DESCRIPTION OF REQUIREMENT (GOODS OR SERVICES):
The USAID Okard (ໂອກາດ) Activity is guided by the philosophy of Disability Inclusive Development (DID) and the belief that no one should be left behind. It is a 5-year project managed and implemented by World Education that intends to improve and sustain the independent living and functional ability of persons with disabilities, regardless of factors such as age, sex, gender expression, ethnic origin, or indigenous status, and their households in Lao PDR. It will be implemented in three target provinces – Vientiane Capital, Xieng Khouang and Savannakhet.
The Government of Lao PDR is currently finalizing two key documents for the development of the rehabilitation and disability sectors, and USAID Okard will use these two documents as the foundation to support their implementation and piloting:
● Draft National Disability Policy and Strategy and Action Plan for Person with disabilities 2017-2025
● Draft National Strategy and Action Plan for Rehabilitation 2018-2025
The Activity utilizes a flexible two-tiered approach that integrates the systems and individual level interventions within the three components: Health (Component 1), Economic Empowerment (Component 2), and Stakeholder Engagement (Component 3). World Education is the lead implementing agency with close support from Activity partners including Humanity & Inclusion (HI), Ministry of Health (Department of Healthcare and Rehabilitation), Center for Medical Rehabilitation (CMR), Ministry of Labor and Social Welfare (MoLSW) National Committee for Persons with Disabilities and the Elderly (NCDE), Cooperative Orthotic & Prosthetic Enterprise (COPE), Quality of Life Association (QLA) and Lao Disabled People’s Association (LDPA).
Background on the CBID Demonstration Model
The USAID Okard Activity will implement a number of targeted and cohesive sustainable activities to achieve the component interventions and Activity goal. A key feature of the Activity is implementing two Community Based Inclusive Development (CBID) evidence-based demonstration model projects to demonstrate the effectiveness at community level of both the GoL National Disability Policy and related strategy, and the National Rehabilitation Strategy. Working in targeted districts in both Xieng Khouang and Savannakhet, these CBID demonstration models will generate the data as evidence of tangible change and provide feedback to strengthen government systems and decision making in support of the aforementioned key documents.
Using the CBID approach, USAID Okard will implement innovative and effective interventions that directly address the health, livelihoods, and social needs of persons with disabilities, with a focus on individuals, families, and communities. The lessons of the change created on the life of people with disabilities and their household should drive adjustments at the systems level (by increasing demand and utilization for inclusive services) and societal level (by engendering new beliefs about the abilities of persons with disabilities). This will support the execution of the National Rehabilitation and National Disability Strategies and Action Plans by the GoL (i.e., Tier 1 system-level activities) and serve to address the overall disabling environment for persons with disabilities in Lao PDR. This will provide evidence to the GoL and service providers about the effectiveness and possible gaps of both CBID and the approaches outlined in GoL policies, strategies and action plans to provide inclusive access to services for persons with disabilities. These records will help identify and remove barriers to increased participation of persons with disabilities and demonstrate to the Lao Government that inclusive services for persons with disabilities can have real impact if all relevant actors are made aware, properly trained and mentored, and work together in one catchment area. The CBID demonstration model districts will be conducted at two sites; implemented initially in a district of Xieng Khouang province as an evidence-based model, and later a district in Savannahket province (both likely operational in mid-2019).
The CBID demonstration model districts in Xieng Khouang and Savannakhet will be conducted by local organizations with the technical support of expert organizations. CBID Facilitators will act as lay social workers, directly supporting persons with disabilities to identify barriers to their optimal functioning, and work with families, communities, local authorities and relevant service providers, so they understand these barriers and interact together to meet these needs. This CBID demonstration model will provide the connection between the improved service provision systems down to the individual needs of persons with disabilities and their households.
The section below describes the overall objectives of the impact assessment (baseline and endline survey). Note, that this RFP is only for the baseline survey component of the CBID demonstration impact assessment.
The overall objectives of the Impact Assessment are as follows:
Objective 1: Identify the level of activity and participation (function) and wellbeing of people living in target areas and measure the changes after the interventions of USAID Okard.
