 children under five die due to inadequate diarrhoea treatment. As per the Pakistan Demographic and Health Survey (PDHS, 2012-13), 22.5% of the mothers reported that their children suffered from diarrhoea in the past two weeks. The survey showed that even though 61% of the children who were suffering from diarrhoea consulted a health care provider, only 46% received any form of increased fluid intake including oral rehydration therapy and home fluids and only 1.5% received Zinc. According to the Multiple Indicator Cluster Survey (MICS), Pakistan, 2014, nearly 18% of the children aged 0-59 months suffering from the diarrhoea in the last two weeks preceding the survey and only 10% received treatment with Zinc and ORS.
A landscape analysis conducted on use of Zinc and Lo ORS shows poor knowledge of caregivers and health care providers on the need and benefits of zinc supplements in the treatment of childhood diarrhoea combined with the lack of availability of zinc supplements. Analysis also indicated gaps in policy at national and provincial levels.
Considering the above factors in backdrop, NI provided technical and operational support to demonstrate a program model engaging both public and private sectors to increase coverage and utilization of both Zinc and ORS as a strategy to treat childhood diarrhoea.
Duties and Responsibilities
The following deliverables are to be submitted in hard copy and electronic form by the firm as the implementation progresses to the Nutrition International, and in most cases, the deliverables must be approved by Nutrition International/ NI staff prior to use in following steps:
· Timeline to complete the survey and reporting
· Tools before pre-testing
· Final tools after translation and incorporating revisions after pre-testing
· Ethical clearance certificate and ethics training certificates by lead team members
· Training Plan for investigators
· Sampling plan ensuring representation of different areas and health workers
· Final tools in English and local language after review by Nutrition International and other partners
· Field operation guidelines for the team
· Data collection Plan
· Two datasets in SPSS/ PASW and csv format along with codebook with both raw and created variables: (1) raw dataset, and (2) cleaned and labeled dataset; along with the soft file used for data entry.
· Preliminary draft report
· A four page brief of the study including objectives, methodology and key findings
· Final report
· Power point presentation summarizing the key findings
· Dissemination of Post Intervention Findings
The agency/ consultant will submit a draft report to the Nutrition International for review and will be finalized after incorporating suggestions and comments from Nutrition International. Agency consultant will also be reporting progress of the study on weekly basis to the Nutrition International country office.
A dissemination Seminar will be held by the agency/ consultant firm to share the findings with government, national, provincial and district level stakeholders. Participants list, Venue and location will be finalized in consultation with Nutrition International National Program Officer. Media representative, public and private health care provider, Representative from other NGO and INGO will be a part of end result sharing. The presentation shared in the dissemination should be vetted/ approved by Nutritional International.
Required Skills and Experience
Qualifications of the Survey Team:
a) Team leader, preferably with medical and Nutrition training or nutrition epidemiologist with PhD level training and more than 5 years of experience is required. Master’s degree and 10 years of experience in designing and conducting epidemiological studies is also acceptable. A track record for publications in high impact peer reviewed journals is a plus. This individual will directly guide the development and implementation of the survey, in collaboration with and upon approval from Nutrition International. This individual must also provide proof of certification within the past two years of a recognized training for the protection of human subjects in research, such as NIH5 free online training or a local training program.
b) Maternal and child health expert with more than 5 years of experience in conducting maternal and newborn health research and programs. A track record for publications in high impact peer reviewed journals is a plus. This individual will provide technical guidance on tools and data collection related to the maternal and newborn components of questions for women and as relevant for health facilities, health services and health posts. This individual must also provide certification for ethics training as described for the team leader.5
c) Statistician with more than 5 years of experience in data management and expertise in design and analysis of quasi-experimental studies and/or program evaluations. The statistician will be responsible for developing the data analysis plan, ensuring data collection tools are adequate for the approved collection methodologies and for conducting or supervising quantitative data management and cleaning and data analysis according to the approved plan. This individual must also provide certification for ethics training as described for the team leader.5
d) One of the above will also be an expert in qualitative data collection, transcription, coding and interpretation or an additional team member will be included who is such an expert. This individual will lead on reviewing all qualitative questionnaires and guides, and will supervise required training of staff conducting IDIs /KIIs / FGDs and implementation of qualitative activities including entry, coding and analysis using appropriate software program such as Nvivo or atlas Ti. This individual will ensure that all qualitative questionnaires and guides are approved by NI prior to implementation. This individual must also provide certification for ethics training as described for the team leader.5
e) The survey agency needs to submit previously carried out study reports similar to the current study.
The proposal (Technical and Financial) along with all requisite documentation must be received in English by NI no later than than July 20, 2017 at email address firstname.lastname@example.org.