Comprehensive Assessment of the Impact of COVID – 19 on HIV, TB, Malaria & Health Systems in Kenya.
1. Summary of the Covid-19 Impact Assessment.
1.1. Purpose: The main purpose of this exercise will be to assess impact of COVID -19 on HIV, TB, Malaria programs and Health Systems in Kenya.
1.2. Partners: Kenya Red Cross Society (KRCS), AMREF, Ministry of Health, and other partners.
1.3. Duration: 25 days.
1.4. Estimated Dates: 17th May to 18th June, 2021
1.5. Geographical Location: 47 counties of Kenya.
1.6. Target Population: All beneficiaries of Global Fund grant for HIV, TB and Malaria in Kenya (Clients and Health Management teams).
1.7. Deliverables: Comprehensive Inception and Final Evaluation Reports.
1.8. Methodology: An evaluation technique that will be effective for the assessment among HIV, TB and Malaria beneficiaries (Clients and Health Management teams).
1.9. Evaluation Management Team: KRCS and MoH team.
2. Background Information
Kenya has a population of 47.6 million people and those under the age of 35 years constitute 71% of the population. The urban population represents 32% with a sizeable proportion living in informal settlements in major towns (Nairobi, Kisumu, Mombasa), 2019 census report.
Coronavirus disease (COVID-19) is an infectious disease that has affected 216 Countries in the World. As at 5th April 2021, more than 131 million cases had been confirmed in the world with more than 2.8 million deaths reported within the period (https://covid19.who.int/). Due to the mode of transmission, all individuals are susceptible to the COVID-19 virus with the older population and those with pre-existing diseases/conditions at a higher risk of severe disease.
In Kenya, the first COVID-19 case was diagnosed and reported on 13th March 2020. As at 5th April 2021, a total of 139,448 confirmed COVID-19 cases had been reported, with 94,361 recovered cases and 2,221 confirmed deaths. A total of 1,590 patients are currently admitted in various health facilities countrywide, while 5,998 patients are in Home Based Isolation and care. As at 5th April 2021, the positivity rate stood at 16.7% (Ministry of Health COVID-19 outbreak in Kenya daily situation report-377).
COVID-19 poses a significant threat to health – dual risk of morbidity and mortality due to infection and disruption to delivery of HIV, TB and Malaria prevention and treatment services. Observed and reported disruptions include interruption of community health service delivery: Community actors e.g. TB champions, Peer Educators, Community Health Volunteers (CHVs) are unable to visit households due to lack of Personal Protective Equipment (PPE) and inadequate knowledge of COVID-19, and community members’ reluctance to allow CHVs into their homes. People Living with HIV (PLHIV) are classified as clients at high risk of contracting COVID-19 which further stigmatizes and limits access to HIV services. Some counties issued directives barring TB champions, Peer Educators, CHVs to carry out household visits until they have the necessary PPE.
3. Program Goal and Objectives
3.1 Main objective
The overall objective of the COVID-19 grant was to contribute to national COVID-19 response in mitigating the impact of COVID-19 on HIV, TB and Malaria programs.
3.2 Specific objectives
3.2.1 Mitigate COVID-19 impact on HIV, TB, malaria programs
3.2.2 Reinforce the national COVID-19 response
3.2.3 Strengthen health and community systems
4. The Assessment Purpose, Scope & Deliverables
The program has planned to conduct comprehensive rapid assessment of the impact of COVID-19 on HIV, TB, Malaria and Health Systems (including access to justice for SGBV, PLHIV) in Kenya to inform the targeting of interventions from this and other funds to mitigate the impact. The key focus areas of the assessment will include impact on HRH, availability of services, supply chain management, recording and reporting, laboratory referral networks, harm to vulnerable populations and effectiveness and availability of mitigation measures that have been deployed. The findings from the assessment will be useful to craft measures to improve and maintain health Systems response to HIV, TB and Malaria in Kenya
The broad objective is to carry out a rapid assessment on the impact of Covid-19 on HIV, TB, Malaria and Health Systems in Kenya.
