Children and Adult Physical Disability Rehabilitation Project (CAPDRP)

FOD/ HRDC in partnership with CBM Global

Background

Food/HRDC, in partnership with CBMG, is implementing the Children and Adult Physical Disability Rehabilitation Project in selected municipalities of Nepal's Karver, Banke, Siraha, and Dhanusha districts. The project aims to improve the quality of life of persons with physical disabilities through accessible and inclusive rehabilitation services by strengthening local health systems, increasing outreach, and providing surgical interventions and assistive devices.

As the project approaches its completion in 2025, a Final Evaluation is planned to assess its overall performance, effectiveness, sustainability, and impact and generate learning for future programming.

Project Results

Result 1: Strengthened accessible physical rehabilitation services in communities through capacitating health facilities and physical rehabilitation service providers

Result 2: Increased access of persons with physical impairments to quality screening, doctor consultation, and follow-up services in their communities through outreach health and rehabilitation camps and intense follow-up services

Result 3: Improved mobility and functional independence of persons with physical disabilities with activity limitation or participation restriction, providing corrective surgical interventions and assistive devices

Target Group: Persons with physical disabilities

Project Location: Banke, Kavre, Siraha, and Dhanusha districts

Purpose of the Evaluation

The primary purpose of the Final Evaluation is to assess the effectiveness, efficiency, impact, and sustainability of the project interventions. The evaluation will:

• Examine the extent to which the project achieved its stated objectives and expected results.
• Analyze how the project contributed to improving the quality of life of persons with physical disabilities.
• Assess the capacity development of local health facilities and stakeholders.
• Examine the sustainability of interventions post-project period, especially in relation to institutional capacity, community ownership, and referral systems.
• Identify good practices, lessons learned, and recommendations for future program design and scale-up.

Scope of the Evaluation

The evaluation will cover the entire project implementation period (2019–2025) and focus on:

• All four project districts: Kaveri, Banke, Siraha, and Dhanusha
• All components: capacity-building, outreach camps, surgical interventions, assistive devices, follow-up services, and referral systems
• Coordination with CBID partners, OPDs, local governments, and health institutions

Evaluation Focus and Key Questions

The evaluation will cover, but is not limited to, the following:

Effectiveness, Efficiency, Timeliness, Sustainability, Impact and Achievements:

Result 1 - Strengthened accessible physical rehabilitation services in communities through capacitating health facilities and physical rehabilitation service providers

Considering the work undertaken under Result 1:

• In what ways are the physical rehabilitation services accessible in local health facilities and physical rehabilitation service providers? What did this improved accessibility lead to/resulted in in the way physical rehabilitation services are delivered?
• In what ways did the project contribute to strengthening physical rehabilitation systems/services in target health facilities and local service providers, including the capacity of health personnel to deliver inclusive support? What has gone well and what needs to be done better? 
• Were resources (time, budget, personnel) used optimally to deliver intended results?
• How effective was coordination with the local health facilities and service providers? 
• To what degree will the changes at target health facilities be sustained after the project finishes?

Assessment of achievements against indicators 

Considering the indicators for this result, what has been achieved, against the baseline and the set targets?  

Result 2 – Increased access of persons with physical disabilities to quality screening 

Considering the work undertaken under Result 2:

• How have screening and rehabilitation camps been conducted and ensured quality of services? What was the approach? What were the challenges?
• To what degree have the screening and rehabilitation camps improved accessibility of physical rehabilitation services? What were the challenges?
• What approaches of community outreach and awareness led to more people seeking physical rehabilitation services? What has gone well and what were the challenges?
• Were women, men, girls, and boys equally able to access the services offered? What steps were taken to ensure participation and equal access to services? What were the difficulties and what are the recommendations for addressing the barriers for HRDC future similar project?
• Were resources (time, budget, personnel) used optimally to deliver intended results?

Assessment of achievements against indicators 

Considering the indicators for this result – what has been achieved, against baseline and the set targets?  

Result 3 – Improved mobility and functional independence for persons with physical disabilities

Considering the work undertaken under Result 3:

• In what ways have children and adults with physical disabilities improved their mobility and functional independence? Provide examples.
• How is improved mobility and functional independence measured? 
• How effective were the assistive devices in supporting their mobility and effective independence? What has gone well, and what were the challenges?
• In what ways were the referral networks effective in enabling improved accessibility to physical rehabilitation services between HRDC and partner secondary/tertiary hospitals? Provide examples.

Assessment of achievements against indicators 

Considering the indicators for this result, what has been achieved against the baseline and the set targets?  

Specific Objective 1 – Local Orthopaedic and rehabilitation services are strengthened, providing accessible and barrier-free services.

• Referring to the indicators relating to Specific Objective 1, were these achieved?
• What have been the main successes regarding improved accessibility of physical rehabilitation services in the four districts? What were the challenges?

Assessment of achievements against indicators 

Considering the indicators for this result, what has been achieved in comparison to the baseline and the set targets?  

Specific Objective 2 – Improved functionality of persons with physical disabilities through access to rehabilitation services.

