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Consulting in monitoring and evaluation of community health systems



The USAID (U.S. Agency for International Development) Global Local Health System Sustainability (LHSS) Project helps low- and middle-income countries transition to sustainable, self-financing health systems to support high-performing health systems. The LHSS activity in Colombia will work with the Colombian government and local stakeholders to reduce financial barriers to care and treatment, ensure equitable access to essential health services for Venezuelan migrants, Colombian returnees and recipient communities, improve the quality of health services and strengthen the resilience of the health sector.

Led by Abt Associates, the five-year activity in Colombia will build local capacity to sustain strong health system performance, supporting Colombia on its journey to self-reliance and prosperity. Specific objectives include:

  1. Strengthen the governance and management of the migrant health response.
  2. Promote sustainable financing of health services for migrants and host communities.
  3. Strengthen mechanisms to increase access to appropriate and high quality health services for migrants and host communities; and
  4. Strengthen the resilience of the health system to respond to current and future shocks, including the COVID-19 pandemic.

Under the project’s third objective, interventions will support the Colombian government, territorial health entities, health service providers and communities to improve access and quality of care for migrants and host communities. using a community health approach. Intervention 3.1 Improve access to community-based primary care, support the implementation of the Integral Territorial Action Model (MAITE) in the departments of La Guajira and Valle del Cauca, and identify the conditions necessary to strengthen care in the territories of Maicao (La Guajira) and Palmira and Cali (Cauca Valley). The involvement of host community members in defining the community health approach is recognized as fundamental to success, as they live in the territories with Venezuelan migrants and are directly affected by limited access to health services. quality primary health care in each of the zones.

Save the Children, as part of the LHSS project, conducted a participatory assessment (PA) in selected territories as part of a series of formative research activities to inform the design of a community health approach that will broaden the access to quality primary care services for migrants and receiving communities. PA combines processes of understanding the context and culture of communities through collaborative research engagement with community members. It helps to understand and identify solutions to pressing concerns and challenges, especially in empowerment, community development and health (Baum et al., 2006).

Additionally, we conducted community co-design workshops based on the “Systems Thinking for Health » approach that proposes a vision that includes the community as an essential element of the health system. In both departments, LHSS organized a co-design workshop in La Guajira and Valle del Cauca in May 2021 to identify the obstacles and facilitators (technical, financial, human or social) that prevent or facilitate the implementation of the community approach in the territory. The workshop also generated solutions, through collaboration between members of the health system, communities and other key actors, to sustainably strengthen the implementation of PHC models with a community approach. Finally, these workshops provided a space to analyze information and generate an action plan based on a theory of change.


Save the Children is in need of a consultant to support the selection/creation of indicators and tools related to Intervention 3.1 activities (described above) and an application of the ICF/Cedars sustainability framework. In close collaboration with the team, this support will allow Saludable Communities project to communicate achievements and challenges both within the project and with key stakeholders, and provide an example of monitoring and evaluation tools that can be used by government counterparts beyond the lifetime of the project.


1. Selection of indicators and creation of an index (to be completed by August 15)

  • Support and advise Save the Children-LHSS team members on the selection of indicators aligned with each component of the sustainability framework
  • Develop an index composed of these indicators that can be used to characterize progress towards Goal 3.1.
  • Select existing data collection tools or develop new ones for the chosen indicators.

2. Support monitoring, learning and evaluation planning (to be completed by September 15)

  • Support the team to develop an internal learning program on interventions under 3.1.
  • Recommend approaches to monitor and evaluate the sustainability planning process, system navigator innovation, and community action cycle adaptation.

3. Deliverables (completed by September 15)

  • Composite indicator index, indicator matrix and related data collection tools
  • PPT to explain and browse the index (for external audiences)
  • PPT summarizing decisions about the internal learning agenda and detailing recommended approaches for monitoring and evaluation that the project can apply in its remaining implementation period


August 1 – September 15, 2022

Start and end dates are subject to change depending on the LHSS project implementation schedule and when the consultant passes the required background check.


The supplier must submit a budget for the entire scope of work in US dollars for a level of effort not to exceed 8 days. SC will issue payment once the Save the Children – LHSS Technical Lead approves the deliverables.


Consultants will be evaluated according to the following criteria:

  • Curriculum vitae and proof of similar type of work – 60%
  • Reasonable budget – 30%
  • Past performance – 10%

How to register

Interested consultants should submit a cover letter explaining the approach to completing the scope of work, resume, daily quote, and current USAID biographical data to Rachel Holtzman at [email protected] no later than July 19, 2022.