Vacancy: Terms of Reference – Baseline Study 

Country: Ghana 

Project Title: Strengthening Community Systems to Scale-up Community-led Response Interventions to End Neglected Tropical Diseases (NTDs) – Scale-Up Project 

Executing Agency: Hope for Future Generations 

Approval Date: 01/03/2023 

Start Date: 27/03/2023 

Duration: 29/03/2023 – 29/04/2023


The general objectives of this baseline study are to: 

● Assist HFFG with baseline information on the project areas to provide a reference point to enable future measurement, evaluation of the outcomes and the degree and quality of change the project would achieve. 

● Provide feedback to HFFG, Rural Watch and other stakeholders of the situation of NTDs in the districts and communities for planning the implementation phase 

● Ensure accountability for results to the project’s funders, stakeholders, and beneficiaries.


The Scale-up project will be implemented in 10 NTD endemic districts in Eastern Region. The Expanded Special Project for Elimination of Neglected Tropical Diseases (ESPEN) has classified these districts as high-priority areas for investment. The districts are characterized by co-endemicity of skin-NTDs. The districts are; Kwahu West, Kwahu East, New Juaben South, New Juaben North, Nsawam Adoagyire, Upper Manya Krobo, Upper West Akim, West Akim, Birim Central and Birim South. The districts are subject to change based on recommendations from Ghana Health Service. 

According to the Ghana NTD Master Plan, as of 2019, the Eastern region had the highest number of Yaws endemic districts in the country. The Ghana NTD Master Plan again identifies Eastern region as one of the regions in the country that routinely report Buruli Ulcer cases, with almost 6000 cases reported since 2010. In 2019, the region had the highest number of Buruli Ulcer endemic districts in the country. Also, leprosy is among the skin-NTD diseases prevalent in the region, with all 33 districts in the region classified as leprosy-endemic. 

According to the Ghana NTD Master Plan (2021-2025), inadequate public awareness, poor personal hygiene, inadequate disease identification skills, lack of point of care diagnosis, inadequate logistics, poor access to care in very remote areas, stigmatization of patients, and lack of community-level health promotional activities, are the key challenges to Yaws, Buruli Ulcer, Leprosy, and other NTDs’ elimination in Ghana. Also, people with skin-NTDs, together with their families, face inequalities in access to health care. As a result, their conditions are not detected and managed early. Inadequate access to health care services worsens the effects of the diseases on them, not only physically, but also mentally. Additionally, there is poor access to safe water and sanitation in communities affected by NTDs. This exposes people to all the skin-NTDs and is a key driver of skin-NTD co-endemicity in these districts. 

Coupled with the above, people affected by skin-NTDs and their families endure stigma and discrimination. This prevents them from seeking care and often results in permanent disability and psychological disorders. Stigma and discrimination also prevent patients from participating in socio-economic ventures like employment, education, and decision-making processes. 

Furthermore, people affected by skin-NTDs and their families are least involved in the design, implementation, monitoring and evaluation of interventions that affect them. Their non-participation often leads to lack of community ownership and unsustainable projects. Also, health facilities and health workers in NTD-endemic districts and communities are often poorly resourced and lack the capacity to provide timely detection, diagnosis, and treatment services for patients. Furthermore, lack of employable and/or entrepreneurial skills results in high levels of poverty in communities affected by NTDs. As a result, people are unable to afford basic necessities like health care, housing, clothing, and education. 

Global Objectives of Project 

● Eradicating and eliminating skin-NTDs 

● Reducing skin-NTDs burden on both affected people and health systems

● Improving planning, management and monitoring of health systems to fight skin-NTDs in an integrated manner 

● Improving accessibility, including economic accessibility, of people with skin-NTDs to health services 

● Improving access to water and sanitation services in skin-NTDs endemic areas 

Specific Objectives of Project 

● Empowering the development of Ghanaian CSO and/or networks advocating for action (mobilizing governments to commit their resources, right protection) in favour of impoverished people and communities living with Skin NTDs 

● Improving access to water and sanitation services in skin-NTD endemic areas

● Contributing to strengthen and enhance the operational response (favouring community level response) for Skin NTD and its cross-cutting issues with a gender, intercultural and community-based approach taking into account all the social determinants of health 


(i) develop the study protocol for the baseline survey 

(ii) Obtain Ethical Clearance from the Ghana Health Service Ethics Review Committee (iii) design data collection tools for the baseline study questionnaires and submit to Management 

(iv) Pre-test data collection tools and effect any necessary changes based on findings from the pre-test 

(iv) hire and train the field supervisors and enumerators 

(v) plan the field work logistics in consultation with our Administration and Human Resource Office 

(vi) prepare survey implementation and questionnaire documentation, eg. supervise data collection 

(vii) Undertake data entry, cleaning and analysis 

(viii) Write and submit a draft baseline study report to HFFG for review 

(ix) Address review comments and submit final baseline survey report, including datasets, to HFFG 

(x) Develop a manuscript for publication in a renowned journal 

Expected Deliverables 

● Develop baseline study protocol (including data collection tools) 

● Obtain ethical approval for the baseline study 

● Obtain permission from the Eastern Regional Health Directorate and implementing districts for the study 

● Constitute and train research staff (supervisors and enumerators) 

● Plan and execute data collection 

● Update Management and Project teams on the tools 

● Submit Draft report and pretest results 

● Submit final baseline survey report 

● Develop manuscript for publication 

The consultant’s contractual obligations are complete once the HFFG Executive Director has reviewed and approved the Baseline Report for quality and completeness as per the TOR. 

4. FEES 


5. Required Skills and Experience 

a. Academic Qualifications: 

● Post-graduate qualification in relevant fields such as Social Sciences, Development Studies, Monitoring and Evaluation. 

b. Experience: 

● At least seven years of proven experience in conducting qualitative and quantitative research. 

● Previous experience in conducting surveys, baseline/midline end line and/or prevalence

5. Duration: 30 calendar days 

6. How To Apply 

Qualified and interested applicants should submit their Cover letter and CV in a single document in PDF with three (3) professional referees to with the subject heading “Application_NTD Baseline Study” 

NB: Given the anticipated volume of submissions, only highly qualified candidates will be contacted.