Anglican Diocesan Development and Relief Organization Dev-Integrated Services

Consultancy Terms of Reference for 18 Months Evaluation of Moments That Matter an Early Childhood Development (ECD) Program.


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;

  • Trained ECD volunteers demonstrate sustained technical knowledge and mastery of critical ECD and Essential Package knowledge including child rights and protection, FAMA and SBCC skills 2 years after project initiation or end-line increased
  • Trained volunteers who demonstrate mastery of knowledge of child protection risk, laws and solutions 2 years after project initiation or end-line increased
  • Trained ECD faith leaders who demonstrate adequate knowledge of child protection risk, laws and solutions at 2 years after project initiation or endline (disaggregated by clergy and lay) increased
  • Percent of trained ECD faith leaders who have promoted child rights and protection through their work (disaggregated by gender and type: clergy and lay)
  • Percent of primary caregivers who report decreased parental stress (disaggregated by gender and caregiver type)
  • Percent of primary caregivers who have increased confidence in handling parenting responsibilities successfully (disaggregated by gender and caregiver type)
  • Percent of primary caregivers who increase responsive care and stimulation activities in each domain: cognitive, language, motor skills, social, and emotional development with children 0-3 (disaggregated by gender and caregiver type)
  • Percent of primary caregivers who increase positive discipline practices with their children 0-3 (disaggregated by gender and caregiver type)
  • Percent of primary caregivers who increase time spent intentionally interacting/playing with their children 0-3 (disaggregated by gender and caregiver type)
  • Percent of primary caregivers who demonstrate adequate knowledge of child rights and protection 2 years after project initiation (disaggregated by gender and caregiver type)


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;

TProgramme Participants

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


7.1 Purpose of the 18 months Evaluation

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.

7.2 Evaluation Questions
  1. Whether progress towards the stated outcomes has been made?
  2. Whether the programme has achieved the objectives as stated in the programme documents.
  3. What factors have contributed to achieving or not achieving the intended outcomes
  4. What factors contributed to the effectiveness or ineffectiveness of the program?
  5. What are the critical major factors to consider in order to expand or scale up the ECD strategy?
7.3 Objectives of the 18 months Evaluation

The objectives of this 18 months evaluation include the following:

  1. To assess change in parental behaviour, Knowledge, attitude and practices over the 18 months of program implementation
  2. To assess the performance of the program with regard to its set objectives, indicators, and outcomes.
  3. To identify lessons learned, gaps, if any, and make recommendations for future consideration in the Early Childhood Development programme

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:

  • Interviews (guided by structured and semi-structured questions) and discussions
  • Review of relevant documents and materials; and
  • Focus Group Discussions
  • Key informant Interviews


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)

11.0 Expected Outputs (Deliverables) and Reporting Requirements

  1. An inception report.
  2. Submit full draft report for review. A first draft report on the evaluation should be provided to ADDRO for feedback. The Consultant may be required to make a presentation of the main findings and conclusions of the draft report to ADDRO.
  3. Final Technical Report submitted in English within thirty (30) days after the contract is signed The report shall be in 2 hard copies and electronic copy via email to the Executive Director. It shall consist of at least the following broad aspects
    • Executive summary of not more than 6 pages
    • 35-40 pages detailed report (the main body)
    • Lessons learned
    • High level recommendations and suggested approaches for program improvement.
  4. The report shall have annexes attached to include a list of abbreviations and acronyms, a list of persons and institution/organizations consulted and references. The final report should be submitted with all raw data and analysis files


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:

  1. Advance University degree in Public Health/Epidemiology or any of the social sciences with relevant professional qualifications and experience.
  2. The Team lead should have at least 8 years and the assistant lead at least five (5) years working experience in integrated community health and development or community research work;.
  3. Good knowledge of the programme operational region and local languages (Buli, Kusal, and Gurune) of the operational areas
  4. Good analytical and writing skills
  5. The team leader will be required to have demonstrated leadership skills and experience, negotiation skills, and an understanding of, and commitment to, participatory approaches in order to direct and co-ordinate the activities of the evaluation team
  6. Experience in Early Childhood Development Programming or Evaluation is an added advantage
  7. 7. A consulting firm with IRB status or having consulted for internationally recognised organisations/institutions is an added advantage


Interested consultants or firms should submit a proposal by 20th June 2020 to include the following:

  • Overview of consultant’s capabilities and/or experience to meet the requirements of the ToR (short CV for all team members).
  • Sample of past related work(s)
  • Contact details to include physical location, telephone number and email address(es)
  • Description of the services/work to be performed
  • Proposed methodology
  • Proposed team
  • Estimated budget covering daily rate(s) inclusive of withholding Tax.
  • Delivery schedule

All applications should be submitted as follows:

Via Post/Mail:
The Executive Director
Anglican Diocesan Development and Relief Organization (ADDRO)
Post Office Box 545
Tel:0208784567/ 0244969531
Via e-mail:

Anglican Diocesan Development and Relief Organization