Consultant for assessment of PHC centers models (integration of GBV- SRH services)

 

 

Official Job Title:

Consultant for assessment of PHC centers models (integration of GBV- SRH services)

Duty Station

Lebanon, UNFPA Office

Hiring Office

UNFPA Lebanon

Grade (Classified)

NOB     

Vacancy Ref #

UNFPA/LBN/2022/008

Duration

20 working days

Start-up Date

3 January 2023 until 30 January 2023

 

TERMS OF REFERENCE

Purpose of consultancy:

 UNFPA Lebanon adopted a pilot integration of Gender Based Violence (GBV) into Reproductive Health (RH) package in 2017-2018 in few health care facilities. The pilot initiative was then evaluated in 2019 and the findings showed a high cost effective outcome into adopting the integration. Based on the evaluation, a manual was developed in 2020 by UNFPA Lebanon to guide the adoption of the GBV/SRH integration in health care facilities and in 2021, more than 300 health care providers were sensitized on the integrated approach. Accordingly, and since 2022 UNFPA is adopting the GBV/SRH integrated approach across all its projects with the aim to ensure the provision of a comprehensive set of services.

Since August 2022, UNFPA initiated a program funded by ECHO with the goal of contributing to the reduction of maternal and newborn morbidity and mortality as well as the provision of GBV response services by ensuring availability, access to, and utilization of integrated SRH and GBV services and information for beneficiaries from different population groups. The project integrates GBV and SRH services in PHC centers through local Implementaion Partners.

The interventions are contributing to increasing the availability and access to basic and specialized SRH and GBV services including in safe spaces and to reinforce the awareness, knowledge and capacity of local service providers and community members on GBV and SRH allowing a more holistic response to the needs of women and girls at risk and those survivors of GBV.

The objective of this assignment is to undertake a capacity assessment of the 5 PHCs supported by ECHO for the integrated implementation to identify the level of integrated model and the way forward for the capacity development needed in each PHC location.

The specific objectives of the consultancy are:

●Observations and filling checklist for integration of model

●Assess the level of capacity development needed in each location

●Assess  the relevance and appropriateness and effectiveness of the integrated RH/GBV approach in the  project;

●Desire of the assessed PHC(s) to upgrade to the next level

 

 

 

 

Scope of work:

 

(Description of services, activities, or outputs)

The GBV/RH integration guide developed by UNFPA Lebanon consists of 4 models described as follows:

The basic Model (i.e., Model 1) is expected to be the basis of the GBV-SRH Integration and will include the awareness raising of clients and beneficiaries on GBV and related services, whether at the center or through outreach activities, in addition to being able to safely identify and refer a GBV survivor to GBV services that are not provided at the center. The healthcare providers should be trained on Psychological first aid which would enable them to communicate in an optimal non-judgmental way with the beneficiaries.

The intermediate Model (i.e; Model 2) is the second step of the GBV-SRH Integration, where all the components of Model 1 already exist, adding to it the psychosocial support (PSS), both through groups or individualized types of support to be provided. After the safe identification of GBV survivors, the PHC center should be able to provide the survivors with the psychosocial support needed to deal with GBV cases. The group PSS could be conducted by social workers or trained nurses/midwives/ outreach workers/ psychologist, and the individual PSS should be conducted by a trained social worker such as providing the basic counselling and support.

The advanced model (i.e, Model 3) is the third step for the GBV-SRH Integration, where the GBV survival could be able to benefit from Case Management services provided by a caseworker, in-depth individual PSS and mental health support that could be provided by a psychologist/ mental health nurse. Noting that provision of RH care services is cross cutting across the 3 different models including all components of maternal care and Family Planning and screening for RH cancers (patient education/ awareness raising, medical care, examination tests, drugs and contraceptives). The full package of STIs is to be included in the third model.

The fourth model (i.e; Model 4) is the one stop shop model. This model is the continuity of other models in addition to Clinical Management of Rape (CMR) and Mental Health care provided by psychiatrists.

The following methodology is proposed to guide the assessment:

●Conduct desk review including relevant proposal, reports, work plans, focus group discussion guides, etc.

● Review and revise further necessary tools for the assessment

●Filling checklist for assessment of integration of SRH/GBV based on observation visits to all the sites and available methodology

●Conduct key informant interviews/Focus Group Discussion (FGD) suggested as follows:

o5 key informant interviews with central stakeholders (1 with each of the 3 implementing partners program managers, 2 with UNFPA).

o12-14 interviews with Implementing partners service providers (health care facilities)/ key staff on the field.

o2 FGD with women and girls receiving RH and GBV services in the project.

