Team Leader- Performance Evaluation of PATA and Uzazi Staha USAID Tanzania Monitoring, Evaluation, Learning, and Adaptation (T-MELA) Activity

Social Impact

Social Impact (SI) is a global development management consulting firm. To advance development effectiveness, we provide monitoring, evaluation, strategic planning, and capacity-building services. We work across all development sectors including democracy and governance, health and education, environment, and economic growth. Since 1997 we have worked in over 100 countries for clients such as US government agencies, bilateral donors, multilateral development banks, foundations, and nonprofits.

Project Description:

The Christian Social Services Commission (CSSC) implements the PATA activity through a network of faith-based health facilities. PATA supports the provision of sustainable financial and managerial solutions, quality improvement, comprehensive and integrated HIV prevention, care, treatment, as well as reproductive, maternal, newborn, child, and adolescent health (RMNCAH) services to faith-based health facilities. The activity is implemented in two components: Component 1 focuses on health system strengthening for self-reliance of the network of faith-based facilities, while Component 2 focuses on RMNCAH and HIV/AIDS services provision in faith-based health facilities. Listed below are the main components and expected intermediate results:

Component 1: To create a network of financially and managerially sustainable HFs and a self-reliant sector for medicine, and a commodity supply chain for its healthcare network

IR 1.1: Market segmentation increases revenue for CSSC health facilities

IR 1.2: A reliable and sustainable medical supply chain is established to support CSSC health facilities

IR 1.3: Innovative financing mobilizes capital for the CSSC health facilities and Mission for essential Medical Supplies

Component 2: To improve staff skills and retention and improve the CSSC network’s capacity to provide a continuum of care for TB/HIV/AIDS and RMNCAH services.

IR 2.1: Knowledge, skills, and retention of the healthcare workers are increased

IR 2.2: The continuum of care in HIV/AIDS services, including TB services, is strengthened.

IR 2.3: RMNCAH and allied health services are enhanced

Furthermore, PATA is working to achieve the following specific objectives by 2025:

· Market-based approaches adopted and implemented at HFs.

· Improved governance and management systems of HFs

· Improved QI and QA for health services delivery

· A reliable and sustainable medical supply chain is established to provide HIV/AIDS and other health commodities to the network of CSSC health facilities

· Innovative financing mobilizes capital for CSSC HFs and iMEMS

· Increased knowledge, skills, and retention of CSSC healthcare workers

· Strengthened capacity of CSSC lower-level non-PEPFAR HFs to provide comprehensive HIV services.

· RMNCAH and allied health services are enhanced at CSSC HFs.

Uzazi Staha is a five-year activity working with and through community- and facility-based health services to increase the uptake of RMNCAH and family planning (FP) services by addressing disrespectful and abusive maternity care and expanding the number of new and underutilized partners to implement such activities. In Tanzania, the activity is implemented in the Mwanza Region covering five councils (Nyamagana MC, Ilemela MC, Sengerema DC, Buchosa DC, and Ukerewe DC).

The issue of disrespect and abuse directly and negatively affects the uptake of essential maternal and child health services by women and their families. At the same time, the best evidence-based practices put delivery with a skilled birth attendant (SBA) – a midwife, nurse, or doctor who has undergone specialized training – near the top of the list of interventions that have the greatest impact on maternal mortality. Empowering women by increasing their knowledge on health services they should receive and how health care providers should treat them is an important contributor to decision-making which leads to increased healthcare seeking and improved quality of services.

Uzazi Staha is addressing both the supply and demand sides of reproductive and maternal health services, specifically by improving the quality of clinical services and respectful care, building community-facility linkages, and generating demand within communities to increase the uptake of essential RMNCAH and FP services. Through this approach, the activity aims to strengthen women’s health-seeking behavior and their experience of care at facilities, which will help lead to better health outcomes and continued uptake of essential services.

The activity is primarily working with a private, faith-based partner – CSSC – which manages more than 900 health facilities in Tanzania. Through these health facilities, CSSC can influence societal norms related to respectful maternity care that has yet to be harnessed. CSSC is the largest ecumenical organization in Tanzania, working under more than 87 dioceses and provinces and owning or managing 42% of hospital health services of which 56% are in rural areas.

Uzazi Staha aims to contribute to the reduction of maternal and child morbidity and mortality through achieving the following results:

Result 1: Improved provision of quality RMNCAH and FP Services.

Result 2: Increased health seeking behavior

Result 3: Private sector capacity to implement RMC and FP Strengthened.

Statement of Purpose:

The intent of this evaluation is to conduct individual activity evaluations of USAID Tanzania’s faith-based RMNCAH activities, while also providing an overall picture of what the Mission’s faith-based RMNCAH programming has achieved over the last 3 years. This will provide the health Office with the information and learnings that it needs in order to inform the next round of RMNCAH activity designs. An important note is that while PATA provides both maternal and child health (MCH) and HIV services, for the purpose of this evaluation only the MCH services will be examined.

Evaluation Questions:

1. To what extent are the interventions implemented by the PATA and Uzazi Staha activities relevant to the RMNCAH needs of Tanzania and to USAID’s RMNCAH strategies?

2. In what ways have these activities improved RMNCAH outcomes in Tanzania’s healthcare system?

3. To what extent did the implemented activities facilitate local ownership, coordination, partnerships, and sustainability? How will the outcomes of these activities be sustained once they end, or if they will not what can be done to improve their sustainability?

