Rwanda
TERMS OF
REFERENCE
Position
Title: National Consultant – National Operational Plan for adolescents
Level:
Middle
Location:
Kigali
Duration: 35
days
Reporting
to: HIV and AIDS Specialist
1. Background and Purpose
According to the
latest census data, of a total population of 10.5 million Rwandans, 52 percent
are under 19 years old. There is a strong political commitment to upholding the
rights, building capabilities and expanding adolescents and young people’s
choices, as spelt out in the 2011 adolescent sexual and reproductive health and
rights policy and strategic plan. Even so, young people in Rwanda have limited
access to quality sexual and reproductive health information, and to rights –
based SRH services which are tailored to their specific needs. Results from
nationally representative surveys point to gaps in knowledge and high
prevalence of risky sexual behaviour among Rwandan young people. Further, the
results reflect that young people’s access to SRH information and services is
restricted compared to that of adults.
In Rwanda, the HIV
prevalence among adolescents and youth aged 15-24 years is 1%. Young girls are
five times as likely to be infected compared to boys of the same age, 2.5% vs.
0.5%. Results from the latest DHS survey show a worrying trend; the proportion
of adolescent girls (15-19) who have begun childbearing has increased in the
last 10 years and is now at 7.3 %. When the girls reach age 19, this figure has
risen to 21%. In 2015, Rwanda conducted a situation analysis of adolescent
programme interventions and documented coverage of SRH and HIV interventions
with the view of accelerating programme implementation in geographic regions
and populations most in need. Findings of the assessment have shown that new
HIV infections among adolescents are on the increase, a substantial proportion
are married before the age of 18 years and adolescent pregnancies are on the
increase. The adverse events could be explained by the low knowledge and
utilization of SRH and HIV services by adolescents. There are huge gaps in
coverage of key interventions such as use of condoms to prevent pregnancy and
HIV infection, family planning, male circumcision for HIV prevention, HIV
testing and ART for HIV infected adolescents. The assessment further revealed
the need for more engagement of adolescents on policies and strategies for SRH
and HIV, improved access to adolescent and youth friendly SRH and adequate data
for evidence based programming for adolescents. Based on the findings, priority
intervention areas and adolescent populations were identified.
The purpose of phase
2 assessment of the ALL In initiative is to identify gaps and bottlenecks
limiting delivery of the priority interventions to the priority groups of
adolescents with respect to enabling environment, service delivery, demand, and
quality of interventions and identify actions to accelerate SRH and HIV
programmes for adolescents.
2. Justification
In order to
accelerate SRH and HIV programme interventions for adolescents, we need to
conduct an assessment in-depth assessment of adolescent programming to outline
key barriers and bottlenecks limiting effective coverage of priority SRH and
HIV programme interventions for adolescents and provide detailed priority
activities to address the identified bottlenecks.
3. Objectives
To examine the
priority interventions identified in Phase1 and the status of AYFS
implementation in Rwanda, including:
Analyse
programme coverage gaps with respect to determinants related to supply
(commodities, human resource and accessibility), demand (utilization and
continuity) and quality of interventions to identify bottlenecks preventing
effective coverage of each of the priority interventions
Conduct
a causality analysis of the observed bottlenecks for each of the priority
interventions in relation to enabling environment, supply, demand and quality
factors. Youth-friendly service assessment tools will be used to determine
whether health services meet the needs of adolescents, and how guidelines and
standards are being applied;
Identify
key actions to address the observed bottlenecks for each of the priority
intervention.
4. Methodological Approach and
Expected Outputs
The consultant will
conduct a literature review of national programme documents on adolescent
programming taking into consideration finding of phase 1 of the ALL In
assessment and map out the service delivery platforms for the selected
interventions. Based on the desk review, gaps and challenges in relation to the
disparity in coverage of the interventions among adolescents will be identified,
as well as among different adolescent population sub-groups (by age, gender and
key populations); a consultative process will be carried out to validate
indicators for the in-depth analysis of the priority intervention(s) and to
determine coverage gap. A workshop will be held for the technical working
group, representatives of adolescents and other stakeholders to identify
bottlenecks contributing to the observed programme coverage gaps, conduct a
causal analysis of the bottlenecks and identify corrective actions. The
analysis will be focussed on the determinants related to supply, demand,
quality and structural determinants (policy, coordination, resources and social
norms) identified in phase 1 assessment and literature review of the documents.
The development of the operational plan with clear strategies and logical
result framework will be informed by the literature, key determinants of the
coverage gap of priority interventions and the prioritized action to address
the bottlenecks.
5. Major Tasks, deliverables,
& Timeframe
Major Tasks1. Conduct a literature
review on:
· Evidence on Youth
friendly health service delivery with emphasis on the East and Southern Africa
region and on National AYFHS standards and guidelines.
· Review the
availability, access and utilization of the low-performing SRH and HIV
intervention(s), including mapping of the service delivery platforms for the
key interventions.
