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Mission context
Mission and vision of Doctors of the World
Doctors of the World Belgium (MdM-BE) is an international medical development association and part of a global network. We provide medical assistance to vulnerable groups in Belgium, Southeast Europe, and North, West, and Central Africa. We advocate for universal health coverage where everyone has access to care without barriers (financial, cultural, geographical, etc.).
Our projects are aimed at all people who do not have or no longer have access to healthcare. In particular, they are structured around five areas: people on the margins of society (homeless people, undocumented immigrants, drug users, sex workers, etc.); children in vulnerable situations; women (supported in their fight for equality or against sexual violence, for example); migrants or displaced persons; and victims of crises or conflicts.
To successfully carry out our mission, we rely on three pillars:
- Providing care: giving populations real access to healthcare.
- Change: more than helping, we want to change things in the long term.
- Bearing witness: we will not remain silent.
Thanks to our experience and our presence on the ground, we challenge authorities (local, regional and (inter)national) with facts, figures and realities. Our projects follow a set of values common to our entire organization: Social Justice, Empowerment, Independence, Commitment, Balance.
This evaluation is part of the five-year program (2022-2026), funded by the DGD through the SDSR outcomes entitled “Access to quality health services ensures the right and capacity of the population to freely exercise their emotional, sexual and reproductive life in the Agadez Commune health district, Niger.” and SDM entitled “The protection of people in a situation of migration is strengthened by access to appropriate quality health and psychosocial support services in the commune of Agadez, Niger.”
This final evaluation focuses in particular on the projects part of the program linked to the two outcomes, which also fit into the specific objectives of the joint program.
Objective of the evaluation
General and specific objective(s)
The objective of this final evaluation is to report on the results achieved for outcomes 4 and 5: “Access to quality health services ensures the right and capacity of the population to freely exercise their emotional, sexual, and reproductive lives in the Agadez Commune health district, Niger,” and “The protection of people in migration situations is strengthened by access to appropriate, quality health and psychosocial support services in the commune of Agadez, Niger.” It will cover all the results and activities implemented in the commune of Agadez, Niger. At the end of the five-year program, it will assess the effectiveness, impact, and sustainability, as well as the cross-cutting integration of gender and environmental considerations, advocacy, and mental health.
This final evaluation will be conducted by an external consultant or team of consultants, who will also identify best practices and provide recommendations for similar interventions aimed at strengthening the capacity of communities and the health system. The results of this evaluation will support advocacy efforts directed at health authorities to adapt training approaches and models in sexual and reproductive health, human rights, equity, access to services, coordination, and good governance to better align the strategy. These findings will also provide evidence for scaling up the approach to other health districts nationally and in other countries where the program is implemented.
As the project results are general, the evaluation team will need to refer to the main types of indicators in the results framework that will be provided in the project documentation.
The evaluation will need to analyze the project’s theory of change .
The joint evaluation of these two outcomes, implemented in Niger in the commune of Agadez, will have to include a comparative analysis of the intervention model historically designed at MdM headquarters and used in these two projects, and its contextual adaptability .
The final evaluation of the five-year program will adopt an integrated and cross-cutting approach, jointly assessing the changes generated by the SRHR and SDM outcomes, while taking into account their specific objectives, targets, and intervention contexts. It will examine the contribution to improving equitable access to quality health services, strengthening knowledge and the exercise of rights, empowering individuals, and fostering community participation. It will also analyze the impact of capacity building for providers and institutional actors, coordination among stakeholders, and advocacy efforts on the quality, accessibility, and sustainability of services. Particular attention will be paid to changes observed among women, adolescent girls, migrants, and other vulnerable groups, as well as to developments in professional practices, social norms, and governance mechanisms. This approach will make it possible to identify common results, complementarities between the two outcomes, factors that have promoted or limited changes and lessons to be learned to strengthen the sustainability of achievements and guide future interventions of MdM-BE and its partners in Niger according to the country’s context.
This final evaluation aims to achieve the following specific objectives:
- Evaluate the project’s performance and results :
- Evaluate the overall performance of the project with regard to the defined evaluation criteria: effectiveness, impact and sustainability, in order to assess the level of achievement of objectives and expected results.
- Measure the changes and effects observed among rights holders and other stakeholders, and assess the extent to which interventions have helped to meet identified needs.
- Appreciate the integration of cross-cutting dimensions :
- Analyze to what extent principles related to gender, environment, advocacy, participation of host and migrant communities, and equitable access for all target groups to project activities, especially the most vulnerable, have been integrated into the design and implementation of the project.
