After KH comments, for IPTC feedback



Terms of Reference for IPPF’s Innovation Programme Research ComponentIPPF would like to invite applicants to design and implement the research component of IPPF’s Innovation Programme projects with a view to publication and public disclosure of results, according to the terms of reference outlined here. If you are interested, please reply to Dr. Ritu Mahendru, Senior Research and Evaluation Officer for the Innovation Programme, at RMahendru@, copying innovation@ with an expression of interest (EoI) that outlines your approach to meeting these terms of reference. Details of what to include in the EoI are given in a checklist at the end. Please submit your EoI by close of business on 04.01.16. Successful applicants will be notified by 12.02.16.BackgroundIPPF is a global service provider and a leading advocate of sexual and reproductive health and rights (SRHR) for all. IPPF’s Innovation Programme (IP) ensures a safe space to implement new and creative projects to enhance learning, increase effectiveness and contribute to the evidence base of programming in support of IPPF’s strategic priorities and the SRHR sector. The guiding principles of the IP are:Be creative: It is vital to develop and implement new approaches to meet IPPF's goals and objectives, within the ever changing landscape of SRHRBe accountable: We are accountable to our clients, to ensure that our programmes address their needs; and to our donors and ourselves in working as effectively as possibleBe effective: By subjecting our new ideas to rigorous evaluation and research, we can generate the evidence needed to test our innovation modelsIPPF has identified a programmatic evidence gap in SRH service delivery: how can we better partner with men and boys to increase their participation in and access to sexual and reproductive health services? Our Member Associations (MAs) have local knowledge and expertise in providing SRH services to their clients and are therefore best placed to propose innovative ways to address this problem. Following a competitive selection process, the Family Planning Association of India (FPAI) has been selected to implement the following project (a more detailed project description is given in annex 1):FPA India proposes to implement a project with the overall goal of a gender-just and free environment, for men and women to realize their sexual and reproductive health and rights. The project will be implemented in two large slums and one rural block of Hyderabad (Telangana state in the south), covering both urban and rural areas. The project will focus its activities on men and boys between 10-49 years of age. While the focus for young boys will be on education and changing gender stereotypes, for older boys and men it will be on the roles and responsibilities related to SRH. Objective 1: To promote gender equality through engaging men and boys to prevent sexual and gender-based violence (SGBV) cases.Men and boys will be trained as Peer Educators to engage as agents of change to promote gender equality, promote sexual health and prevent SGBV. Objective 2: To increase the understanding of men’s roles and responsibilities in providing care and support to women for maternal and child health care as well as abortion.The role of men as partners will be enhanced through Private Medical Practitioners (PMPs), family physicians trusted by families and men. PMPs would provide counselling to men referred by Peer Educators.Objective 3: To address SRH concerns of men and to increase services for male sexual and reproductive health.Improving men and boy’s own sexual and reproductive health with high quality male friendly SRH services will be provided at two clinics in Hyderabad.In order to meet the IP’s Guiding Principles, the IP pairs each project with an independent research partner (individual or institution), with strong skills and experience in evaluation and operational/implementation research. We are therefore looking to engage a research partner to design and implement an independent, prospective evaluation of this project, working alongside FPAI to assess the realisation and success of their project in accordance with the specifications outlined in this terms of reference. We seek open and enhanced sharing and publication of any results ensuing from this collaboration. IPPF will support the successful research partner with up to US$150,000 over the three years.AimIPPF aims to understand the design, implementation and contextual factors which are the main contributors to the project’s success or failure, to enable identification of successful innovation projects with potential for scale up and replication.Objective 1: To design an impact evaluation (IE) to answer the following question:Primary: Does a “peer educator model” that promotes gender equality and sexual health lead to an increase in SRH service uptake by men and boys in FPAI service delivery points (SDPs) in the target area?Secondary: Does men’s engagement through the “private medical provider’s (PMPs)” increase their participation in their partner’s SRH needs?’Does providing men with quality SRH services through FPAI SDPs and PMPs lead to greater SRH service uptake