Cure Kids



Job Type


Closing Date

15th Apr 2019

— Description —

Evaluation Consultant

Closing date:  April 15th, 2019


Cure Kids New Zealand is seeking a contract consultant to undertake an end of Project evaluation. The successful consultant should have appropriate knowledge and experience of health programming preferably in the Pacific region and demonstrable experience in program monitoring and evaluation. The evaluation must be carried out by end June 2019.   The consultant must be available for travel to Fiji for a period of no more than 20 days.    


The Expression of Interest should include:

  • A Curriculum Vitae with 2 referees that reflects required competence for required work;
  • A proposal containing competence for the required work, professional fee, approaches / methodologies and timeline based on the information contained in the consultants brief.


Submit your CV and proposal before Monday 15th April  2019 to Liz Kennedy;  liz@curekids.org.nz  

For any enquiries please liaise directly with Liz Kennedy.



Fiji Rheumatic Heart Prevention and Control Program 

Project Brief/Terms of Reference 


Project Title

Fiji RHD Prevention and Control Program

Final deliverable date

By June 30, 2019

Key Deliverable(s)

Evaluation Report


Home based with at least one in-country (Fiji) visit (various locations)

Evaluation sponsor

Cure Kids New Zealand


Reports to

Mr Tim Edmonds/Liz Kennedy




Acute Rheumatic Fever (ARF) and Rheumatic heart disease (RHD) causes a significant burden of disease in Fiji. Nearly 1% of all Fijians have evidence of RHD, with confirmed prevalence of RHD in school-aged children estimated at 8.2 per 1000 population. [1] 


The MFAT/MHMS/Cure Kids funded Activity  aimed to facilitate the expansion and strengthening of the existing Fiji Rheumatic Heart Disease (RHD) Control Programme; providing new models of Acute Rheumatic Fever (ARF)/RHD care and prevention. The Activity has four key outputs which together aim to contribute to improved ARF/RHD control in Fiji comprising; 

(1) a national register-based secondary prevention programme 

(2) best practice guidelines for the clinical care of patients with ARF/RHD 

(3) a model for RHD early case detection including a national echo screening programme (4) ARF primary prevention and health promotion strategy


These components are recognised as necessary for successful ARF/RHD control and  each output has a number of associated activities. 


The Activity aimed to facilitate co-ordination of all ARF/RHD activities under the strategic direction of the MHMS, integration into existing services and models of care, and development of new models of care with the aim of creating sustainable and effective ARF/RHD control in Fiji.   


The desired long-term goal of the Activity is to contribute to a reduction in ARF/RHD morbidity and mortality through reducing RHD prevalence and ARF incidence.


The four year, plus one year extension, Activity officially commenced in June 2014 with activities commencing in November 2014.  Activity partners are the Fiji Ministry of Health (Fiji RHD Control Program) and Cure Kids (Fiji). The Activity lead is Cure Kids (NZ) with the Auckland District Health Board, Murdoch Children’s Research Institute Fiji Group A Streptococcal Project [Fiji GrASP] and Counties Manukau District Health Board as key partners.




Cure Kids is looking to commission a process and outcome evaluation of the Fiji Rheumatic Heart Disease (RHD) Control Programme to specifically understand the enablers and barriers to establishing the programme as well as the impact of the work that has been undertaken.


The RHD Program has been monitored over the past five years via short and medium term indicators associated with each of the aforementioned programme components. There is information and data available about the key aspects of the programme that the evaluation team will be able to use to answer the key evaluation questions (see data sources below). In addition to analysing existing data, key informant interviews will be need to be undertaken to gain insights into process aspects of the programme. 


