UNICEF RWANDA TERMS OF REFERENCE Position Title:

National Consultant – National Operational Plan for adolescents

Level:

Middle

Location:

Kigali

Duration:

35 days

Start Date:

Mid-June 2016

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: 1. 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 2. 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; 3. 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 Tasks Deliverables 1. Conduct a literature review on: Findings of the  Evidence on Youth friendly health service delivery with literature the review emphasis on the East and Southern Africa region and on National AYFHS standards and guidelines.  Review the availability, access and utilization of the lowperforming SRH and HIV intervention(s), including mapping of the service delivery platforms for the key interventions.

Timeframe 4 days

2. 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).

Summary of gaps, challenges, indicated and strategies to address the disparities produced

5 days

Programme coverage gaps, determinants, bottlenecks and corrective actions outlined

6

3. 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 4. Identify bottlenecks contributing to the observed programme coverage gaps and conduct a causal analysis of the bottlenecks to identify corrective actions. 5. Support the ASRH technical working group to define key actions to address the priority bottlenecks.

6. Determine the priority interventions that will require Baselines data for collection of data for indicators that are not reflected in the additional indicators AADM tool and conduct facility assessments of generated representative samples of public and health services that provide adolescent and youth friendly health services against existing international and national guidelines and standards indicators

7

7. Draft operational plan with clear strategies and a logical Operational plan result framework drafted

5

8. Convene a multi-sectoral stakeholder validation meeting with representation from programme managers from subnational level, relevant government agencies and implementing partners, representatives of adolescent networks and the UN to review and endorse the adolescent operational plan

Power point presentation of the Draft operational plan

3

9. Finalize and submit the operational plan for adolescent

Final operational plan

5

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 1. Postgraduate degree in public health, medical sciences, sociology/other social sciences or related technical field. 2. 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 3. 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 4. 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 5. Demonstrated leadership skills in programme management and coordination at national level and with local government authorities 6. Excellent analytical and report writing skills as well as good negotiation and communication skills 7. Excellent command of spoken and written English 8. Strong presentation and facilitation skills including with multiple stakeholders. 9. 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.

5. How to apply: 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: [email protected] 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

Prepared by: Title: HIV and AIDS Specialist: Cross-sectoral Name: Fabian Mwanyumba ___________________________________ (Signature) Date: ___________________

Authorized by: Title: Deputy Representative Name: Oliver Petrovic ___________________________________ (Signature) Date: ___________________

100%