The Anglican Diocesan Development and Relief Organization (ADDRO) is a registered faith-based non-profit organization that seeks to transform life, uphold human dignity and justice for all people irrespective of tribe, sex, religious or political affiliations. Over the years, ADDRO has strived to create a holistic impact on communities through its development programs on the following thematic areas: Agriculture and Sustainable Livelihoods, Health, Education and Advocacy, Environment, Governance and Peace building, Disaster Management and Relief, and Capacity Development.
ADDRO in partnership with Episcopal Relief & Development, USA, has been implementing an integrated health programme since 2006 in six regions of Ghana: Northern, Upper East, Upper West, Ashanti, Western and Eastern Regions.
In 2018, ADDRO and its partner Episcopal Relief & Development started a new programme phase called Moments That Matter (MTM) an integrated Early Childhood Development (iECD) programme. The goal of the programme is to contribute to improved Maternal Health and Early Child Growth/Development. The programme has three components: integrated Community Case Management (iCCM) of Malaria, Diarrhoea and Pneumonia (MDP); Savings with Education (SwE); and Moments that Matter (Early Childhood Development (ECD). The iCCM and SwE programmes are continuing projects which started in 2014 and 2016 respectively
AThe Moments that Matter an Early Childhood Development (ECD) component of the iECD programme is aimed at contributing to a healthy development, growth and survival of children from conception to age three. The ECD programme focuses on early childhood care and development activities including play, nurturing, stimulations, and cognitive development and therefore works with caregivers of children 0 to 3years through Volunteers called early childhood promoters (ECD promoters). The programme started in the Bawku West and Builsa North Districts of the Upper East Region as a pilot in the year 2018 and was expanded to the Upper West and Northern Regions in 2019. In the pilot districts (Bawku West and Builsa Districts), ECD Promoters were trained and rolled out in November and Caregivers were enrolled into the program in December 2018.
Maternal poverty impacts both the mother’s health as well as potentially her child’s health (WHO 2018). Good maternal health is critical for caregivers to recognize their young child’s needs and respond appropriately while managing their own personal and emotional experiences. About 200 million children globally fail to reach their developmental potential in life because of inter-related factors of poverty, inadequate care, and poor health (Grantham- McGregor 2014). The high prevalence of poverty generally leads to inadequate feeding, and poor health and sanitation which consequently increase the vulnerability of children to diseases; including malnutrition and related disorders. Severe clinical malnutrition also leads to deficits in intelligence and school performance.
These issues affecting children need to be urgently addressed if developing countries are to achieve the United Nations Sustainable Development Goals (SDGs), particularly SDGs 1, 2, 3 and 4 which are: eradicate poverty; zero hunger; ensure good health and wellbeing: and to ensure that all children complete primary schooling respectively. Early experiences and the environments in which children develop in their first 1,000 days of life have a lasting impact on brain development and child well-being. Deficiencies in stimulation, and in the quality of the caring relationship experienced by the child in this critical period of life, will stunt their emotional, social, physical and cognitive development.
Unfortunately, in communities where ADDRO works, Early Childhood Development is less prioritized. In these communities, health and education needs of children are prioritized over stimulation and protection which ensures a holistic development of the child.
To achieve this holistic development, ADDRO initiated health, nutrition, education, stimulation and protection activities at the community levels to ensure children reach their full potentials in life. Caring and supportive environments and the availability of other appropriate stimulation activities at the right stages of development are crucial for children healthy growth and increase their chances of a successful transition to school.
The Integrated Early Childhood Development programme is to contribute to achieving the time bound Sustainable Development Goals (SDGs), particularly SDG Target 4.2, which states that by 2030, countries should ‘ensure that all girls and boys have access to quality early childhood development, care and pre-primary education so that they are ready for primary education’.
Additionally, the programme will contribute to the improvement of maternal and child health through, increase knowledge in responsive parenting – caregiver nurturing care and early stimulation activities.
The ECD component of the program seeks to achieve the following specific objectives;
1.To improve parenting practices for healthy early childhood development (ECD) and growth for caregivers and children aged 0-3 years by the end of 2021
2. Improve children's nutrition and household food security by the end of 2021
The outcomes of the ECD component of the programme include;
The programme builds and strengthens the capacity, knowledge and practices of primary caregivers/mothers and pregnant women on ECD and positive parenting. It promotes early childhood development activities including play, nurturing, stimulations and thinking, and promotes the eating of nutritious foods by children and antenatal/postnatal clinic attendance. The programme supports the development needs and track achievements in young children by focusing on 4 key areas. Physical, Social and Emotional, Intellectual/Thinking and Communication. The programme approach is inter-disciplinary and include policies and actions that protect children’s rights to be safe and healthy, and to access education. This includes family livelihoods needs, social and child welfare, and community systems of support. Key aspects of the programme that support the nurturing care of children ages 0-3years are health, nutrition, economic development, and livelihood activities as shown in the diagram below;
There are different categories of participants of the Moments that Matter Programme. This includes ECD Committees, ECD promoters and faith leaders. The involvement of all of these actors can support the full development potential of children and the ability of caregivers to meet their needs
ECD Committees and Promoters: ECD Promoters who are volunteers as well as members of committees promotes community ownership, which is key to household and community-level change and sustainability. ECD help mobilize and disseminate critical messages, as well as advocate with the appropriate community, government, institutions responsible for supporting the rights of children and needs of caregivers. Trained Early Childhood Development promoters conduct monthly home visits and caregiver group learning and support meetings with mothers/caregivers to discuss responsive parenting practices, nutrition and linking these caregivers/children to health facilities for health services and other social services at the communities where necessary.
