Terms of Reference for the recruitment of a consultant to Conduct the Endline Assessment of the Sexual and Reproductive Health and Rights (SRHR) Project in Gasabo District, Rwanda
Background
The Society of Obstetricians and Gynaecologists of Rwanda (RSOG), in partnership with the Society of Obstetricians and Gynaecologists of Canada (SOGC), has been implementing the Sexual and Reproductive Health and Rights (SRHR) Project in Gasabo District in collaboration with the Ministry of Health (MoH) and the Rwanda Biomedical Centre (RBC).
The project contributes to improving the enjoyment of health-related human rights among women, adolescent girls and children through strengthened delivery of gender-responsive, inclusive and accountable SRHR services.
The project has focused on three complementary areas:
- strengthening the knowledge and skills of healthcare providers and health facility administrators in EmONC, family planning, GBV and adolescent-friendly SRHR services;
- improving health facility readiness through mentorship, tools, equipment and quality improvement support; and
- strengthening RSOG's institutional capacity to support evidence-based SRHR programming and advocacy.
At project inception, a comprehensive baseline assessment was conducted across 15 public Health Centers and Kibagabaga Level Teaching Hospital in Gasabo District to establish baseline values for service availability, provider competencies, facility readiness and SRHR service utilization. As the project concludes, RSOG seeks to conduct an endline assessment to measure changes achieved over the implementation period, compare findings with the baseline, document good practices and lessons learned, and provide evidence to inform future programming.
Purpose
The purpose of the endline assessment is to determine the extent to which the SRHR Project has contributed to improvements in provider capacity, health facility readiness, quality of SRHR services, and institutional strengthening in Gasabo District by comparing endline findings with the baseline assessment. The assessment will also identify remaining gaps, document lessons learned and generate recommendations for sustaining and scaling successful interventions.
Objectives
The consultant will assess progress against the project's expected outcomes by:
- Assessing changes in the availability and capacity of healthcare providers delivering SRHR services.
- Measuring changes in providers' knowledge and competencies in EmONC, Essential Newborn Care (ENC), Family Planning, comprehensive abortion care, GBV response, gender equality and rights-based approaches.
- Assessing improvements in health facility readiness, including availability of equipment, commodities, guidelines and decision-support tools.
- Examining changes in the availability, accessibility and utilization of SRHR services among women and adolescent girls.
- Assessing implementation of mentorship, post-training follow-up and quality improvement interventions.
- Assessing RSOG's strengthened institutional capacity to support SRHR programming and evidence-based advocacy.
- Documenting good practices, challenges, lessons learned and recommendations for future programming.
Scope of Work
The assessment will be conducted in Gasabo District, Kigali, covering all public Health Centers and Kibagabaga District Hospital supported by the project, over the life of the project. The assessment will engage key stakeholders across the health system, including healthcare providers, health facility administrators, district health management teams, RSOG leadership and members, women and adolescent girls accessing SRHR services, and relevant representatives from the Ministry of Health and the Rwanda Biomedical Centre.
The assessment should compare endline findings with the April 2023 baseline across the same 16 facilities and project indicators wherever comparable data are available. The inception report should identify baseline sources, indicator definitions, denominators, data collection periods and any changes in facility coverage or methods. Where a direct comparison is not possible, the consultant should explain the limitations and present the most appropriate alternative.
Evaluation Questions
- How have provider knowledge, competencies and application of training changed since the baseline, and what evidence supports these changes?
- How have facility readiness, service availability, quality and use of SRHR services changed across the supported facilities? Do changes differ across facilities or population groups?
- To what extent have mentorship, post-training follow-up and quality improvement supported changes in routine practice?
- How has RSOG’s capacity to lead training, mentorship, SRHR programming and evidence-based advocacy changed?
- Which improvements are likely to be sustained after project completion, what gaps remain, and what practical steps should RSOG and health-system partners prioritize?
- What plausible contribution has the project made to observed changes, and what other factors or data limitations should be considered?
