Сonducting needs assessment in Kyiv and Chernihiv Oblasts

1. Context

The invasion by the Russian Federation of Ukraine on 24 February 2022 has resulted in loss of life, injuries, and massdisplacement of the civilians. The ongoing violence has also resulted in widespread destruction and damage to residentialhousing stock and civilian infrastructure. In addition, access to healthcare has been severely limited, as health facilitieshave suffered significant damage, with some being completely destroyed causing disruption in providing essentiallifesaving services across Ukraine. According to the WHO, there have been 550 attacks on health care infrastructure,resulting in 129 injuries and 100 deaths, reported between 24 February and 30 September 2022. This escalation infighting has exacerbated existing humanitarian crisis already present for the past eight years, especially in easternUkraine.

According to OCHA, nearly 40% of the country’s population (18 million people) needs humanitarian assistance and thesituation is expected to deteriorate further in the winter as a new wave of displacement is expected, particularly fromthe east. Over the 7 months of war, one-third of Ukrainians have been displaced so far, making this one of the largesthuman displacements in the world today. According to UNHCR, 6.5 million people have been displaced inside Ukraine,while most displaced persons are women and children. According to the Ministry of Health Ukraine, one of the maincritical needs is the provision of medical assistance to people with chronic diseases in eastern parts who have beendeprived of medical care for months.

2. Background

The humanitarian aid organization Medicos del Mundo is the Spanish branch of the international networkMedecins du Monde/Doctors of the World (MdM). MdM has been operating in Ukraine since August 2015and is currently implementing an emergency response across Ukraine. The program is implemented aroundthree main components: direct delivery of services through multidisciplinary mobile units (including primaryhealthcare services (PHC), sexual and reproductive health (SRH), Mental Health and Psychosocial supportservices (MHPSS) and gender-based violence (GBV) response services); strengthening of local health system(with a specific focus on PHC, SRH, MHPSS and GBV) through capacity building of health and non-health staff,awareness raising and advocacy.To limit the impact of war on health, MdM is scaling-up and strengthening their efforts utilising multi-sectoralapproach through improving access to health, MHPSS, as well as supporting locally-led responses.Furthermore, within the rapidly shifting dynamics, MdM is reconfiguring its programming withinhumanitarian-peace-development nexus, with a particular focus on scaling up access to health and MHPSS asactual programming. In the current context, among the most vulnerable groups are internally displacedpersons, health care workers and personnel of essential services, pregnant/lactating women, older persons,children under five years, children and adolescents attending organized activities (e.g., daycare, schools, etc.),as well as people with chronic medical conditions and physical and mental disability.In November 2020, MDM started the implementation of the project Strengthening community and healthsystem resilience in Luhansk Oblast funded by BMZ (German Federal Ministry for Economic Cooperation andDevelopment). The project is currently being modified to reach vulnerable population in Kyiv and Chernihivregions and will link MdM’s humanitarian assistance with transitional aid/development activities resulting increation of a sustainable access to health and social services in communities affected by the conflict.

3. Purpose of the consultancy

The purpose of the consultancy is to build a comprehensive picture of the health and social needs of selectedcommunities, as well as to identify opportunities for future development in Kyiv and Chernihiv oblasts. Theresult of this identification will be compiled into a needs assessment report.The data collection will be carried out in Kyiv and Chernihiv oblasts through secondary data review, KeyInformant Interviews (KII), Focus Group Discussions (FGDs), survey with community members, andassessment of targeted health facilities. Logistical support will be provided by MdM for travel and security,the accompaniment of the MdM team in Ukraine. Data collection methodology (questionnaires, scripts forFGDs and KIIs) will be provided by MdM. Following the data collection by the consultant, MdM will providesupport to the consultant on analysing the data.

4. Methodology

•Desk review: to conduct a desk review of the available literature on the project documentation

•Key Informant Interviews & Community leader’s quantitative survey: to assess perceived satisfaction,problems, and barriers associated with health and social services provision of health and socialworkers, as well as community leaders

•Focus Group Discussions: to conduct focus group discussions with community members (withemphasis on inclusion of vulnerable groups)

•Survey with community members: to conduct a questionnaire with community members to assesssocial and health needs

•Assessment of health and social infrastructure: to assess the capacities, strengths, weaknesses ofhealth and social systems to provide quality medical care and basic social services

5. Targeted Locations

Kyiv Oblast: Kyiv oblast was largely affected by the hostilities. Settlements were targets to missiles; thus localinfrastructure was damaged. Many routes, bridges and highways were destroyed since the beginning of theconflict. In addition, , the health system was damaged and looted, ultimately, it has significantly impacted theservice provision. Kyiv oblast hosts 325,074 IDPs according to the IOM report (IOM Area Baseline Assessment,September 2022). Liberated territories encounter the lack of essentials and healthcare items. The flow of IDPsresults in the increased workload at medical facilities. Local health systems struggle to manage the highnumber of patients combined with the lack of resources and capacity for providing assistance.

Chernihiv oblast: Chernihiv oblast is located near the Russian border and has been a target to massive attackssince the beginning of the full-scale conflict. According to IOM assessment, it hosts 78,407 IDPs (IOM AreaBaseline Assessment, September 2022). . Hostilities and occupation led to critical damage to the civilianinfrastructure, particularly the healthcare sector. According to the WHO, 24 health facilities (HF) wereattacked with 30,000 people residing in the catchment area of these facilities. Disrupted roads and bridgescaused limited mobility of community members unable to access HFs, mental health services, medicationsand basic items. Local health systems encountered the lack of funding and human resources and decreasedthe level of support from the state bodies.

6. Organisation of the data collection

The data collection will be performed by the consultant. 

The core functions and responsibilities of theconsultant are the following:

1. Plan, schedule of KII, FGD, Community members survey and health and social infrastructure assessment:The planning and scheduling of data collection will be identified in agreement with the Coordination Team(Emergency Coordinator and Field Coordinator Kyiv).

2. Conduct the KII, FGDs, Community members survey and health and social infrastructure assessment in thelocations that will be planned and agreed based on the consultations with local authorities, and with otherkey stakeholders.

7. Application procedures

Applications are to be submitted by December the 9th stating in the subject line: ‘BMZ Needs Assessment in Kyivand Chernihiv oblasts’

The following documentation should be submitted with the application:

1. Cover letter clearly summarizing the experience as it pertains to this assignment, daily rate and contactdetails of three professional referees

2. Curriculum Vitae (CV)

3. Draft proposal, including budget: A technical proposal should accompany the application, detailing theconsultant’s understanding of the TOR, including a detailed budget, data protection and cross-cuttingapproaches to undertake the work

4. Provide samples of previous work (reports of previous needs assessment completed)

For any queries regarding these terms of reference, please contact:

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