Home > Uncategorized > Invitation to Tender Evaluation of Health Projects in Kenya: July-November 2019

About Misean Cara

Misean Cara is an international and Irish faith-based missionary movement working with some of the most marginalised and vulnerable communities in developing countries. We are working to realise their human rights through delivery of basic services in the areas of education, health, livelihoods and income generation, as well as advocacy, networking and community mobilisation. Our movement consists of 91 member organisations working in over 50 countries.

Our current Strategy 2017-2021 sets out key goals in the four thematic areas of education, health (including clean water & sanitation), sustainable livelihoods, and human rights. A fifth goal focuses on enhancing and promoting the missionary approach to development. For further information about Misean Cara, visit www.miseancara.ie

The overall funding to projects supported across these areas in 2018 is outlined in the table below:


In 2019, Misean Cara is commissioning an evaluation of health projects in Kenya that received Misean Cara funding from 2012-2018. This evaluation of selected projects will try to evidence that people (including those living with HIV/AIDS) supported by these projects have improved their health status (e.g. live longer, healthier lives), and that systems are strong and efficient, delivering better health outcomes through integrated approaches in health management. The evaluation will provide evidence that the services delivered by these projects aligned and are complementary to other local and national programmes and service providers, and that they have built strong networks. It will also provide evidence that as a result, the target communities are more resilient and enjoy a better health status due to prevention, care, and outreach support.

Good health is vital for the future of our planet; this is highlighted in the 2030 Agenda for Sustainable Development. Goal 3 of the Sustainable Development Goals (SDGs) encourages and calls upon stakeholders to “Ensure healthy lives and promote wellbeing for all at all ages”. It is important to acknowledge the improvements and efforts made in global health in recent years, to remind us that through multi-stakeholder and multisector collaboration great achievements can be made. The selected projects for inclusion in this evaluation are all located in Kenya. In 2016, the ten leading causes of death in Kenya were acute respiratory infection, malaria, cancer, tuberculosis, HIV/AIDS, cardiovascular disease, maternal, neonatal and nutritional illness and other communicable and non-communicable diseases.

Statistics for Kenya

  • Total population (2016) 48,462,000
  • Gross national income per capita (PPP international $, 2013) 2,250
  • Life expectancy at birth m/f (years, 2016) 64/69
  • Probability of dying under five (per 1 000 live births, 2017) 46
  • Probability of dying between 15 and 60 years m/f (per 1 000 population,
  • 2016) 256/184
  • Total expenditure on health per capita (Intl $, 2014) 169
  • Total expenditure on health as % of GDP (2014) 5.7
  • Latest data available from the Global Health Observatory (Last updated: 08-02-2019).

In Kenya, basic primary care is provided at primary healthcare centres and dispensaries. Dispensaries are run and managed by enrolled and registered nurses who are supervised by the nursing officer at the respective health centre. They provide outpatient services for simple ailments such as the common cold and flu, uncomplicated malaria and skin conditions. Those patients who cannot be treated by the nurse are referred to the health centres.

Sub-district, district and provincial hospitals provide secondary care, i.e. integrated curative and rehabilitative care. Sub-district hospitals are similar to health centres with the addition of a surgery unit for Caesarean sections and other procedures. District hospitals usually have the resources to provide comprehensive medical and surgical services. Provincial hospitals are regional centres which provide specialised care including intensive care, life support and specialist consultations. The Kenyan health system consists of three main categories of service providers. Public providers, Private not-for-profit organisations (including faith-based and mission hospitals, local and international NGOs) and Private for-profit health care providers.

Our members work with individuals and communities to instil effective change targeting (not exclusively) women, children, refugees, displaced people, people living with disabilities, people with mental health problems or illness and people living with HIV and AIDs. The ability to instil effective change is enhanced through the missionary approach our members take to such initiatives. Further information on this approach can be found on our website in a learning brief on the subject.

In essence, the approach is based on the combination of the following five features: crossing boundaries, long-term commitment, personal witness, a prophetic vision and the holistic approach. Misean Cara works collaboratively with our members to effect the missionary approach to development. 2 This approach also based on five core values: respect, commitment, justice, compassion and integrity.

Summary and Scope

The scope of the evaluation is summarised as follows:

Countries: Kenya

Member Organisations:

  • Daughters of Charity of St Vincent de Paul;
  • Spiritans;
  • Franciscan Missionaries of St Joseph;
  • Franciscan Missionary Sisters for Africa;
  • Franciscan Sisters of the Immaculate Conception;
  • Medical Missionaries of Mary

Expected deliverables

Inception Report
In line with the overall brief, this report will outline a detailed, finalised methodology as well as a work-plan, suggested approach, data collection tools and timeline. This report will be developed in collaboration with Misean Cara, the member organisations and Project Coordinators. A draft report should be developed first, and feedback incorporated before the final inception report is submitted. The inception report should be around 4-5,000 words excluding annexes (only essential annexes should be included ).

6 feedback reports for each portfolio
One report for each of the six sampled projects, in line with the specific evaluation objectives and the structure agreed during the inception phase, each of which will include a project-level Theory of Change. A draft report should be developed first, and feedback incorporated, before the final Project Reports (5-6,000 words excluding annexes) are submitted.

Thematic Learning Report
One report collating evidence, key observations and learning, taking into account all the projects reviewed, and including targeted recommendations. A draft report should be developed first, shared with all stakeholders and feedback incorporated, before the final Thematic Learning Report is submitted. This report should be around 7-8,000 words.

At least four informative, eye-catching and high-quality digital photographs of the work of each of the projects visited is required. Each of these photographs should be accompanied by text which tells us who is depicted in the photograph, the context, and confirming that the project leadership and those depicted in the photograph (except for large group photos) have consented to the photograph being used and published by Misean Cara for education, publicity, awareness raising and/or fundraising purposes. At least one of the photographs and accompanying text should tell a significant story of change in the lives of the people depicted.

Summary PowerPoint Presentation
A PowerPoint presentation capturing the key insights and findings from the evaluation, both at the individual project level and, more importantly, in terms of overall learning (20-25 succinct PowerPoint slides: the photographs referred to above may be incorporated).


It is expected that the preferred tender will be selected and contracts signed by June 2019. The work will take place from July onwards, with final reports submitted by mid-December.

Tendering Procedure and Timeframe

Requests for additional information and for the full Tender document can be made via email to tender@miseancara.ie in advance of submitting a tender proposal. A log will be kept of queries, and any additional information provided will be shared with other prospective tenderers. Preliminary indication by email of an intention to submit a tender proposal will ensure you are on this communication list. Tender proposals will not exceed 12 pages in length (excluding appendices), if relevant, and will form part of the Terms of Reference in addition to this invitation to tender document. It is envisaged that the preferred tenderer will be selected within 2-3 weeks of submission deadline and contracts signed immediately thereafter.

Tender proposals must be submitted by email to Seamus O’Leary, Learning & Development Manager, at tender@miseancara.ie with “Tender Proposal: Evaluation of Health Projects in Kenya” stated in the email subject line.

Submission deadline for tender proposals is 12 pm (noon) on 27/05/2019.