Terms of reference for a consultancy to support and guide the 2nd Phase of the “All In” Adolescent Country Assessment Process

Background: Globally, adolescents (aged 10-19) are the only age group where deaths due to AIDS are not decreasing - while across all age groups, AIDS-related deaths declined by nearly 40 per cent between 2005 and 2013. Today, AIDS is the leading cause of death among adolescents in Africa and the second highest cause of death among adolescents globally.  In 2013, an estimated 120,000 adolescents (10-19 years of age) died of AIDS. New HIV infections among adolescents are not decreasing as fast as they must. There were 250 000 new infections among adolescents aged 15-19 in 2013 - two out of three new HIV infections are among adolescent girls.

In Botswana, adolescents represent one fifth (22%) of the total population and are one of the most vulnerable groups for HIV acquisition. HIV prevalence among young people aged 15-24 years was estimated at 7.9%   (BAIS IV, 2013). Analysis of prevalence data of BAIS from 2004 to 2013 by age-cohorts shows that all three of the youngest cohort (10-14, 15-19, 20-24 years) either doubled or tripled their HIV prevalence by 2013. Hence the need for a global agenda to end Adolescent AIDS – ALL IN.

ALL IN is a platform for action and collaboration to drive better results with and for adolescents (10-19) through critical changes in programmes and policy. It aims to unite actorsacross sectors to accelerate reductions in AIDS-related deaths by 65% and new HIV infections among adolescents by 75% by 2020, and thus set the global AIDS movement on track to end the AIDS epidemic among adolescents by 2030. It is an opportunity to support countries to improve data collection, analysis, and utilization for programme planning through participatory country assessment processes.

Botswana is one of the 22 countries globally implementing the All In Initiative and has thus far completed a rapid assessment of adolescent programmes across sectors. The rapid assessment is the first of three phases towards strengthening the adolescent component of the national HIV response.  Through this 3-phase assessment the country will aim to identify performance gaps limiting HIV prevention, treatment and care results in adolescents (aged 10 – 19) and to define priority actions to accelerate and improve the quality of the national response to HIV among adolescents. The entire 3-phase assessment is led by the Government of Botswana, through a multi-sectoral TWG and is conducted in collaboration with national and sub-national partners, adolescents, and youth.

The specific objectives of the three-phase assessment are to:

  • Phase 1: Assess national HIV programme response for adolescents focusing on who is most affected, where and what interventions are most critical

  • Phase 2: Analyze bottlenecks and gaps limiting effective coverage of priority HIV programme interventions

  • Phase 3: Define corrective actions to address bottlenecks, gaps in data and accelerate programme coverage, quality and impact

The first phase of the country assessment was completed in June 2015, with priority interventions and geographic locations identified. The TWG is currently in the process of preparing for the 2nd phase of the country assessment, an in-depth analysis of the bottlenecks and barriers limiting effective coverage of priority programme interventions at the national level and the selected focus districts, and to identify solutions and action plans to accelerate achievement of results.

Purpose and objective:

The purpose of this consultancy is to provide technical assistance and guide the national Technical Working Group to conduct an in-depth analysis of bottlenecks and barriers to effective coverage of priority interventions at national level and within the selected 4 districts, and identify corrective actions to improve programme coverage, quality and impact.

 

Specific tasks:

 

  1. Support the TWG to conduct an in-depth analysis of the gaps and barriers limiting the impact of priority HIV programme interventions at the national level and in the priority location(s) identified in phase 1 above respectively.

    1. Engage with national TWG to prepare an action plan for the in-depth analysis, including timeline, roles and responsibilities, and logistics

    2. Engage with district authorities and partners to prepare for phase II and agree on timeline, as well as roles and responsibilities for in-depth analysis. Stakeholders will include different service providers, programme managers and adolescent network and groups

  2. Conduct a desk review of the barriers and challenges/bottlenecks to availability, access and utilization of priority interventions at the national level and in the selected locations. The desk review should include a mapping of the service delivery platforms for the selected intervention(s).

  3. Support national TWG to  identify appropriate indicators/proxies and threshold levels for assessment and monitoring of key bottlenecks of the priority intervention(s)

  4. Collect data from the various existing data sources including national and sub-national disaggregated information from population-based studies (HIV surveillance, DHS, AIS, MICS, behavioral survey etc.) and programme data.

  5. Support and where necessary abstraction of age-specific data from facilities and administrative records (e.g HMIS, EMIS) and programme data, as well limited data collection exercise to address data gaps.

  6. In collaboration with national TWG, convene district level TWG & consultations to validate/modify the indicators and facilitate participatory causal analysis of the priority barriers and bottlenecks contributing to the observed programme gaps.