UNFPA is committed to maintain the highest standard in implementation and systematically monitor the impact, including through beneficiaries’ participative approaches.

Under the guidance of UNFPA Head of office, and the supervision of Humanitarian Coordinator and Programme team, a consultant will be contracted to carry out the following tasks:

 a

●Develop a detailed timeline for the consultancy, including field visits and meetings, in collaboration and as agreed with UNFPA.

●Inception meeting with UNFPA to ensure clear understanding of the TORs, expected results and deliverables.

●Desk review of relevant work plans; reports

●Data collection namely semi structured interview guide + FGD guide.

●Conduct FGD and Key Informant Interviews (KII) as indicated under the section on methodology and tools;

●Conduct assessment visits and review methodology

●Prepare and ensure timely delivery of the first draft of the report, in English, to be reviewed by UNFPA;

●Consolidate the input/feedback into a final report which includes a set of recommendations.

Duration working schedule:

The assessment should be concluded from the signing of the contract (start  date ASAP)- 20 working days.

Place where services are to be delivered:

A hybrid approach remote home based and field visits

Locations under the ECHO funded programme have been selected on the basis of a combined analysis of the severity score and Persons In Need per District for the health and GBV sectors. Based on the above, UNFPA is supporting 5 PHC (including one dispensary) in the following 4 locations: 2 in Sour (South Lebanon), 1 in Zahle (Beqaa), 1 in Baalbeck (Baalbek-Hermel) and 1 in Hay El Sellom (Beirut), working with experienced implementing partners. Under the programme, the capacity development component will ensure that in all locations the integration and referral will be strengthened to go towards a more advanced integrated model and increase access to life saving interventions. Based on the above, UNFPA is undertaking an assessment to identify the level of integrated model in the health care facilities under the ECHO funded programme and the way forward for the capacity development needed in each location.

 

Delivery dates and how work will be delivered (e.g. electronic, hard copy etc.):

Last deliverable- the report cleared from UNFPA should be submitted by 16 of January. The assessment should be concluded from the signing of the contract- 20 working days.

 

Monitoring and progress control, including reporting requirements, periodicity format and deadline:

The consultant will deliver the tasks based on milestones and deliverables agreed upon and reflected in the contract terms. These deliverables include reporting requirements as well as a timeline. 

The consultant shall deliver a detailed assessment report in English based on the objectives and requirements set forth in the Terms of Reference. The report will constitute the final outcome of this consultancy and is suggested to consist mainly of the following sections (final structure to be discussed with UNFPA)

❖                 Executive summary ;

❖                 Background and methodology

❖                 Results of assessment consolidated for all PHCs

❖                 Assessment recommendations

❖                 Assessment matrix summarising the findings in terms of observations; filled tools;

❖                 List of annexes

❖                 References.

 

Supervisory arrangements:

The consultant will work under the guidance of UNFPA Humanitarian Coordinator and programme team.

Expected travel:

The consultant will be expected to travel to various locations, field visits and PHC centers facilities, where UNFPA’s implementing partners are located to carry out the various tasks spelled out in the TORs

 

Required expertise, qualifications and competencies, including language requirements:

●4-5 years of increasingly responsible professional experience, and of which five years in GBV/RH and/or social sciences evaluation

●Advanced University degree in social/development sciences, public health or an associated field.

●At least 3 years’ experience in research and evaluation including considerable knowledge and skills in survey design, data collection and analysis;

● In-depth knowledge of humanitarian settings, UN system, government policies

●Excellent analytical and drafting skills;

●Excellent interpersonal skills and ability to establish effective and working relations with other stakeholders;

●Excellent written and spoken communication skills in Arabic and English.

Inputs / services to be provided by UNFPA or implementing partner (e.g support services, office space, equipment), if applicable:

The assignment will be carried out under the guidance of UNFPA, who shall provide the following support to the consultancy:

● Provide relevant documents, material, reports, etc;

●Provide list, contacts and map of UNFPA implementing partners and other stakeholders;

● Facilitate access to facilities supported

●Engage partners to facilitate the focus group discussions in the field;

● Review and provide technical comment/inputs on tools developed and final report.

 

 

Other relevant information or special conditions, if any:

N/A

 

Signature of Requesting Officer in Hiring Office:

Date: 13/12/2022