Improving the physical and mental health of IDPs, returnees and war-affected vulnerable local populations in several oblasts in Ukraine

**TERMS OF REFERENCE**

**Consultancy Assignment for**

**End of Project Evaluation of the following project:**

**“Improving the physical and mental health of IDPs, returnees and war-affected vulnerable local populations in several oblasts in Eastern and Southern Ukraine”**

**Implemented by 100% Life Dnipro (100% Life), Ukraine Foundation for Public Health (UFPH) and humedica Country Office in Ukraine**
**&**
**Funded by the German Federal Foreign Office**

**BACKGROUND AND CONTEXT**

humedica e.V. is a German humanitarian organization, established in 1979 with the mandate of responding to medical and non-medical relief and disaster emergencies in the world.

In collaboration with the German Federal Foreign Office (GFFO), humedica has implemented the project “Improving the physical and mental health of IDPs, returnees and war-affected vulnerable local populations in several oblasts in Eastern and Southern Ukraine” through the partner organizations 100% Life and UFPH since 01.09.2024 with project end of 31.08.2026.

The background of the project is the following:

In Ukraine, approximately 14.6 million people are in need of immediate multisectoral humanitarian assistance and protection, including 7.8 million who require medical support. Destroyed or severely damaged health facilities and WASH infrastructure, very low or no availability of medicines, and financial difficulties among the population are leading to significantly limited access to healthcare. There is also an urgent need for emergency medical and psychological assistance for those traumatized by war, bereaved families, witnesses, and survivors of violence/GBV.

Humanitarian needs in the project oblasts (Dnipropetrovsk, Kherson, Kharkiv, Poltava, Mykolaiv and Zaporizhzhia) are higher than in the rest of the country. Due to the proximity to the frontlines and previous occupations the Oblasts suffer from destruction of health infrastructure and a lack of human resources working in towns and villages. Areas further from the frontline are partially overwhelmed with the additional workload of IDPs overburdening a weakened health system.

In the project, humedica e.V. supports its country office and local partners with technical expertise in all relevant areas, especially in the guidelines and regulations of the GFFO for the project implementation and financial administration.

The humedica country office is responsible for the project implementation in the country including planning and coordination with the local implementing partners, routine activity monitoring and reporting, overall accountability system, self-implementation of activities

Local implementing partners are responsible for the planning, implementation and reporting (financial/narrative) for their field level activities. Accordingly, they are responsible for the communication with the beneficiaries and coordination directly with the local authorities, sub-clusters and other local stakeholders of the project.

**PROJECT OBJECTIVES**

The goal of this project is to improve the physical and mental health of internally displaced persons, returnees and vulnerable local populations affected by war in the Dnipropetrovsk, Kherson, Kharkiv, Mykolaiv, Poltava and Zaporizhzhia oblasts of Ukraine by ensuring equitable provision of basic healthcare, MHPSS and WASH.

Under this project, humedica Country Office, 100% Life & UFPH aim to

- Improve the access of the target population to appropriate and high-quality basic health care
- Improve the access of war-traumatized people and survivors of pervasive, sexual and gender-based violence to appropriate and high-quality psychological care, psychological support and violence protection services
- Improve the access of the target groups to clean water and basic sanitation as well as improved hygiene conditions and hygiene behavior

**EVALUATION PURPOSE, OBJECTIVE AND USE**

At the end of the funding period of this project, humedica undertakes an End-of-Project Evaluation which marks the preliminary end of the funding phase supported by GFFO. This evaluation is a requirement of the German Federal Foreign Office and humedica e.V. HQ, but also important to local and international partners.

The objective of this process is to determine how effective the implementation through the implementing partners has been

- in reaching project results as described in the project proposal and the quality of impact of these results within the project context/environment in Ukraine.

The purpose of this External Evaluation is to assess general progress achieved, key lessons and experiences.

This evaluation is being conducted as per Evaluation Plan approved by humedica e.V.

The overall purposes of the evaluation are the following:

1. In terms of objectives per outcome the evaluation looks at the following criteria: Relevance, Coherence, Effectiveness, Efficiency, Sustainability, Scalability/Replicability, Coordination and Cross-cutting Considerations to examine w