Qualitative Evaluation, Suaahara
February 1 – December 31, 2020
Co-founded in 1915 by Helen Keller, Helen Keller International is dedicated to saving and
improving the sight and lives of the world’s vulnerable. We combat the causes and consequences
of blindness, poor health and malnutrition with more than 120 programs in 19 African and Asian
countries, as well as in the United States. Renowned for our reliability, efficiency and high level of
technical expertise, Helen Keller promotes the development of large-scale, sustainable solutions
to some of the most pressing issues in public health.
Suaahara, a USAID-funded multi-sectoral program in Nepal operates at scale. In its first phase
(2011-2016), Suaahara expanded into 40 of Nepal’s 75 districts and now in its second phase
(2016-2021), Suaahara operates in 42 of Nepal’s 77 districts; in both phases a district-wide
approach was used, meaning blanket coverage of key interventions in all communities throughout
the intervention districts. Suaahara II is led by Helen Keller International with six core
CARE, FHI360, Environment and Public Health Organization (ENPHO),
Nepali Technical Assistance Group (NTAG), Vijaya Development Resource Center (VDRC) and
Digital Broadcast Initiative - Equal Access Nepal (EAN). In addition, district-specific Partner Non-
governmental Organizations (PNGOs) are Suaahara sub-recipient partners responsible for sub-
national level implementation of activities.
The overall program objective is to reduce the prevalence of stunting, wasting and underweight
among children under 5 years of age, underweight among mothers, and anemia among mothers
and children. The program aims to achieve these objectives through a multi-sectoral approach,
organized around a results framework with four intermediate results (IRs).
- IR 1: Improved household nutrition, sanitation and health behaviors
- IR 2: Increased use of quality nutrition and health services by women and children
- IR 3: Improved access to diverse and nutrient-rich foods by women and children
- IR 4: Accelerated roll-out of the Multi-sector Nutrition Plan (MSNP) through
strengthened local governance
For IR1, Suaahara-hired frontline workers (FLWs) (Field Supervisors and Community Nutrition
Volunteers) conduct household and community level activities to increase awareness and support
families to engage in optimal practices. Additionally, Suaahara works alongside Nepal’s large
cadre of Female Community Health Volunteers (FCHVs) as principal agents for change. FCHVs
conduct face to face counselling, run women’s groups, and support behavior change at the
household level through interpersonal communication and education activities.
For IR2, strengthening nutrition-related knowledge and skills, including counseling staff at health
facilities and FCHVs working in the communities on health and nutrition is critical. Furthermore,
Suaahara promotes and supports integration of nutrition into maternal and child health services,
including growth monitoring and promotion, and works to improve service availability and quality
related to family planning and maternal and child health.
For IR3, Suaahara supports reductions in food insecurity and improvements in diversity of food
produced, consumed, and sold in markets (when surplus) in disadvantaged communities (about
45% of the wards), through its homestead food production (HFP) (vegetable gardening and
chicken rearing) package, delivered through village model farmers (VMFs) established by the
project (at varying points between 2012 and now) through selection and capacity building.
For IR4, strengthening Government of Nepal (GoN) systems (at all levels) for policy and program
development and implementation to support sustainable improvements in nutrition is crucial. A
key aspect of this relates to the allocation and utilization of government funds for nutrition-specific
and nutrition-sensitive investments.
Suaahara uses a multi-platform Social and Behavior Change (SBC) approach to integrate across
these thematic areas. The four primary means of reaching households include: interpersonal
communication (IPC) (e.g. home visits); community mobilization events (e.g. health mothers’
groups and food demonstrations); mass media via a weekly radio program known as Bhanchhin
Aama (now also available on Facebook and YouTube); and technology (e.g. SMS message
campaign; interactive voice response).
Suaahara has a robust monitoring, evaluation and research (MER) system. Suaahara has been
carrying out various qualitative and quantitative research studies, including: several rounds of
formative research on key behaviors; a randomized controlled trial with related formative research
and process evaluation; and a cohort study of adolescent girls becoming women. Suaahara also
conducts annual surveys, with data collected externally to track progress over time in relation to
inputs, outputs, outcomes and impacts in intervention areas. The annual surveys help to identify
gaps in coverage and knowledge and practices related to Suaahara’s IRs. An evaluation is
needed, however, to complement the monitoring surveys and enable findings that attribute
changes over time to Suaahara.
Before the start of Suaahara, an evaluation was planned and the International Food Policy
Research Institute (IFPRI) was contracted to design the impact evaluation and lead the baseline
survey of the impact evaluation in the summer of 2012. A Nepali survey firm was responsible for
the baseline survey data collection and management. Additionally, in 2014 a mixed-methods
process evaluation (de facto Suaahara I endline and Suaahara II) was carried out by an externally
contracted principal investigator to lead the study design and locally-contracted firms to carry out
the quantitative and qualitative components.