Faith Leaders: faith leaders reach communities and households. Faith leaders, including clergy and lay leaders, can often mobilize community members in a way that other institutions cannot. In view of the important role of faith/religious leaders as role models to others in communities, faith/religious leader’s capacities have been built on ECD activities to include in their sermons key messages on the importance of ECD and good parenting practices, using scripture to reinforce the importance of both male and female roles in good parenting practices.
Who is a primary caregiver? In the MTM program, a primary caregiver is the person who has principal responsibility for and spends the MOST time with a child a daily basis within a household. A primary caregiver can be a mother, father, sibling, grandparent, other relative or guardian. We are not talking about people who are paid to be with children throughout the day
Who is a secondary caregiver? A secondary caregiver is a person who spends a lot of time with a child within a household, but does not take principal responsibility for the child. A secondary caregiver can be a mother, father, sibling, grandparent, other relative or guardian. Programme Theory of Change
The Moments that Matter is a community-based approach. It is believed that the Moments that Matter program will have a direct and positive impact on the children we serve.
|IF communities take action and mobilize
||>IF ECD volunteers are trained and equipped in ECD
||IF Primary caregivers learn, support, and connect
||THEN Primary caregivers are better able to meet their children’s needs
The ECD Program is implemented using trained early childhood development promoters who provide key learning messages and training to caregivers during home visits and caregiver support and learning group sessions. The main purpose of this 18 months evaluation is to find out whether 18 months (from baseline) of learning parenting practices through ECD promoters is enough for caregivers to be learn and practice parenting practices with their children and therefore weaned off and to also assess the outcome performance and lessons learnt for programme improvement. To this end, the 18 months evaluation should generate evidence of knowledge, attitude and practices of caregivers on parenting practices after 18 months learning practices.
The objectives of this 18 months evaluation include the following:
The evaluation will cover the Sapeliga/Gogoo sub-district of the Bawku West District and Chuchuliga sub district in the Builsa North District of the Upper East Region where the programme started in 2018.
The following category of groups are the primary targets for the 18 months evaluation: Primary caregivers/mothers of children 0-3 years in the programme, Secondary caregivers/fathers, ECD Promoters, Faith Leaders and project staff. Sapeliga/Gogoo sub-district of the Bawku West District have 20 ECD promoters and 200 caregivers of children 0-3 years and Chuchuliga sub district in the Builsa North District trained 20 ECD promoters and 200 caregivers of children 0-3years. Details of project participants will be provided to consultant
The selected consultant will be responsible for developing an appropriate methodology for this evaluation. The consultant shall employ both quantitative and qualitative methods in the assessment of the program. The sampling technique/methodology is expected to be scientific, and appropriate reasoning should be given for the choice. ADDRO and Episcopal Relief & Development have standard qualitative and quantitative tools for the survey to be reviewed and used by the consulting team
The consultant is expected to conduct a participatory evaluation providing for meaningful involvement of the partners, volunteers, programme participants as well as relevant internal and external stakeholders wherever necessary. The methodology for the data collection will include, but not limited to:
The consultant shall have thirty (30) working days (starting from the day the contract will be signed) to complete the entire assignment as detailed in this TOR. In other words, the entire assignment, including submission of proposal, data collection, analyses, and report writing and submission of the final report shall not exceed 30th August, 2020 (Date may change subject to the date contract is signed)
The primary users and audiences of the evaluation report shall be ADDRO and its partner, Episcopal Relief & Development. The secondary users shall be organizations and institutions (including the religious) affiliated and/ or working on similar programmes or projects in the country, relevant experts, as well as other interested stakeholders.
TThe consulting team should have at least two specialists as members with one of the consultant specialists being the team leader. The following qualifications and experience are required:
Interested consultants or firms should submit a proposal by 20th June 2020 to include the following:
All applications should be submitted as follows:
The Executive Director
Anglican Diocesan Development and Relief Organization (ADDRO)
Post Office Box 545
Via e-mail: firstname.lastname@example.org