4.2 Specific Objectives:
4.2.1 To assess Impact of COVID-19 on HIV, TB, Malaria and Health Systems in Kenya.
4.2.2 To assess the socio-economic impact of COVID-19 on the population living with HIV, TB and Malaria in Kenya.
4.2.3 To determine the impact of Covid-19 on Interventions for reducing Human Rights, Gender Barriers and access to justice.
4.2.4 To evaluate the effectiveness and availability of mitigation measures deployed across the program areas.**
4.3 Scope of Work:
4.3.1 Geographical coverage: 47 counties of Kenya
4.3.2 Target groups: People living with HIV, TB and Malaria.
4.3.3 Expected Outputs:
184.108.40.206 A technical and financial response to the call for applications outlining the understanding of the task, detailing methodology for the assessment, data analysis plan, work plan with tentative timelines and summary budget.
220.127.116.11 An inception report of the desk review prior to field work to demonstrate a clear understanding and a practical work plan for the assessment.
18.104.22.168 Submission of the final assessment report to the evaluation team, including raw, final databases and any recorded material such as video, audio etc.
4.3.4 Deliverables: The assessment will be phased with deliverables at intervals that will be discussed and agreed with the consulting firm. However, at the minimum;**
22.214.171.124 The Inception reports.
126.96.36.199 Final assessment report.
4 Evaluation Methodology Approaches
The Ministry of Health and KRCS highly recommend that the consultancy considers effective approaches and design that responds to the assessment objectives and scope of this assignment. However, additional and effective approaches may be recommended to meet the data requirements for the assessment as agreed with EMT.
The consulting firm will also be required to recommend sampling techniques for the evaluation, which adheres to the laws of Statistical Regularity and Inertia of large numbers. All findings should be scientific, evidenced and critically evaluated for validity and reliability. The data collection and analysis methods must be comprehensively and explained in the reports.
5 Quality & Ethical Standards
The consultant shall take all reasonable steps to ensure that the assessment is designed and conducted to respect and protect the rights and welfare of people living with HIV, TB and Malaria involved and to ensure that the assessment is technically accurate and reliable; is conducted in a transparent and impartial manner. The firm will be required to seek for ethical approval prior to the commence of data collection process. In addition, the team will be required to adhere to the research standards and applicable practices as recommended by MOH, International Federation of Red Cross and Red Crescent Societies.
5.1 Utility: Evaluations must be useful and used.
5.2 Feasibility: Evaluations must be realistic, diplomatic, and managed in a sensible manner.
5.3 Ethics & Legality: Evaluations must be conducted in an ethical and legal manner, with particular regard for the welfare of those involved in and affected by the evaluation.
5.4 Impartiality & Independence: Evaluations should be impartial, providing a comprehensive and unbiased assessment that takes into account the views of all stakeholders.
5.5 Transparency: Evaluation activities should reflect an attitude of openness and transparency.
5.6 Accuracy: Evaluations should be technical accurate, providing sufficient information about the data collection, analysis, and interpretation methods so that its worth or merit can be determined.
5.7 Participation: Stakeholders should be consulted and meaningfully involved in the evaluation process when feasible and appropriate.
5.8 Collaboration: Collaboration between key operating partners in the evaluation process improves the legitimacy and utility of the evaluation.
6 Qualifications and Experience for the evaluation firm
For the purposes of this assessment, the consultant should have:
6.1 A minimum of ten years of progressively responsible, professional-level experience in carrying out Health Impact Assessments or similar.
6.2 Experience and knowledge in conducting research on HIV, TB, Malaria and Health programing in Kenya;
6.3 Knowledge on socio-economics, Human rights and gender, social research programs.
6.4 Competent in designing and using mobile phone technology for data collection, statistical packages for quantitative and qualitative analyses.
