Tenders Are Invited For Conduct A Comprehensive Situational Analysis Of The Eye Health System Within The State And Provide Evidence-Based Recommendations For Strengthening

Tenders are invited for Conduct a Comprehensive Situational Analysis of the Eye Health System within the State and Provide Evidence-Based Recommendations for Strengthening Closing Date: 31 Jul 2026 Type: Consultancy Terms of Reference for Situation Analysis SITUATION ANALYSIS (SITAN) SUMMARY Project ID and Program/Project Name P11150 SightQuest Nigeria Programme Project start and end dates; phase of project if applicable 2026 - 2031 Evaluation Purpose To conduct a comprehensive situational analysis of the eye health system within the state and provide evidence-based recommendations for strengthening eye health services and improving access to quality eye care. Evaluation Type Situation Analysis (SITAN) Location Jigawa, Imo, Abia/Rivers, Plateau, Borno, Adamawa, Ogun & Kogi States. Contracting organisation/contact person CBM CO Nigeria Evaluation Team members (if known) External Consultants not yet identified Primary Methodology (Mixed Methods; quantitative and qualitative methods) Proposed Evaluation Start and End Dates July September 31st, 2026 (30 working days for each state) Recipient of Final Evaluation Report CBM Country Office (CO)Nigeria PROJECT DESCRIPTION Blindness and severe visual impairment (SVI) remain major public health challenges globally, particularly in low and middle-income countries where access to quality eye care services is limited. In Nigeria, cataract and uncorrected refractive errors continue to be the leading causes of blindness and visual impairment, while emerging conditions such as diabetic retinopathy and age-related macular degeneration (ARMD) are contributing to an increasing burden of eye diseases. Access to eye health services is often constrained by inadequate financing, shortages of trained personnel, weak health information systems, insufficient infrastructure, and gaps in the implementation of existing policies and strategies. To address these challenges, CBM is implementing SightQuest Nigeria Programme, a ten-year programme aimed at strengthening eye health systems and scaling up inclusive eye health services across 14 states in Nigeria. The programme seeks to eliminate avoidable blindness and severe visual impairment by improving access to quality, affordable, and inclusive eye care services. The main objective of the programme is to increase effective cataract surgical coverage (ECSC) by 30 percentage points and (EREC) effective refractive error coverage by 20 percentage points in selected states. The SightQuest Programme seeks to employ a health systems strengthening approach that addresses the gaps in service delivery, human resources, infrastructure and equipment, financing, governance, and health information systems. The main areas of intervention= include strengthening district eye health programmes, improving access to primary eye care services, establishing vision centres and eye centres, improving referral pathways, improving the quality of cataract surgical services and strengthening sustainable financing for eye health services. Programme implementation will be phased, it begun in Bauchi and Oyo states in 2026 and will subsequently expand into Imo, Jigawa, and Plateau States before scaling to all 14 target states by 2029. Given the diverse contexts and varying levels of eye health system development across states, there is a need for a comprehensive situational analysis to generate evidence for planning and implementation. The situational analysis will assess the eye health system using the World Health Organization (WHO) Health System Building Blocks Framework and provide a clear understanding of the status of eye health services, resources, policies, and systems within the selected state. 3. SITAN OBJECTIVES AND INTENDED USE Specifically, the situational analysis aims to: 1. Assess the status of eye health services in the State using the WHO Health System Building Blocks Framework. 2. Determine the strengths, weaknesses, opportunities, and threats (SWOT) within the State eye health system, particularly in relation to: Leadership and Governance; Health Financing; Human Resources for Eye Health; Service Delivery; Medical Products, Equipment and Technologies; and Health Information Systems. 3. Assess the management structure and implementation challenges of the existing CBM-supported eye health programme in the States. 4. Evaluate the availability, accessibility, quality, and inclusiveness of eye health services across primary, secondary, and tertiary levels of care. 5. Identify barriers and facilitators to accessing eye health services, especially among vulnerable and marginalized populations, including persons with disabilities. 6. Map key stakeholders, programmes, facilities, workforce, and resources supporting eye health service delivery in the States. 