Amref Health Africa in South Africa
Please note: this opportunity closing date has passed and may not be available any more.
Opportunity closing date: 
Monday, 11 February, 2019
Opportunity type: 
Call for proposals


Amref Health Africa in South Africa is calling for qualified, experienced and competent consultant to carry out an end line evaluation of a NCDs project which has been implemented in 5 districts of Limpopo and 5 in Gauteng.



 Amref Health Africa

Amref Health Africa headquartered in Nairobi, Kenya is the largest Africa-based international non-governmental organisation (NGO) currently running programmes in over 35 countries in Africa with lessons learnt over 60 years of engagements with governments, communities and partners. Amref vision is “Lasting health change in Africa” by increasing sustainable health access to communities in Africa through solutions in human resources for health, health service delivery, and investments in health. Amref Health Africa established its South African office in 1995. Our programs work to alleviate the regions’ critical primary health care challenges including NCDs. 

About the SA Health Worker Training for NCDs Project

Through funding support from GSK, Amref in South Africa has been implementing a 3-year (June 2016 to May 2019) project in 10 districts of the Provinces of Gauteng and Limpopo on Non-Communicable Diseases (NCDs). The title of the project is: “Prevention, Management and Control of Non Communicable Diseases (Obesity, Hypertension and Diabetes) in the context of the Primary Health Care re-engineering strategy in Gauteng and Limpopo provinces, South Africa”. The goal of the project is to enhance the prevention, management and control of NCDs (obesity, hypertension and diabetes) at the community and health facility levels in Gauteng and Limpopo provinces in SA. The project has carried out interventions to strengthen the capacity of the health system in the two provinces to ensure equitable access to quality NCD related prevention, management and control services through a 5 prong strategy:

  1. In-service and pre-service training of both community and facility based front line health workers
  2. Community mobilisation and behaviour change  communication for increased awareness of obesity, hypertension and diabetes as well as, the related life style risk factors
  3. Community health information management system (CHIMS), including community-based disease surveillance (CBDS)
  4. Monitoring, evaluation, operational research and advocacy for evidence based policy and practice change, and
  5. Livelihood support for CHWs engaged in the prevention, management and control of NCDs.

The project’s intended outcomes are:

  1. Regional Training Centres in Gauteng and Limpopo provinces are strengthened to sustainably address HRH challenges both in terms of numbers and skills development for prevention, management and control of obesity, hypertension and diabetes.
  2. Community and Health facility based Health Workers are capacitated to effectively prevent, manage and control hypertension and diabetes.
  3. Increased awareness and improved knowledge and understanding of NCDs (obesity, hypertension and diabetes) and related life style risk factors with increased adoption of healthier lifestyles and awareness of the need for early diagnosis and adhering to treatment even when one’s blood pressure and or blood glucose is under control.
  4. Strengthened Monitoring systems in the 2 provinces.
  5. Knowledge and strategic information generated to inform policy, planning and practice visa vis prevention, management and control of diabetes, hypertension and obesity both at District and Provincial Management levels.
  6. Greater and more sustainable involvement of CHWs through accredited training and recognition by the health system

Evaluation Objectives  

The purpose of the end-line evaluation is to determine the extent to which the program has achieved its objectives outlined in section 2 above. The evaluation shall examine program outputs and outcomes and assess the effectiveness and efficiency of activities and achievement of targets; and determine lessons learned and document best practices. The evaluation shall access performance of project set indicators in the performance monitoring framework.

*NB: Due to unforeseen constraints, the project did not have a baseline assessment and it is therefore expected that the end line evaluation will use historical or retrospective and cross-sectional data and other information to compare the current status of key indicators with the situation as at May 2016 (which is the bench mark for determining progress/achievements made).
Furthermore, the evaluation will also systematically review and document successes and lessons learnt in the project implementation, draw conclusions and make recommendations that offer constructive input to inform Amref Health Africa, donors, partners, the Department of Health and other health development partners of their future programming of similar health programs.
The evaluation should use both qualitative and quantitative methods to answer the key evaluation questions highlighted in the table below.

  • The quantitative component shall include a desk review of reports to assess donor and internal reports, project data, logical framework, PMF framework, the implementation plan and any other relevant documents that can help to establish the extent of attainment of the project performance.
  • Qualitatively, case studies shall be collected to assess the impact of the interventions on individual beneficiaries. Additionally, the evaluation is expected to interact with other randomly selected beneficiaries through focus individual and focus groups discussions, interviews with stakeholders such as provincial DoH partners and other relevant stakeholders to gather information about various aspects of the project.