by their spouses?’Please note that the question / questions stated here will be negotiated between FPAI and the successful research applicant as part of this methodology design.? This objective aims to empirically and independently assess the success or failure of this project in achieving its stated outcome through a theory-based experimental or quasi-experimental, mixed methods impact evaluation.? This should include an integrated process evaluation to explore the underlying determinants of the project’s results, including how they are affected by project design, implementation and contextual factors (for example, sociocultural, gender, political, legal, physical and economic factors).? This will require co-development, with FPAI, of the projects theory of change, identifying all major assumptions along the causal chain. IPPF proposes that researchers are actively involved in prospectively designing the project implementation along with FPAI to enable a robust, prospective impact evaluation methodology. While a full economic analysis is not required, the IE should consider the project’s cost effectiveness.? Results of the IE will inform future project improvements, scale-up or replication of activities in other contexts.Objective 2: To contribute to the global body of knowledge on partnering with men and boys in SRHR by disseminating robust evidence and lessons from this workThis objective aims to contribute to the wider evidence base on partnering with men and boys through dissemination of the findings from the objectives above to a wide variety of appropriate audiences, including but not limited to policy-makers, implementers and academics. Use of creative dissemination activities and channels are encouraged, as well as publications in peer-reviewed journals and open-access platforms.Methodology Current evidence on the impact of partnering with men and boys in the field of SRHR have begun to report promising approaches, but methodological limitations persist, as exampled in a recent review commissioned by IPPF: few quantitatively rigorous studies existmany are limited to a short timeframe where impact on behaviour change may not be seenThe successful applicant will be expected to work closely with FPAI to both design and implement the project. This work will therefore start with a project inception meeting, attended by the successful applicant, FPAI and IPPF’s Project Support Team (PST), to agree roles and responsibilities (to be documented in a collaboration agreement), develop an initial theory of change and create a joint implementation plan for the duration of the project. IPPF supports the establishment of a consortium to undertake this research piece, where consortium partners are sub-grantees managed by the successful research applicant. In particular, international applicants are encouraged to work with national researchers in India. Timeline and travel The successful applicant’s time will be spread across a maximum of 38 months. Depending on their location, travel will likely be necessary to visit field locations and this should be included in the funds available.Selection processIPPF will review all applications for adherence to the criteria set out in these terms of reference. A combined internal and external review panel will then select a shortlist of applications based on the cost-effectiveness of their proposed approach, as well as its technical / methodological merits in meeting each of the objectives above and the application criteria set out below. Preference will be given to applicants who clearly address each criterion individually.Innovative evaluation techniques are also welcome. Preference will be given to those who demonstrate a pragmatic approach, prioritising designs that will be useful to FPAI programme managers and decision-makers. Successful applications will therefore likely propose mixed methods approaches, which can provide ongoing feedback to FPAI for incremental project improvement / course correction. Given the gender-responsive nature of this project, the design will have to be explicitly and thoroughly grounded in a gender-responsive design framework.Consideration will also be given to the applicant’s demonstrated experience in SRHR and gender awareness. The final selection from this shortlist will be made jointly by IPPF and FPAI and will include consideration of logistical working arrangements. Roles and ResponsibilitiesResearch Partner:Implement the proposed IP Research Component in collaboration with FPAI’s IP Project:Work with FPAI to design the research approach to meet the objectives specified above, which FPAI expects will include a mixed-method impact evaluation and a process evaluation that will focus on implementation questions in annex 2.Arrange ethics approval for the proposed IP Research Component. Register the proposed research on suitable evaluation registry, e.g. 3ie’s RIDIE, if appropriately qualified for inclusionMaintain close communication with FPAI to share findings from routine monitoring, evaluation or research activities Co-own data collected with other parties (IPPF and FPAI) and ensure that research findings are publically available.Submit to IPPF semi-annual written reports