Founded in 1933, the International Rescue Committee (IRC) responds to the world’s worst humanitarian crises and helps people to survive and rebuild their lives. At work today in more than 40 countries, the IRC restores safety, dignity and hope to millions who are uprooted and struggling to endure. The IRC leads the way from harm to home.
The Syria crisis is often described as the worst humanitarian catastrophe since the end of the Cold War. Inside Syria, 7.6 million people are internally displaced and 12.2 million are in need of humanitarian assistance, with 4.8 million in hard-to-reach areas. There are 4 million Syrian refugees in neighboring countries. This is no short-term humanitarian episode. The devastating human consequences to huge numbers of people will endure for decades. The destruction of relationships, communities, livelihoods, homes and infrastructure will take years to repair.
Now in its sixth year, the armed conflict in Syria has resulted in a humanitarian crisis inside Syria and throughout the region. The most recent figures indicate that over 5 million Syrian refugees in neighboring Turkey, Lebanon, Jordan, and Iraq. The United Nations High Commissioner for Refugees (UNHCR) reports that 654,903 refugees were registered in Jordan.
Working in coordination with the humanitarian community and the Government of Jordan, the IRC provides assistance for Syrian refugees in both camp and urban settings. The IRC’s assistance programs are focusing on providing health, protection and economic empowerment services at the urban areas in Mafraq and Irbid governorates and inside the two camps.
Consultancy work Background:
The health sector continues to struggle with a funding gap in face of increasingly unmet needs. In 2017, 34% of the total requested funds under health sector went uncovered, amounting for $27,670,397. This shortfall in funding severely affected the Syrian refugee population in Jordan and the amount of health assistance available to them. On November 2014, the government of Jordan announced that Syrian refugees will no longer receive free treatment in public health facilities, and introduced a user fee, ranging from 35% to 60% of what non-Jordanians pay.
A recent Ministerial Council decision in 2018 require Syrians to cover expenses at 80% of the foreigner’s rate. These decisions, driven by fiscal gaps, constitute the most significant barrier to Syrian refugees’ access to services, given that the vast majority of them live under the poverty line and do not have the means to cover the cost of health in government facilities. Financial costs as well as legal documentation issues are increasingly funneling Syrian refugees toward free-of-charge humanitarian organizations who are unable to meet the demand. While INGOs attempted to fill the gap, lack of funding and proper multiyear funding streams, left many unable to meet the increasing demands on health services.
In response to the new MoH decision the IRC’s started to collect and analyze data received through different systems to understand the situation on ground. Since March 2018, the IRC has conducted the following:
– Tracked all patients who accessed urban static clinics but were unfortunately turned away because of reaching the maximum capacity of seeing patients at the IRC’s clinics for the day.
– All communications received through the feedback and complaint mechanism were analyzed to review the trends of requesting assistance before and after the decision.
-A customized exit survey was developed targeting the IRC’s health patients to understand whether the decision is affecting them and to what extent.
The consultancy Scope:
The IRC aims through this assignment to:
1.Better understand how the MoH 2018 policy change is affecting/will affect the Syrian refugees.
2.Explore the available options for Syrian refugees to receive health services and medication.
3.Understand the access to health services, current attitudes towards seeking health services and practices among the interviewed Syrian refugees.
4.Understand the coping mechanisms adopted by the interviewed refugees to manage their health needs.
To reach aim of this consultancy assignment, the consultant will:
1.Provide the IRC with preliminary findings of collected data through the different channels.
2.Collect further qualitative data from stakeholders and IRC’s beneficiaries and community level health services’ seekers who are not using the IRC’s clinics to enrich the preliminary findings.
3.Prepare a report with findings and recommendations that can be used for advocacy purposes.
4.Provide the IRC with recommendations on how to better monitor the access to health trends among the affected population.
The consultant will receive:
IRC’s Patients’ turned-away data.
Feedback and complaints received through communications.
Exit survey raw data in an excel – questions are open and close ended question.
All previous advocacy papers prepared by the IRC for the related topic.
The aim of this consultancy assignment is to get a detailed understanding about the effect of the new health policies through an in-depth review of the situation on the ground. Therefore; the consultant must interview the following.
The IRC’s programs beneficiaries: the consultant will interview the beneficiaries through FGDs and in-depth individuals interviews as follows:
4 FGDs in the two urban locations as follows:
– 2 FGDs Male Syrian beneficiaries two per location one for middle-aged adults and one for elderly.
– 2 FGDs Female Syrians beneficiaries two per location one for middle-aged adults and one for elderly.
16 in-depth individuals interviews as follows:
– 4 in-depth interview with beneficiaries receiving treatment for a Non-Communicable Disease –diabetes case- two per location.
– 4 in-depth interview with beneficiaries receiving treatment for a Non-Communicable Disease –hypertension case- two per location
– 8 in-depth interview with beneficiaries receiving treatment for two of the most common Communicable Diseases – two interviews per location.
