Monitoring, Evaluation and Learning Consultant

Popular Mobilisation Campaign in East Africa

Request for Proposals

Transform Health, is setting up a mobilisation campaign called My Data Our Health. The campaign, implemented by KANCO,  will be piloted in East Africa (Kenya, Uganda and Tanzania). The campaign will focus on the issue of health data and the way it is regulated. Transform Health is inviting consultants to submit proposals for the development and execution of a monitoring and evaluation plan for the project.

About the Campaign

Transform Health’s first public mobilisation campaign will be focusing on the issue of health data governance, a key policy area for  the coalition over the coming years both in terms of our advocacy and popular mobilisation. This priority area fits within the wider strategy of Transform Health to create an enabling environment for the digital transformation of primary health care systems, towards Universal Health Coverage (UHC), including building political will for action and advocating for increased investment. Digital transformation of health systems relies on the ability of digital technologies to collect, interpret and use, store and dispose of vast amounts of health data. The need to ensure the rights to privacy and security of individuals, while allowing health planners, providers and researchers to use this data for public good purposes is paramount.

Monitoring, Evaluation and Learning

The purpose of the evaluation is twofold, the first being assessing the effectiveness of the processes of this pilot campaign in order to increase the chance of it being effectively implemented in other regions (with the necessary contextualisation to increase the relevance in that region) and the second being the evaluation of the implementation against the objectives it aims to achieve.

1. Evaluation of the processes of this pilot implementation

The major areas to be evaluated include the following:

  • The effectiveness of mobilising youth, women and marginalised groups on the topic of health data governance.
  • The content and execution of the capacity building workshops done within the campaign. This should be evaluated before and after the workshops.
  • The effectiveness of the toolkit and materials created for the recipients
  • The process of sourcing partners for the small grants, return on investment from partners awarded the small grants and the overall support given to the partners in execution of the work.
  • The process of identifying and embedding key messages within the media and social media outreach

The areas above will be evaluated through surveys, focus group discussions and after action reviews with the following types of stakeholders: youth and women-led organisations, civil society organisations, government representatives, regional bodies, core partners etc. We are looking for innovative cost efficient and language applicable solutions to meet the evaluation needs.

2. Evaluation of progress toward objectives

Our core objectives for this campaign are:

  • Generating a public debate on health data governance
  • Increasing the awareness and understanding among Parliamentarians of the issue of health data governance
  • Increasing the level of priority of health data governance among regional decision making bodies

In addition to the output indicators that will be captured as part of the monitoring process, evaluation against these objectives will conducted by KANCO and partners by holding 2 evaluation workshops (one at the halfway point of implementation and the second at the end of the implementation) with the aim of evaluating progress towards these objectives as well as generating an evaluation report to be combined as part of the overall evaluation of the pilot. This is supplemented by monthly reports that will be produced by the project partners. Using the workshops and monthly reports, any project deviations necessary to reach the objectives will be reported as well as the necessary modifications to ensure that the project objectives are reached.

These objectives will be further strengthened by the landscape analysis to be conducted, which would allow us to evaluate the strategy we use in order to achieve the objectives.

Key Deliverables and Timelines

   Expected Tools/Products

  • Quarterly analysis report of key learnings from partner monthly reports (detailed below)
  • Survey and Focus Group Discussion guides for project components that include
    • Capacity Building Workshop,
    • Toolkit and materials,
    • Small grants issue and implementation and
    • Popular mobilisation and campaigning.
  • ROI framework for measurement and analysis of small grants and use of said framework.
  • After Action Review Guide or similar for government, regional and core partner engagement. After Action Review Guides or similar for Media/social media outreach and coordinated events. These After Action Reviews will be conducted post engagement.

