The Georgetown University Center for Global Health Practice and Impact (CGHPI) serves countries to improve their population health and well-being and to safeguard against health-related threats by advancing the use of evidence and human-centered enterprise architecture on the path towards achieving equity and social justice. To achieve this mission, we catalyze the uptake, spread, and implementation of innovations; triangulate data from different sources, and tailor visualization of the information for each audience; design and implement integrated service delivery models; support communities of practice to inform policy and practice through efficient data use and horizontal and vertical collaboration; disseminate best practices and evidence globally through open source learning networks; build global, collaborative, multi-disciplinary, and interprofessional networks; undertake research that is informed by local needs; and invest in local leadership to own, provide oversight, and sustain implemented interventions.

Purpose of Expression of Interest

Georgetown University is seeking Expression of Interest from qualified individuals and institutions (consultancy forms) for the provision of services to complete an independent mid-term evaluation of the SEASEC Program funded by the United States President’s Emergency Plan for AIDS Relief (PEPFAR) through the United States Centers for Disease Control (CDC). Further details on the evaluation terms of reference are provided on the Georgetown University website.

Project Background

Georgetown University (GU) is implementing the SEASEC Program funded by the United States President’s Emergency Plan for AIDS Relief (PEPFAR) through the United States Centers for Disease Control (CDC). The SEASEC program is working in partnership with the Ministry of Health (MOH) of the Kingdom of Eswatini (KoE) to build capacity and provide technical assistance to strengthen the health system from the community level, designated health facilities, the regional health management structures, and at the national level, to optimize comprehensive HIV and TB prevention and treatment services in two regions, Manzini and Lubombo. Expected outcomes include first, sustaining the already achieved UNAIDS 95-95-95 targets across all populations in the supported regions while identifying and addressing any last-mile gaps, decreasing cervical cancer disease burden, and maintaining high TB case finding and treatment success rates in supported facilities, towards the goal of TB control: and secondly transitioning program planning, oversight, and implementation to the Ministry of Health within the grant cycle.

Scope of the Evaluation

The overall purpose of this evaluation is to assess the achievements of the SEASEC project halfway through the expected five years of implementation in the 2 primary regions of focus (Manzini and Lubombo) in relation to the project objectives. The evaluation will assess the extent to which the SEASEC strategies and interventions result in the achievement of planned outputs and outcomes. The evaluation will also analyze the degree to which the achievement of these results could have been influenced by factors outside GU’s control, and whether the GU/MOH partnership strategy has been appropriate and effective. In addition, the evaluation will analyze the processes and methodologies used to implement the planned activities, the impact on the beneficiaries, and the capacity of the MOH to continue supporting the activities after the end of the project.

  • Evaluation Questions

  1. What approaches successfully improved healthcare services access across the continuum of HIV and TB prevention, treatment, and care?
  2. What current approaches need to be changed, modified, or replaced to achieve improved health outcomes in Lubombo and Manzini?
  3. At which health facilities were planned program interventions successful and why?
  4. What were the key drivers for the successful implementation of planned program activities?
  5. Are the resources invested justified by the program achievement since inception?
  • Evaluation Outcomes

The evaluation will seek to determine the following outcomes of the GU SEASEC Project:

  1. Effectiveness of the GU SEASEC Project – assess the effectiveness of the project within the benefiting communities and how this contributed to achieving and sustaining HIV epidemic control; independently verify whether the project’s outcomes were achieved, and progress made against the baseline measures; document challenges or opportunities to improve effectiveness in future programming.
  2. Efficiency of the GU SEASEC Project – assess whether activities of the project are cost-efficient, achieved on time and whether they are being implemented most efficiently compared to alternatives if available.
  3. Equity of the GU SEASEC Project – to assess the measurable differences in HIV and TB clinical service access, experience and health outcomes between the Key and Priority Populations (KP and PP), as defined, including commercial sex workers (CSWs), Orphans and Vulnerable Children (OVC), adolescent girls and young women (AGYW) and the general population, following the implementation of the project.
  4. Sustainability of the GU SEASEC Project – to investigate the level of preparedness of MOH structures to sustain HIV Epidemic control and continue supporting the activities after the end of the SEASEC project, and the scalability and sustainability of the project activities beyond the life of the project.
  5. The extent to which implementation of CQI approaches has resulted in improving the quality of services, institutionalization, and sustainability of HIV services.

The extent to which implementation of the LISTEN process (human-centred design and communities of practice) have resulted in the implementation of solutions developed by patients, communities, and health workers to address barriers in service delivery.

Profile of the Consultant

  • The lead consultant should have an advanced degree (MA/MS/MPH/PhD) preferably in Public Health, Demography & Population Health, Epidemiology & Biostatistics or Monitoring & Evaluation, plus training in research methodology, and project planning and management, or Health Management Information Systems.
  • Significant previous experience conducting evaluations (not less than 5 evaluations, including 3 health system reviews).
  • Proven experience analysing surveys and writing project evaluation reports and peer-reviewed publications.
  • Significant experience in health programming including HIV and AIDS /TB programming
  • Excellent interpersonal, communication and time-management skills
  • Computer skills – Word, Excel, and PowerPoint

Application Process

The application process will entail two steps:

  • Interested applicants should submit a letter of expression of interest. The letter should be accompanied by a detailed resume, including reference to similar work conducted.
  • Applicants that meet the minimum requirements will be invited to submit a full technical and financial proposal.

Submission of Expression of Interest

All applications should be addressed to:

The Country Resident Director,

Georgetown University Center for Global Health Practice and Impact,

Mbabane Eswatini

The expression of interest should be submitted to cghpieswatini@georgetown.edu

Only electronic/emailed submissions will be accepted.

Application Dateline: 18.00 Hours 27 January 2023