Objective 2: Understand the knowledge, attitudes and practices (KAP) of community stakeholders including people with disability themselves and their family, regarding disability and inclusion, and measure the changes after the interventions of USAID Okard.
The research questions for the CBID demonstration impact assessment are as follows:
● What is the impact of disability on level of participation, access to services and wellbeing and what are the barriers that restrict participation and access?
● What do people in the community know and believe about disability, and how do they behave about including people with disabilities in their community?
● Has the level of participation, access and utilization of services and wellbeing changed compared to the results of the baseline?
● Has knowledge, attitude and practices changed in the community related to disability inclusion?
The CBID demonstration impact assessment should be designed to collect quantitative and qualitative data to achieve objectives 1 and 2. It is expected that a panel study with cross-sectional baseline and endline surveys is developed to achieve the first objective and a part of the second objective, and a qualitative study using grounded theory and phenomenology should be developed to achieve the second objective. Whilst quantitative surveys should target local residents (with and without disabilities, received and not received the CBID interventions), the qualitative study should also target caregivers and family members, service providers, representatives of economic and socio-political organizations, and CBID facilitators.
The study will be conducted in two target districts (one in each province) that are purposively selected based on discussions with provincial authorities. The baseline survey should be conducted before any USAID Okard interventions in the target district, while the endline survey should be conducted after approximately 4 years of project implementation.
The CBID impact assessment should provide evidence to the GoL and service providers about the effectiveness and gaps of both the approaches outlined in GoL policies and action plans, and tested in the CBID demonstration model to provide inclusive access to services for persons with disabilities. In addition, the study should provide data for indicators under the USAID Okard Results Framework specifically, indicators HI-2, HI-3 and HI-4 should be included.
Activities/Tasks (Services) or Specifications (Goods)
CBID Baseline tools
In collaboration with the USAID Okard Technical Management Committee and a local research team, contextualized data collection tools (both quantitative and qualitative) should be developed by the Research Institute to capture data related to the research questions.
- Quantitative survey tools should use structured questionnaire(s) in digital format for tablet-based data collection. The survey tool should draw on different internationally-recognized standardized tools, specifically the Rapid Assessment of Disability (RAD) and from the Washington Group on Disability Statistics (WG) questions, and the UNICEF/WG Module for Child Functioning and Disability.
- Qualitative tools should use semi-structured questionnaires to obtain information for the second study objective via in-depth interviews of key target groups.
Data Collection, Analysis and Quality Assurance
Locally recruited enumerators (including persons with and without disabilities) should be trained by the Research Institute on survey tools, interviewing and facilitation skills, study protocols and research ethics. Survey tools should be digitized, and data should be collected electronically on tablets and uploaded on a daily basis to a custom-built database managed by the Research Institute. Data collection should be conducted by the local research team under the technical support of the Research Institute. The Research Institute should be available on-site during the fieldwork period.
The Research Institute Team should download, and review data collected on a daily basis to identify any data entry errors or issue related to quality. The local research coordinator should receive regular feedback on data quality, so data entry errors can be minimized and corrected to ensure high quality, reliable and consistent data.
Data cleaning should be implemented after data collection to assure data quality. Study design effects should be adjusted in data analysis. Univariate, bivariate and multi-variate analysis with appropriate significant tests should be applied. Specific statistical models should be selected based on nature and specification of data and purpose of analysis. Statistical software, e.g. STATA, SPSS or SAS should be used to assist data analysis. Content analysis, narrative analysis, and framework analysis should be used where appropriate using software, e.g. NVivo or Atlas Ti for qualitative data analysis. Outputs, however, should be presented as simplest as possible in lay language to serve non-technical audience.
This baseline survey should adhere to relevant international standards for conducting social sciences research, especially the “Do No Harm” principles such as the principles for treatment of human subjects and collection and safeguard of personally identifiable information. Ethics approval should be gained from the relevant Ethics Committees in the country of the Research Institute, and from the relevant government authorities in Lao PDR.