  7. In collaboration with national TWG, support the district technical working groups to define key actions to address the priority gaps and barriers.

  8. Support NACA/MoH to convene district multi-sectoral stakeholder validation meetings with representation from programme managers from relevant government agencies and implementing partners, adolescent network representatives to validate and endorse findings and advance the proposed actions through existing programmes.

  9. Develop a multi-sectoral district plan for adolescents and HIV with the implementation tool to operationalize the set priorities in the priority districts.

  10. Prepare a report of the in-depth analysis

 

Consultancy oversight:
The consultant will be supervised by the Director of Advocacy and Information at the National AIDS Coordinating Agency and with regular oversight from the Deputy Representative/Acting Chief of Young Child Survival UNICEF Botswana Country Office. He/she will work in close contact and consultation with the relevant NACA and MoH staff, DAC and members of the TWG at the national and sub-national level.

 

Expected Deliverables:

  1. National TWG supported to conduct in-depth analysis of interventions selected in phase 1: ( 2 weeks)

    • Inception report including action plan with timeline and responsibilities developed

    • Sub-national TWG established in 4 districts

    • Desk review conducted and bottlenecks related to the 8 selected priority interventions identified

    • Indicators for bottleneck analysis defined and threshold levels determined

    • Service delivery platforms priority interventions mapped

  • District teams/TWG supported to collate data based on the identified indicators from the various data sources including population based studies and programme level data (4 weeks)

  • Data collation completed in 4 districts

  • Age-specific data abstracted from facilities and administrative records in 4 districts

  • Rapid survey/interview of adolescents, service providers and community conducted in four districts.

  • Participatory causal analysis conducted with partners to confirm the priority barriers and bottlenecks contributing to the observed programme gaps and key actions defined with stakeholders (4 weeks).  

  • Meetings with TWG in 4 districts conducted to synthesize findings on key bottlenecks and agreement on actions needed to address them.

  • Focus group discussions & key informant interviews with service providers, adolescents/YP and community members held in 4 districts

  • 4 stakeholder meetings held and action plans developed.

  • Final reports  submitted to NACA & UNCEF: (2 weeks)

  • Analytical report of in depth analysis

  • Consultancy report documenting the process, lessons learned and recommendations for future application

  • Validated action plans from 4 districts

 

Qualifications

Academic qualification:

  • Postgraduate degree in public health, medical sciences, sociology/other social sciences or related technical field.

Work experience:

  • Experience in programme development and strategic planning and experience in HIV and adolescent programme development.

  • Research skills:  data collection skills for both qualitative and quantitative data, data analysis, and report writing. Experience in writing reports of a scientific standard.

  • 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

Competencies:

  • Good knowledge of current global research and/or initiatives on HIV and adolescents

  • Ability to independently liaise with government offices (ministries of health, national AIDS committees, and ministries responsible for adolescents); CSOs; youth and adolescent networks and the United Nations and Development Partners.

Payment modalities:

20% of the total consultancy will be paid upon submission of a satisfactory inception report, including action plan and timeline).

30% upon submission of the satisfactory report with collation of key indicators from existing surveys, program data and data collection/abstraction exercise)

30% upon submission of a satisfactory in depth analysis report with validated district action plans from 4 districts.

20% upon submission of satisfactory consultancy report

Timeframe:

The consultant will be hired for a maximum of 60 days beginning 14th September, 2015.

UNICEF DSA rates and transport will be provided for any travel outside Gaborone related to the assignment. Any travel should be accounted for and settled in line with UNICEF travel policies and regulations

How to apply

Applications should be submitted to the Operations manager, UNICEF Botswana via the e-mail address: This email address is being protected from spambots. You need JavaScript enabled to view it..  Alternatively, applications may be hand delivered to the UNICEF Country Office, Plot 27, Matsitama Road, Gaborone (same building as Air Botswana Head Office, behind South African High Commission). Or further post your applications to:

Operations Manager

UNICEF Gaborone

P.o.box 20678

Gaborone, Botswana.

 

Please do not use both methods of submission. Applications must include the following documents:

  1. Updated CV

  2. United Nations Personal History Form – P 11 ( downloadable on the internet)

  3. Brief proposal on how the consultant is going to conduct the exercise, with timelines, including financial proposal.

Botswana nationals are encouraged to apply.

All applications must be received by 4.30pm on 27th August 2015.

Terms of reference for a consultancy to support the development of a national programming framework for Adolescents and HIV.

