Professional Documents
Culture Documents
Poor feeding and caring practices are predominant. Inadequate infant feeding
i.e. less exclusive breastfeeding and less complementary food in quality,
quantity, frequency and no timely introduction are a major contributor to the
high rates of underweight and stunting. The high rates of under-nutrition
among women, 27% (DHS 2009), directly impact on maternal mortality and
perpetuate a negative cycle of sub-optimal intra-uterine growth as attested
by the high proportion of children stunted at birth (22%, DHS 2009).
Caring practices, crucial to growth, development and survival of the child, are
rooted in cultural beliefs and level of education of the parent, especially of
the mother. A qualitative survey on health seeking behaviour revealed that
Timorese people do not seek professional health care until it is too late; their
immediate action is to seek the help of traditional healers as they believe
they can find in customs the answer to the underlying cause of illness.
As highlighted in the malnutrition conceptual framework, its contributors are
multi-faceted with responsibilities of more than one ministry. The 2010
Comoro Declaration recognised inter-ministerial responsibilities on “Putting
an end to Hunger and Malnutrition”. The lack of technical knowledge at all
levels coupled with inadequate human resource creates a challenge in
planning and timely implementation.
Sector Context
There are currently two main donor-funded projects providing support to the
health sector. The current Health Sector Strategic Plan – Support Programme
will be succeeded in July 2012 by the new National Health Sector Strategic
Plan – Support Programme that will consist of a multi-donor trust fund
(around € 20 Million) managed by the World Bank and co-financed by the EU
(€10 Million) and AusAID ($13 Million) with an implementation period of 4
years. The new project will continue to provide support to the Ministry of
Health through three main components, i) Improving Public Financial
Management and Fund Flows for Health Service Delivery, ii) Strengthening
Pharmaceutical and Medical Supplies Management and iii) Improving
Evidence-informed Decision Making and Health Sector Coordination. The new
nation-wide project will increase support to the Servisu Integradu da Saúde
Communitária (SISCa) including maternal and child nutrition care as part of
the integral services of the Basic Services Package (BSP).
As for the Food Security and Rural Development sector there is a significant
number of projects currently being implemented in Timor-Leste. This
constitutes a priority sector of the EU in the country as well as for other
donors. Under its National Indicative Programme, the EU Delegation
currently manages three Rural Development Projects (namely, RDP II, III and
IV) which are at different stages of implementation. RDP II (€ 9 Million) is in
its concluding phase and is coordinated by GIZ and IPAD, and so would be
RDP IV, the latter being at present at inception phase. RDP III (€ 10 Million) is
implemented through a service contract and is in its mid-term stage. The
successive RDPs are proving to be successful in establishing close
relationships with the MAFF and in making a positive contribution to building
the Ministry's Extension Service. One of the main purposes of RDP IV is to
contribute towards sustainable increases in nutrition and food security and
reduced poverty for farm households and rural communities through the
strengthening of the national agricultural extension services (this
purpose/component has a budget allocation of € 8 Million), Project purpose
n°1 notably focuses on supporting the agricultural extension services of the
MAFF, which is the only public service that ensures a permanent presence in
all villages (Sucos) in Timor-Leste.
Timor-Leste has also benefitted from various allocations from the Food
Security thematic programme budget line, directly addressing food security
and nutrition issues, notably with 5 projects implemented by NGOs (OXFAM,
Care, Concern, Word Neighbours and Child Fund) that were completed in
2011 (of a total amount of € 4.5 Million) and 4 projects implemented also by
NGOs (HIVOS, MercyCorps, Care International and World Vision, of a total
amount of € 4.6 Million) to run up to end-2013. Other projects implemented
by INGOs notably include four projects under the Water Facility (With the
Austrian Red Cross, Plan International, UNICEF and Triangle, of € 5.8 Million)
dealing with access to water and basic sanitation services, and under the
Energy Facility with a project focussing on lighting and cooking fuel needs
while incorporating natural resource management and climate change
adaptation (with MercyCorps, € 1.4 Million).
More recently two additional projects have been approved in December 2011
As for other donors the AusAID programme “Seeds of Life” is now in its third
phase (2011–16), building on more than a decade of Australian support (the
current third phase budget is USD 22 Million from AusAID). Together with the
MAFF, it aims at providing access to the improved seeds of food crop varieties
to 60,000 Timorese farming families. The program is also assisting the MAFF
to establish a national seed system capable of providing farmers with access
to improved varieties well into the future. “Seeds of Life” has expanded its
activities to take into account the impact of climate change and population
growth and their implications on food security, notably by creating a specific
activity on climate monitoring and production forecast.
2. Description of the assignment
The objective of the assignment is to produce an Appraisal Report on Infant
2.1 Overall programme
objectives and Young Child Nutrition Security: Expanding High-Impact Nutrition Package
in Timor-Leste for Sustainable achievement of MDG 1, target 1c and draft the
relevant Action Fiche (AF) and the Technical and Administrative Provisions
(TAP) under the MDG initiative in Timor-Leste
1. To collect and review information and documents relevant for the
2.2 Specific objectives of this
assignment development of the AF, TAPs (following the latest EU templates and
instructions) and Appraisal Report building on the MDG initiative
Concept Note prepared by the MDG Secretariat with the support of the
NAO and the EU Delegation in July 2011 and approved by the
Commission Decision of 20th December 2011.
