Terms of Reference

for Developing Catchment Based Clinical Mentorship Intervention Documentation

1. Background

The Federal Ministry of Health (FMOH) introduced the Catchment- Based Clinical Mentorship (CBCM) program in 2014 to strengthen providers’ competencies in Reproductive, Maternal, Newborn, Child, and Adolescent Health and Nutrition (RMNCAYH-N) services. The national RMNCH CBCM guideline defines clinical mentorship as a capacity-building strategy in which experienced clinicians provide continuous, structured, practical support to less-experienced providers within the same referral catchment.

Over the past three years, under the Takeda-funded project, Ipas Ethiopia has implemented a CBCM training approach to enhance the delivery of family planning and abortion services in five regions namely Oromia, Amhara, Sidama, Central and Southwest Ethiopia. This approach defines the structure, timing, and team composition of clinical mentorship from hospitals to health centers and health posts. The model is designed to strengthen referral systems, accelerates service initiation, builds confidence among providers, and ensures continuity and sustainability of SRH services.

2. Objectives of the Documentation

2.1 General Objective

The objective is to document the overall process of the catchment based clinical mentorship training implemented by IPAS in five regions by focusing on key achievements, cost effectiveness, lessons learned, and challenges of the Catchment based Clinical Mentoring Approach.

2.2 Specific Objectives

The task has also the following specific objectives

1. Analyze the CBCM training model (contact hours, time for theoretical and practical sessions, on call support, and case availability) and determine its adequacy, design, and implementation process.

2. Assess key achievements of the CBCM approach by measuring provider knowledge and skills, early initiation of the service and service uptake within the catchment area.

3. Identify strengths, weaknesses, and contextual enablers and barriers influencing the implementation and performance of the approach.

4. Conduct a cost-effective analysis comparing CBCM versus traditional in-service training models by evaluating the average cost invested per site (for training, supervision, and material support) in relation to service uptake.

5. Document lessons learned and sustainability strategies for scaling or institutionalization.

6. Document CBCM acceptability by trainees, facility heads and health system managers.

3. Methodology

The documentation will employee a mixed methods approach that integrates quantitative and qualitative data to comprehensively address all study objectives. The approach combines a desk review, key informant and in-depth interviews, analysis of routine service statistics and a cost-effectiveness analysis. The use of multiple data sources will allow triangulation of findings and strengthen the validity of conclusions related to the CBCM approach.

3.1. Desk Review

3.2. Primary Data Collection

3.3. Quantitative Service Data Analysis

3.4. Cost-Effectiveness Analysis

3.5. Data Triangulation and Analysis

4. Deliverables

1. Inception report outlining the consultant’s understanding of the assignment, documentation methodology, data sources, stakeholder engagement approach, ethical considerations, and detailed work plan.

2. Comprehensive documentation report capturing the design, implementation, outcomes, lessons learned, best practices, and scalability of the Catchment-Based Clinical Mentorship Intervention.

3. Development of three case studies or success stories illustrating facility- or catchment-level impact, including qualitative narratives and stakeholder perspectives.

4. Visual documentation products, including the intervention framework, mentorship process flows, and catchment-level coordination.

5. Policy and program brief (4-6 pages) summarizing key findings, lessons learned, and recommendations for policymakers, donors, and implementing partners.

6. Validation of all documentation products through stakeholder review and incorporation of feedback.

7. Submission of final, professionally edited and formatted report incorporating feedback from Ipas and stakeholders.

8. Presentation deck synthesizing the intervention model, results, and key lessons for dissemination to stakeholders.

5. Required Qualifications and Experience

• Minimum of 7-10 years of progressively responsible experience in health systems strengthening and public health programming.
• Demonstrated experience in documenting clinical mentorship, capacity-building, or quality improvement interventions at catchment, district, or facility levels.
• Proven experience in project evaluation and applied health research, including the design and conduct of cost-effectiveness and sustainability analyses.
• Proven ability to translate technical and operational program experiences into clear, high-quality documentation products, including reports, case studies, and learning briefs.
• Strong stakeholder engagement, analytical, and writing skills, with the ability to manage multiple inputs and deliver high- quality outputs within agreed timelines.
• Prior experience working with government health structures, including Ministries of Health, Regional Health Bureaus, Zonal, Woreda and health facility leadership is an added advantage.

6. Collection & Submission of Bid Document:

• Technical and financial proposals should be submitted separately in a sealed and waxed envelopes. In addition to the hard copies, firms should submit electronic copy of their technical and financial proposals within 15 days starting from the date of announcement of this bid
• All competing firms are required to submit Technical Proposal that includes the firm’s legal documents, profile, recommendations of similar sample tasks accomplished.

Address: Ipas Ethiopia; Micky Leland Street, 22 Mazoria (Behind Caravan Hotel), Tel: 011 662 6310/ 011 662 6311, Email: zewdieh@ipas.org , P. O. Box Code 1AKVOM 63001 Addis Ababa, Ethiopia

N.B. Interested and eligible bidders should collect the full bidding Document from Ipas Ethiopia country office whose location is indicated above.

Please note that only shortlisted applicants will be contacted

Note: Female applicants are highly encouraged!