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International Consultancy to conduct a Community Consultation on PWID services- UNDP-Globle Fund Project
|Location :||Kabul, AFGHANISTAN|
|Application Deadline :||25-Jun-19 (Midnight New York, USA)|
|Type of Contract :||Individual Contract|
|Post Level :||International Consultant|
|Languages Required :||English|
|Duration of Initial Contract :||One Month (with maximum 22 Working days)|
The United Nations Development Programme (UNDP) is the UN’s global development network, advocating for change and connecting countries to knowledge, experience and resources to help people build a better life. We are on the ground in 170 countries and territories, working with governments and people on their own solutions to global and national development challenges to help empower lives and build resilient nations.
UNDP is a lead agency in UNAIDS for addressing the dimensions of HIV and AIDS relating to human rights, gender and sexual diversity. In addition, UNDP contributes to public health and development partnerships through collaborations with the Global Fund to Fight AIDS, Tuberculosis and Malaria (the ‘Global Fund’), Roll Back Malaria, Stop TB Partnerships, and special programmes on human reproduction and infectious diseases that disproportionately affect poor populations.
As a member of the country-level UN Joint Team on AIDS, UNDP operates strictly in support, and within the framework of national health plans and disease specific national strategies, under the programmatic leadership of national health authorities and respecting the critical role of local civil society organizations (CSOs). Promoting national ownership, developing capacity and strengthening national systems is the over-riding objective of UNDP’s engagement.
UNDP Global Fund Partnership
As part of its wider engagement with the United Nations, the Global Fund has partnered with UNDP since 2003 to ensure that grants are implemented and services are delivered in countries facing complex challenges. The partnership focuses on three closely linked areas of work: implementation support, capacity development, and policy engagement. For implementation support UNDP serves as an interim Principal Recipient (PR) (currently in 25 countries) in a variety of settings including countries that face capacity constraints, complex emergencies, poor governance environments, political upheaval, or donor sanctions. It does so upon request by the Global Fund and/or the Country Coordinating Mechanism (CCM) and when no national entity is able to assume the role at the time. UNDP’s role as PR is an interim arrangement until national entities can assume full responsibility for implementation and capacity of national partners (Government and CSOs) is also strengthened to ensure long-term sustainability of health outcomes.
Global Fund Programmes in Afghanistan
In July 2014, UNDP was selected by the Country Coordinating Mechanism (CCM) of Afghanistan as the Principal Recipient of four Global Fund Grants: HIV, Tuberculosis (TB), Malaria and Health System Strengthening (HSS). The goal of the Global Fund-funded HIV programme, which will start on 1 July 2016, is aligned with the goal of the National Strategic Plan(NSP): Investing in the Response to HIV, 2016-2020, namely to maintain prevalence of HIV below 0.1% among general population and below 5% among key population at high risk in the country. Afghanistan has a low and concentrated HIV epidemic and HIV is a public health concern among the key affected and vulnerable populations. One of the programme objectives is to maintain and scale-up prevention interventions among key populations at high risk and vulnerable groups.
HIV/AIDS situation in Afghanistan
Afghanistan experiences a low-level HIV epidemic. UNAIDS estimates 5,900 people living with HIV in Afghanistan in 2017 with male to female ratio of 7:1. (Recent spectrum date 2018 indicates the number as 6600, which is not yet approved). Cumulatively, the national AIDS control program has identified 2,733 HIV cases. While overall prevalence is low (<0.1%) in the general population, the HIV epidemic disproportionately affects PWID. (HIV prevalence ~4.4%, ranging from 0.3% in Mazar-i-Sharif to 13.3% in Hirat) (IBBSS 2012. The similarities between the HIV-1 subtypes in Afghanistan and Iran, suggest that strains have been circulating between the two countries through the returning of the Afghani refugees who also injected drug. Among other key populations at risk, HIV prevalence was 0.7% among prisoners, 0.4% among Men with High Risk Behavior (MHRB) and 0.3% among Women with High Risk Behavior (WHRB) in 2012.
