Background and Context
Tiko is a non-profit organization that leverages technology and behavioral insights to design, implement, and scale access to sexual and reproductive health (SRH) services for adolescents and young people (AYP) aged 15-24 years. The Tiko platform connects adolescents and young people from low-income backgrounds with quality-assured, non-judgmental SRH services.
The Adolescent Sexual & Reproductive Health Development Impact Bond (ASRH DIB II) is a groundbreaking initiative aimed at expanding access to HIV and sexual and reproductive health (SRH) services for adolescent girls aged 15–19 in Kenya. This project builds on the success of DIB I (2020–2022) and leverages the Tiko platform model to enhance service uptake through a performance-based financing approach.
Running from July 2023 to June 2025, the DIB II project targets 500,000 adolescent girls, focusing on key interventions such as PrEP, HIV testing, ART linkage, and contraception. These services are integrated into both public and private health systems to ensure accessibility and sustainability. The project’s short-term outcomes include increasing the agency of adolescent girls to exercise their SRH rights, improving the utilization of quality SRH and HIV information, and enhancing the availability of resources for adolescent and youth-friendly SRH services.
The program is supported by key global organizations, including CIFF, UNFPA, WHO, UNAIDS, and SDGPP. In addition to improving health outcomes for adolescent girls, the DIB II program promotes government cost-sharing to ensure long-term sustainability and integration of services within the national health system.
Through partnerships with 150 public health facilities and 345 private health facilities across 10 counties, the DIB II program aims to address critical SRH needs, reduce adolescent pregnancies, and significantly decrease new HIV infections among adolescent girls in Kenya. The counties involved in the program include Nairobi, Mombasa, Kisumu, Homabay, Bungoma, Migori, Kisii, Nyamira, Kakamega, and Busia.
This endline evaluation seeks to assess the impact and effectiveness of the ASRH DIB II program, evaluating changes in HIV and SRH outcomes, facility service delivery improvements, and provider attitudes toward adolescent-focused HIV and SRH services.
The specific objectives and corresponding evaluation questions that the evaluation seeks to address are included (there is already some data available to respond to the research questions below):
Objective 1: Assess the DIB II program’s impact on the scale-up and quality of integrated, youth-friendly SRH/HIV services in the public and private sector.
Evaluation Questions: To what extent has DIB II improved the provision of integrated, youth-friendly SRH/HIV services in Tiko platform partnered facilities? Data available
How has DIB II affected provider capacity to deliver youth-friendly services in Tiko partnered facilities? Data available
What financial impacts has DIB II had on participating health facilities and retailers?
How has the Tiko platform influenced the local health market for SRH and HIV services?
How has DIB II influenced county-level management of adolescent SRH/HIV services?
Objective 2: Evaluate how Tiko influences adolescents’ knowledge, social norms, and access to HIV/SRH services.
Evaluation Questions: Social Influence: How do Tiko mobilizers disseminate SRH/HIV information and motivate service uptake among adolescents and their networks?
Knowledge & Attitudes: To what extent has the Tiko platform improved adolescents’ knowledge, attitudes, and practices regarding SRH/HIV related behavior?
Service Access: What barriers has the Tiko platform addressed to increase adolescent girls access to SRH/HIV services? Data available
How has the Tiko platform influenced uptake SRH and HIV services among adolescent girls? Data available
Service Continuity: How has the Tiko platform influenced sustained use of SRH/HIV services among adolescent girls? Data available
Objective 3: Assess the impact of the ASRH DIB II on youth-centric programming, service quality, and commodity availability in facilities.
Evaluation Questions: To what extent has the ASRH DIB II program influenced the design and delivery of youth-centric SRH and HIV services in participating facilities? Data available
How has the program impacted the availability and accessibility of SRH and HIV services for adolescent girls? Data partly available
How has the Facility Improvement Plan (FIP) supported the improvement of operations of health facilities engaging in the DIB II programme? Data partly available. Sub Questions under this include:
- How has the Facility Improvement Plan influenced improvements in client satisfaction, quality of service provision, and adolescent SRH/HIV outreach in DIB II supported health facilities, from the perspective of facility staff and programme stakeholders?
- What changes have facility staff and stakeholders observed as resulting from the Facility Improvement Plan, particularly in relation to client satisfaction, service quality, and adolescent-focused SRH/HIV outreach under the DIB II programme?
- How do facility staff and programme stakeholders perceive the Facility Improvement Plan’s role in improving the delivery and uptake of adolescent SRH/HIB services, service quality and client satisfaction within the DIB II framework?
- Adolescents – experience – can use CEIs data
How has the program influenced the supply chain and availability of essential SRH and HIV commodities in participating facilities? Data partly available
Objective 4: Assess the extent to which the objectives and outcomes of the DIB II programme were achieved
Evaluation Questions: Did DIB II achieve its coverage targets including the number of adolescent girls accessing FP, HIV services, and STM resupply rates? Data partly available
What has been the impact of the DIB II programme on SRH and HIV outcomes (reducing adolescent pregnancies and new HIV infections)? Data partly available
How effectively did the DIB II programme reach marginalized adolescent girls, particularly those living in multidimensional poverty, and facilitate their access to services through Tiko? Data partly available
Reviewing the existing secondary data, review the extent to which the programme met the 5 core objectives
Study Methodology
Tiko expects the use of a mixed-methods approach. The Consultant is expected to apply these methods, among others:
- A review of past Client Exit Interview survey (CEIs) reports and data for the length of the project (July 2023 to June 2025)
- Analysis of service data from facilities (sourced from Kenya Health Information System site and from the Tiko platform) in the 10 intervention counties and those in the 5 control counties
- A facility assessment survey (30 Tiko-affiliated and 20 non-affiliated health facilities) to track commodity stocking in the intervention counties
- Qualitative data collected from adolescent girls and their peers using focus group discussions (20 in total)
- Qualitative data collected from Tiko mobilisers, health providers and county officials using key informant interviews (30 in total)
Scope of Work
The primary purpose of this assignment is to conduct the Endline Evaluation of the ASRH DIB II program. The evaluation will assess the changes in HIV, and SRH outcomes for adolescent girls (aged 15-19) in Nairobi, Mombasa, Kisumu, Homabay, Bungoma, Migori, Kisii, Nyamira, Kakamega, and Busia counties. This study will also measure the extent to which Tiko’s platform has influenced the quality of services, accessibility, and sustainability of services across participating health facilities.
