Tenders Are Invited For Final Impact Assessment Improved Eye Health

Tenders are invited for Final Impact Assessment Improved Eye Health in Kenya through Peek Technology/Vision Impact Project. Closing Date: 14 Apr 2025 Name of Partner Organisations: Sabatia Eye Hospital and AGC Tenwek Hospital Project start and end dates: 01-11-2021 to 31-03-2025 Evaluation Purpose: To comprehensively assess the project period examining the projects achievement of its primary goal of strengthening of eye health systems to generate learning for future programming, policy development, and scaling of successful interventions. Evaluation Type: Final Impact Assessment Contracting organisation: CBM Christoffel-Blindenmission Christian Blind Mission e.V Contact person: David Munyendo Primary Methodology: Mixed Methods as appropriate Proposed Start date: 25th April 2025 End date: 30th June 2025 Anticipated Evaluation Release Date: 30th June 2025 i. Project Description About CBM CBM Christo­ffel-Blindenmission Christian Blind Mission e.V is an international Christian development organization, committed to improving the quality of life of people with disabilities in the world. CBM addresses disability as a cause and consequence of poverty and works in partnership with implementing partners and government to create an inclusive society for all. About Vision Impact Project CBM supports community and school eye health programmes in Kenya to ensure that no one goes needlessly blind due to avoidable blindness. The Vision Impact Project (VIP) has been implemented in partnership with AGC Tenwek Hospital (Bomet County) and Sabatia Eye Hospital (Vihiga County) and co-funded by the German Federal Ministry for Economic Cooperation and Development (BMZ) for the period November 2021 to March 2025. The overall goal of VIP was to reduce prevalence of visual impairment and avoidable blindness in Vihiga and Bomet counties in Kenya through strengthening of eye health systems across primary, secondary, and tertiary levels using Peek technology. VIP targeted to screen and treat at least 60% of the general community population and at least 80% of children in school from 1,583 primary/secondary schools in the 2 target Counties. To achieve this, the project prioritized investment in 5 result areas namely: Eye health data in Vihiga and Bomet Counties is improved. Ophthalmologic facilities of Vihiga and Bomet Counties are functional and able to apply Peek technology. Ophthalmic care in the communities of Vihiga and Bomet Counties is increased. Ophthalmic care in primary and secondary schools in Vihiga and Bomet Counties is increased. Eye health governance is strengthened at the county level. Feasibility Study and Mid-Term Review A feasibility study was conducted at the beginning of the project and key gaps were noted in areas including but not limited to inadequate infrastructure and equipment, low demand for eye services, inadequate eye health work force, weak eye health governance in the county and inadequate financing in the county. In 2024, CBMs Inclusive Eye Health department conducted a mid-term review of the project which highlighted great progress towards strengthening eye health systems in the target counties. Detailed reports shall be availed to the successful candidate. ii. Evaluation Objective and Intended Use The final evaluation shall provide evidence of the achievements of the project following an analysis of the OECD DAC criteria. As an innovative approach has been used, i.e. Peek technology for eye screenings, the focus shall lie in the assessment of its effectiveness, efficiency and equity. The stakeholders want to understand how the use of Peek technology was able to enhance overall eye health services in the target Counties. It is also important to assess how far ophthalmic care in the communities and schools was improved and how the County level health governance was strengthened. iii. Scope of the evaluation The evaluation will cover the full period of implementation from November 2021 to March 2025 and will cover areas including but not limited to project design, planning, implementation and monitoring. The evaluation should cover aspects such as data management, screening, treatment, referrals, project governance, stakeholder involvement including persons with disabilities, project monitoring, reporting and resource utilisation. The VIP is multi sectoral and therefore the evaluation will cover all processes implemented in the community, in schools and in target health facilities, as well as with Education Assessment and Resource Centres and the National Council for Persons with Disabilities. In addition, the evaluation will assess how Peek Technology supported the project implementation especially with regards to screening and referral. iv. Limitations The evaluation team is likely to face absence of key stakeholders during evaluation period as a challenge. v. Target audience and learning The evaluation team will present the findings to the stakeholders including CBM, County Government and partners. The learnings from the evaluation report will be utilised by various stakeholders including County and National Government Ministry of Health, Ministry of Education, Implementing partners Tenwek and Sabatia, Peek Vision, CBM and BMZ. vi. Evaluation Questions The questions shall be based on the OECD DAC evaluation criteria of relevance, coherence, effectiveness, efficiency, impact and sustainability. In addition, all evaluations assess aspects around the CBM Programme Quality Principles (PQF document to be provided to consultants after contract signature), namely: Equality and Inclusion Gender Equality Safeguarding (children and vulnerable adults) Advocacy Accessibility and Universal Design. a. COHERENCE The extent the project aligned with the needs on the ground Was the project designed in a way that responded to the needs and priorities of all the stakeholders? How well did the project align with current National Eye Health Strategic Plan, County Plans and International priorities? To what extent did the project address county-specific eye health priorities? How effectively did the project respond to the needs of populations in schools and communities? What was the level of community engagement in project design and implementation? How well did the multi-sectoral approach aid in the success of the project? How well did the project complement existing health programs and systems at national and county levels? What synergies were created with other eye health initiatives? How well did the multi-sectoral approach aid in the success of the project? b. EFFECTIVENESS The extent the project has achieved its objectives. To what extent did the project achieve its objectives and expected results as per the design? A critical judgement of the extent of achievements (under- or over- achievement) and reason for the same is expected. Detailed assessment of achievements vs. objectives and set targets Analysis of success factors and challenges Separate performance analysis for Bomet and Vihiga Counties and good practices and learnings Assessment of implementation strategies Training and Capacity Development: Evaluation of training of health workers at Kenya Medical training on ophthalmology related courses and relevance to the project goals Assessment of knowledge retention and application in achieving project goals Analysis of effectiveness of Continuous medical education on quality eye care service delivery Outreach and treatment activities Effectiveness of community and school outreach strategies Coverage and reach of treatment outreaches Success of community and school screening programs Community engagement and awareness creation Were there any adaptive approaches in this project? To what extend did they address emerging issues to improve project effectiveness? How effectively did the implementing partners coordinate with county governments? What mechanisms were established for stakeholder coordination? How effective was the public private partnership across all the 7 counties. c. EFFICIENCY - How well have resources been planned and used? Did peek technology improve efficiency in screening and referral pathway compared to the traditional eye screenings methods. To what extent did the project deliver results in a cost effective and timely manner? Resource Utilization: Cost analysis of major interventions Compliance with budget and budget lines Resource allocation across counties Value for money assessment and including use of Peek Technology Operational efficiency analysis d. Time Efficiency: Compliance with implementation timelines Compliance with procurement processes Compliance with administrative procedures Response to implementation challenges e. IMPACT - What difference did the project make? To what extent has the project generated significant impact (positive or negative, intended or unintended) higher-level effects? Human Resources: To what extent did the project contribute to strengthening sustainable human resources for eye health capacity? Quantitative and qualitative assessment of capacity development Analysis of staff retention and motivation Evaluation of skill application and service quality Assessment of training cascade effects Health Information Systems: How has use of technology improved delivery of services while considering below: Effectiveness of electronic medical records Usage of Peek technology and its impact on the success of the project Referral system efficiency Default tracking success rates Data quality and utilization Integration with existing health information systems and the national system Service Delivery To what extent has the project improved quality in: Outcome of interventions Patient satisfaction Turnaround time and service efficiency Coverage and access improvements Integration with primary he Tender Link : https://reliefweb.int/job/4143224/final-impact-assessment-improved-eye-health-kenya-through-peek-technologyvision-impact-project