Applications invited for TIP Guide evaluation and adaptation

Background

The WHO Guide to Tailoring Immunization Programmes (TIP) was developed by WHO/Europe to provide proven methods and tools to help national immunization programmes design targeted strategies that increase uptake of infant and childhood vaccinations. TIP provides tools to identify susceptible populations, determine barriers to vaccination and implement evidence-based interventions. The approach draws on health programme planning models, including social marketing and social and behaviour change communications. These models have been created with a firm grounding in behavioural change theories and have shown to successfully produce durable health outcomes worldwide. TIP is intended for use by health care professionals, public health authorities and decision-makers and may be particularly valuable when pockets of low vaccination coverage or increased susceptibility to vaccine-preventable diseases are identified.

After successful pilot-testing in Bulgaria in 2012, TIP was launched in April 2013 and has been applied in Sweden and United Kingdom since that date. In 2014 TIP will be applied in Switzerland and Kazakhstan to diagnose supply and demand-side barriers to immunization in susceptible pockets of their populations. 

Prompted by the independent European Technical Advisory Group of Experts on Immunization (ETAGE), WHO/Europe is taking steps to review the current TIP Guide and adapt it (a second version) for use at field, district, and community health levels in the European Region.  To date, countries in the Region have relied heavily on external technical assistance to roll-out and apply TIP.  Adaptation of the Guide in the form of a ‘field guide’ would seek to make it easy to use, navigate and apply by national and provincial health authority staff, without the need for intensive external assistance, to diagnose enablers and barriers to vaccination and prescribe evidence-informed solutions. 

The potential bottom-line health impact of TIP application is high. Successful adaptation, delivery, associated training and application has the potential to make great in-roads against vaccine-preventable diseases and towards global elimination and eradication targets. Given its integrative nature, TIP may also prove invaluable in assisting Member States in meeting other child and maternal health goals and indicators and addressing inequalities in service delivery.  

Required technical support

WHO seeks a contractor with a strong track-record of applying social and behavioural change research methods, with substantial evaluation experience and knowledge of developing practical toolkits and guidelines for health authorities.

The contractor will be required to evaluate the current TIP Guide and make recommendations for development of a field guide over the period October 2014–January 2015. The work package and deliverables under each of the phases are as follows.

Phase 1. Evaluation of the Guide to Tailoring Immunization Programmes

The contractor will conduct a thorough evaluation of the current TIP Guide (including its templates, tools, process, usability and impact to date) to identify areas that require revision. The evaluation will consider the current Guide`s strengths and weaknesses, and recommend revisions to produce a second issue.

The contractor will produce a TIP evaluation report (not exceeding 20 pages) with clear recommendations and guidelines on the elements of the Guide that need revision, those that might be omitted and any missing elements that may need to be developed and added to the TIP Guide.

The report will include a dedicated section on field application feedback from Bulgaria, Sweden and the United Kingdom, including user experiences and degree to which the tool’s application was useful in guiding the national immunization programme response. It is expected that a field visit will be conducted for each of the three countries that have implemented or are implementing TIP. 

Phase 2. TIP field guide (framework)

Building on evaluation findings and recommendations and the advice of stakeholders and TIP-users, a brief report will be produced with an outline of a field guide (report and outline not exceeding 15 pages) for consideration by the WHO Regional Office. It is expected that the TIP Guide will remain the foundation for the approach, serving as a reference document and continuing to provide the theoretical base and rationale for the development of the TIP field guide.

The proposed field guide should be designed to provide health authorities at national and provincial levels with an opportunity to:

  • adapt and apply a generic tool to identify and address local vaccine acceptance, demand and supply-side barriers and 
  • prescribe national, provincial or sub-population group interventions to drive demand for childhood vaccination.

Time frame

The total input required for the 2 deliverables (1. Revised TIP Reference Guide and  2. An outline for a TIP field guide) is 3 months (to take place in the period October  2014–January 2015).

Approach

The project work packages and deliverables should be produced in communication with the WHO Project Coordinator (at the Regional Office). The coordinator or his delegates will avail themselves to take part in the project through distance or face-to-face meetings throughout the project lifespan.

Contractually and financially the contractor will report directly to the WHO/Europe Project Coordinator. 

Qualifications

The contractor should, as a minimum, have a strong track-record in public health, social and behavioural communications and operational research design, implementation and analysis, and be familiar with the public health environment in the European Region.

To apply

Interested individuals or consultancy groups are requested to submit a short proposal (no more than 2 pages) outlining:

  • a technical methodology
  • a plan for evaluation of the TIP Guide and production of deliverables
  • fee for completion of the project.

Applications should be submitted to Robb Butler (RBU@euro.who.int), Technical Officer of the Vaccine-preventable Diseases and Immunization Unit (VPI), by 26 September 2014.