In partnership with the Fiji MHMS, we are seeking to recruit a consultant to conduct a Program evaluation. This includes:


a. Confirm the key evaluation questions in discussion with the evaluation steering group (using OECD-DAC evaluation criteria to measure effectiveness, impact and sustainability of the program as a basi and evaluation framework 


b. Developing an evaluation plan (using MFAT template) which will highlight the evaluation approach and design, and considers a mix of the following methodologies. It will also reflect on stakeholders and evaluation utility:

• Key literature and document review

• Conducting key informant interviews

• Analysing all activity level data for the past four year 

• Consolidating and triangulating all available and gathered qualitative and quantitative data 


c. Presenting to the steering group on initial findings

d. Using MFAT templates completing a draft evaluation report for review and a two pager insights document

e. Finalising the Evaluation report complete with recommendations 


Key Deliverables


The key deliverables will be an evaluation plan, a presentation on initial findings, a complete and comprehensive Program Evaluation report and a 2 pager insights document.


Key advisors to the Program including Steering Group members

i. Associate Professor/Dr Joseph Kado – Fiji National University/Paediatrician (Chair, Activity Steering Group)

ii. Dr Isimeli Tukana – Head of Wellness Unit, Ministry of Health and Medical Services

iii. MFAT representatives (M&E Advisor) 

iv. Ms Liz Kennedy, Cure Kids New Zealand (Suva based)

v. Mr Tim Edmonds, Cure Kids New Zealand

vi. Dr Sai Boladuadua, Cure Kids New Zealand (Suva based)

vii. Maria Mow, Cure Kids New Zealand (Suva based)

viii. Laisiana Matatolu, Scientific and Technical Support Officer (STSO/data officer)

ix. Dr Nigel Wilson, Starship Hospital

x. Dr Andrew Steer, Murdoch Children’s Research Institute (MCRI)

xi. Dr Pip Anderson, Counties Manukau District Health Board

xii. Erini Tokarua, community engagement officer



Activities/ Tasks


1. Develop and confirm key evaluation questions 

Deadline April 29


2. Develop evaluation framework rubrics and plan and share with steering group, along with key evaluation questions. 

Deadline April 29


Collation and preliminary analysis of existing program data /reports 

Deadline May 6


3. Key informant interviews and consolidate available data – in-country

Deadline May 27


4. Analysis and triangulate all data including latest available adherence data

Deadline June 13


5. Presentation on initial findings 

Deadline June 17


6. Submit complete draft report and two page insights report for review

Deadline June 22


7. Finalize Evaluation Report and obtain endorsement from the Steering Groups

Deadline June 30



Key sources of data available 

• Situation Analysis report (2014) – background document

• Annual donor reports including risk matrix

• Monthly Divisional Coordinator reports

• Annual MHMS activity updates

• Baseline Knowledge, Attitude and Practices Survey report (health worker)

• Baseline Knowledge, Attitude and Practices Survey report (community)

• KAP follow up study report for community (linked to Output 4) 

• Activity tracking document

• Adherence to secondary prophylaxis reports 

• Pre and post training tests (some of which are collated)

• School screening pilot report and associated data 

• Mid-term Review of the Impact of RHD Training for NursesPatient feedback forms (not collated) – post support group activities (qualitative)

• Data specifications document for the Rhuematic Fever Information System (RFIS)

• Phase 1 and phase 2 echo workforce development reports

• Steering Group Minutes 



Evaluation Steering Group


The Steering Group and operational advisor will meet three times over the course of the evaluation:

Meeting 1:  MFAT and Cure Kids representative to meet and discuss short list applicants

Meeting 2: Following selection of the consultant to discuss scope of work and expectations, general planning

Meeting 3:  Mid point touch base (e.g. while in country – ensure process on track

Meeting 4:  Evaluation consultant to present on initial findings and feedback



The Project Steering Group and operational advisor will be responsible for:

• Briefing the consultant; and providing guidance and feedback as required.

• Arranging and facilitating times and places for interviews / meetings/ workshops; 

• Facilitating access to appropriate databases and records at health facilities if so requested to strengthen the evidence base;

• Providing appropriate workspace, internet and phone access during the inc-country visit 


[1] Colquhoun S, Kado J, Remenyi B, Wilson N, Carapetis J, Steer A. Cardiology in the Young. 2014

[2] Jackson C and Lennon D. Rheumatic Fever Register: Scoping the Development of a National Web-Based Rheumatic Fever Register. (2009) Auckland. New Zealand Ministry of Health