Community level health services’ seekers – not using the IRC’s clinics: the consultant will interview the health through FGDs at the community level from the neighbouring areas of the urban clinics follows:
4 FGDs in the two urban locations as follows:
– 2 FGDs Male Syrian refugees one per location one for middle-aged adults and one for elderly.
– 2 FGDs Female Syrians refugees one per location one for middle-aged adults and one for elderly.
8 in-depth individuals interviews as follows:
– 2 in-depth interview with Syrian refugees diagnosed with a Non-Communicable Disease –diabetes case- one per location.
– 2 in-depth interview with Syrian refugees diagnosed with a Non-Communicable Disease –hypertension case- one per location
– 4 in-depth interview with diagnosed with two of the most common Communicable Diseases at the community – two interviews per location.
The programs’ staff and senior management: interview the program staff through in-depth individuals’ interviews program coordinators, managers, deputies, medical staff, administrative staff, information management staff and senior management staff.
Key stakeholders: interview 3-4 different stakeholder including INGOs providing similar project interventions, and / or governmental representatives.
The elevator will be responsible for the following:
- Inception summary to cover the consultant understanding of assignment, detailed work plan, tools, final report structure before field work starts.
- Conducting all FGDs and the in-depth individual interviews with the program and non program beneficiaries in the field.
Conducting KIIs with the IRC’s programs staff and key stakeholders.
- De-briefing for the IRC’s country program teams after the field work.
Draft of the report for review.
- Producing the final report containing an executive summary, findings and the interpretation of the findings, conclusions and recommendations.
- Final evaluation report summary in power point format.
The IRC will be responsible for the following:
- Providing all of the documents mentioned in the TOR.
- Provide background on the Program and the policy.
- Arranging the logistics to conduct the interviews with IRC’s beneficiaries in the field.
- Providing timely feedback on the draft report and the final report.
Treatment of the information
All data and information received for the purpose of this assignment is to be treated confidentially and is only to be used in connection with the execution of these terms of reference. All intellectual property rights arising from the execution of these terms of reference are assigned to the IRC. The contents of written material obtained and used in this assignment may not be disclosed to any third parties without the expressed advance written authorization of the IRC.
Task Time frame:
17th- 31st of July, 2018
Consultant selection and contracting
1st – 11th of August, 2018
Desk review: Consultant to review project’s document and provide planning and preparation including logistics
12 – 14th of August, 2018
Inception phase: consultant to provide draft qualitative tools to IRC and receive feedback
15th – 21st of August, 2018
The field work includes the FGDs and in-depth interviews
22nd – 30th of August, 2018
Complete first report draft
9th of September, 2018
IRC send back the reviewed initial report
12 of September, 2018
The consultant will finalize and submit the report to IRC
16th of September, 2018
KEY WORKING RELATIONSHIPS:
Consultancy Manager: MEAL coordinator based in Amman.
-Key points of contact during the mission:
Regional Health Advisor.
-Health JO Coordinator.
Regional Content and information officer.
REQUIRED PROFESSIONAL SKILLS:
- Undergraduate university degree in the relevant public health but also physicians, nurses etc, social sciences or sciences, e.g. development studies, geography, statistics.
Minimum 8 years of experience in research on health (essential).
- Proven experience in the humanitarian projects, preferably the Syrian crisis.
Fluent in Arabic and English, written and oral.
- Significant experience in conducting FGDs and KIIs on sensitive topics specifically GBV with diverse populations.
- Experience analysing and coding qualitative data (using Dedoose, ATLAS.ti or another software) for diverse audiences
- Excellent writing skills and ability to articulate the linkage between findings, analysis, and program recommendations.
Proven experience and track record of timely and high quality completion of assignments.
- Strong communication and presentation skills.
- Flexible attitude towards receiving feedback.
REQUIRED PERSONAL SKILLS:
- Ability to listen and understand others’ needs and contextualize them.
- Ability to immerse oneself in detail without getting lost in it.
- Proactive and self-motivated approach to work.
- High level of organization and time management, as well as an ability to learn quickly and produce high quality work under tight deadlines.
- Can discern the difference between confidential and public information, and can de-identify sensitive information
List of responsibilities, professional and personal skills are considered indicative and not exhaustive; actual duties may differ or change depending on office and agency priorities at the time.
Apply on-line from the IRC careers website. Applicants should attach:
- CV of the evaluator.
- Past performance references for similar assignments.
- Sample of consultant final reports sample of an evaluation report you worked on.
- Cost proposal, including all costs necessary to complete the assignment, and distinguishing (at a minimum) between:
- Consultant number of days and daily professional fee rates
- Travel costs – if applicable.
- Field work costs – if applicable
Only applicants who applies through the link will be considered .
- Job Location
- Amman, Jordan
- Company Industry
- Community/Social Services/and Nonprofit
- Company Type
- Non-Profit Organization
- Job Role
- Employment Type
- Full Time Employee
- Monthly Salary Range
- Number of Vacancies
- Job Ref.
- Career Level
- Mid Career
- Years of Experience
- Min: 8
- Bachelor’s degree / higher diploma