- R01:01. Number of eye health personnel who have completed IEH Training on Ophthalmic nursing/Ophthalmic assistance at Mvumi or KCMC.
- R01:02. Number of eye health personnel who have completed IEH trainings on the identification of Diabetic Retinopathy and its associated eye complications in both islands.
- R01:03. Number of eye health consultations performed by the partner at the main hospital satellite clinics and during outreach.
4.2. Increased number of people benefiting from inclusive eye health services through health promotion in the catchment areas.
- R02:01. 8,400 eye health consultations performed by the partner at the satellite clinics.
- R02:02. 840 eye-related surgical procedures (excluding cataract operations) performed by the partner.
- R02:03. 6,500 cataract surgeries performed by the partner.
- R02:04. 8,000 people screened at the outreach services.
- R02:05. 90% of patients who receive cataract surgeries and have a good outcome (VA 6/18 or better).
- R02:06. 9,225 spectacles provided to men and women, girls, and boys by 2024.
- R02:07. 9,000 refractions performed by the partner per year.
- R02:08. 100 Glaucoma operations performed.
4.3. Increased number of patients benefitting from ophthalmic rehabilitative services in the project areas every year by 2024.
- R03:01. 5 Optometrists trained or upgraded on the provision of low vision services at KCMC or Muhimbili N Hospital.
- R03:02. 50 people benefited from quality Low vision therapy and devices.
- R03:03. 55 people with severe visual impairment and disability referred to the rehabilitation centres.
- R03:04. 2 Low vision outreach sessions conducted to elderly homes (Welezo & Sebleni) and UWZ rehabilitation centre.
- R03:05. 30 people joined Orientation & Mobility training at the rehabilitation centres (UWZ & ZANAB) by 2024.
- R03:06. 100 children received hearing aid devices.
- R03:07. 7,000 people screened for Diabetic Retinopathy, 200 treated with Anti-VEGF and Laser therapy by 2024.
4.4. Mainstreaming inclusion in primary health care facilities, secondary health care facilities, and community (schools and DPOs) in Zanzibar.
- R04:01. 6 task force meetings with IEH in primary and secondary health facilities conducted by December 2024.
- R04:02. Primary Health facilities and Mnazi Mmoja Hospital provided with inclusive environments (ramp construction and accessible toilet installations).
- R04:03. Sensitized Ministry of Education and Vocational Training on the provision of user-friendly inclusive environments (ramps and accessible toilets) to at least 40 schools.
- R04:04. Systematic link established between IEH and OPDs.
4.5. Enhanced capacity in managing the project by the year 2024.
- R05:01. Salary support to the project coordinator and accountant administered.
- R05:02. Annual audit conducted.
- R05:03. Administration costs (stationeries, communication, bank charges, computer etc.) accounted for.
- R05:04. Mid-term evaluation conducted.
- R05:05. Monitoring, supervising, and management of project activities conducted at PHCCs/PHCUs in Unguja and Pemba.
- R05:06. End term evaluation conducted.
Now that the program is approaching its end, Mnazi Mmoja Hospital is looking for a consultant who will conduct an end-line project evaluation in line with the project objectives, outcomes, outputs, and activities. The consultant shall specifically evaluate the project’s relevance, coherence, effectiveness, efficiency, impact, and sustainability.
The end-line evaluation will cover all project activities from January 2022 to 31st December 2024.
5.2. The purpose of project evaluation:
The purpose of this end-line evaluation is to assess the effectiveness, efficiency, relevance, coherence, inclusiveness, impact, and sustainability of the IEH Project; to identify any problems or challenges that the project has encountered; to issue recommendations; and to identify lessons learned on design, implementation, and management. The evaluation’s purpose is to provide findings and conclusions to meet accountability requirements and recommendations and lessons learned to contribute to the program’s improvement and broader organizational learning. The evaluation shall assess not only how well the program has performed but also seek to answer the ‘why’ question by identifying factors contributing to (or inhibiting) successful delivery of the results. In addition to assessing the final outcomes achieved, the evaluation focuses on assessing the impacts of the program, as well as its delivery. The evaluation should compare with baseline conditions (if available) and assess change. The evaluation should also include recommendations and identified key learnings for future projects.
6.1. Relevance:
The consultant shall assess the extent to which intervention objectives and design respond to beneficiaries, global, country, and partner/institution needs, policies, and priorities. In summary, the consultant should assess whether the intervention was doing the right things.
6.2. Coherence:
The consultant shall assess the extent to which other interventions (particularly policies) support or undermine the intervention, and vice versa. This includes internal coherence and external coherence: Internal coherence addresses the synergies and interlinkages between the intervention and other interventions carried out by the same institution/government, as well as the consistency of the intervention with the relevant international norms and standards to which that institution/government adheres. External coherence considers the consistency of the intervention with other actors’ interventions in the same context. This includes complementarity, harmonization, and coordination with others, and the extent to which the intervention is adding value while avoiding duplication of effort. In summary, the consultant should assess the compatibility of the intervention with other interventions in a country, sector, or institution.
6.3. Efficiency:
The consultant shall assess how well the program resources were used, showing the extent to which the intervention delivered results in an economic and timely way.
6.4. Effectiveness:
The consultant shall assess the extent to which the intervention achieved, or is expected to achieve, its objectives and results towards the targeted groups.
6.5. Impact:
The consultant shall assess the higher-level changes, both positive and negative, expected and unexpected changes of the project interventions. The impact addresses the ultimate significance and potentially transformative effects of the intervention. It seeks to identify social, environmental, and economic effects of the intervention that are longer term or broader in scope than those already captured under the effectiveness criterion. Beyond the immediate results, this criterion seeks to capture the indirect, secondary, and potential consequences of the intervention. It does so by examining the holistic and enduring changes in systems or norms and potential effects on the targeted population’s socio-economic, political, and cultural well-being.
6.6. Sustainability:
The consultant shall evaluate the sustainability of the project to measure the likelihood of the project continuing beyond donor support. Sustainability should be assessed based on levels of stakeholder engagement, acceptability, and ownership of the program activities and its benefits by implementing partners. Sustainability should also be assessed by the continuation of program benefits after the end of the program.
6.7. Inclusiveness:
Data collected should be disaggregated according to gender, age, and disability.
- Disability Inclusive Development: The evaluation will determine the degree to which people with disabilities have been actively engaged with the project activities, empowered, and have benefited from the project on an equal basis.
- Gender: How did the program ensure that the needs of women, men, boys, and girls were taken into account and addressed within activities so as to benefit all groups on an equal basis?
- Safeguarding: What mechanisms were taken by the program to ensure that adults and children at risk in the target area were protected from abuse and maltreatment and prevented from harmful practices? How have those mechanisms been practiced; how have they been monitored?