- Assess the effects of the project on the different beneficiary groups, taking into account in particular any disparities related to gender, mental health, advocacy on vulnerability or access to services.
- Identify good practices and draw lessons learned :
- Identify, document and analyze the good practices, innovative approaches and success factors that contributed to achieving the project results.
- Identify the main difficulties, constraints and lessons learned during implementation in order to inform the design and implementation of future interventions according to the country context.
- Formulate recommendations for future interventions:
- Formulate operational, realistic and contextualized recommendations based on the results and lessons learned from the evaluation, with a view to strengthening the effectiveness, impact and sustainability of future interventions on SRHR and SDM.
- Identify the conditions necessary for the sustainability and/or replication of approaches that have demonstrated their relevance and effectiveness.
- Assessing accountability to populations
- To assess the extent to which the mechanisms for participation, information, feedback and complaints management have helped to strengthen the project’s accountability to vulnerable populations.
- Evaluate the perception of populations, authorities and stakeholders regarding the relevance, quality and results of interventions.
- Document the key findings and lessons learned from the evaluation to promote transparent and evidence-based communication with various stakeholders.
Desired profile
Education
- Master’s degree (BAC + 5) in: statistics, social sciences, public health, management, protection or other related discipline
- Having a valid certificate in humanitarian/development project evaluation techniques, or being a member or affiliate of a recognized evaluation expert association, is an asset.
Experience
- At least 5 years of experience in project evaluation work in the health and migration sectors
- Experience with innovative (qualitative) assessment methods and social survey methods (data collection, entry, analysis), semi-structured interviews and group discussions.
- Proven experience in using qualitative, innovative and participatory assessment methods (semi-structured interviews, group discussions, observation, workshops, visual and interactive tools adapted to low literacy contexts), as well as in data collection, qualitative analysis and triangulation.
- Experience in data collection and analysis, and in consulting with marginalized groups (women, youth, people in vulnerable situations).
- Experience in implementing rigorous ethical approaches: informed consent, confidentiality, the “do no harm” principle, safeguarding and managing sensitive situations, including with minors and adolescents.
- Experience in the country or countries of intervention. Evaluation teams including people residing in the countries or regions of the project, or involving national experts, are appreciated.
- Experience in evaluating projects funded by the DGD is appreciated.
Quality and justification of the methodology
- A clear and appropriate technical proposal based on a good understanding of the evaluation issues.
- General description and relevance of the methodology.
- Presentation of the tools offered at each stage of the evaluation process.
- Work schedule consistent with the methodology and expected deadlines.
- Demonstrated ability to deploy assessment teams in intervention areas, with an appropriate team composition (gender, local languages, knowledge of the field).
- Presentation of the tools offered at each stage of the evaluation process, including the methods of validation and feedback to stakeholders.
Other advantages
- Excellent command of French.
- Knowledge of local languages is appreciated.
- Work experience within or with an international association, particularly in the field of Health and Migration.
- Knowledge of the context of the countries of intervention.
Budget
The budget must include at least the following elements:
- The days of expertise provided by the various members of the consulting team for carrying out this evaluation (Accommodation, travel, insurance and living expenses)
- The consultant will be responsible for all travel-related expenses (logistics, accommodation, travel, insurance, and living costs) for the field phase and should therefore be included in the budget. The MdM-BE team will facilitate procedures with the authorities for fieldwork within the municipality of Agadez.
- Additional costs necessary for carrying out the assessment and its delivery (reprographics, etc.)
The budget for this consultancy amounts to a maximum of 32,500 euros for both outcomes.
How to apply
Offer Content
The submission package must include:
- A technical proposal including an updated CV of the consultant or team of consultants and a description of the methodological approach envisaged to address the questions and objectives outlined above.
- A financial offer not exceeding 32,500 euros, including a detailed financial proposal in EUR including in particular all envisaged costs.
*The bidder’s CV will clearly and in detail indicate (organization, type of services and period of services), their similar experiences.
*The bidder’s attention is drawn to the fact that the total lump sum price relates to one mission, and includes fees and expenses inherent to missions (travel, insurance and accommodation expenses).
Time limit
Applications must be submitted by email to consultancy@medecinsdumonde.be with the subject line ” Consultancy final evaluation of the five-year SRSR and SDM program in Niger “, no later than November 24, 2026 at midnight**.**