2. To conduct consultations with national stakeholders from the
government and development partners, as well as the Non State Actors
concerned;
3. To develop the draft AF, TAPs and Appraisal Report in line with the
provisions of the Concept Note mentioned above.
Risks
2.3 Risks and Assumptions
Relevant key staff of Ministry of Health, Supervising Agency, do not
monitor the mission;
Low transfer of knowledge during the execution;
Limited collaboration from the different stakeholders of the mission.
Assumptions
The MoH and other stakeholders involved implements the project
after its approval.
The next government maintains its commitment towards reaching
the MDG objectives.
5) Prioritize actions X
within the proposed EDF 10
health program, taking into
account areas of
interventions already
covered by other donor
agencies in the field of
Health, Nutrition and Food X
Security, filling the gaps in
areas (and/or in
geographical areas) not yet
covered by other
development partners, and
to enhance cooperation and
6) Analyze the
feasibility of the proposed
program with regard to EC
rules and procedures
notably taking into account X
the pace and likeliness of
the further implementation
of the on-going action plans;
7) Ensure that
program objectives are in
line with the overall X
programming document;
8) Assess the
existing capacity of the
beneficiary organizations
and institutions and the
need for technical
assistance, training and
systems design at national
and regional level in order to X X
reform, up-grade and
expand its function and
strategy, as required for the
smooth implementation and
the sustainability of the
proposed actions;
9) Provide
recommendations on how to
ensure the sustainability of
the interventions beyond
X
the end of the X
program/project period of
EDF 10;
10) Design
implementing modalities for
the various components of
the interventions and
programs/projects in strict
accordance with the
Development Cooperation
Instrument and other
applicable EC regulations,
policies and implementation
methods and providing
details of how the proposed
intervention will
complement and build into
X X
the existing programmes in
the nutrition sector ; The
implementation modalities
will be designed taking into
account efficiency
considerations in view of
limiting the number of
Ministerial, Development
partners and implementing
partner counterparts by
proposing a simple and
reasonable management
structure.
11) Build-up a X
The Concept Note and other related documents were designed in close
collaboration with MDG Secretariat of Timor-Leste and Ministries
concerned (notably MoH and MAF) and also with relevant UN Agencies.
After three days of their arrival the Experts will prepare a short inception
2.5 Deliverables
report in which they will define how they will perform the mission. The
inception report will be submitted to the EU Delegation, to the NAO and to
the MDG Secretariat.
The Experts will provide all necessary technical inputs for the preparation of
the Action Fiche (AF), Technical and Administrative Provisions (TAPs) and
Appraisal Report of the MDG Initiative new project. The Experts will have to
take into consideration in the design the criteria for the future evaluation of
nutrition interventions funded by the EU (see annex I terms of reference for
evaluating programmes for nutrition outcomes).
The selected experts will, during the project implementation period, establish
professional working relations with at least one appointed contact person
within the Implementing Authority. All technical issues related to the content
and logistics of the mission (approach, implementation and organisation) will
be executed under the responsibility of the Implementing Authority and as
such needs its formal endorsement.
The Implementing Authority will operate as prime contact agency for all line
Ministries and other Governmental institutions that are supposed to
nominate staff members for participation in the mission.
Methodology
The mission will start with a briefing session at the NAO and with the EC
Delegation in Dili. During its presence n Dili, the team will liaise closely with
the NAO, the MDG Secretariat, the line Ministries concerned and the EC
Delegation in Dili throughout the mission. The NAO will make available all
documentation in its possession pertaining to the assignment, and will assist
Field work in Timor Leste shall be conducted with a focus on: (i) reviewing all
the documents relevant to an assessment of the progress towards
Government targets and goals in Nutrition; (ii) interviewing and consulting
with key officials in the different ministries, notably the Ministry of Health.
Other relevant Ministries should also be consulted: the Ministry of Economy
and Development, the Ministry of Agriculture and Fisheries, the Ministry of
Infrastructure, the Ministry of State Administration and Territorial
Management. Other appropriate ministries, state bodies, Non-Governmental
Organizations (NGOs) and CBOs, the private sector and representatives from
development partners involved with Nutrition in Timor-Leste.
The Experts will also meet with the Technical Committee of the Nutrition
Working Group at the beginning of their mission. In the first meeting the
Technical Committee and the Experts will fix a schedule of meetings during
the assignment so as to validate the inception report and monitor the
development of their work.
The Experts should work autonomously and should organize themselves their
work in Dili. Nevertheless, they could be supported by the NAO’s services in
terms of obtaining available information and documents, helping in
organizing meetings, soliciting reactions, etc.
Costs associated with the holding of a 1-day validation workshop will be met
from financial resources outside the service contract of the experts.
4. Experts profiles
Key qualifications The Appraisal Mission team will consist of 2 (two) experts, namely,
Institutional Capacity Development and Formulation Expert (29 working
days) and a Nutrition and Health Expert (25 working days). Reference to
Table 1 Time schedule presented below.
6. Reporting
6.2 Language The assignment language and final report will be in English
An Inception Report must be submitted after three days of the arrival of the
Experts in Timor-Leste. A Draft Final Appraisal report, AF and TAPs must be
6.3 Submission of Reports
submitted to the Timor Leste NAO Team Leader and EU Delegation for approval
prior to final departure.
All reports must be submitted on CD (MS Word format) and in three hard
6.4 Number of copies
copies
8. Administrative Information
Week-ends (Saturday and Sunday) are non-working days, unless requested in advance and duly justified.