Saturday, August 13, 2016

Consultant’s Terms of Reference for the Development of Rwanda Reproductive Health and Finalization of MNCH Strategic Plans

Consultant’s Terms of Reference for the Development of Rwanda Reproductive Health and Finalization of MNCH Strategic Plans
During, the past 10 years, Rwanda has witnessed substantial improvements in maternal and child survival. Access to reproductive health services, especially family planning, is a key factor to the reduction of preventable maternal and child health mortality. Contraceptive prevalence rate regist
ered a tremendous increase from 2005 to 2010 (from 10% to 45% for women in a union), but since then little change has been noted, with only a 3% increase from 45% to 48%. According to the DHS carried out in 2005, 2010, and 2015 in Rwanda, under 5 mortality was respectively 152, 76 and 50 deaths for 1000 live births; maternal mortality was 750, 476 and 210 per 100,000 live births; newborn mortality 37, 27 and 20 per 1000 live births; family planning prevalence for modern methods and for women in union was 48, 45 and 10 per 100 women.
To improve reproductive health and contribute to the reduction of the maternal, newborn and child health mortality, the Ministry of Health in collaboration with its partners though the MCH TWG, strongly recommend to adopt an integrated policy that addresses comprehensive reproductive health (family planning and adolescent sexual reproductive health) and maternal newborn and child health together, but with two strategic documents.
Jhpiego, , under USAID’s Maternal and Child Survival Program, in coordination with the Ministry of Health, is leading the process and is recruiting a consultant to develop the FP/ASRH strategy and finalize the MNCH strategy.
Objective and Outputs
With the leadership of the Health Services and Quality Assurance Unit in the Ministry of Health and with support from its partners involved in MCH, the following objectives are proposed for this work:
  1. Work with Ministry of Health (MoH) and Maternal and Child Health (MCH) technical working group (TWG) representatives to develop a 5-year national strategic plan for Reproductive Health ( Adolescent Sexual and Reproductive Health (ASRH) inclusive) and Family Planning in Rwanda
  2. Work with MoH and MCH TWG representatives to review, update, and finalize the Rwanda Maternal, Newborn and Child Health (MNCH) strategic plan
Scope of Work
To successfully complete the assignment, close collaboration and consultation will be required with key stakeholders represented on the Rwanda MCH technical working group and the FP and ASRH sub technical working groups, the districts leaders and districts heath care providers and health facilities managers
The scope of work will include the following:
  • Lead a desk review of the latest evidence on cost-effective interventions to increase uptake of RH/FP and ASRH services in developing countries
  • Review and mine existing data sources including the most recent DHS report and HMIS data to identify key gaps in uptake and service utilization.
  • Lead the evaluation of the implementation of the current strategic plans for RH/FP and ASRH to highlight key strengths, achievements and lessons learnt, focusing on root causes of CPR plateau in Rwanda.
  • Produce a report of the evaluation of the implementation of the previous strategy plan
  • Convene a stakeholder meeting to draft recommendations for sustainable strategies and approaches to increase RH/FP and ASRH services uptake in Rwanda context
  • Conduct a literature review and gather evidence/data from existing/ongoing studies including engagement with MOH/other partners implementing FP service delivery, gender, community or Social Behavior Change Communication (SBCC) work in Rwanda.
  • Lead a core team of MCH TWG members to conduct a review of existing laws and legislation relevant for FP/ASRH & MNCH policy and service delivery and make recommendations for changes that could impact health service delivery.
  • Draft white paper that synthesizes an analysis of all the inputs (for above tasks/activities) and make recommendations for incorporating into the next strategic plan
  • Lead the development of an initial draft and support process to come to a final draft of the Rwanda 5-year National Reproductive Health Strategy
  • Work closely with MCH TWG and the ASRH, FP sub-technical working groups to develop a national consultation meeting agenda and serve as meeting facilitator as needed
  • Complete necessary revisions of the draft following each round of review
  • Participate in validation/dissemination or launch of the Strategic Plan
  • Review the existing draft strategy and identify areas where further consultation or updating is needed based on most recent national evidence or program learning
  • Work with MCH TWG members and other key stakeholders to finalize the MNCH Strategic Plan
  • Complete necessary revisions and submit to MCH TWG for review and approval.
  • Participate in validation/dissemination or launch of the Strategic Plan
Reference materials
Documents should include but are not limited to the following:
  • Rwanda Family Planning Strategy ending 2016
  • ASRH Strategic Plan and Policy ended in 2015
  • FP/ASRH/Gender/Community Health/SBCC literature from Rwanda since 2005
  • DHS
  • Rapid Assessment of Adolescence sexual and reproductive health programs,