6.5 Good understanding and proven track record in safeguarding/do no harm principle.
6.6 Experience in conducting data collection during the COVID-19 pandemic to ensure safety of both researchers and respondents is a critical requirement.
6.7 Excellent analytical (qualitative and quantitative), presentation and writing in English.
6.8 Ready to carry out the assignment and deliver results within a short time.
6.9 Minimum of Master’s Degree in Public Health, Community Health, Social sciences, Medical Statistics and any other relevant field.
7 Management of the Assessment
7.1 Duration: The entire survey will take a maximum of 25 days. The scheduled start date is 17th May 2021 and end date is to 18th June, 2021.
7.2.1 Inception Report should be submitted in soft copy.
7.2.2 All hard copy forms for data submission and soft copy in a flush disk.
7.2.3 A soft copy Draft Evaluation Report, editable for review and inputs.
7.2.4 Final Evaluation Report, well visualized – 20 hard copies (Gloss paper and perfect book bound) and soft copy in a Flash Disk, including the PowerPoint presentation used during disseminations.
7.3 Roles of Evaluation Management Team: The project management team will include KRCS and MOH team. The role of the team is envisaged but not limited to the following:
7.3.1 Development and finalization of the assessment Terms of reference.
7.3.2 Procure the consulting firm and provide logistical support during the evaluation process.
7.3.3 Provide Consulting team with all documents as required.
7.3.4 Plan for the assessment report validation meeting for key stakeholders and during HIV-ICC.
7.3.5 Review and approve the assessment documents and the final report.
7.3.6 Make fund available to the consultant as per the contract document.
7.4 Role of the Consultant: The consultant will consult with KRCS/EMT in undertaking the following:
7.4.1 Respond to the TOR with clear methodology, work plan and budget.
7.4.2 Undertake the desk review and develop literature review.
7.4.3 Design the survey methodology, sample and data collection tools.
7.4.4 Development of inception report.
7.4.5 Sensitize research team for data collection.
7.4.6 Conduct KI interviews, data analysis, report etc.
7.4.7 Develop and submit the final evaluation report.
7.4.8 Develop study dissemination pack and facilitate actual dissemination.
7.4.9 Share all the data sets with KRCS.
8 Submission of proposal
The Technical Proposal MUST be prepared in conformance to the outline provided in Annex 1 while the financial proposal shall conform to the template provided in Annex 2.
Bidders should provide a technical and financial proposal in two separate folders clearly marked “Technical Proposal” and “Financial Proposal” and sent as one email with the subject: “Tender No. GFPREQ01652: Call for Consultancy for the Impact Assessment of COVID-19”
The Proposal should be sent on mail to reach firstname.lastname@example.org by 7th May, 2021 at 11:00 am
ANNEX 1: TECHNICAL PROPOSAL FORMAT
- Introduction: description of the firm and firm’s qualifications. 1/2 pages>.
- Back ground: Understanding of the project, context and requirements for services. .
- Proposed methodology – Describe the proposed design for the assessment. Indicate methods to be used for each objective and highlight any areas where adjustment may be recommended. The targeted respondents should be indicated for each objective. Detailed sample calculation methods and sampling procedure needs to be indicated. .
- Firms experience in undertaking assignments of similar nature and experience (Table of: Name of organization, name of assignment, duration of assignment (Dates), reference person contacts). .
- Proposed team composition as per the table below. .
Name of Team Member
Highest Level of Qualification
General Years of Experience related to the task at hand
Number of days to be engaged
Roles under this assignment
- Work plan (Gantt chart of activity and week of implementation) – .
ANNEX 2: BUDGET TEMPLATE
The consultant shall only quote for the items below as KRCS will manage all other related costs (Logistics and payment of enumerators):
# of Units
Unit Cost (Ksh.)
Total Cost (Ksh.)
Justification of Unit cost
Consultancy Fee (for the whole assessment period)
Office expenses (Printing, graphic design, photocopy, binding, communication costs etc.)