7. Generate baseline information and actionable recommendations to guide strategic planning, programme implementation, policy development, advocacy, resource mobilization, and future investments under the SightQuest Nigeria Programme. The findings from the situational analysis will provide the evidence base for strengthening sustainable, equitable, and inclusive eye health systems and will inform the design, implementation, and scale-up of the SightQuest Nigeria programme in the selected states. 4. SCOPE OF THE EVALUATION The situational analysis will be conducted between July and 30 September 2026 and will cover the eye health systems of eight states in Nigeria: Jigawa, Imo, Abia/Rivers, Plateau, Borno, Adamawa, Ogun, and Kogi States. The assessment is being undertaken within the framework of the SightQuest Nigeria Programme, a ten-year CBM initiative aimed at strengthening eye health systems and scaling up inclusive eye care services to eliminate avoidable blindness and severe visual impairment. The scope of the assessment will cover the eye health system across the six WHO Health System Building Blocks, namely: leadership and governance, health financing, human resources for eye health, service delivery, medical products, equipment and technologies, and health information systems. It will also assess the management structure and implementation arrangements of existing CBM-supported eye health programmes where applicable. The assessment will examine a range of interventions and service delivery approaches, including district eye health programmes, primary eye care services, referral pathways, vision centres, eye centres, cataract surgical services, workforce, and financial systems that support access to eye care services. Geographically, the assessment will be conducted across the selected states and will include a representative sample of eye health facilities and stakeholders at the primary, secondary, and tertiary levels of care. Data will be collected in selected Local Government Areas (LGAs), health facilities, communities, and relevant institutions within each state to ensure adequate representation of the eye health system while remaining feasible within the evaluation timeline and resources available. The consultant shall undertake the following activities: A. Inception Phase Review relevant national and state policies, strategic plans, reports, publications, and available eye health data. Review the material collected by the Consultant for the State National Eye Health Policy domestication process. Conduct stakeholder consultations with key actors. Develop and submit an inception report outlining methodology, workplan, sampling approach, and data collection tools. B. Data Collection The consultant shall adopt a mixed-method approach involving both quantitative and qualitative methods. Activities shall include: Desk review of relevant literature and programme documents. Collection of secondary data from health facilities and government institutions using: Relevant sections of the CBM DECSAT Tool (District Eye Care Situation Analysis Tool) any data collection tools deemed fit by the consultant Assessment of all eye care facilities across the State using a desk review tool in consultation with the facility leads. Key Informant Interviews (KIIs) with relevant stakeholders. Focus Group Discussions (FGDs), where applicable. Stakeholder consultations. Key Informants may Include: State Ministry of Health representatives. State Eye Health Committee members. Representatives of the National Eye Health Programme. Ophthalmologists and other eye health professionals. Professional associations. Development partners and NGOs working in eye health. Representatives of Organizations of Persons with Disabilities (OPDs). Community and traditional leaders. Beneficiaries of eye health services. 5. LIMITATIONS Several factors may affect the scope and implementation of the assessment: Availability and quality of secondary data may vary across states, facilities, and institutions, particularly for eye health indicators and programme records. Security and accessibility challenges may limit travel to certain locations, especially in parts of Abia, Borno, Imo and Adamawa States. Availability of key stakeholders for interviews and consultations may affect the scheduling of field activities. Logistical constraints, including distances between facilities and communities, may limit the number of locations that can be visited within the available resources. Where access constraints arise, the consultant may complement face-to-face data collection with virtual interviews, telephone consultations, and online meetings while ensuring adequate participation of key stakeholders. Attention shall be given to ensuring inclusion of persons with disabilities and other vulnerable groups regardless of the engagement approach. 6. TARGET AUDIENCE AND LEARNING The findings will be used to establish baseline information for the SightQuest Nigeria programme implementation Tender Link : https://reliefweb.int/job/4222163/conduct-comprehensive-situational-analysis-eye-health-system-within-state-and-provide-evidence-based-recommendations-strengthening