Pilot Project Learning reports:

  • A learning report will be produced by analysing the reports produced as part of the monitoring and evaluation processes listed above, with the intent of creating a guidance document for further implementation of the pilot project in other regions.
  • This report will also make key suggestions and recommendations that would increase the effectiveness of the pilot once replicated in other regions.
  • This report will be shared with partners for their input and guidance as part of the close out of the overall pilot and used for the further implementation of the mobilisation efforts in other regions by Transform Health.
  • The format should be a document as well as a presentation.
  • The consultant should be prepared to present his/her findings to the team.
  • Suggested distribution of the learning report via existing external channels

Timeline

Specific MEL activity Who’s involved Expected dates & Process Expected allocation of time
1. Monitoring Partners Monthly reports 2 days per month over 18 months
2. Evaluation of Processes and materials Partners Ongoing – FGDs  and AAR 5 days per month over 18 months
3. Evaluation of Progress against Objectives Partners Partner workshop

●        6 months after kickoff

●        Post Implementation

18 months
4. Learning Partners Learning report produced

● Collation & analysis of monitoring evaluation reports – as per 1-3 above with the intent of replication of the pilot in other regions with recommended changes to relevant areas.

5 days per month over 3 months

Instructions for Submission:

Proposals should be submitted by 17th October to Transform Health at beatrice.okech@transformhealthcoalition.org and danielle.mullings@transformhealthcoalition.org.

Please include the following in your submission:

  • A cover letter stating your experience and suitability for the role, including details of relevant MEL projects – especially for non-profit organisations, or on technical/ health-related projects.
  • A financial quote for all your services, with a breakdown of costs

We will prioritise organisations and individuals headquartered or living in low and middle income countries. Selection will take place by 31st October and might require a discussion with the team if the proposal is shortlisted.

About Transform Health

Who we are: Transform Health is a global coalition of organisations dedicated to achieving health for all in the digital age.

What we do: Transform Health sets out to build a global movement that brings together organisations and institutions across different sectors, committed to achieving universal health coverage within the next ten years by expanding the use of digital technology and increasing access to data. We campaign and collaborate with the individuals, communities, governments, organisations and institutions that are most affected by the lack of access to equitable, affordable and high-quality healthcare.

Annex

Context of Data and its Governance

Digital transformation is synonymous with computational capacities to collect, store, and analyse vast amounts of personal data. This data can be used to mount more effective responses to the health needs of a population. It can also be used to marginalise and exclude certain groups from health benefits (such as health insurance) or services (sexual and reproductive health and rights), or to deepen social surveillance and control.

Current public debates around data governance focus on issues of individual privacy and data security. However, when it comes to health we need to balance individual privacy and security with the health needs of the population. The health data of each one of us holds the key to the well being of others.

Public Mobilisation Campaign

On 16 Feb 2022, the Coalition hosted a workshop  with 20 partners from 15 organisations from across 10 different countries (Indonesia, Bangladesh, India, Kenya, Senegal, Ghana, Spain, Switzerland, Guatemala, and USA) to develop the approach, narrative and key messages for the campaign. The campaign, entitled My Data Our Health, will seek to raise awareness and galvanise action on the issue of health data and to encourage a public and political conversation on the following set of questions:

  • Who determines how this data is collected, managed, used, stored and disposed of?
  • What are the limits of this authority?
  • How can we ensure this data is going to be used for public benefit purposes?
  • How much access and control do and should individuals have over their health data?
  • How can we ensure this ownership and control is respected and protected?
  • How to mitigate the effects of breaches and lost trust in case individual data privacy is compromised.

At the heart of this campaign is the question of trust – between the people whose data it is and those collecting it, between the authorities and the public, and between the public and institutions collecting and using it for the public good.  To build this trust we all need to understand and value our data more.

The underlying assumption of the campaign is that there is little political incentive from politicians to grant this issue time on the legislative agenda and to pass effective legislation and regulation. This is because there is a lack of public and political understanding of the issue and therefore low demand on politicians, most of whom grew up in an analogue world, to act on it.

As a first step, My Data Our Health will ensure this civil society voice from low and middle income countries among others is well organised and calling for this global framework, to inform national legislation, and also calling for the full and meaningful engagement of all sectors of society in the elaboration of this global framework. is organised and calling we need a bottom up and top down approach. This will also provide the necessary support for a global health data governance framework to be adopted in national legislation. The next step will be to press for domestication.