Deliverables and Schedule
The timeline for the baseline survey is estimated from August 2018 to January 2019 including preparation, tool development, ethics approval, implementation (training, monitoring and feedback on data quality), data analysis, documentation and reporting. The start date for implementation of the baseline survey is dependent on the signing of the USAID Okard MoU, or if required pre-MoU approval with the Ministry of Labour and Social Welfare (MoLSW).
Deliverable 1: Design and Implementation Plan
- Submit a CBID baseline survey design and implementation plan which includes specific details on:
- Design: Research methodology, sampling, data collection methods, quantitative and qualitative data collection tools, analysis including specific statistical methods and software.
- Implementation: tasks, contributors, resources, timeframes and deliverables for the Research Institute and the local research team.
Deliverable 2: Survey tools
Design the survey tools required for the assessment specifically:
- Review international disability measurement tools, including the RAD with the USAID Okard technical committee and modify to reflect the study definition and objectives in local context;
- Design data collection tools to capture quantitative data on knowledge, attitude and practices (KAP) related to disability.
- Design in-depth interview schedules for the collection of qualitative data on community stakeholders’ knowledge, attitudes and practices.
- Digitize quantitative and qualitative survey tools, develop coding system, field test and revise the design of tools to produce final version in Lao language;
- Develop protocols and guidance documents for administration of the quantitative and qualitative data collection tools
- Design a database for transfer and storage of raw data from the tablets to an external cloud-based database.
Deliverable 3: Training package for local research team
Build capacity of local research team to administer survey tools specifically:
- Develop a training package to train a local research team to administer the survey tools;
- Deliver training in-country to the local research team;
- Pilot the survey tool in the field as part of the training package and make final revisions to the tools as required.
- Provide in-country supervision on data collection
Deliverable 4: Data quality assurance reports
Supervision and feedback to the local research team during specifically:
- Download raw data on a daily basis and analyze to monitor data quality;
- Produce regular feedback reports to the local research coordinator/ leader with specific actions to correct data entry and ensure consistent quality of survey administration and data entry.
Deliverable 5: Database, initial data analysis and presentation of initial findings
Data analysis is completed, and initial findings shared specifically:
- Synthesize all the raw data into one data set;
- Complete an initial analysis to determine the preliminary results of the baseline assessment;
- Delivery an initial presentation to the USAID Okard Technical Management Committee.
Deliverable 6: Reporting
Produce baseline assessment report specifically:
- Share a draft baseline assessment report with the USAID Okard Technical Management Committee;
- Incorporate USAID Okard Technical Management Committee feedback and recommendations and produce a final baseline assessment report.
Deliverable 7: Raw data submission
- Submit the raw data set and any statistical analysis data to USAID Okard Chief of Party.
Expected Research Institute Qualifications
- The Research Institute should operate within a university or a research institution and have significant experience with research studies and publications on disability inclusive development, rehabilitation and/ or Community Based Inclusive Development/ Community Based Rehabilitation;
- The research team should include a Senior Coordinator/ Team leader at PhD level, and at least two other PhD-qualified research specialists. Doctorates should be an academic discipline or professional field related to disability studies, rehabilitation, global health and/or another relevant social science;
- Proven knowledge and experience conducting population level studies at scale using epidemiological research methodology to understand prevalence of disability;
- Good knowledge of global health, ICF framework, and WHO Rehabilitation 2030 initiatives.
- Proven knowledge and experience designing, implementing and monitoring baseline/ endline assessments related to Disability Inclusive Development (DID), Community Based Rehabilitation and Community Based Inclusive Development (CBID) projects;
- Proven knowledge and experience designing, validating, utilizing and evaluating quantitative and qualitative survey tools to measure impact of disability on participation, access to services and wellbeing;
- Proven knowledge and experience using validated international disability-related measurement tools framed within contemporary understandings of disability that measure the impact of impairment on function, and participation in community life. Experience should include application of such tools for research studies in developing countries, specifically in the Asia and Pacific region and preferably in Lao PDR;
- Proven knowledge and experience with digitization of survey tools using web applications for data collection on mobile devices in challenging environments, building the capacity of local research teams and national stakeholders to collect high quality data, and remote database monitoring.
Please open and read the attached RFP for a more detailed explanation of qualifications, eligibility, and how to apply.