The evaluation will be conducted in June – September 2025, and the consultant will be responsible for all activities related to the evaluation, including data collection, analysis, and reporting.
Specific Tasks and Deliverables
Below we’ve outlined the key activities and timelines for the endline evaluation:
Activity 1: Protocol Review and Approval (by Tiko)
Description: Review the study protocol, consent forms, and data collection tools and submit for approval.
Deliverable: Submitted Protocol
Timeline: May 2025
Activity 2: Inception Report & Meeting with the consultant
Description: Develop a draft inception report, fieldwork plan, and quality control plan.
Deliverable: Final Inception Report and Fieldwork Plan
Timeline: June 2025
Activity 3: Scripting/finalisation of Data Collection Tools
Description: Script the quantitative and qualitative data collection tools onto an online data collection platform.
Deliverable: Scripted Questionnaire and finalised interview guides
Timeline: June 2025
Activity 4: Training of the Data Collection Team
Description: Train the research team, pilot test the tools, and commence data collection across counties.
Deliverable: Field Implementation Report
Timeline: July 2025
Activity 5: Data Collection
Description: Conduct data collection in the identified counties
Deliverable: Data Collection Field Report
Timeline: July 2025
Activity 6: Data Processing, Cleaning, and Analysis
Description: Clean and analyze the collected quantitative and qualitative data.
Deliverable: Cleaned Dataset, Analysis Report (Results Outputs)
Timeline: August 2025
Activity 7: Production of Final Report
Description: Produce the final report summarizing all the findings and recommendations.
Deliverable: Final Evaluation Report
Timeline: September 2025
Activity 8: Revision of Report
Description: Revise the final report based on feedback.
Deliverable: Reviewed Final Report
Timeline: September 2025
Qualifications and Expertise Required
We are looking for an individual consultant with the following skills and qualifications:
- Demonstrable expertise in research and/or evaluations among Adolescents and Young People (AYP) and on SRH, and HIV (HIV testing, PrEP, ART) in Kenya
- Demonstrable expertise in public health policy and service delivery in Kenya
- A track record of designing, implementing and reporting on programme research/evaluations in Kenya including but not limited to:
- Expertise in conducting impact evaluation using statistical approaches such as propensity score matching, interrupted time series, regression discontinuity, etc
- Experience in qualitative approaches for impact assessment such as outcome harvesting and contribution analysis
- Experience in data collection and analysis using participatory methodologies
- The consultant should have the following skills and expertise:
- A postgraduate degree in a research-oriented social science or a related discipline with extensive knowledge of and experience in leading (designing and undertaking) large scale quantitative and qualitative research
- Global standing in the public health space, specifically in AYP SRH, experience in digital health technologies is an added advantage
- A history of publication on AYP SRH, HIV and mental health in peer-refereed, high impact journals, preferably in high impact journals
- Track record of managing and coordinating evaluation/research exercises, and delivering agreed outputs on-time and on-budget
- Excellent and demonstrated understanding of ethical issues in research, including in child protection and safeguarding of research participants
- Ability to respond to comments and questions in a timely, appropriate manner
- Capacity to use mobile data collection for data collection, and analysis of survey results
- Excellent verbal and written communication in English and Kiswahili required
Evaluation Criteria
Proposals will be assessed against the following criteria:
Criteria – Expertise, experience, and composition: Expertise and experience in undertaking similar research activities in Kenya
Weighting 40
Criteria – Strength of the technical proposal: Overall strength of proposed methodology, including the to address the specific tasks outlined above within the anticipated timelines
Weighting 40
Criteria – Budget:
- Value for money
- The estimated budget should be competitive enough to deliver on the tasks in the evaluation
Weighting 20
How to Apply:
Individuals are invited to submit proposals for this engagement. Proposals should include the contents below and not exceed a maximum length of 10 pages, excluding annexures (budget and summary profiles of proposed personnel).
- Cover Page: Summary with basic information such as name, address, contact information, proposed budget, etc.
- Capacity Statement: A brief capacity statement as to why you are well positioned to undertake the engagement
- Qualification to the Scope of Work: Any qualifications that you may have regarding the scope of work
- Proposed Approach: Your proposed approach to delivering on the scope of work requirements
- Work Plan:proposed work plan with tasks, responsible person/s and timeline
- Budget: Total budget envelope required to deliver the work (in Kenya Shilings), and line-item breakdown of direct costs and overheads
- References of similar engagements undertaken by the firm in the last 5 years
The submission must be clear, concise, and complete. Applicants should submit only such information as is necessary to respond effectively to this request for proposals. Unless specifically requested, extraneous presentation materials are neither necessary nor desired.
Applications/submissions are requested to submit their tender/application documents (technical & financial) proposals to Tiko via mail procurement@triggerise.org by the end of day 11 June 2025 with “ASHR DIB II Endline Evaluation” in the subject line.
