Background of the project:
The IRC started operations in Chad in 2004 to respond to the humanitarian crisis caused by the influx of refugees from Darfur to eastern Chad, with intervention in the Ouré Cas-soni refugee camp. Assistance to Sudanese refugees has now expanded to the manage-ment of the ten camps in the East and one camp in the West with assistance to refugees and local communities in health, nutrition, and water, hygiene, and sanitation. In 2012, to respond to drought and food insecurity, IRC expanded its geographic coverage in the Guéra region. IRC is currently working in three health districts Mongo, Mangalmé and Mel-fi and is providing prevention and treatment of malnutrition to the local population. In May 2016, IRC opened an office in the Lac region to respond to the Boko Haram crisis. IRC implements assistance projects in health, nutrition as well as protection and response to gender-based violence.
IRC Chad is committed in its 2021-2023 Strategic Action Plan, to continue to provide essential humanitarian services in health, nutrition and protection/GBV, while improving the economic well-being and building the resilience of beneficiaries, especially women and girls. IRC Chad will continue to work with and closely support states actors/Ministries for key areas of intervention so that IRC's actions fit into national policies to ensure better ownership of actions taken.
Since 2016, IRC has been one of the actors contributing to the government's efforts to respond to the humanitarian crisis in Lake Chad. Thus, IRC offers multi-sectoral assistance in health, nutrition, GBV prevention/response, monetary assistance and pre-early recovery to refugees, displaced persons, and host populations under funding from various donors (ASDI, BHA, GFFO and ECHO). In the health sector, in order to respond effectively to the problems of difficult access for populations to health structures, particularly during periods of high security tension, and to ensure continuity of care with the aim of reducing infant mortality rates, IRC has introduced in 2019 the community care approach piloted by community health workers: ICCM.
The iCCM approach (Integrated Community Case Management) is a strategy for extending the management of childhood illness beyond health facilities, so that more children have access to life-saving treatment. It involves the early prevention and treatment of the main childhood killers. The iCCM package implemented since 2019 includes treatment of three simple pathologies: diarrhea, malaria and simple respiratory infections, as well as screening and referral for acute malnutrition. A total of 54 sites are operational to date in the Liwa district, thanks to funding from SIDA, SRF, AFD and the support of IRC. These sites have provided treatment for simple pathologies for 1,595 children under the age of 05 from 2019 to the present day (December 2023).
After 04 years of experience in implementing the iCCM approach, IRC is interested in evaluating the implementation process and the added value of this approach in relation to initial expectations. The evaluation will be carried out by an internal and external consultant. These terms of reference describe the modalities and expected results of the evaluation.
Objectives:
This is a mid-term assessment of the operational implementation and results achieved since the start of the implementation of the iCCM approach in Lake Chad. The objective is to provide detailed information and evidence on the implementation of iCCM in order to draw lessons (learning) to improve decision-making on practices, increase accountability, and facilitate potential extension to other IRC areas of intervention.
Specific objectives of the evaluation:
Activities:
Deliverables:
Note: All original study instruments with their field data recorded; Copies of all Excel files/databases used for data analysis will be shared with IRC
The health and nutrition Management team ok du Tchad will provide overall monitoring of the consultation.
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