Background

In Sao Tome and Principe, the United Nations Development Programme (UNDP) acts as Principal Recipient of Global Fund grants for Malaria, HIV and Tuberculosis. Amounting to roughly 24 million over the 2005 – 2017 period, these grants have so far represented the largest single donor contribution to the health sector in the country. Out of this contribution, the malaria component has represented 18 million USD.
Thanks to the Global Fund as well as other partners’ funding, the Sao Tome and Principe National Malaria Programme has achieved impressive results over the past decade, with a sharp decrease in the number of cases from 38.4 per 1 000 inhabitants in 2009 to 9.3 per 1 000 inhabitants in 2014 (PNLP, 2015).  These results were secured through an integrated approach, particularly in the area of vector control. Alongside mass and routine distribution of long lasting insecticide impregnated nets (LLIN), bi-annual Indoor Residual Spraying (IRS) campaigns using pyrethroid, carbamate and IGR-based pesticides have been adopted as the main malaria vector control measures in the country.
In July 2014, conscious of the waste generated through intensive IRS campaigns, the Ministry of Health, UNDP and the Global Fund embarked on an effort to assess, manage and ultimately, reduce the IRS waste. To this end, in July 2014, UNDP commissioned an independent situation analysis focusing on the IRS waste generated by the National Malaria Programme. This exercise led to an IRS waste management proposal and budget covering IRS waste prevention, re-use and re-cycling, energy recovery and disposal.

Justification:

Following their submission to UNDP, the 2014 IRS Waste Management Proposal and Budget have been partially implemented. This is due to lack of sufficient financial resources, differing views at country level on the type of incinerator required and challenges related to the construction of an incineration site.

In addition, since 2014, other waste management initiatives have occurred in the country on municipal waste, toxic waste, waste generated through vaccination campaigns and hospital waste.

In a context of increasing waste vs. decreasing resources from aid funding, there is an urgent need to gather energies and resources in order to come up with most suitable, efficient and operational waste solutions, starting with the health sector.

Given the above, there is a need for a revised situation analysis that reflects the current status and for an updated Waste Management Plan and Budget, and associated design for waste incineration project.

Objective:

The objective of the consultancy is to help the UNDP Global Fund Project and its Partners adequately and rapidly address the waste generated in Sao Tome and Principe’s health sector.

Specific objective:

The consultancy will help fulfill the following specific objectives:

  • Achieve a comprehensive analysis of the health waste situation in Sao Tome and Principe, including IRS waste, toxic products, hospital waste and waste from vaccination campaigns.
  • Identify the most adequate, efficient, easy to operationalise solution (s) for the health sector waste, taking into account environmental impact, national priorities and available resources.
  • Develop an updated Health Sector Waste Management Plan and Budget which operationalise the solutions proposed for the various types of waste.

For the incineration part of the Health Sector Waste Management Plan, propose the most adequate equipment and design the waste incineration site, taking into account international architectural and engineering requirements, the manufacturer’s requirements as well as environmental standards.

Duties and Responsibilities

Activities:

In order to fulfill the specific objectives above, the Consultant will conduct the following activities:

Review the 2014 IRS waste situation analysis.

Assess the 2015 IRS Waste Management Plan produced by UNDP; make recommendations for improvement based on expert opinion and lessons learnt from the 2014 Plan.

Hold consultation meetings with the following stakeholders:

  • Ministry of Health Health Care Directorate, Enhanced Vaccination Programme, UNICEF and GAVI Project on waste generated by vaccination campaigns;
  • Ministry of Health and UNIDO Focal points on toxic waste management;
  • Aires de Menezes Hospital on hospital waste management and the reasons behind the non-functioning of the Hospital incinerator;
  • Tese on its municipal waste transformation project;
  • Ministry of Environment and Natural Resources on its overall perspective and ongoing initiatives at national level;
  • GAVI, European Union UNDP GEF Project on funding prospects for waste management in Sao Tome and Principe;
  • If required :National Malaria Control Programme on IRS waste; and
  • Waste stakeholders at decentralized level: a selection of Health Delegates.

Draft a health sector waste situation analysis, Waste Management Plan and Budget.

Design an incineration site project.

Present the situation analysis, the Plan, the Budget and the site incineration project to stakeholders for validation.

Deliverables:

  • Health sector waste situation analysis, including IRS waste, toxic products, hospital waste and waste from vaccination campaigns.
  • Waste Management Plan and Budget for Sao Tome.
  • Design for incineration site project.
  • Presentation of the findings based on the above to stakeholders for validation.

Schedule:

The Consultant will produce his schedule of activities and deliverables, based on his/her understanding of these terms of reference. The following is expected to feature in the schedule:

  • Briefing and debriefing meetings with the UNDP team;
  • Validation meeting with stakeholders; and
  • Site visits to assess health waste situation in situ. 

Duration of consultancy:

10 working days.

Evaluation:

Applicants will be screened against qualifications and competencies specified below through a desk review.

Competencies

Organizational competencies:

  • Demonstrates integrity by modeling the UN’s values and ethical standards.
  • Displays cultural, gender, religion, race, nationality and age sensitivity and adaptability.

Core competencies:

  • Ability to work independently, deliver high quality outputs in a timely manner.
  • Sound judgment, strategic thinking and the ability to manage competing priorities.
  • Strong analytical and writing skills (structure, formatting, presentation).

Communication:

  • Strong capacity to communicate clearly and quickly.
  • Strong facilitation, negotiation and liaison skills.

Required Skills and Experience

Education:

  • A university degree in Public Health, Sanitary Engineering, Environment Engineering.

Experience:

  • At least 7 years of experience in the domain of public health, environment, engineering;
  • Expertise in the area of waste management, including IRS waste, and familiarity with incineration site projects; and
  • Demonstrated experience in completing similar assignment.

Language requirements:

  • Fluency in French or Portuguese required.