Endline Evaluation Maternal-Neonatal Health Care and Family Planning (Mamota) Project


The Maternal-Neonatal Health Care and Family Planning (Mamota) Project will be concluded by end December 2020, therefore, endline evaluation will be carried out this year. The endline evaluation will assess the impact, efficiency and effectiveness of the project during the period of January 2018 to December 2020. The objective of the endline evaluation is to understand progress so far towards achieving project goal and objectives in line with the national goal and draw out lessons.

PROJECT Background

Bangladesh has committed to ending preventable child and maternal deaths by 2030. This commitment has been made in the spirit of achieving universal health coverage and is in alignment with the Sustainable Development Goals (SDGs) and Ending Preventable Child and Maternal Deaths (EPCMD). To achieve SDG target 3.1 and 3.2, Bangladesh has to bring its maternal mortality rate (MMR) down to 59 (BDHS Policy Briefs 2014) from the current level of 170 per 100,000 live births and neonatal mortality to 12 or fewer deaths per 1,000 live births and under-5 mortality to 25 or fewer deaths per 1,000 live births.

For decades, Sylhet division has lagged behind other regions in health indicators, and over time this trend has not changed significantly- details are available in in Annex: 1. For example, MMR nationally has declined from 322 per 100,000 live births in 2001 to 181 in 2010 (a 78% reduction). In Khulna division, MMR declined from 352 to 60 (an 83% reduction). During the time period, in Sylhet division MMR only declined from 471 to 425 (less than 10% reduction). Neonatal Mortality Rate (NMR) in Sylhet division was 28.2% higher in 2014 than national average (28 vs. 39 per 1,000 live births).
Bangladesh Maternal Mortality and Health Survey (BMMHS) 2010 estimates that two causes, eclampsia (hypertensive disorders) and hemorrhage (bleeding, particularly after delivery), contribute to about half the maternal deaths. As Antenatal Care (ANC) utilization is low and home births are the norm, both issues require community based identification and management by service providers. Bangladesh Demographic and Health Survey (BDHS) 2011 shows that only 4 cause account for 68% of all neonatal deaths (these are birth asphyxia, pre term birth, pneumonia and infection). Neonatal deaths constitute 60% of all under five child deaths.

Even within Sylhet division, Sylhet district has been at particular disadvantage, and significant disparities and variation in health service utilization. The major contributors to the lower rates of key health indicators in the project areas are HR vacancies/absenteeism in UH&FCs, inadequate outreach activities, lack of ANC logistics and essential medicines, high treatment costs, low community awareness and minimum local government participation in maternal, neonatal health and family planning (MNH-FP) activities etc

Overall objectives:

The overall objective of the endline evaluation is to assess the impact, effectiveness, relevance and sustainability of the project.

Specific objective:

  • Assess Maternal, Neonatal Health-Family Planning (MNH-FP) services in project location and quality of these services.
  • Evaluate supporting mechanism of local govt. institutions, e.g. Union Parishad.
  • Measure the capacity of service providers to support quality services, clinical practices, and referral mechanisms
  • Assess the health seeking behaviors , patterns and overall community engagement in project supported health facility catchment areas.
  • Capture the lesson for future project design in other vulnerable area

It is thus proposed to initiate contextual analysis and secondary data analysis including lesson learnt, and best practices used by the project, use data available through different national population based surveys—including BDHS, MICS and BMMS and Policy, Guideline to understand trends of key MNCH/FP/N behavioral and outcome indicators and other relevant issues, a consulting firm/agency will be hired on behalf of Save the Children as per following Term of Reference (ToR). 

Terms of Reference(TOR) can be downloaded from this link.
Request for Proposal (RFP) can be downloaded from this link

Submission of Proposal

Interested consulting firm/agency are requested to submit their technical & financial proposal separately as pdf file in details outlines, methodology, budget plan, time frame and CVs of experts along with required legal and supporting documents as per RFP.

A Pre-proposal online meeting will take place on 29th July, 2020, 11.00 AM https://us02web.zoom.us/meeting/register/tZ0qf-6przwvGNJlVwEWjY_5Z6rLTJYcTtW_
Interested consulting firm/agency are requested to attend the pre –proposal online meeting.

PDF copy of both proposals need to be submitted in separate file through email: dhaka.Procurement@savethechildren.org  addressing: Sr. Manager- Procurement & Supply Chain, with proposal “ Endline Evaluation Maternal-Neonatal Health Care and Family Planning (Mamota) Project” Reference RFP No: RFP/SCI/BDCO/FY-20/00020”  written on subject latest by 12th August, 2020 sharp 08.00 PM