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[e-med] Vacance de Posre Médecins du Monde (MDM)- Consultance Pakistan

Consultancy (Pakistan) for MDM:  

Deadline for submission: 7/02/10 

Context of the study

Since 2005, MDM has been working as a technical support to Social Welfare 
Department, Government of Punjab, in improving the range and quality of 
services in Dar-ul-Amans, public shelter homes for women victims of violence 
and their children. The present "Healing the wounds of Domestic Violence in 
Punjab" program runs from December 2007 until November 2010.

The program's overall objective is to contribute to improve physical and mental 
health of women victims of domestic violence and their children in Punjab 
(Pakistan) over 3 years. Its specific objectives are as follows:

-         To support the Social Welfare Department, Government of Punjab in 
improving the range and quality of services available for women and children 
living in the 35 DUA of Punjab

-         To strengthen operational capacity of local civil society and 
institutions regarding DUA management and residents integration

The main stake of the program at present time is to ensure the sustainability 
of the provision of medical, legal and psychological services in Dar-ul-Amans. 
Indeed such services are currently delivered by both volunteers and MDM field 
officers. For 2010, Social Welfare Department is not recruiting service 
providers on those disciplines, contrarily to what had been planned so far.

Evaluation purpose and users of the evaluation

On donors' requirement, a mid-term external evaluation was scheduled in the 
initial EuropeAid project proposal in order to assess the achievement of 
results and overall impact of the programme towards the defined objectives.

A request for an extension of the program will be formulated early 2010 so as 
to ensure a proper process and timing for the completion of MDM objectives and 
sustainable handover of the program. If accepted by major donor EuropeAid, this 
request could allow one to two additional years of activities and support to 
34-36 shelter homes for women victims of violence. Yet the issue on how 
services in DUAs will reach sustainability has not been resolved.

The evaluation will provide donors and MdM board and coordinators to have an 
accurate follow-up of the on-going project. In case of recommendations, MdM 
coordinator and MdM desk-officer in charge of the project in Pakistan will be 
responsible for their implementation.

Object and scope of the external study

The study will focus on the partnership relation between MDM and main 
stakeholders, in particular Social Welfare Department and civil society 
organizations. The external study will assess the accuracy, effectiveness and 
coherence of MDM actions so far in terms of alliance-building and networking. 
It will also help, through its recommendations, to define how MDM can improve 
its technical support to Dar-ul-Amans and Social Welfare Department but also 
its capacity to involve civil society to reach sustainability.

Improving the care of women victims of violence requires working on the access, 
coordination and quality of services, but also on the perceptions of the actors 
and victims themselves.  The external study will help MdM programme to gather 
information on perceptions of violence and attitudes toward it, among residents 
of DUA, as well as among services providers.  Thus, the study should allow 
estimating, in the long term, the impact of the activities on the 
representations and behaviors.

For that purpose, Social Welfare Department will be involved at all stages of 
this external study, from defining the terms of reference to commenting the 
recommendations formulated to MDM. Professional associations and volunteers as 
civil society partners will also be implicated.

It has to be clear nonetheless that this study is not an assessment or 
evaluation of SWD. Its scope concentrates exclusively on MDM and its role in 
strengthening a network, providing technical support, building capacities in 
governmental institutions and civil society bodies.

Taking place during the implementation of the program, this study is rather 
considered an accompaniment / external support in assessing the results of 
collaboration and improving its future stance and its capacities to generate 
sustainable provision of services in Dar-ul-Amans. 

Objectives of the evaluation:

1.       Assess the quality of services (medical, psychological, legal) the 
residents receive in DUA

o        Assess the volume of services delivered to residents

o        Assess the coherence of the care provided  by several professionals 
(DUA officers, MDM staff, volunteers) to women and children living in DUA

o        Highlight some effects of MDM capacity-strengthening and networking 
intervention on DUA residents' well being[1] <outbind://246/#_ftn1> 

o        Estimate the level of satisfaction of residents during their stay in 

2.       Assess the accuracy and effectiveness of MDM's support to both public 
and non-governmental institutions and actors in setting up a comprehensive, 
coherent, sustainable care to women victims of violence and their children 
living in DUAs 

o        Appreciate the accuracy and effectiveness of MDM's support to Social 
Welfare Department and DUA staff

o        Evaluate the coherence of the networking system under construction 
between Dar-ul-Amans and professional volunteers and associations

o        Contemplate what are the main strengths, weaknesses, opportunities and 
constraints for MDM to achieve sustainability of the provision of services in 
DUAs and propose recommendations for that purpose

3.       Assess the perceptions of Gender Based Violence among the residents of 
DUA and the various actors involved in provision of services. 

o        Evaluate the perception by the residents themselves of their own 
status as regards to violence (in distress, victims or not, survivors...)

o        Evaluate the perception of the residents by the various actors 
involved in provision of services (SWD, DUA, MDM and volunteers). 

Expectations over the external study:

o        An in-depth analysis highlights the strengths and weaknesses of MDM in 
building capacities in SWD institutions and involving civil society in the 
provision of services for women victims of violence and their children in 

o        Recommendations are formulated so MDM can improve its support and 
empowerment practices and methodologies, with a particular focus on the issue 
of sustainability, as far as SWD and civil society's involvement are concerned

o        A better understanding of the perception of gender Based Violence and 
victims of Gender Based Violence by actors involved in provision of services 
should allow estimating, in the long term, the perception and behavior changes. 


In terms of methodology, this external study should be considered as an 
accompaniment for MDM to increase its understanding and self-knowledge and 
improve the quality of its intervention. What's more, it should be aimed at 
facilitating ownership of the recommendations and changes at all levels.


For those reasons, its methodology should:

o        be highly participative, meaning involving actively main actors of the 
program, i.e. MDM team, SWD officers and Dar-ul-Amans staff, professional 
bodies, volunteers, NGOs working on violence against women, women victims of 
violence living in DUA...

o        pay particular attention on socio-cultural determinants that underlie 
the program

The study will be conducted through:
o        Individual interviews with resource persons and beneficiaries
o        Visits of Dar-ul-Amans and other accurate settings
o        Focus groups in community and Dar-ul-Amans

Budget and practical elements

The cost of this external evaluation had been planned in the 3-years programme 
currently conducted by MdM in Pakistan.

These costs are undertaken on the project budget itself (UE/MAAIONG)

Duration of the study: 2 months starting in February, including 5 weeks in 
field visits, meetings, observation... in Pakistan

o        Degree in sociology (organizational sociology preferred)
o        Significant experience in/knowledge of quantitative and qualitative 
research methodologies/ evaluation and monitoring
o        Thorough Knowledge and understanding of gender based violence and 
women' rights issues
o        International experience in humanitarian and development programs 
o        Good understanding of the region and the context
o        Pakistan experience a significant plus
o        Capacity to work in a volatile security context (with strict respect 
of security rules)
o        Experience of work in a Muslim country is appreciable
o        Fully and completely fluent in English (oral/written

Modalities for application submitting:

Interested candidates should send their documents by  7 th February  2010 to 
anais.cosco@medecinsdumonde.net <mailto:anais.cosco@medecinsdumonde.net> 

Submission will comprise: 
-          A description of the methodology they suggest to use for this 
evaluation (methodological note)
-          Calendar
-          A budget
-          A CV with three references


[1] <outbind://246/#_ftnref1> [1] It is estimated that given the short time of 
MDM intervention in most DUAs, it will be difficult to fully evaluate the 
effects of the program on residents. Still the study will have to take into 
account residents' perception.

Maud Terrasse

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