Request For MSI Reproductive Choices Afghanistan
Request For Revised-Project Assessment Service (Non-Consultancy Service)
This Terms of Reference (ToR) document outlines the evaluation of the Integrated Reproductive and Maternal Health Program (IRMHP) implemented by MSI Reproductive Choices in Afghanistan (MSIA). Below is a summary of the key components of the ToR for a consultant to conduct this evaluation:
1. Organization Background
MSI Reproductive Choices in Afghanistan (MSI), founded in 1921, is a British non-profit NGO that has provided life-changing reproductive health services for over 40 years in more than 37 countries. MSI is dedicated to offering high-quality, affordable, and accessible reproductive health services worldwide.
MSI Reproductive Choices in Afghanistan (MSIA) was established in August 2002 after registration with the government of Afghanistan. MSIA's mission is to improve Afghan women's health and wellbeing, thereby strengthening Afghan families. The organization focuses on reducing maternal mortality, and providing sustainable maternal, child health, and reproductive health (MCH/RH) services. MSIA works in collaboration with the Ministry of Public Health, Afghanistan, and currently operates in 17 provinces: Kabul, Balkh, Herat, Jawzjan, Faryab, Nangahar, Baghlan, Kunduz, Badakhshan, Takhar, Samangan, Helmand, Kandahar, Kapisa, Pakita, Khost, and Daikundi. Services are delivered through various channels, including health centers, outreach programs, MS Ladies, and the private sector.
Through its Power of Ten Strategy, MSI emphasizes strategic and technical leadership in evidence-based operations, keeping the client at the center of all activities.
2. Project Background
The Integrated Reproductive and Maternal Health Program (IRMHP) has been implemented since 2002, supported by the Ministry for Foreign Affairs (MFA) of Finland. This program covers family planning and reproductive healthcare services in Balkh, Baghlan, Faryab,Harat, Jawzjan, Kabul, Helmand, Kandahar, Khost, Paktia and Dykundi provinces through 19 standalone sites, 5 MS Ladies, and 180 community health workers (CHWs). The program aims to reach women and girls in remote areas with sexual and reproductive health (SRH) services.
3. Evaluation Background
An impact evaluation was conducted in 2019 by the University of New South Wales (UNSW) and the Organization for Research and Community Development Afghanistan (ORCD) to assess the effectiveness of the IRMHP. Following the evaluation, recommendations were provided to MSIA to enhance the quality of SRH services and extend the program's impact. MSIA developed an action plan and implemented most of these recommendations.