including a description of results/findings, observations and recommendations of the research, along with a fiscal reportAuthor the final write-up of this research preparing various formats suitable for journal publication and other dissemination activities & audiences, such as a plain-language, accessible main report of not more than 60 pages (not including annexes), a four-page brief suitable for decision-makers and an infographic.Prepare a clear dissemination plan, including conferences, media and publication (during and after the study)FPAI:Implement the IP Project in collaboration with the successful research applicant:Maintain close communication with the successful research applicant to share findings from routine monitoring, evaluation or research activities Support the successful research applicant to collect and interpret data, including the sharing of data routinely collected by FPAI where needed. NB: Although FPAI may be able to support the successful research applicant to collect data, this cannot be confirmed until a more detailed discussion between FPAI and the successful applicant. Therefore, for the purposes of this EoI, applicants should assume that FPAI cannot support data collection.Co-own data collected with other parties (IPPF and the successful research applicant)Co-author the final write-up of this IP Research Component where appropriateAdvise the successful research applicant on the types of dissemination materials needed for local target audiencesWhere appropriate, propose local research partner to partner with IPPF Secretariat:Facilitate communication and contact between the successful research applicant and FPAIFacilitate contractual arrangements between IPPF and the successful applicantAssist in organizing travel logistics for the successful research applicantCo-own data collected with other parties (FPAI and the chosen research partner)Co-author the final write-up of this IP Research Component where appropriateCo-ordinate a final peer review process in collaboration with the chosen research partner, as appropriateWhat to include in the Expression of InterestThe following information must be submitted as part of expression of interest:The CVs of the Principle Investigator(s) (PI) and other members of the team (maximum of three pages, stating only qualifications relevant to this study) and a table showing the roles and time being allocated for each member over the 38 months. CVs should explicitly identify the following qualifications:Previous appropriate experimental, quasi-experimental mixed method evaluation experience in India with similar or larger budgetsDemonstrated experience designing gender-responsive evaluation designsBased on the available information in the TOR, provide an outline and rationale for the research design(s) you will propose for discussion and finalisation with the team (1200 words):Discuss the proposed evaluation question(s) and whether or not these are evaluable or will need further discussion and amendment Describe how you will develop a programme theory of change and include, optionally, a one-page example of a theory of change for a similar programme from previous work or an indicative one based on the project summary and TOR information provided. Describe proposed evaluation designs methods and data collection techniques, with attention to the robustness of qualitative components, and how to implement the study components on this budget in the time provided and what parts will be covered by FPAI.Describe explicitly how the evaluation will be responsive to age, sex and gendered roles and relations. Describe any innovative aspects of the proposed approachNote any qualifications to the TOR and any identified risks to implementation you identified in the TORProvide a summary of how you will develop a research communication plan that will include engagement with key stakeholders, including project beneficiaries, implementers and decision-makers throughout the study period. The summary should indicate types of activities and what products will be produced. It should include a dissemination plan for the study findings. At least 10 per cent of the study budget will go to these activities and products (300 words max)Provide details of the institutional review board (IRB) from which ethical approval will be sought and the likely time this may take Disclose any potential conflicts of interest in your engagement with IPPF’s Innovation ProgrammePlease provide an proposed budget:Costs of anticipated travel, including visas, vaccinations, airport transfers, per diems and accommodation as these are expected to be covered by these fundsCosts for study implementation, including identification of study components that will be covered by FPAICosts for research participants (that meet ethical standards for participation compensation) Costs of the research communication plan, including communication product costsPlease state whether VAT is included in the budget and what your overhead recovery rate is, if applicablePlease state where you saw this terms of reference advertisedEligibilityIPPF will accept applications from organisations registered in India able to manage the study grant. The lead PIs must be