Methodology
The consultant is expected to adopt a mixed-methods approach that ensures comparability with the baseline assessment while generating both quantitative and qualitative evidence. The methodology should include a review and adaptation of the baseline tools, health facility assessments, provider knowledge assessments, routine service data review, key informant interviews with relevant stakeholders, focus group discussions where appropriate, and observations of service delivery environments. The consultant should maintain the same methodological approach used during the baseline wherever feasible to enable direct comparison of findings and clearly justify any proposed methodological changes in the inception report.
The consultant should triangulate baseline and endline findings with routine service data, training and mentorship records, stakeholder perspectives and facility observations. The analysis should distinguish observed change from the project’s plausible contribution, consider other influences on outcomes, and report missing data, inconsistencies and methodological limitations. Findings should be disaggregated where feasible and appropriate, including by facility and relevant participant characteristics.
Data Quality and Ethical Considerations
The consultant will be responsible for ensuring that the endline assessment is conducted in accordance with applicable ethical standards and national research requirements. This includes obtaining all necessary ethical and administrative approvals prior to data collection, securing informed consent from all participants, and protecting the confidentiality and anonymity of respondents throughout the assessment process. Where adolescents participate in the assessment, appropriate consent and assent procedures must be followed in line with national guidelines.
The consultant is expected to apply gender-sensitive and rights-based approaches during data collection to ensure that interviews and discussions are conducted respectfully and inclusively. To maintain high data quality, the consultant shall establish appropriate quality assurance measures, including training of data collectors, piloting of data collection tools, routine field supervision, and systematic data verification and cleaning before analysis.
Deliverables
The successful consultant will be expected to produce the following deliverables within the agreed timeline.
| Deliverable | Indicative Timeline |
| Inception Report, including methodology, workplan and data collection tools | Week 1 |
| Enumerator training and tool pretesting report | Week 2 |
| Clean datasets and codebook | After fieldwork |
| Presentation of preliminary findings | Week 5 |
| Draft Endline Assessment Report | Week 6 |
| Final Endline Assessment Report incorporating comments | Week 7 |
| Final presentation and PowerPoint slides | Week 7 |
The final report should include an executive summary, methodology, findings, baseline-endline comparisons, conclusions, recommendations, lessons learned and annexes containing data collection tools and supporting materials.
Review and Validation
RSOG and SOGC will review the inception report and draft endline report and provide consolidated comments. The consultant will present preliminary findings for discussion with project partners, document material feedback, and explain how comments were addressed in the final report. The detailed review and validation dates will be agreed in the inception report.
The consultant will submit the final report, presentation, data collection tools, clean de-identified datasets and codebook in editable electronic formats.
Duration
The assignment is expected to be completed within 30 working days over a period of approximately seven weeks, including planning, fieldwork, data analysis, reporting and presentation of findings.
Required Qualifications
The consultant or consulting firm should demonstrate:
- Master's degree in Public Health, Epidemiology, Monitoring and Evaluation, Demography, Social Sciences or related field;
- at least 7 years of experience conducting health evaluations;
- demonstrated experience in SRHR, MNCH, Family Planning or EmONC evaluations;
- experience with mixed-methods research;
- experience working with MoH, RBC or development partners in Rwanda;
- strong quantitative analysis skills (Stata, SPSS, R or similar);
- excellent qualitative analysis and report-writing skills in English.
Demonstrated experience with results-based management, baseline-to-endline comparison and contribution analysis; experience evaluating training, mentorship and institutional capacity strengthening; and ability to conduct or supervise Kinyarwanda-language data collection and produce a clear English-language report.
Submission Procedure: Interested and qualified candidates should submit their applications, including a signed motivation letter, updated CV, academic qualifications, and any other supporting document related to the application field to HR-RSOG@rsog.org.rw by no later than Friday, 9th October 2026 at 1pm.
Please include the subject line: Application for Consultancy to Conduct the Endline Assessment of the Sexual and Reproductive Health and Rights (SRHR) Project in Gasabo District. Only shortlisted candidates will be contacted.