The endline for the main quasi-experimental impact evaluation of Suaahara will take place in the
summer of 2020 and will estimate the effect of Suaahara interventions on household behaviors
and nutritional status, as well as on knowledge and skills among health workers and FCHVs. To
complement this quantitative study, a qualitative evaluation focusing on the effect of Suaahara at
the FLW/community level and policy levels (federal, provincial/district and local) is also planned.
At the FLW/community level it is important to document and assess Suaahara efforts with both
health and non-health workers and across both Suaahara and government FLWs and platforms.
The primary and secondary research questions include:
1) What is Suaahara’s impact on
improving nutrition-related awareness, knowledge and skills among health and non-health FLWs?
and 2) To what extent did Suaahara reach health and non-health sector FLWs and did this impact
their nutrition-related engagements with communities, particularly 1000-day households?
Additionally, it is important to document and evaluate Suaahara’s policy-level interventions at all
levels. The primary research questions for this study include:
1) What is Suaahara’s impact on
improving cross-sectoral engagements, information exchange, and knowledge and skills among
policy stakeholders? and 2) What is Suaahara’s impact on nutrition-related policies, plans and
Tasks and Deliverables
The Qualitative Principle Investigator is required to collaborate with the Suaahara team, remaining
in close consultation with the Sr. Technical Advisor and MER teams, as well as other research
consultants hired for the evaluation, from design through to completion of the studies. Details of
the tasks required under this contract are outlined below by phase:
1. Evaluation Planning (Feb 1-April 15) (20 days)
The evaluation planning component will involve a review of the qualitative studies
conducted in 2014/2015 focusing on policy environment and multi-sectoral FLWs, as well
as a review of the findings from a recent governance study Suaahara conducted in a few
program districts. During this planning period, meetings with program staff based in
Kathmandu, particularly the governance and MER teams, will be important. During this
period, the draft protocol with primary and secondary research questions and study tools
will be shared with the Principal Investigator, who will finalize the protocol and tools in
preparation for submission for ethical approval.
Final protocol and tools, as submitted to Nepal Health Research Council
(NHRC) ethics (April 15)
2. Data Collection and Management (April 15-Aug 15) (5 days)
Training for data collection will start in May, with data collection, followed by transcription
and translation taking place in the summer. The Principal Investigator will need to finalize
a data analysis plan and draft coding framework during this period and be available to
answer any calls that emerge from the data collection team during training and data
collection and management.
Data analysis plan and coding framework
3. Coding, Analysis, and Write-up (Aug 15-Dec 15) (30 days)
In this last phase, the Principal Investigator, in close collaboration with the assistant
qualitative researcher, will lead the analysis and interpretation for the primary research
questions and will document the findings in a report and slide deck.
Written report and slide deck of key findings
Timeline and Level of Effort
February 1 to December 15, 2020 for a total of 55 days. The level of effort (LOE) is calculated
according to the designated tasks, noted above. This scope of work requires approximately one
week in Nepal during the preparatory phase (February) and up to two weeks of work in Nepal
during the analysis and interpretation phase (Fall).
- Masters degree, preferably in the social sciences, with preference given for those with a
doctoral degree (5 points)
- Experience leading qualitative studies, with preference for prior experience on at-scale
and/or multi-sectoral program evaluations (7 points)
- Previous research experience in South Asia, with preference for Nepal (5 points)
- Strong English writing and oral communication skills (3 points)
The top three candidates will be shortlisted by the technical evaluation committee. Based on a
review of the application materials submitted and estimated costs, the evaluation committee will
make a best value trade-off evaluation of the technical quality and the consultant’s daily rate,
associated travel and incidentals costs to identify the successful candidate.
This consultancy will report to the Suaahara II Sr. Technical Advisor.
Qualified candidates should submit a cover letter, resume, per day consultancy rate and total
consultancy fee both, and a recent, relevant writing sample and biographical data sheet
to Suaahara.Consultants@hki.org noting “Qualitative Evaluation Principal Investigator
Consultancy” in the subject line. The biographical data sheet can be downloaded at the following
Questions on scope of work to be submitted by November 26, 2019 by 5:00 p.m. Nepal Time at
Suaahara.Consultants@hki.org with subject line: “Questions for Qualitative Evaluation
Principal Investigator Consultancy.” The answers to questions on scope of work shall be posted
on http://hki.org.np/ by November 29, 2019.
Applications will be accepted for one month from date of posting.