4. What are the most important learnings from these activities that can be used to inform future faith-based RMNCAH programming, especially regarding the factors that affect the ability of faith-based health facilities to provide high-quality healthcare services?

5. To what extent has there been coordination and integration between the two activities? Have learnings been shared between them?

6. What role have Community Health Workers (CHWs) played in achieving RMNCAH outcomes and how can that role be sustained after these activities end?

Position Description:

SI is seeking a Team leader to support T-MELA with the Performance Evaluation of PATA and Uzazi Staha. The Team Leader shall be an English speaker bringing extensive experience in leading complex evaluations, especially within health programs. This individual possesses a deep understanding of RMNCAH, health system strengthening, and the nuances of faith-based service delivery, combined with a proven track record in project management. Their primary responsibilities encompass overall project oversight, ensuring that evaluation methodologies are robust and appropriate, facilitating coordination among team members, and synthesizing findings to guide improvements in RMNCAH programming.This individual will liaise closely with governmental bodies and provide leadership during the conduction of this important assignment. This is a consulting position with an estimated period of performance of March – September 2024. The estimated level of effort (LOE) for the Team Leader will be 60 LOEs with expected travel of up to 4 weeks in Tanzania.


This individual will oversee the entire evaluation process, ensuring that the project remains on schedule and within budget. The Team Lead will also be responsible for coordinating communication between team members, T-MELA, and SI HQ. The Team Lead will:

· Line-manages the Evaluation Team collaboratively with the T-MELA’s Chief of Party and tasks 2 Team Lead.

· Lead desk review, initial stakeholder consultation, and identify additional information/analyses required.

· Lead the team to prepare and finalize assessment design including methodologies, analysis strategies, necessary tools for data collection, and work plan to conduct the entire assessment.

· Lead and oversee data collection efforts in collaboration with the identified data collection firm and through consultation with implementing partners and government based on research/logistical needs.

· Take responsibility for data analysis and iteratively develop findings, conclusions, and recommendations.

· Write the comprehensive assessment reports in coordination with team members, taking into consideration feedback from all stakeholders.

· Take the lead in the preparation and presentation of the key findings, conclusions, and recommendations to USAID, key stakeholders, and research users following SI’s and USAID’s standards.

· Take responsibility for leading the team to respond to USAID and USAID T-MELA’s comments and feedback and deliver high-quality deliverables that meet USAID and SI’s standards.

· Ensure the evaluation methodology is robust and aligns with the objectives of the SOW.

· Manage any logistical and administrative challenges that arise during the evaluation process.


With support from USAID/T-MELA and team members, the Team Lead will be expected to take overall responsibility for the production and management of the following:

1. Final Assessment Design: A detailed, full assessment design and work plan following an initial consultation with USAID that will include chosen methodologies and data collection tools.

2. Kick-off meeting/In brief: A PowerPoint/Google Slides presentation summarizing the methodological approach to be used to excute the assessment for USAID/T-MELA and key partners prior to the launch of data collection.

3. Findings Conclusions and Recommendations (FCR) Matrix: An analysis tool through which data is triangulated and findings, conclusions, and recommendations specific to each assessment question are produced. Two FCR matrixes are expected, a preliminary document after the first full week of data collection, and a final matrix at the end of the data analysis period.

4. Preliminary Findings PPT: The team will present the key findings to the wider USAID/Tanzania Mission through a PowerPoint/Google Slides presentation. The TL is expected to update this PowerPoint after the final report.

5. Draft Evaluation Reports: A draft regional reports with fully developed findings, conclusions, and recommendations, no longer than 30 pages excluding annexes, will be submitted to the T-MELA COP who will submit to the USAID COR for T-MELA activity. The format will include an executive summary, table of contents, methodology, findings, and recommendations. USAID/T-MELA and key local stakeholders will provide comments on the draft report.

6. Final Reports: The team will submit a final report that incorporates responses to USAID’s/partner’s comments and suggestions. The report will be submitted electronically in English. The report will be disseminated within USAID and key stakeholders.

7. Weekly progress report: Provide weekly progress report to USAID-TMELA and SI in the agreed format.

Qualifications and Skills:

The Evaluation Team Lead must be Tanzanian who have/hold:

· At least 10 years of senior-level experience working on evaluation/assessment is desirable.

· Strong background in RMNCAH, health system strengthening, and faith-based health service delivery.

· Proficiency in project management, with excellent organizational, analytical, and communication skills.

· PhD or postgraduate degree in public health or related field

· Extensive experience in leading teams and preparing high-quality documents.

· Experience in the designing of instruments for data collection including quantitative questionnaires, qualitative tools such as KIIs and Focus Groups using diverse technology.

· Excellent oral communication and written skills in English is a must.

· Demonstrated experience in communicating with local stakeholders at managerial and technical levels.

· Experience working with international donors, especially USAID.

· Preferably, the applicant will possess experience conducting evaluations in East Africa, Tanzania in particular.

Level of Effort (LOE):

Expected up to 60 days. Only actual time spent is billable.

Expected timeline: March – September 2024

To apply, please merge both your CV and a cover letter into two different PDF files and submit it through the online portal.

Come join our energetic and innovative team! We offer you the opportunity to play a leading role in the growth of our company, work as part of a creative and committed team, and make a difference in the well-being of our world.

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SI is an EEO/AA/ADA Veterans Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected veteran status.

Only selected candidates will be contacted for an interview. Please, no phone calls.

How to apply

Deadline: 4-Mar-24

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