Background: Globally, adolescents (aged 10-19) are the only age group where deaths due to AIDS are not decreasing - while across all age groups, AIDS-related deaths declined by nearly 40 per cent between 2005 and 2013. Today, AIDS is the leading cause of death among adolescents in Africa and the second highest cause of death among adolescents globally.  In 2013, an estimated 120,000 adolescents (10-19 years of age) died of AIDS2. New HIV infections among adolescents are not decreasing as fast as they must. There were 250 000 new infections among adolescents aged 15-19 in 2013 - two out of three new HIV infections are among adolescent girls.

In Botswana, adolescents represent one fifth (22%) of the total population and are one of the most vulnerable groups for HIV acquisition. HIV prevalence among young people aged 15-24 years was estimated at 7.9%   (BAIS IV, 2013). Analysis of prevalence data of BAIS from 2004 to 2013 by age-cohorts shows that all three of the youngest cohort (10-14, 15-19, 20-24 years) either doubled or tripled their HIV prevalence by 2013.

UNICEF, UNAIDS and partners launched the ALL IN initiative aimed at reducing new HIV infections and AIDS related deaths by targeting 25 countries globally including Botswana. ALL IN is a platform for action and collaboration to drive better results with and for adolescents (10-19) through critical changes in programmes and policy. It aims to unite actorsacross sectors to accelerate reductions in AIDS-related deaths by 65% and new HIV infections among adolescents by 75% by 2020. It is also an opportunity to support countries to improve data collection, analysis, and utilization for programme planning through participatory country assessment processes.

The purpose of the three phase country assessment is to support country teams in the identification of equity and performance gaps limiting HIV prevention, treatment and care results in adolescents (aged 10 – 19) and define priority actions to accelerate and improve the quality of the national response to HIV among adolescents. The entire 3-phase assessment is led by the Government, through a multi-sectoral TWG and is conducted in collaboration with national and sub-national stakeholders, adolescents, and youth. The first phase of the country assessment in Botswana was completed in June 2015, with priority interventions and geographic locations identified.

The TWG working is currently in the process of preparing for the 2nd phase of the country assessment, an in depth analysis of bottlenecks and gaps limiting effective coverage of priority interventions in focus districts to address gaps limiting effective coverage, and to identify solutions and action plans to accelerate achievement of results and thereby enhance the effectiveness of the national response.

In order to fast-track the scale up of HIV testing, high impact treatment and prevention interventions, and address the social drivers of HIV among adolescents between now and 2020, the National AIDS Coordinating Agency in collaboration with the Ministry of Health is planning to develop a multi-sectoral programming framework for adolescents and HIV. The aim of the framework is to guide and coordinate the implementation of effective interventions across sectors at national and sub-national in order to accelerate the achievement of key results for adolescents. It is against this background that this consultancy is being requested to support the Government of Botswana to revitalize the response to HIV with and for adolescents, to strengthen coordination and accountabilities across sectors and to improve data collection, analysis and reporting for an evidence based response.

Purpose and objective

The purpose of this consultancy is to provide technical assistance to NACA and MOH to support the development of a national multisectoral framework for adolescents and HIV, taking into consideration the governance and accountability framework in the country, comparative advantage and mandates of the different sectors and partners, as well as meaningful engagement and participation of adolescents and young people in programming.  The framework will provide guidance for integrated programing that is necessary to address the complex and multi-sectoral needs of adolescents, in order to reduce new HIV infections among adolescents by 75% and AIDS-related deaths by 65% by 2020.

The scope of this work will encompass engagement with Government Ministries, NGOs, CSOs, academic institutions, UN agencies, Development Partners (DPs)and adolescents and youth at the national level and in selected districts to define interventions targeting adolescents focusing on those at high risk including adolescent girls, adolescents living with HIV and adolescent key populations.

A consultant will be responsible for steering and guiding the development of the national programming framework for adolescents and HIV and will work under the leadership of NACA/MOH and in close collaboration with the All In TWG to define a multi-sectoral programme/interventions for implementation by partners at national and sub-national level.

 

Specific tasks:

  1. Develop a national multi-sectoral framework for adolescents and HIV with an implementation tool to guide and operationalize agreed upon priority interventions across sectors, taking into consideration the Revised National Strategic Framework for HIV and AIDS (2014-2017), the Investment Case, key national strategic documents and recommendations from the All In rapid assessment.

  2. Conduct a review of existing national technical working groups and provide recommendations to NACA/MoH on the establishment of an effective coordination mechanism to oversee the implementation, evaluation, and documentation of programmes for adolescents.

  3. Review evidence and program experience from Botswana and globally related to adolescents to identify ‘best practices’ (approaches, interventions, programme strategies) for reaching adolescents, including adolescent girls, adolescents living with HIV and adolescent KPs that can be applied in Botswana. Special attention will be paid to finding interventions that do, or could, operate at scale.