Some of the key questions to be addressed in the evaluation must include but not limited to the following;

Focus area What to consider during the evaluation
  • To what extent has the project achieved the intended objectives? And what are the major factors that have influenced the achievement / non-achievement of the project objectives?
  • To what extent has the project coordinated and strengthen local and government institutions in the provincial implementation areas in the prevention, management and control of NCDs?
  • What resources has the project leveraged as a result of the coordination (if any) mentioned above?
  • To what extent did the program reach out to the most marginalized and vulnerable groups, whether directly or indirectly (both positive and negative, intended and unintended)
  • To what extent has the project enhanced the prevention, management and control of NCDs (obesity, hypertension and diabetes) at the community and health facility levels in Gauteng and Limpopo provinces
  • To what extent has the project contributed to strengthening the capacity of CHWs, target communities, and local government partners in the prevention, management and control of NCDs?
  • Were the resources such as funds, expertise and time allocated appropriately and efficiently in order to achieve desired results?
  • If not, what could have been done differently in order to improve next time?
Innovation and advocacy
  • Has the project influenced the policies and strategic thinking of the local provincial governments, as well as priorities of the communities as far as prevention, management and control of NCDs in concerned?
  • What are some of the good practices and key lessons learned that have so far been generated through this project?
  • To what extent has the project (through these good practices and key lessons) influenced the local government’s approaches and practices
  • What innovative approaches were implemented by the project to improve outcomes?
  • What mechanisms have been put in place to ensure that the project activities and benefits will continue after the project closes?
  • What are the major internal or external factors that will determine or are influential to the sustainability of the project interventions?

Scope of work and deliverables

  • Secure ethical clearance from an approved authoritative body to enable conduction of the evaluation across the 5 districts of Limpopo and 5 districts in Guateng
  • Submit an inception report to the Amref Evaluation Technical  Management Committee
  • Develop an appropriate and acceptable methodology and develop data collection tools including a clear sampling plan for key respondents.
  •  Conduct desk review of project documents and other relevant documents
  • Facilitate recruitment and training of the evaluation team (Interviewers and supervisors)
  • Co-ordinate and supervise data collection. (Use of electronic tools (talets) for data collection is encouraged but not compulsory)
  • Update the Amref contact person regularly on progress periodically
  • Develop an analysis plan of all the variables collected
  • Prepare an evaluation report in a format acceptable to the Evaluation Technical Committee
  • Present draft reports to Amref Health Africa and its partners for their validation and inputs to the final report
  • Submit to Amref Health Africa the  final reports (hard copies, soft copies in a CD )

Time frame

The field work for the evaluation assignment is expected to be done during the month of March 2019 and is expected to be completed by mid-April, 2019 i.e. take a maximum of 60 days which includes desk review, preparation, fieldwork and report writing.  
: Amref would like to appoint the successful consultant by 21st February to enable submission of ethical clearance applications no later than end of February to enable data collection to start and be completed by end of March or 1st week of April. Over and above the submission of a solid application proposals, preference will be given to a consultant who can commit and demonstrate ability to secure ethical clearance as early as possible.
Role of Amref

Amref Health Africa will provide funds, logistical support and all relevant programme documents for the review, technical oversight and quality assurance. Amref will play as the link between the consultant and key partners as well as the communities.
Furthermore, Amref will assist the consultant with making necessary introductions to partners and stakeholders for discussions and interviews. Amref can also assist in the recruitment of data collectors who are resident within the target districts.
Expected profiles of the consultants

 The potential consultant should possess Postgraduate training in Public Health, Social Sciences or related disciplines. He/she must have a good understanding of health sector policies and systems especially NCDs strategies and policies in South Africa. He/she must be able to demonstrate experience in conducting baseline and end-line evaluations of similar programs, gender and social cultural assessments and health facility assessments for reputable organisations. He/she must have proven expertise in Monitoring and Evaluation of health-related projects/programs at District or National levels particularly on Non-Communicable Diseases and community participation.
How to apply

 Interested consultants should submit a detailed technical and financial proposal with the following components:
Technical proposal

  • Understanding and interpretation of the ToR
  • Methodology to be used in understanding the assignment
  • Time and activity schedule
  • Profile of the consultants
  • Samples of the two most recent related works (and/or references for the same)
  • Curriculum vitae of the key personnel

  Financial Proposal

  • Detailed itemized cost proposal in the Rand currency

Deadline for Submission of Applications

  • Monday 11th February 2019 (12 noon CAT)


Applications must be sent to the following email:

Further clarifications or request for more information on technical issues related to the application can be sent to and copy
Evaluation and award of consultancy

Amref Health Africa will evaluate the proposals and award the assignment based on technical and financial feasibility. Amref Health Africa reserves the right to accept or reject any proposal received without giving reasons and is not bound to accept the lowest or highest bidder. Data collected shall remain the property of Amref Health Africa

South Africa

NGO Services

NGO Services

NGO Events