DeliverableFindings of the literature
the review, 4 days Major Tasks:
Based
on the desk review identify gaps and challenges in relation to the disparity in
coverage of the interventions among adolescents, as well as among different
adolescent population sub-groups (by age, gender and key populations).
Review
and validate the indicators for the in-depth analysis of the priority
intervention(s) in the adolescent assessment and decision makers (AADM) tool
and other sources to ensure alignment with the local context and the
description of the delivery of the intervention
Deliverable: Summary
of gaps, challenges, indicated and strategies to address the disparities
produced, 5 days
Major Tasks:
- Identify
bottlenecks contributing to the observed programme coverage gaps and
conduct a causal analysis of the bottlenecks to identify corrective
actions. - Support
the ASRH technical working group to define key actions to address the
priority bottlenecks.
Deliverable:Programme
coverage gaps, determinants, bottlenecks and corrective actions outlined, 6
days
Major Tasks:
- Determine
the priority interventions that will require collection of data for
indicators that are not reflected in the AADM tool and conduct facility
assessments of representative samples of public and health services that
provide adolescent and youth friendly health services against existing
international and national guidelines and standards indicators.
Deliverable:Baselines
data for additional indicators generated, 7 days
Major Tasks:
Draft
operational plan with clear strategies and a logical result framework
Deliverable : Operational plan drafted, 5 days
Convene
a multi-sectoral stakeholder validation meeting with representation from
programme managers from sub-national level, relevant government agencies and
implementing partners, representatives of adolescent networks and the UN to
review and endorse the adolescent operational plan
Deliverable : Power point presentation of the Draft operational plan, 3 days
Finalize
and submit the operational plan for adolescent
Deliverable: Final
operational plan, 5 days
1. Stakeholder Participation
RBC, government line
Ministries and youth institutions, Districts, One UN, CSO, Adolescent networks,
service providers and Adolescents living with HIV, Organizations of people
living with HIV
2. Qualification and Requirements
Postgraduate
degree in public health, medical sciences, sociology/other social sciences or
related technical field.
Eight
years or more of experience working with multiple partners and stakeholders in
the country or within region on strategic planning, policy and programme
development
Experience
working or researching on adolescents and young people, in the areas of HIV,
sexual and reproductive health and rights, child protection, gender and human
rights
Demonstrated
experience in the areas of HIV and adolescent/youth programming, with social
and behavior change communication and/or monitoring and evaluation expertise an
advantage
Demonstrated
leadership skills in programme management and coordination at national level
and with local government authorities
Excellent
analytical and report writing skills as well as good negotiation and
communication skills
Excellent
command of spoken and written English
Strong
presentation and facilitation skills including with multiple stakeholders.
Computer
skills: Experience in Microsoft Word, Excel and PowerPoint
3. Supervision
The consultant will
be supervised by UNICEF HIV and AIDS Specialist and will receive technical
guidance from technical team composed of representatives from RBC, MOH, UNJTA
team (UNICEF, UNAIDS, UNFPA, UNESCO and WHO) and USAIDS/PEPFER development
partners
4. Terms and conditions
· The Consultant
will quote for an all-inclusive lump sum in RWF
· Payment
conditions: in case of field trips, the consultant will be reimbursed based on
incurred out of pocket expenses associated with the travel and the subsistence
allowance will be based on DSA prevailing UN rate. As a non-staff, the
consultant will not be issued a Travel Auhorisation. The claim will be based on
submitted voucher approved by supervisor.
· UNICEF reserves
the right to withhold all or a portion of payment if performance is
unsatisfactory, if work/outputs is incomplete, not delivered or for failure to
meet deadlines
· All materials
developed by the consultant will remain the copyright of UNICEF and that UNICEF
will be free to adapt and modify them in future. ,
Qualified
individuals are requested to submit their cover letter, CV and P11 form (which
can be downloaded from: http://www.unicef.org/about/employ/files/P11.doc),
to Human Resources at: rwajobs@unicef.org
by 27th May 2016, quoting the indicative all-inclusive fee range and
the consultancy with subject: “National
Consultancy –
National Operational Plan for adolescents.”
You may also submit
to: Human Resources Specialist, UNICEF Rwanda, and P.O. Box 381, Kigali,
Rwanda.
Please note that
applications submitted without an all-inclusive fee/ rate will not be
considered. Only shortlisted candidates will be contacted.
Financial proposal
should provide a budget and timeline, using the table below:
Deliverables
Number of
person days
Delivery date
Costs
Inception report:
Detailed roadmap of the assignments
3
2nd June
10%
Interim Reports 1:
Table Determinants, bottlenecks and corrective actions for each key
intervention
15
24th June
40%
Interim Reports 2:
Draft Operational plan and power point presentation
12
7th July
35%
Final reports and
operational plan
5
14 July
15%
Total
35
100% **