  4. Conduct a rough mapping of interventions currently existing in Botswana for adolescents and young people (or in the recent past) to identify successes and challenges for future programming, building on going mapping exercises in the country.

  5. Conduct a selective set of interviews and discussions with key stakeholders (NACA, relevant ministries, DPs, CSOs and adolescents) to gather their input on the most viable and meaningful strategies for adolescent programming in Botswana.  This should include discussions with stakeholders at sub-national level including DHMTs and young people.

  6. Based on the above, develop a draft concept paper with the proposed strategy and interventions for implementation for inputs from NACA/MoH, and TWG)

  7. Based on feedback prepare and present, at two points in the process, the draft programme framework for discussion and feedback by NACA/MoH and  the TWG  

  8. Incorporate feedback and finalize the programme framework.

  9. Disseminate together with NACA/MOH the programme framework to key stakeholders

 

Major Tasks, Deliverables and Timeframe

 
Major Task
Deliverable
Timeframe (man-days)
1.
Conduct meetings with NACA/MoH and with the Technical Working Group to discuss the assignment and process of implementation and prepare inception report

  • Inceptionreport

4 days
2.

Review of TWG and recommendations for multi-sectoral coordination mechanism for adolescent programming.

  • Mapping of existing TWGs and recommendation for adolescent coordination mechanism

5 days
3.
Review of evidence and program experience in Botswana and globally and identify best practices.
  • Report of desk review and recommendations

10
4.
Consultations with key stakeholders (NACA, Ministries, DPs, and Young People)
  • Consultations report

20
5.
Develop concept paper with proposed strategy and interventions
  • Concept paper developed and presented to NACA/MOH and TWG

5
6.
Adolescent and HIV programming framework developed and finalized
  • Final draft submitted and endorsed by NACA/MoH

10
7.
Preparation and facilitation of dissemination workshop
  • Dissemination workshop report

3
8.
Consultancy Report writing
  • Consultancy report documenting the process, lessons learnt and recommendation on how to improve process for future endeavours.

3 days

Outputs:

  1. Inception report – 2 hard copies, and a soft copy

  2. Draft concept paper of the programme design – 2 hard copies, and a soft copy

  3. Final programme design – 2 hard copies and 2 CDs

  4. Final report that includes the programme design, together with challenges, lessons learned, and how to improve the process in future endeavours – 2 hard copies and 2 CDs of the final report.

Consultancy oversight:
The consultant will be supervised by the Director of Advocacy and Information at the National AIDS Coordinating Agency and with regular oversight from the Deputy Representative/Acting Chief of Young Child Survival UNICEF Botswana Country Office. He/she will work in close contact and consultation with the relevant NACA and MoH staff, DAC and members of the TWG at the national and sub-national level.

Qualifications:

Academic qualification:

  • Postgraduate degree in public health, medical sciences, sociology/other social sciences or related technical field.

Work experience:

  • Five years or more of experience working with multiple partners and stakeholders in Botswana or within region on strategic planning, policy and programme development.

  • Experience working with and/or researching the needs and situation of 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

Competencies:

  • Excellent knowledge of current global research and/or initiatives on HIV and adolescent

  • Ability to liaise with relevant government ministries responsible for adolescents, National AIDS Committees, CSOs, youth and adolescents networks, Development Partners and the UN.

  • Excellent communication and analytical skills

Payment modalities:

20% of the total consultancy will be paid upon submission of a satisfactory inception report.

30% upon submission of the satisfactory submission of draft concept paper

30% upon submission of a satisfactory final draft of adolescent programming framework

20% upon submission of satisfactory consultancy report

UNICEF DSA rates and transport will be provided for any travel outside Gaborone related to the assignment. Any travel should be accounted for and settled in line with UNICEF travel policies and regulations

Timeframe:

The consultant will be hired for a maximum of 60 days with the whole consultancy being carried out over a period of 3 months beginning 14th September, 2015.

How to apply

Applications should be submitted to the Operations manager, UNICEF Botswana via the e-mail address: This email address is being protected from spambots. You need JavaScript enabled to view it..  Alternatively, applications may be hand delivered to the UNICEF Country Office, Plot 27, Matsitama Road, Gaborone (same building as Air Botswana Head Office, behind South African High Commission). Or further post your applications to:

Operations Manager

UNICEF Gaborone

P.o.box 20678

Gaborone, Botswana.

 

Please do not use both methods of submission. Applications must include the following documents:

1.    Updated CV

2.    United Nations Personal History Form – P 11 ( downloadable on the internet)

3.    Brief proposal on how the consultant is going to conduct the exercise, with timelines, including financial proposal.

All applications must be received by 4.30pm on 27th August 2015.

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