INDIVIDUAL CONSULTANT PROCUREMENT
Description of the assignment: National Consultant to develop and pilot approaches for sustaining HIV services during COVID-19 in Egypt.
Period of assignment/services (if applicable): 55 working days.
Proposal should be submitted by email to: [email protected] no later than 13th of September 2020.
Any request for clarification must be sent in writing, or by standard electronic communication to the address or e-mail indicated above. UNDP will respond in writing or by standard electronic mail and will send written copies of the response, including an explanation of the query without identifying the source of inquiry, to all consultants.
⦁ BACKGROUND To end the epidemic by 2030 UNAIDS has set several goals that can continuously track the efforts done to end the HIV epidemic. The 90-90-90 new set of goals aimed to enhance the HIV cascade through improving testing services, linkage to care, access to treatment, and achieving viral suppression. Egypt adopted the global strategy and is adherent to the sustainable development goals to end the AIDS epidemic as a public health threat by 2030, however controlling HIV is still a challenge due to structural, social, and cultural factors. With the emergence of COVID-19, most of the HIV-related services, including some essential health services such as access to life-saving treatments, were interrupted and most of the countries as well as Egypt had to adapt their health system and health strategies to meet the urgent need of both controlling the spread of COVID-19 and preserving the sustainability of health services. Notably one of the biggest challenges is the definition of the essential health package and to address its contents. HIV service provision in Egypt depends mainly on fever hospitals for the treatment and follow-up for clinical services. During the latest COVID-19 pandemic, fever hospitals became mainly dedicated to the treatment and isolation of COVID-19 cases, which has put a bigger load on services and health care providers. Also, fever hospitals became an unfavorable place for the follow up for PLHIV due to the risk
of infection by COVID-19. At the same time, almost all the prevention services were stopped or temporarily suspended. The outreach services and counseling services for KPs have been greatly affected by the lockdown measures and restrictions on gatherings in addition to the cost of securing the required protective measures. The unprecedented impact of the COVID-19 pandemic on HIV services provision reveals the importance of strategically rethinking the current models and approaches for providing services including essential healthcare services for PLHIV. It also underscores the urgency of adopting different modalities that could be more resilient and cost-effective to ensure vulnerable communities continue to receive essential services and support they need amidst the outbreak of COVID-19 and in the case of similar crises.
In this context, UNDP Egypt Country Office is collaborating with UNAIDS to conduct an in-depth exercise to explore the current challenges to provide a universal access of HIV services and related health packages during the COVID-19 pandemic. Furthermore, they aim to develop and pilot an innovative approach to ensure the sustainability and integration of HIV- related services including the essential health services during the current situation and any other similar crises. This new approach shall be gender sensitive and paying attention to the specificities of the key populations to ensure the equity and quality of those services.
⦁ SCOPE OF WORK, RESPONSIBILITIES AND DESCRIPTION OF THE PROPOSED ANALYTICAL WORK
P u r p o s e o f t h e A s s i g n m e n t a n d r e s p o n s i b i l i t i e s : ⦁ To assess the key constraints and structural factors that led to the disruption of HIV essential prevention, treatment and care services during the COVID-19 crisis. ⦁ To conduct an in-depth exercise to explore the current challenges to providing universal access to HIV services and related health packages during the COVID-19 situation. ⦁ To develop and implement innovative approach(es)/tool for ensuring continuity and sustaining HIV services including healthcare services during the COVID-19 and similar crises in Egypt. This approach/ tool is to be gender sensitive and paying attention to the special needs of key populations to ensure the equity and quality of those services. Objectives ⦁ In-depth assessment of the current services and challenges to service continuity during current COVID-19 crisis, focusing on the specific needs of: ⦁ PLHIV; ⦁ KPs and vulnerable groups; ⦁ Non-nationals and migrants; ⦁ Women and young girls. ⦁ Address the dynamics of the 90-90-90 cascade in the context of COVID-19. ⦁ Develop and pilot an integrated approach/tool for sustaining and mainstreaming of HIV services during COVID-19 and any similar crises in Egypt.
Section: Responsibilities / Duties
SPECIFIC DUTIES AND RESPONSIBILITIES Key elements needed to be addressed through this assignment ⦁ Conducting a deep analysis of the current situation of the HIV services’ availability targeting the different aspects of the national response prevention, cascade, and enabling environment.