Referring to the indicators relating to Specific Objective 2:

• Were these achieved?
• What have been the main successes regarding improved health, social, and economic outcomes for children and adults with physical disabilities who benefited from project activities/interventions? Provide examples.

Assessment of achievements against indicators 

Considering the indicators for this result, what has been achieved, against the baseline and the set targets?  

Gender

• Did women and men, boys and girls with disability equally benefit from project interventions? What were the barriers for men and women to benefit equally?
• What steps were taken to ensure participation and equal access of women and men with disabilities to rehabilitation services?
• Any unique challenges women faced in accessing services? How did the project manage/address these?
• What were the difficulties in addressing gender-related barriers, and what are the recommendations to consider these in future designs?

Disability Inclusion

• What efforts were made to ensure people with different disabilities have access to screening and rehabilitation camps?
• How did the project engage with OPDs? How do OPDs feel about this engagement? Could they be engaged more?

Methodology

The evaluation will employ mixed methods, including:

• Desk review of project documents (proposal, progress reports, monitoring data).
• Quantitative surveys with a representative sample of beneficiaries.
• Qualitative data collection via focus group discussions, key informant interviews with HRDC staff, beneficiaries, caregivers, local government officials, and partner organizations.
• Field visits to project locations in Banke, Kavre, Dhanusha, and Siraha.
• The methodology should be inclusive and reflect gender and disability considerations in all data collection and analysis. The consultant should propose a detailed methodology, tools, and sampling framework in their inception report.

Deliverables

• Inception Report: Methodology, work plan, tools, and timeline, submitted within one week of contract signing.
• Draft Evaluation Report: Comprehensive findings, preliminary conclusions, and recommendations.
• Final Evaluation Report: Incorporating feedback, not exceeding 40 pages (excluding annexes), with an executive summary.
• Data Files: Quantitative datasets, qualitative transcripts, and analysis summaries.
• Presentation: Summary of key findings and recommendations to HRDC and CBM Global.

Timeline and Indicative Schedule

Required Qualifications

The evaluation consultant should have:

• Proven experience in evaluations related to disability rehabilitation and social inclusion projects.
• Strong quantitative and qualitative research skills.
• Familiarity with Nepal's socio-cultural context, especially disability and inclusion issues.
• Ability to communicate effectively in English and Nepali.
• Experience working in the target districts is an advantage.
• Understanding of gender and disability-sensitive approaches.

Proposal Submission and Application Procedure

Interested firms or agencies should submit a hard copy of the following in a sealed envelope by 2:00 pm on September 15, 2025, to the Finance Department with the subject line: Final Evaluation CAPDRP – Application:

• Technical Proposal (max 7 pages), including:
  • Understanding of ToR and project context
  • Proposed methodology and timeline
  • Team composition and CVs
  • Relevant experience
• Financial Proposal (separate file), including:
  • Detailed budget breakdown with justifications
  • Total cost in NPR
• Supporting Documents:
  • Company registration certificate (for firms)
  • VAT registration and tax clearance certificates (for firms)
  • Examples of previous evaluation reports in similar thematic areas

Budget and logistics 

The evaluator(s) shall provide a financial proposal including professional fees, travel, accommodation, data collection expenses, and taxes. HRDC will facilitate field visits and meetings with stakeholders as needed.

Payment schedule

The 40% advance for the consultancy services will be provided upon signing of the agreement, 60% upon the submission and acceptance of the final evaluation report.

Ethical Considerations and Quality Standards

The evaluation must uphold the highest ethical standards, including:

• Respect and protection of participants' dignity and rights.
• Adherence to data privacy and confidentiality protocols.
• Obtaining informed consent from all respondents.
• Compliance with HRDC's safeguarding policies, including protection from sexual exploitation and abuse.
• Transparency, impartiality, and accountability throughout the process.

Contact Information

For any queries or further information, please contact: Hospital and Rehabilitation Center for Disabled Children (HRDC) Banepa-11, Kavre - Nepal Phone: +977 11 661666, 661888 Fax: +977 11 661777 Email: [email protected]

This TOR aims to guide the selection of a qualified team to ensure the successful completion of a video documentary that meets our objectives, highlights the impact of our work, and adheres to accessibility standards.

Compliance with FoD/HRDC and CBM Global Policies 

Consultants are required to sign and be bound by the CBM Global Code of Conduct for Consultants and CBM Global Safeguarding Policy and Behaviour Code, and CBM Accessibility Policy; unless otherwise, these policies are available with FoD/HRDC which to be followed by the consultant.

Ensure accessibility in data collection and  report.

Suggested Structure of the Report

Overview of the Project and what it intended to achieve

Executive Summary

Methodology for the evaluation, including limitations

Overall findings and analysis on achievement of the objectives of the project

Effectiveness and Achieements

Result 1 – Findings and Analysis

Result 2 - Findings and Analysis

Result 3 – Findings and Analysis 

Result 4 - Findings and Analysis

Result 5 – Findings and Analysis

Efficiency

Sustainability

Impact

Gender

Disability Inclusion

Overall reflections on project achievements, recommendations, conclusion and lessons learned