Learning Lessons
Developing Rehabilitation Guidelines
Terms of Reference
1. Introduction and Background Information
1.1. Humanity and Inclusion
Humanity and Inclusion (HI) – previously known as Handicap International- is an independent and impartial aid organisation working in situations of poverty and exclusion, conflict and disaster. We work alongside people with disabilities and vulnerable populations, taking action and bearing witness in order to respond to their essential needs, improve their living conditions and promote respect for their dignity and fundamental rights. HI is working in more than 60 countries over the World.
HI has been working in Vietnam for over 25 years, mostly in the fields of health and prevention (mother and child health and road safety), rehabilitation (rehabilitation care for persons with spinal cord injury and brain lesions), education (access to inclusive education for children with disabilities) and livelihoods (access to decent work for people with disabilities).
1.2. Rehabilitation Project
The rehabilitation project, funded by the USAID, started in October 2015 and is expected to last for 8 years (until September 2023). The project's goal is to improve quality of life of persons with brain lesions, especially those with brain stroke, traumatic brain injury, cerebral palsy and/or spina bifida/hydrocephalus, by improving access and quality of rehabilitation services. In order to do so, the project develops 4 main approaches:
- Strengthening of rehabilitation service delivery
- Building Human Resources’ capacities and skills.
- Strengthening governance and networking
- Improving awareness among general population and local authorities on home accessibility and independent living
1.3. Guidelines
In the framework of its third objective (Strengthening governance and networking), the project previously focused on developing rehabilitation guidelines. The rehabilitation guidelines aim at providing rehabilitation service providers (doctors, nurses, PTs, OTs, STs and others) with evidence-based and contextualized recommendations on care for persons with brain lesions (i.e. stroke, traumatic brain injuries, cerebral palsy and spina bifida).
Besides a General Rehabilitation Guidelines, which provide wide-ranging recommendations on care provision and quality principles, more "Technical Guidelines" have been produced for each of the targeted conditions. These "technical" guidelines are specific to one "type" of care. They provide rehabilitation professionals with more specific, detailed technical guidance, allowing them to better understand their specific role in the general rehabilitation approach and the provision of multi-disciplinary, person- centered and evidence-based care.
The development process of the guidelines has been participatory, including a large range of stakeholders and experts and has lead to the formal approval of the rehabilitation guidelines by the Vietnamese Ministry of Health.
The development process of such rehabilitation guidelines is considered as innovative and demonstrates very positive early results.
1.5. Lesson learning
Lesson learning is defined by HI as a systematic process to identify specific knowledge that has been developed through a particular project or programme experience in order to analyse, explain and model it, either for adaptation or replication by others, or to avoid repeating the same mistakes.
Unlike evaluation, which usually focuses on objectively measuring the quality and performance of an entire project or programme against set criteria, lesson learning tends to take a more subjective, qualitative look at specific aspects within a project to analyse the more indirect ways in which change has occurred—to try to draw out generalisations which could be applicable in other contexts.
The aim of lesson learning is to go beyond analysing what has been done and to focus rather on how it has been done. The final objective of lesson learning is to actively use the knowledge and know-how collected to improve practices and strategies and to inspire others, through dissemination, training, advocacy or awareness-raising activities.
2. Assignment
2.1. Assignment Objectives:
The consultant supports HI’s Rehabilitation project in writing the lesson learning and conducting necessary steps to collect information from different stakeholders.
Lesson learning is expected to include:
- Introduction
- Aims and objectives for this lesson learning project & intended audience
- Principles and benchmark
- Background (the problematic)
- The project (to answer the problematic)
- The capitalisation process used (to draw lessons learned from the intervention)
Lessons learned
- Description of the context (=problem) prior to practice (a)
- Description of practice / operational modalities (b)
- Changes between (a) and (b)
- Success factors
- Obstacles or challenges encountered
- Analysis (what has been learned?)
- Recommendations for replication
- Main recommendations for duplication
- Recommendations on the design and planning of this type of project
- Recommendations on the implementation of this type of project
- Recommendations on monitoring and evaluation of this type of project
- Conclusions
To achieve this, the consultant is expected to:
- Conduct a desk review of important project documents.
- Select the most useful and important resources.
- Identify key resource people—i.e. the specific stakeholders who know the project very well (either the whole project or some aspects of it) and can talk about the project process and/or its impact.
- Inform the selected stakeholders of the lesson learning plans and make arrangements for interviews.
- Conduct interviews with selected stakeholders.
- Draw out generalizations and recommendations from all the lesson learning meetings/interviews.
- Work with HI Country Manager and Technical Advisors to validate the practical recommendations.
- Produce your final publication with the following contents: Introduction: Aims and objectives for this lesson learning project & intended audience; Principles and Benchmarks: Overview of the project; Overview of the lesson learning process and summary of main lessons learned; Presentation of Practical recommendations—how to replicate the model; Annexes.
2.2. Deliverables
- Lesson learning document (in English) according to HI template and methodology.
- A one/two-pager summary of the full document (as per HI’s template for “Brief” documents)
- Interview transcripts
2.3. Consultant and HI’s Responsibilities
The consultant:
- Follows HI “Learning lessons from experience” practical guide
- Proposes methodology
- Lead and undertake interviews and technical drafting of deliverables
- Provide aforementioned deliverables and present them to HI technical team
HI:
- Validates deliverables
- Provides necessary documents or information
- Provides contact of key resources/persons
3. Additional Information
3.1. Working Organization
- The deliverables are to be developed from the distance – there is no field mission (in Vietnam) required
- The deliverables are to be developed in English
3.2. Timeframe
- Application closing date : September 25th, 2020 (11.59PM, Central Europe Time)
- Confirmation: pre-selected consultant will receive an answer on September 29th, 2020
- Contract signature: contract is expected to be signed by October 2nd, 2020
- Deliverables: to be defined with the consultant, no later than December 15th,2020
- Total expected workload : to be included within consultant’s proposal together with daily fee. Current estimation is about 15 working days.
3.3. Selection Criteria
Selection of contractor among the bidders will be based on series of criteria, among which (not following an order of importance):
- Activity costs (total budget and fees)
- Past experiences in developing similar material
- Proposal quality, activity planning and timeline
- Resources to be mobilized and consultant’s expertise
HI reserves the right not to award the contract concerned by this tendering procedure should circumstances require, and is under no obligation to provide justification or compensation of any kind to the companies consulted.
More information and/or application
Please contact/send application (detailed cost estimation, methodology and tentative planning) to:
Martin JACOBS
Rehabilitation Technical Advisor
Humanity & Inclusion (Handicap International) in Vietnam
[email protected] [1]