Terms of Reference For mhealth Training and Monitoring Consultancy of

Terms of Reference For mhealth Training and Monitoring Consultancy of The Reproductive, Maternal, Newborn and Child Health Project in Myo Thit Township, Magway Region, Myanmar. (AX23846) 17/9/2018 The Danish Red Cross (DRC), in partnership with the Myanmar Red Cross Society (MRCS), is looking for a qualified Myanmar national consultant(s) or partnership between Myanmar national and international consultants to conduct a Consultancy on mhealth Training and Monitoring for the Reproductive, Maternal, Newborn and Child Health (RMNCH) Project in Myo Thit Township, Magway Region, Myanmar. 1. Background Myanmar belongs to the group of least developed countries ranking 145 out of 188 countries in the Human Development Index. The health status of the population of Myanmar s 51.4 million people remains poor compared to other countries in the region: The Maternal Mortality Ratio (MMR) stands at 282 deaths per 100,000 live births1, which is the second highest among ASEAN countries after Laos. The Infant Mortality Ratio (IMR) and the U5 Mortality rates are also high (62 per 1,000 live births and 72 per 1,000 live births respectively)2. A main direct factor contributing to the high mortalities are home deliveries with only 70% of births being attended by skilled health personal and 64% of all births taking place in the home. Malnutrition is also highly prevalent with more than one third of children under the age of five stunted (low height for age). The Myanmar Red Cross Society (MRCS), in partnership with Danish Red Cross (DRC) is implementing a Reproductive, Maternal, Newborn, Child Health (RMNCH) project in 2 Rural Health Centre (RHC) catchment areas of Myo Thit Township in 1 Myanmar census 2014 2 Myanmar census 2014 1

Magway Region in Myanmar will improve access to and utilisation of RMNCH services. The target population includes 61,022 hard to reach rural people with a focus on women and children under 5 years old. Key programme components are based on a concept of "continuum of care" and include a) strengthening of health systems capacity to deliver quality RMNCH services from household to township level; b) empowering and building capacity in communities to address the most common diseases and health hazards; c) enhancing capacities of Myanmar Red Cross Society to manage and deliver sustainable health activities. The Safe Delivery Application is an mhealth tool developed by the Maternity Foundation and partners for training of skilled birth attendants in management of normal and complicated deliveries in peripheral parts of the health system. The complete app contains ten animated clinical instruction films. The app has been developed and thoroughly validated in a randomized controlled trial in Ethiopia in a co-operation with leading experts within mhealth from University of Copenhagen, and University of Southern Denmark, and is now available in Myanmar language, and approved by the Ministry of Health and Sports. 2. Purpose, Objectives and Scope 2.1 Purpose The purpose of this consultancy is to assist the MRCS in the rolling out of the Safe Delivery Application in Myo Thit Township, Magway Region. 2.2 Objectives The overall objectives of the consultancy are: A. Generate baseline data (including confidence survey) for the Safe Delivery Application (SDA) implementation using the survey already in Magpi, designed by the Maternity Foundation. B. Translate the SDA confidence survey and create the survey page in Magpi. C. Assist the Township Health department in training health workers on the use of the SDA (not the clinical content). D. Capacity development of the MRCS project s M&E staff through on-the-job training and design of monitoring formats for the SDA roll-out. 2.3 Scope of work In collaboration with the MRCS health department and DRC Health Programme Manager, to assist the MRCS project staff to implement the newly approved Safe Delivery Application (SDA). 2

To assist the Township Health Department to roll out the 0.5-day training on How to use the SDA to health workers in Myo Thit Township. The training should be delivered in Myanmar language. To ensure that the baseline (already in Magpi ) and confidence survey are completed by all trainees prior to training. To design a system for MRCS project staff (both in Myanmar and English languages) to monitor the success of the SDA, prior to the Endline survey. To provide orientation for MRCS M&E staff (field based) on the monitoring system for the SDA. 3. Methodology The consultant is to propose the specific methodologies and tools used to complete this assignment. It is envisaged that this will involve preparation of the training, development of monitoring tools and travel to the field sites in Myo Thit township, Magway Region, and work with the MRCS project team in the field. In developing and refining the methodologies, the consultant is expected to contact and consult with the DRC Health Programme Manager. Briefing and debriefing meetings will take place at DRC office in Yangon, Myanmar. 4. Roles & Responsibilities The consultant is expected to work closely with the Danish Red Cross and Myanmar Red Cross Society who have technical experts with RMNCH programme experience. DRC Country Office will provide work space in Yangon, transportation in-country, accommodation in the field. Accommodation in Yangon can be provided, if needed. During travel/missions the consultant is to follow the security rules of DRC and will be reporting to the DRC Country Coordinator. 5. Deliverables & Schedule 5.1 Deliverables Facilitation of completion of the SDA baseline (Magpi based) and confidence survey by the training participants (Township Health department health staff). 3

