Medair Humanitarian Case Study Consultant

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Mostly home based with up to 2 short field trips, Kenya 12-15 November and TBD
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Title: Consultant for Two Humanitarian Development Nexus Case Studies — Exiting and Community Health Approaches


A consultant is needed to lead in close collaboration with the Medair GSO Health and Nutrition Advisors the finalization of the study design, tools and qualitative study implementation and reporting on two proposed case studies which are part of four case studies in an OFDA funded collaborative CORE Group proposal entitled “Addressing Gaps in the Evidence for Health and Nutrition in the Humanitarian-Development Nexus”.  The overall purpose of the program is to increase global capacity for coordinating, integrating and transitioning community health and nutrition services in response to protracted crises and in the transition to recovery. Interest in the transition between humanitarian response to development is high, but the gap remains in terms of what actually works, and how to transcend the divide between humanitarian and development work, to avoid duplication of efforts, and, specifically, to advance health and well-being in communities rather than continue to take things a few steps forward and a few steps back.  The CORE Group program attempts to address, with a focus on community-based primary health care, the question: what tools and guidance exist, work, and/or need to be created to smooth the transition between the humanitarian and development approaches to save, sustain, and support life? The goal is to generate evidence of successful approaches and lessons learned and incorporate into new tools and frameworks.

A formative stakeholder assessment and literature review, led by an external consultant earlier this year as part of this program, were conducted prior to the two case study selections and intended to help inform case study approaches and allow the new case studies to be more focused on current gaps. The literature review included published and grey literature on PHC approaches (community and facility-based) in the humanitarian development nexus and was conducted to identify and curate existing tools and approaches that have been used in health systems strengthening, transitioning primary health care facilities, and the adaptation of development tools that impact the household level (such as Care Groups and integrated community case management (iCCM)) in primary health care for emergency settings. The literature review confirmed minimal evidence-based information, tools or guidance developed yet on the two case study areas—use of exit indicator tools to guide humanitarian relief to development transitions, and frameworks or guidance for the adaptation of more developmental community-based health approaches in relief contexts.  Although some work is in process, the specific evidence-based community gaps highlighted in the literature review included SBCC adaptations such as Care Groups, Integrated Community Case Management (iCCM) and Infant and Young Child Feeding in Emergencies—(IYCF-E). There were no general guidance, frameworks or tools identified that addressed the approach to community-based health service delivery in emergencies combining the various potential delivery modalities or supported humanitarian programs exiting and transitioning. To date, the exit matrix tool has been developed and is beginning to be rolled out in several Medair country programs.  The community health service delivery adaptation framework is still being developed for piloting.

Purpose: To support Medair in conducting two case studies and developing, piloting and finalizing the two field tools—an exit matrix tool and a community health service delivery adaptation framework.


  1. Two finalized and revised tools—exit indicator matrix tool and a community health service delivery adaptation framework tool
  2. Remaining Medair and other piloting humanitarian staff remotely trained on tool usage
  3. A qualitative case study designed, conducted and reported for each of the two piloted tools
  4. A short thematic brief (3-5 pages) for each tool


  1. Two finalized and revised tools—exit indicator matrix tool and a community health service delivery adaptation framework tool
  2. Remaining Medair and other piloting humanitarian staff remotely trained on tool usage
  3. A qualitative case study designed, conducted and reported for each of the two piloted tools
  4. A short thematic brief (3-5 pages) for each tool


  • Based on prior literature review results, finalize community health service delivery adaptation framework tool
  • Remotely train Medair (as needed) and future NGO collaborators on tool usage for piloting and support during roll out and adaptation as needed
  • Design methodology and conduct qualitative case study to assess results of piloting the tools in the various country contexts—3 countries per tool
  • Present preliminary findings (Powerpoint and written) from tool development and user adaptation/piloting on October 14th, 2019
  • Conduct webinar on developed community health service delivery adaption framework tool for CORE November 4, 2019 TBC
  • Conduct 3-hour session with Medair staff during Medair Health and Nutrition Workshop during the week of November 12-15th  on revised tools and piloting feedback
  • Present case study findings (Powerpoint and written) from tool development and user adaptation/piloting on November 25th to technical advisory group TBC
  • Conduct consultation round on revised tools with at least 1 other agency per tool including training, review and documenting feedback to input into final briefs
  • Complete final revision of both tools based on case study and consultations and submit final draft of case studies and briefs by December 13th for review and incorporate final feedback by December 20, 2019

Methodologies & Tools

The qualitative study will focus on the results of piloting the tools in the various country contexts.  In-depth interviews (IDI) and focus group discussions (FGDs)—where relevant–utilizing a semi structured questionnaire will be conducted with study respondents who will be selected using a purposive, non-probability sampling technique.  Additional participants based on the country context may be selected using snowball sampling where additional participants are suggested who have additional knowledge and input. At least 2 IDIs per implementation site would be conducted for this case study at various levels from field site implementers such as program managers, to country and headquarters level technical and program staff with experience utilizing the modified exit indicator tool during and to prepare for transitions, as well as utilizing the community health service delivery adaptation framework to review and assess community health services.

To achieve a comprehensive understanding of humanitarian-development links, the project will include travel or local support to conduct semi-structured IDIs. Some IDIs are expected to take place face to face and others using voice over internet protocols and will be recorded after obtained permission. Stakeholder meetings and feedback sessions will be integrated in the data collection and dissemination phases of case study development. Interview and discussion guides will be adapted as needed depending on the country where the studies are to be implemented. The interview guides will provide open-ended questions on priority topics to be covered during the interviews but will also provide space for the interviewers to explore additional areas based on participants’ responses.

Qualitative data collected from FGDs and IDIs will be thematically analyzed to identify themes and patterns in the data including use of a coding scheme to allow for inclusion of emergency themes. Analysis of the data will be facilitated using qualitative data analysis software such as ATLAS.ti or NVivo.

Consultancy Fees & Terms of Payment

  • The consultancy fee payable will be a negotiated lump sum based on experience and credentials. This will be calculated on the basis of the days of work as indicated in the workplan.
  • International flights and accommodation in transit will be arranged by Medair via pre-selected travel agents and will, therefore, be paid directly by Medair.
  • Medair does not pay the consultant for his/her time spent during travel to and from the country where the services are to be delivered.
  • Half of the consultancy fee will be paid into a bank account designated by the Consultant upon completion of the field work.
  • The remaining amount will be paid when the final version of the Consultant’s report has been finalised and approved by Medair.
  • Medair will reimburse the following expenses, upon presentation of receipts, into the Consultant’s designated bank account: visa costs, and cost of travel in country of abode while in transit
Advanced university degree in public health, nutrition, social sciences, or related fields. Significant knowledge of health and nutrition interventions and proven experience in conducting qualitative studies.
Interested applications should email the following documents to by September 22, 2019:
  1. Technical Proposal: A technical proposal (maximum 5 pages) highlighting previous experience in conducting qualitative surveys and a detailed description of the stipulated survey data collection methodology as per this terms of reference
  2. Curriculum Vitae: Detailed CV(s) clearly highlighting experience and capacity with 3 professional references.
  3. Similar piece of work in the form of report(s): This will be used as proof of successful execution of a similar piece of work.
  4. Financial Proposal: The financial proposal should provide cost estimates for services rendered including daily consultancy fees.
Only shortlisted candidates will be contacted—no phone calls please. Medair seeks to hire immediately.