resident in India. The addition of an international expert to provide methodological expertise and support in design and analysis is highly recommended. Consultant Study Team Experience and QualificationsThe following are the essential and desirable qualifications that will be assessed from the CVs provided:Essential:Experience of designing and implementing qualitative and quantitative research methodologies, with at least one prior experience being in conducting a rigorous impact evaluation Demonstrated experience designing experimental or quasi-experimental evaluations that include a mix of methods and are based on a careful analysis along the entire causal chain of the programme theory of changeField-based evaluation research in India, with demonstrated capacities to develop survey instruments and train and manage survey teamsDemonstrated capacity to design evaluations that adequately capture and analyse the social and structural determinants of inequality, including age, sex and gendered roles and relations.Excellent writing, analytical and communication skills and ability to present complex information in a systematic wayA proven record of delivery of results within the defined time frameSensitivity to different cultural and religious contextsFluency in written and spoken English Lead PI or co-lead PI will have been lead author on relevant publications in sexual and reproductive health and rightsDesirable:Experience of implementation research Other languages, particularly any relevant languages to the project locationIndicative timeline and deliverablesFinal selection:12.02.16Contracting:Feb / March 2016Inception meeting with FPAI:March / April 2016Development of detailed IE:April 2016Review of IE by IPPF:April 2016Commencement of IE and FPAI’s implementation: May 2016Submission Please limit the EoI to 4 pages (8 sides) of A4 (excluding CVs and an annex showing an example theory of change, which is optional).Incomplete applications will not be considered. Acceptance of an application is not a guarantee of any awards being made.Contact detailsDr. Ritu Mahendru, Senior Research and Evaluation Officer for the Innovation Programme International Planned Parenthood Federation4 Newhams RowLondon SE1 3UZUnited KingdomTel:+44 (0) 20 7939 8225Email: RMahendru@, innovation@AnnexesAnnex 1: Detailed summary of FPAI’s projectThis is a summary of the original concept paper submitted to the Innovation Programme. As noted above, some of the details may change depending on discussions between FPAI and the successful applicant at the Inception meeting. In India, traditionally due to gender norms and social conditioning, men remain at the periphery for sexual and reproductive health and rights (SRHR) issues. It is observed that health seeking behaviour among men for SRH problems is low, mostly due to the perception that facilities which provide such services are for women and children. Additionally, SRH services for men are almost non-existent and, if available, are scattered around various clinics – Urology, Infertility and Sexual Medicine. Many men in India become violent and aggressive as a part of their masculinity when they have neither space nor any SRH healthcare option and thus are caught in a vicious cycle of aggression, ill health and isolation within the family. FPA India proposes to address these issues and implement a project with the overall goal for a gender just and free environment, for men and women to realize their sexual and reproductive health rights. The project will be implemented in two large slums and one rural block of Hyderabad (Telangana state in the south), covering both urban and rural areas. The project will focus its activities on men and boys between 10-49 years of age. While the focus for young boys will be on education and changing gender stereotypes, for older boys and men it will be on the roles and responsibilities related to SRH. Objective 1: To promote gender equality through engaging men and boys to prevent sexual and gender-based violence (SGBV) casesMen would be engaged as agents of change to promote gender equality, promote sexual health and prevent SGBV. Young boys and adult men will be identified and trained as Peer Educators. Training will include SRH, gender equality and exploring values and attitudes on masculinity, culture, tradition and working with key population groups. One peer educator will cover a population of 5000, to identify 500 boys / men to generate awareness. In addition, 10 men from the community will be selected and trained to disseminate information and awareness about gender equality, sexual health and prevention of gender based violence. These men will work in colleges, factories or a community hotspot and reach out to the influential men inhabiting these spaces to harness their support and commitment to prevent and mitigate gender based violence. Mechanisms to prevent and report acts of violence ranging from verbal abuse to sexual violence will be developed with vigilance groups and committees formed. They will also increase referrals to the FPA India service delivery points (SDPs) for male SRH services and to Private Medical Practitioners (PMPs) for counselling on mother and child health (MCH), family planning (FP) and their role as a responsible partner. Key messages will be disseminated through mass media events, peer education, health care providers and special services for men alongside provision of Comprehensive Sexuality Education in community and school settings.Objective 2: To increase the understanding of men’s roles and responsibilities in providing care and support to women for maternal and child health care as well as abortionThe role of men as partners will be enhanced through 15 Private Medical Practitioners (PMPs), who are basically family physicians thus trusted by families and men, from each location. The main role of the PMP would be to provide counselling to men referred by Peer Educators. The counselling would include information on MCH, FP and the importance of men to support their partners for an improved RH outcome for women. The PMPs would also provide critical information to men to support their wives during pregnancy, ANC-PNC check-ups, uptake of FP and their role in child rearing. Objective 3: To address SRH concerns of men and to increase services for male sexual and reproductive health.Improving men and boy’s own sexual and reproductive health with high quality male friendly SRH services will be provided at two clinics in Hyderabad (rural, urban). The clinical services will include the following: Couple counselling on family planning, sex and sexuality and healthy relationships; family planning for men – condom and vasectomy services; STI syndromic management, diagnostic testing and treatment/referral; HIV counselling and testing; partner counselling; urological services; sexual dysfunctions and other disorders of the male reproductive system; counselling men in postnatal/post-partum and new-born care and support; counselling men in safe abortion care (if the women chooses) and in post abortion contraception and care and counselling men on SGBV. Multipronged strategies are more effective than stand-alone strategy/activities. The three strategies of community mobilization, engaging men as partners and providing men with quality SRH services would lead to achieving the objectives and overall goal of men being more meaningfully involved in SRH issues. The common beliefs that family planning is the domain of women and that men cannot use a contraceptive method other than condoms (not even that with their regular partner), will be mitigated and men using contraceptive methods, particularly sterilization, will increase. Men will play a greater role in antenatal care and be supportive of their wives in making at least 3 ANC visits and ensuring nutritious intake of food both during the antenatal and postnatal periods. Furthermore, they will plan for institutional delivery with a skilled birth attendant, including transportation. Men will be encouraged to partake in childcare especially when the mother is in pregnancy stage and after delivery. Since men are the main decision makers, information on safe abortion and legal status will help the couple make informed and early decision on seeking abortion related services. The basic premise in providing information and services will be rights based perspective to health care services. It is envisaged that men’s engagement will bring about changes in behaviour with understanding and cooperation with their partners and better health outcomes.Annex 2: Implementation outcomesImplementation OutcomeWorking definitionRelated termsAcceptability The perception among stakeholders that an intervention is agreeableFactors related to acceptability e.g. comfort, relative advantage, credibilityAdoptionThe intention, initial decision or action to try to employ a new interventionUptake, utilisation, intention to tryAppropriatenessThe perceived fit or relevance of the intervention in a particular setting or for a particular target audience (e.g. provider or consumer) or problemRelevance, perceived fit, compatibility, perceived usefulnessFeasibilityThe extent to which an intervention can be carried out in a particular setting or organisationPracticality, actual fit, trailabilityFidelityThe degree to which an intervention was implemented as it was designed in an original protocol, plan or policyAdherence, delivery as intended, integrity, quality of programme delivery, dosage of deliveryImplementation costThe incremental implementation cost of the projectMarginal and total costCoverageThe degree to which the population that is eligible to benefit from an intervention actually receives itReach, access, service spread, effective coverage (combining coverage and fidelity), penetration / integration into the service settingSustainabilityThe extent to which an intervention is maintained or institutionalised in a given settingMaintenance, continuation, durability, institutionalisation, incorporationAdapted from CITATION Pet13 \l 2057 (Peters, et al., 2013)Bibliography BIBLIOGRAPHY Peters, D., Tran, N. & Adam, T., 2013. Implemenation Research in Health: A practical guide. World Health Organisation: GenevaWilkinson, R. G. &?Marmot,?M. 2003,?Social determinants of health: the solid facts. World Health Organization: Denmark ................
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