HIV/AIDS in People Who Inject Drugs (PWID)
The estimated number of people who use drugs (PWUD) in Afghanistan is between 2.5 and 2.9 million (about 11% of the population) in 2015, majority (1.9 to 2.3 million) use opiates. Based on the 2012 size estimation report (using a unique multiplier method), there were an estimated 12,500 PWID in Kabul and 1,200 to 1,500 in each of Hirat, Mazar-i-Sharif, and Jalalabad. A mapping exercise in 2007 located 1,251 PWID in Kabul and 159 in Jalalabad, with an overall extrapolation of 2.24 per 1,000 adult men in Afghanistan. PWID were mostly (97%) street-based in urban settings; 53.1% were illiterate. Risks for HIV and other infectious disease were high, including 88.5% with inadequate knowledge of HIV, 29.3% paying for sex, 0.4% sharing injecting equipment (up to 33.6% in 2009), 9.4% having STI symptoms, and 27.3% reporting condom use at last sex. PWID in Hirat had a higher (33.2%) rate of non-sterile injection equipment sharing. While awareness of harm reduction services ranged from 58% to 80% (except in Charikar at 2.2%), use of services such as HIV testing was very low (e.g., 2.7% in Kabul, 12.6% in Jalalabad). It is worth mentioning that the National Strategic Plan for HIV Aids, 2016-2020 address the major issues of concerns regarding key population and particularly the PWID. Moreover, the NSP-3 provides provision of community consultation for PWID, which is further elaborated through this ToR. There are limited number of community based organizations (CBOs) dedicated to provision of services to PWIDs in Afghanistan. However, there are various NGOs involved in serviced delivery, where representatives from PWID community do not have stake in the management and governance structure of those NGOs. To ensure initiation of community based organizations and institutionally support the existing CBOs, a thorough community consultation is planned to be conducted. Kabul home to most injecting drug users More than 70 per cent of all injecting drug users in the four major cities of the country (Balkh, Heart, Jalalabad and Kabul). Injecting drug users are most likely to contract hepatitis C, followed by hepatitis B, syphilis and HIV. Provision of organized harm reduction and public health services are vital in fight communicable diseases, especially HIV. One of the major issues the PWID community faces is lack of well-organized and dedicated CBO to represent them at national and international levels. In addition, there are not advocacy and pressure groups to fight for the rights of PWIDs in the country and conduct fund raising initiatives for better service delivery to their community.
Duties and Responsibilities
Overall Objective of the Consultancy:
The overall objective of this consultancy is as follow:
Major Tasks and responsibilities:
Expected Output/Deliverables; Timeframe and Payment percentage:
The International Consultant is responsible to provide the below deliverables:
Duration of the Work:
The consultant will be based in UNDP GFP office, Kabul Afghanistan. The consultant will follow the working hours and weekends as applicable to the Gov civil servants. Consultant’s field visits, movement and consultations shall be coordinated by UNDP. The consultant is at all times required to observe UNDP security rules and regulations.
Management and Leadership:
Required Skills and Experience
Required Skills and Experience:
Master’s in social science with special focus on one of the followings: public health, Community Health, HIV, Drug management, and Community Development.
Price Proposal and Schedule of Payments:
The contractor shall submit a price proposal as below:
Payments under the contract shall be delivery based and be made on receipt of specific milestone reports, and including a timesheet according to UNDP procurement formats for individual contractors. These shall be as indicated in the above, the milestone reports shall be certified by UNDP-GFP HIV Programme Officer and shall be made upon approval by the GF programme or GF deputy Programme Manager.
shall be converted into a lump sum contract and payments under the contract shall be made on submission and acceptance of deliverables under the contract in accordance with the abovementioned schedule of payment.
Note: The cost for the reginal travel will cover by project and this cost should not include in the Financial proposal
Evaluation Method and Criteria
Individual consultants will be evaluated based on the following methodology:
The award of the contract shall be made to the individual consultant whose offer has been evaluated and determined as:
Technical Criteria (70 points):
Technical Proposal (30 Points):
UNDP is committed to achieving workforce diversity in terms of gender, nationality and culture. Individuals from minority groups, indigenous groups and persons with disabilities are equally encouraged to apply. All applications will be treated with the strictest confidence.
UNDP does not tolerate sexual exploitation and abuse, any kind of harassment, including sexual harassment, and discrimination. All selected candidates will, therefore, undergo rigorous reference and background checks.