Consultant Analyse Situationnelle Système Ophtalmologique

Contexte

Blindness and severe visual impairment (SVI) remain major public health challenges globally, particularly in low and middle-income countries where access to quality eye care services is limited. In Nigeria, cataract and uncorrected refractive errors continue to be the leading causes of blindness and visual impairment, while emerging conditions such as diabetic retinopathy and age-related macular degeneration (ARMD) are contributing to an increasing burden of eye diseases. Access to eye health services is often constrained by inadequate financing, shortages of trained personnel, weak health information systems, insufficient infrastructure, and gaps in the implementation of existing policies and strategies.

To address these challenges, CBM is implementing SightQuest Nigeria Programme, a ten-year programme aimed at strengthening eye health systems and scaling up inclusive eye health services across 14 states in Nigeria. The programme seeks to eliminate avoidable blindness and severe visual impairment by improving access to quality, affordable, and inclusive eye care services. The main objective of the programme is to increase effective cataract surgical coverage (ECSC) by 30 percentage points and (EREC) effective refractive.

The SightQuest Programme seeks to employ a health systems strengthening approach that addresses gaps in service delivery, human resources, infrastructure and equipment, financing, governance, and health information systems. The main areas of intervention include strengthening district eye health programmes, improving access to primary eye care services, establishing vision centres and eye centres, improving referral pathways, enhancing the quality of cataract surgical services, and strengthening sustainable financing for eye health services. Programme implementation will be phased, beginning in Bauchi and Oyo States in 2026, and subsequently expanding into Imo, Jigawa, and Plateau States before scaling to all 14 target states by 2029.

Given the diverse contexts and varying levels of eye health system development across states, there is a need for a comprehensive situational analysis to generate evidence for effective planning and implementation. The situational analysis will assess the eye health system using the World Health Organization (WHO) Health System Building Blocks Framework and provide a clear understanding of the status of eye health services, resources, policies, and systems within each selected state.

To facilitate a context-specific and comprehensive assessment, one consultant will be engaged per state to lead the Situation Analysis (SITAN) process. Each consultant will work closely with relevant state-level stakeholders and the SightQuest Programme team to collect, analyse, and validate data on the eye health system, identify key gaps and opportunities, and develop a state-specific SITAN report. The findings will provide an evidence base for prioritising interventions, informing programme design, and guiding implementation within each state.

The SITAN will be implemented as separate state-specific consultancy assignments. One consultant/consulting firm will be engaged for each assigned state/assessment area. Each engagement will cover one state/assessment area only and will result in one standard, state-specific SITAN report. The consultancy is therefore not intended to produce one comparative or consolidated report covering all selected states. For the purpose of this assignment, Abia/Rivers will be treated as one combined assessment area and will result in one consolidated Abia/Rivers SITAN report, subject to the final procurement structure.

Each consultant/consulting firm will be responsible for the full SITAN process within the assigned state/assessment area, including stakeholder engagement, data collection, analysis, validation of findings, and preparation of the final report. A standardized assessment framework, methodology, and agreed tools will be applied across all assignments to promote consistency and comparability of findings, while allowing sufficient flexibility to capture state-specific priorities, gaps, opportunities, and contextual factors.

Missions et responsabilités

• Assess the status of eye health services in the assigned state/assessment area using the WHO Health System Building Blocks Framework.
• Determine the strengths, weaknesses, opportunities, and threats (SWOT) within the State eye health system, particularly in relation to Leadership and Governance, Health Financing, Human Resources for Eye Health, Service Delivery, Medical Products, Equipment and Technologies, and Health Information Systems.
• Assess the management structure and implementation challenges of existing CBM-supported eye health programmes in the assigned state/assessment area, where applicable.
• Evaluate the availability, accessibility, quality, and inclusiveness of eye health services across primary, secondary, and tertiary levels of care.
• Identify barriers and facilitators to accessing eye health services, especially among vulnerable and marginalized populations, including persons with disabilities.
• Map key stakeholders, programmes, facilities, workforce, and resources supporting eye health service delivery in the States.
• Generate baseline information and actionable recommendations to guide strategic planning, programme implementation, policy development, advocacy, resource mobilization, and future investments under the SightQuest Nigeria Programme.
• Review relevant national and state policies, strategic plans, reports, publications, and available eye health data during the Inception Phase.
• Review the material collected by the Consultant for the State National Eye Health Policy domestication process.
• Conduct stakeholder consultations with key actors.
• Develop and submit an inception report outlining methodology, workplan, sampling approach, and data collection tools.
• Adopt a mixed-method approach involving both quantitative and qualitative methods for Data Collection.
• Conduct desk review of relevant literature and programme documents.
• Collect secondary data from health facilities and government institutions using relevant sections of the CBM DECSAT Tool (District Eye Care Situation Analysis Tool) and any data collection tools deemed fit by the consultant.
• Assess all eye care facilities across the State using a desk review tool in consultation with the facility leads.
• Conduct Key Informant Interviews (KIIs) with relevant stakeholders and Focus Group Discussions (FGDs), where applicable.
• Facilitate learning through engagement with relevant eye health stakeholders, presenting findings and recommendations in accessible language and formats.

Profil recherché

• External Consultants / Consulting Firms experienced in conducting situational analyses or evaluations.
• Expertise in public health, health systems strengthening, or eye health programmes.
• Familiarity with the WHO Health System Building Blocks Framework.
• Strong capabilities in mixed-method research (quantitative and qualitative data collection and analysis).
• Experience working with government stakeholders, NGOs, and marginalized groups including persons with disabilities.
• Capacity to operate within the specified geographic areas, taking into security and logistical considerations.

Conditions et avantages

• Project ID and Program/Project Name: P11150 – SightQuest Nigeria Programme.
• Project duration / Evaluation timeframe: September – October 31st, 2026.
• Contracting organisation: CBM Country Office (CO) Nigeria.
• State-specific consultancy assignments across Jigawa, Imo, Abia/Rivers, Plateau, Borno, Adamawa, Ogun & Kogi States.

Dossier de candidature

• Inception report including methodology, workplan, sampling approach, and data collection tools (upon selection).
• State-specific SITAN report as the final deliverable.

Comment postuler

Please refer to the official CBM Country Office (CO) Nigeria procurement channels or project contact persons for submission guidelines, detailed application packages, deadlines, and specific reference numbers for this consultancy assignment.