Consultancies

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TERMS OF REFERENCE FOR CONSULTANT OR ORGANISATION

To conduct facility assessments of the status of SRH/HIV/TB and SGBV integration and implementation in 10 health facilities in Alfred Nzo and uThukela Districts

Background

Globally significant progress has been made in reducing both the spread of HIV and the number of maternal deaths. Despite these impressive gains, HIV and maternal mortality are still two primary causes of death in women of reproductive age worldwide. Nine countries in this region have the highest HIV prevalence in the world (Botswana, Lesotho, Malawi, Mozambique, Namibia, South Africa, Swaziland and Zimbabwe) with HIV resulting in the single sharpest reversal in human development in the region. The region also continues to experience high rates of preventable maternal mortality, teenage pregnancy and gender based violence.

South Africa has a complex burden of disease characterized by four simultaneous epidemics of communicable, non-communicable, perinatal and maternal and injury related disorders referred to as a quadruple burden of disease. In addition to having the largest number of people living with HIV estimated at 7 million, it has the largest number of people on ART in the world; almost at 4 million. South Africa continues to exhibit high levels of new infections in comparison with counterparts the world over. Of particular concern is the high rate of infection among girls and young women aged 15-24. Although HIV prevalence is declining in this vulnerable group, the pace of decline has been slower than anticipated. The HIV prevalence among females aged 15-19 in 2012 was nearly eight times higher than males 15-19 (0.7% vs 5.6%).  Furthermore, it is estimated that 1,744 new HIV infections occur among women and girls aged 15-24 years every week (HSRC: 2012).

The interactions between SRH and HIV are now widely recognized.  Majority of HIV infections are sexually transmitted or associated with pregnancy, childbirth and breastfeeding. Sexually transmitted infections can increase the risk of HIV acquisition and transmission. An effective response to the HIV/AIDS pandemic cannot be achieved without addressing the social and structural drivers such as poverty, migration, gender inequality and gender-based violence that underpin and fuel the pandemic. These drivers facilitate new infections, deter individuals from undergoing HIV testing, inhibit retention in care and treatment, and contribute to internal and external stigma.

In recent years, there has been strong international consensus on the benefits of providing integrated SRH, HIV, TB and SGBV services, particularly as a strategy to increase the effectiveness of the HIV response.

For more information on this consultancy please check the the –  ToRs – SRH_HIV intergration Assessment final

Proposal requirements

Interested services providers are invited to submit proposals to provide the above mentioned services. The proposal should focus on addressing the consultant’s ability to provide the services outlined in the Scope of Work. Interested applicants are requested to submit the following to zaf.admin@unfpa.org:

  1. Cover letter
  2. Detailed CV(s) indicating qualifications and relevant experience
  3. A proposal indicating a description of the proposed approach to the scope of work, work plan with timelines and detailed budget (inclusive of VAT)
  4. Sample(s) of recent written work of a similar assignment.

 The closing date for proposal is 20 March 2017