NOTE: It is recommended that this be done in excel sheet and the detailed budget submitted in electronic with summary as a print out in the envelope.
ANNEX 3: TENDER EVALUATION CRITERIA
A three-stage evaluation procedure will be used to evaluate all proposals from bidders that meet the Administrative compliance. The total number of points which each bidder may obtain for its proposal is:
3.1 Eligibility compliance Pass
3.2 Technical Proposal 60 marks
3.3 Oral presentation 30 marks
3.4 Financial Proposal 10 marks
3.1 Eligibility Criteria
Applicants will have to be a legal entity registered in Kenya with the right to enter a contractual agreement with KRCS. The applicant must have no history of legal proceedings related to fraud or corruption. The applicant must be a qualified entity (firm/company) with:
3.1.1 Valid Registration,
3.1.2 PIN certificate,
3.1.3 Tax compliance,
3.1.4 Two detailed reports of previous assignments (Soft copies).
Note: Only applications meeting all the above eligibility requirement will move to the tender evaluation.
3.2 Evaluation of the Technical Proposal
The technical proposal shall be evaluated on the basis of its responsiveness to the Terms of Reference. Specifically, the following criteria shall apply:
Introduction: Compliance to the Terms of Reference, clear description of the firm and its qualifications.
Background: Understanding of the project, context and requirements for services
Proposed Methodology: The proposed methodology MUST provide an indication of its effectiveness and added value in the proposed assignment. Review the previous reports submitted
Firms Experience in undertaking assignments of similar nature and experience from related geographical area for other major clients: Provide a summary and supporting information on overall years of experience, relevant technical expertise, previous experience in ethical clearance and working with disadvantaged population/communities.
Proposed Team Composition:
- Tabulate the team composition to include the general qualifications, suitability for the specific task to be assigned and overall years of relevant experience to the proposed assignment.
- The proposed team composition should balance effectively with the necessary skills and competencies required to undertake the proposed assignment.
- Lead Consultant Qualifications – should be as per the TOR
Work Plan: A Detailed logical, weekly work plan for the assignment MUST be provided.
Any firm with at least a score of 42 (70%) from the technical evaluation, will proceed and invited for the second stage – oral presentation.
3.3 Oral presentation
Understanding of the assignment and clarity on the proposed methodology
Roadmap is realistic and aligned to the methodology
Presentation of: detailed CVs of team to be involved, evidence of legal Compliance (Registration, PIN certificate, tax compliance etc.) and two Sample reports of previous assignments.
For the firm to proceed to the last stage – financial proposal opening and evaluation, the minimum score must be 63 (70%) of the combined technical proposal and the oral presentation.
3.4 Financial Proposal Evaluation
The Financial Proposal shall be prepared in accordance to Annex 2. The maximum number of points (10 points) will be allocated to the lowest financial quotation and the other Financial Proposals will receive points in an inverse proportion according to the below formula:
Points for the Financial Proposal being evaluated
(Maximum number of points for the financial proposal) x (Lowest price)
Price of proposal being evaluated
3.5 Final Scores and Recommendation
A total score will be aggregated for ONLY the bids that go through the three stages above (Technical, Oral and Financial evaluations). The tender evaluation team shall make a recommendation to award the bidder with the highest total score.
How to apply
Bids should reach email@example.com on or before 7th May at 11.00 am. Bids received after the above-specified date and time shall not be considered.
Any bid received by KRCS after this deadline will be rejected.
Bidders should provide a technical and financial proposal in two separate folders clearly Marked “Technical Proposal + Name of consultant” and “Financial Proposal + Name of consultant” both of which should then be sent to firstname.lastname@example.org with the subject reading “Tender No. GFPREQ01652: Call for Consultancy for the Impact Assessment of COVID-19”.**
The Proposal should be addressed as indicated above to reach the under signed by 7th May 2021 at 11.00 a.m. for the tender to be opened at 12.00 noon:
Any bid received by KRCS after this deadline will be rejected.