⦁ Developing a scheme to visualize and illustrate the services provided for PLHIV and those affected by HIV with disaggregation by population, socio-demographic data, and type of the services provided. ⦁ Assess the changes in the pattern of service provided before and during the current situation to differentiate between the already existing challenges and emerging ones during COVID-19 ⦁ Challenges facing KPs in accessing testing services, counseling, legal and psychological support. ⦁ Challenges facing PLHIV to access ARVs, adherence to treatment, health services, and psychological and mental health services. ⦁ Challenges for the main actors including UN agencies, NGOs, and CBOs in performing their programs and activities. ⦁ Work in close collaboration with UNDP and NAP to develop a tool for in-depth situation analysis during COVID-19 which can be used in a similar situation to identify the key elements of preparedness, response, and mitigation strategies. Additionally, the tool will include comprehensive analysis of different modalities for service provision with thorough information regarding the socioeconomic, legal, infrastructural and ethical barriers to shift into innovative approaches to provide services such as remote and e-platforms etc. ⦁ Pilot innovative initiatives in different governmental and non-governmental settings to provide cost-effective and resilient services for PLHIV and key affected populations. This would include telemedicine and provision of remote services. ⦁ Assess the piloted initiatives and develop an approach/tool for the mainstreaming and integration of HIV services based on the in-depth analysis, to minimize service interruption during similar situations. The tool should include the main elements and factors needed for rapid response in case of emergency and to organize a national coordinated response to the urgent needs of PLHIV and those who are affected by HIV.
KEY OUTPUTS 1st stage: 5 working days ⦁ An inception report including a detailed methodology, the assessment tools, and stakeholders list to be interviewed. ⦁ A desk review briefing report. 2nd stage: 15 working days ⦁ A draft report of the result of the in-depth assessment. ⦁ A framework for the proposed tool. 3rd Stage: 30 working days ⦁ Implementing the tool to examine different modalities for providing HIV-related services including healthcare services for PLHIV and key affected groups in different governmental and non-governmental sites (locations will be determined in consultation with UNDP and NAP). ⦁ A report reflecting the implementation phase, lessons learnt, challenges and recommendations. End of the assignment: 5 working days ⦁ A final report including the designed, piloted and evaluated tool with key recommendations for scaling-up. ⦁ The original data and documentation of the conducted study.
⦁ End of assignment financial report. ⦁ End of assignment technical report to be approved by UNDP and NAP.
All material used or data delivered directly or through fieldwork and interviews shall be confidentially managed and not used for any purpose – except to prepare the final report – nor be disseminated to any other organizations or persons, unless an official clear approval is obtained from UNDP.
Section: Requirements: Education / Experience / Languages / other requirements:
⦁ REQUIREMENTS FOR EXPERIENCE AND QUALIFICATIONS Education ⦁ Essential: Post-graduate degree in public health, social sciences, public policy, or a relevant field. ⦁ Desired: Ph.D. in any of the previous disciplines. Experience ⦁ Extensive experience in the health/social services research/management. ⦁ Considerable experience in the provision of senior-level consulting services for national, international, or multilateral programs and projects related to health/ development. ⦁ Previous experience in HIV/AIDS program management in Egypt or other countries of the Middle East and North Africa region. Languages ⦁ Essential: Advanced knowledge of English language. Arabic language will be an asset.
Functional/Technical Knowledge/Skills ⦁ Experience in the use of office software packages including MS Word, Excel, PowerPoint, and internet searching skills. ⦁ Excellent drafting, summarizing, and reporting skills. ⦁ Strong ability to analyze and synthesize. ⦁ Ability to meet deadlines. Personal traits Sensitivity to cultural and national differences and adaptability to multicultural environments.
Section: Extra information
⦁ DOCUMENTS TO BE INCLUDED WHEN SUBMITTING THE PROPOSALS. Interested individual consultants must submit the following documents/information to demonstrate their qualifications: 1. Proposal: ⦁ Explaining why they are the most suitable for the work ⦁ Provide a brief methodology on how they will approach and conduct the work
⦁ Financial proposal: please note that the financial proposal is all-inclusive and shall take into consideration various expenses incurred by the contractor during the contract period. For details please see section 5 “Financial Proposal” ⦁ Personal CV including past experience in similar projects and at least 3 references
The individual contractor needs to provide a valid health insurance covering the period she/he will be working with UNDP. The cost for it can be included in the financial proposal and will be paid upon providing the invoice for it for the selected candidate.
⦁ FINANCIAL PROPOSAL ⦁ Lump sum contracts The financial proposal shall specify a total lump sum amount, and payment terms around specific and measurable (qualitative and quantitative) deliverables (i.e. whether payments fall in installments or upon completion of the entire contract). Payments are based upon output, i.e. upon delivery of the services specified in the TOR. In order to assist the requesting unit in the comparison of financial proposals, the financial proposal will include a breakdown of this lump sum amount (including travel, per diems, and number of anticipated working days).
Payments will be made only upon confirmation of UNDP on delivery on the contract obligations in a satisfactory manner. Travel; All envisaged travel costs must be included in the financial proposal.
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