services and Policy and its Strategic Plan issues in Rwanda
  • TRAC plus (2010): Behavioral Surveillance Survey among youth aged 15-24 years, Rwanda 2009
  • Gender Analysis for USAID/Rwanda Strengthening Capacity of Health Sector to Deliver Quality Health Services in Rwanda (SCHS) Project
  • July 2014 and USAID/Rwanda Gender Assessment December 2011
  • USAID, IGWG & PRB. Gender-Based Violence: Impediment to Reproductive Health, 2010
  • Rwanda Health Sector Policy, June 2014
  • National Community Health Strategic Plan, Rwanda, May 2013
  • Transforming our world: the 2030 Agenda for Sustainable Development
DRAFT Time Frame
Time Frame /Period: Starting in

Review and mine existing data sources including the most recent DHS report and HMIS data.
24 hours

Conduct a literature review and gather evidence/data from existing/ongoing studies
40 hours

Conduct an evaluation of the implementation of previous national strategic plan for FP and ASRH strategic plan focus
40 hours

Produce a report of the evaluation of the previous strategy plan
40 hours


Draft white paper that synthesizes an analysis of all the inputs (for above tasks/activities) and make recommendations for incorporating into the next strategic plan
32 hours


National consultative workshop to develop the strategies log frame and objectives
16 hours


Write a zero draft of the Rwanda 5 year national FP/ASRH strategy
40 hours

Revise the MNCH strategic plan
16 hours

National 2 days consultative workshop
24 hours

Finalization of the FP/ASRH strategic plan and MNVCH strategic plan
24 hours

296 hours

  • Literature and Desk Review
  • Final Reproductive Health Strategy
  • PowerPoint presentation summarizing Reproductive Health Strategy
  • Final draft MNCH Strategy

  • PowerPoint presentation summarizing MNCH Strategy
    Working conditions:
  • The consultant will work under the supervision of the MCSP COP and will work closely with the MNCH team Lead and MOH focal person for the consultancy.
  • The Consultant may sit at the MCSP or MOH if space is available; but MCSP will facilitate his or her logistic support.
  • The MCCH Department in RBC will provide to the consultant any available document(s) and data related to FP/ASRH and MNCH
  • The consultant will have an MOH focal person to facilitate meetings with MOH teams, for capacity transfer and for continuity. The focal person should be empowered to guide discussions and secure the appointments with senior staff other staff in GOR Ministries and Institutions and Development Partners with a stake in RMNCH/FP.
  • The Reproductive Health strategy and MNCH strategy will be developed in English
Required Qualifications
  • A medical degree (doctor or nursing) or Master’s in Public Health with experience RMNCH or A degree in behavioral Sciences and public Policy Development could be considered, with Masters in Public Health
  • At least 8 years public health background,
  • Wide experience in RMNCH in the African Context; knowledge of Rwanda’s health system is an added value,
  • Knowledge of new international health recommendations,
  • Experience in policy and RMNCH strategy development,
  • Fluent in English and ability to understand French
Consultancy Fees
Consultancy fees will be negotiated with best consultant candidate and should not exceed local and usual consultancy rate fees. A contract will be established between the IMCSP and selected consultant. Jhpiego reserves its rights to cancel this invitation for consultancy services at any time or to not award consultancy services contract in case the organization is not satisfied with consultancy service proposal or for whatever reason.
How to apply
Interested potential candidates are requested to submit their application file made by the following:
  • Motivation letter and updated CV
  • At least 3 ccertificates of successful job completion issued by three recent clients to whom consultancy in developing the FP/ASRH strategy and the MNCH strategy or related health consultancy services were provided

  • 3 Professional references with full names, phone number and email address
  • Technical proposal (3 pages maximum) including the client understanding of ToRs.
  • Tax-payer registration number and authorisation from RDB or work permit from Migration Office for foreign people
The application will be sent to The Chief of Party MCSP – Jhpiego Rwanda via with “Application for Consultancy to develop the FP/ASRH strategy and the MNCH strategy the subject line by August 22nd, 2016. For further information on USAID’s Maternal and Child Survival Program, please go to
Done at Kigali, August 11th 2016
Management of Jhpiego Rwanda
  • hpiego is an equal opportunity employer. It does not discriminate in employment because of age, religion, tribe, race, color, gender, national origin, sexual orientation, disability, military status, marital status, family responsibility, station of life, political opinion, health (includes HIV/AIDS, pregnancy) socioeconomic status, or any other occupationally
irrelevant criteria.     Employment and promotion for any position are based on an
individual’s qualifications and merit. ühpiego does not charge a fee at any stage of the recruitment process (application, interview meeting, processing, orientation or any other fees).

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