Translation of the SDA confidence survey from English language to Myanmar language and creation of the survey page in Magpi Training package (presentations and hands out notes in Myanmar language) for the training of Township Health department health staff on the use of the SDA. Facilitation of 0.5-day training in 6 batches (total 3 days of training) to the MRCS project staff and Township Health workers on the use of the SDA, following successful completion of the baseline and confidence surveys. The baseline and confidence survey will be analysed by the Maternity Foundation. Establishing of the Monitoring system (including development of monitoring tools) for MRCS for the SDA roll-out. Provision of on-the-job training to 2 MRCS monitoring staff and 2 project staff in how to monitor of the roll-out of the SDA are provided Submission of consultancy report on all the activities completed. The report should be delivered both in hard and soft copy in English language, not exceeding 10 pages max (excluding annexes). 5.2 Schedule The consultancy will take place from end of September to early November 2018. The total duration of the contract is approximately 12 working days within the consultancy period following the estimated timeframe below: Deliverables Briefing and de-briefing Translation of the SDA confidence survey, development of the confidence survey in Magpi and preparation of training package Facilitation of completion of the baseline and confidence survey by the training participants. Facilitation of the Training Township Health workers on the use of the SDA Establishment of monitoring system (including development of monitoring tools) for MRCS for the SDA roll-out On-the-job training to 2 MRCS monitoring staff and 2 project staff in how to monitor the roll-out of the SDA Consultancy report Total Estimated number of days 1 day 2 days 4 days including travel 2 days 2 days 1 day 12 days The specific timeframe shall be agreed in joint consultation with the DRC Health Programme Manager. 4

The report shall be delivered to the DRC Health Programme Manager and the MRCS Director of Health no later than 20 days after the end of the consultancy assignment. 6. Skills & Qualifications Required Minimum academic qualifications: Advanced university degree in statistics, information management, public health or other relevant degree. Demonstrated experience in designing and implementation of monitoring and evaluation systems of community development projects using apps / mobile data collection or information management software. Demonstrated experience in facilitating of trainings, workshops and other capacity building initiatives related to project monitoring based on apps / mobile data collection or information management software. Demonstrated experience of using participatory approaches. Considerable technical knowledge and experience in RMNCH. Demonstrable skills in producing high quality reports in English. Fluency in written and spoken English and Myanmar languages. Ability to work independently and in a multi-cultural environment. Desirable Experience working with MRCS Familiarity with the Red Cross Red Crescent Movement 7. Application procedures Interested parties should submit their applications to Fran Stevens, DRC Health Programme Manager, frste@rodekors.dk by midnight on 26 th September 2018. Applications must include: 1. Curricula Vitae (CV) of the consultant/s. 2. Cover letter summarising how the consultant/s meets the consultant specification, confirmation of availability in the timeframe indicated, and contact details for three professional references. 3. Technical proposal not exceeding four pages, outlining a proposed approach, with time plan and budget. The consultant is wholly responsible for all tax payments in Myanmar, with 5

the exception of international applicants not already present in Myanmar, who shall have 2.5% tax withheld. DRC reserves the right to accept the whole or part of the offer and the lowest evaluated bid need not be accepted. Any questions related to the assignment can be directed to Fran Stevens, DRC Health Programme Manager, frste@rodekors.dk 8. Terms of payment Danish Red Cross shall pay the consultant in full upon submission and acceptance of all deliverables, including the final report. 9. Available Data & Documentation 1. Project Description RMNCH Myo Thit Township, Magway Region 2. Project Description SDA Guinea 3. Mid-tern review SDA Guinea 4. SDA Training English language 5. SDA Knowledge survey English and Myanmar Language 6. SDA Confidence Survey - English Language 6