United Nations Population Fund
Terms of Reference for a Service Provider coordinate the provision of SRHR information and services to school going learners and support CBOs in KZN (uThukela) and EC (Alfred Nzo) to conduct intergenerational dialogues.
South Africa continues to face a quadruple burden of disease comprising HIV/AIDS and TB; Maternal mortality, Non Communicable diseases (diseases of lifestyle), Violence and its associated injuries. Many young people face life-changing challenges such as HIV and AIDS, adolescent pregnancy, gender based violence and interpersonal violence, which can have serious implications for their health and broader development outcomes. These are further fuelled by complex and interconnected socio-economic determinants such poverty, inequality, unemployment, stigma and limited access to quality education and adolescent and youth friendly information and health services.
Although the Statistics South Africa Community Survey (2007) indicated a decline in adolescent fertility by 10 per cent between 1996 (78 per 1000); 2001 (65 per 1000) and 2007 (54 per 1000), it remains very high. Statistics South Africa Household survey (2013) indicates that about 4.5% of adolescent girls between the ages of 13 and 19 were reported pregnant. Relatedly, adolescents (under 20) and young women (20-24) make up 40.6% of the total general pregnant population, but also constitute the age band with the highest institutional Maternal Mortality Rate (iMMR).
Vihn and Tuan (2015) highlight that in rural settings and particularly in rural-off road settings, the lack of sexual and reproductive health knowledge and poor access to services are believed to contribute strongly to both unplanned pregnancy and to STIs. Lack of, or limited availability of adolescent and youth-friendly sexual and reproductive health counselling, information and services for both married and unmarried young people; the attitudes of health workers; and self-censorship, fear of social stigma and the perceived lack of confidentiality all discourage young people from seeking the health services and information they need.
Although access to education is generally good with secondary school Gross Enrolment (GER) at over 90% with 4.5 million enrolled learners, comprehensive knowledge on HIV remains low (approx. 30%). A recent (2015) UNFPA- supported Family Planning Programme assessment in selected districts indicated lack of knowledge of long-term contraceptive methods and general lack of awareness on family planning as a significant barrier to uptake of contraception services among adolescents.
Social values and cultural norms remain barriers for example, in the Department of Social Development(DSD) draft report on Factors Associated with Teenage Pregnancy in SA (2013), the only statistically significant factor that was associated with adolescent pregnancy in all of the provinces that were included in the survey was “Prove that one can have a baby”; similarly in the work carried out through the UNFPA-supported Inter-Generational Capacity-building Workshops, it was clear that many cultural practices persist that are likely to have a negative effect on SRH outcomes for adolescents.
Changing social values and norms requires as much attention as increasing adolescents’ knowledge and skills and their access to services if ASRH problems are to be resolved. Given the foregoing, it is critical that appropriate interventions be implemented to address the above challenges.
- The DSD NPU and PPU are working with communities and young people to build their capacity to address HIV prevention and SRHR issues. Ezabasha Sexual and reproductive health and rights dialogues are conducted in all districts in South Africa to initiate communication on SRHR and HIV prevention with young people. Following the Ezabasha dialogues intergenerational communication capacity building workshops are conducted with selected CBOs to further build their capacity on intergenerational communication on ASRHR, GBV and HIV issues
- The objectives of the capacity building on intergenerational communication are; to empower young leaders to form youth networks, to strengthen and increase the participation of young people on SRHR and HIV programming, to advocate for quality SRH services and support an ethos of positive SRH knowledge and behaviour change amongst adolescents and youth as well as to facilitate the development and implementation of community action plans. To date 8 CBOs (5EC and 3 KZN) have been capacitated to conduct intergenerational dialogues. To date over 1500 community members including young people have been reached
Nzululwazi case study- linking schools to SRHR services
- South Africa is implementing the 2nd phase of a 6 year Two-Phased regional initiative titled “Safeguard Young People in Southern Africa Programme” (SYP). This regional programme aims to empower adolescents and young people aged 10 to 24 years with special focus on adolescent girls, to protect themselves from STIs including HIV, unwanted pregnancies, unsafe abortions, early marriages, gender-based violence and harmful cultural practices while promoting gender equitable norms
- As part of the first phase of the programme, UNFPA through collaboration with an implementing partner Student Partnership Worldwide (SPW) piloted an intervention aimed at reducing teenage pregnancies by strengthening access for school learners to sexual and reproductive health information and services. The elements of the case study included planned outreach SRHR services and information sessions that were conducted in schools in collaboration with DSD, DBE and DOH. The intervention resulted in over 600 young people provided with HIV testing, contraceptives and treatment for STIs among others in Nzuluwazi and surrounding schools
- UNFPA desires to continue to support the provision of information and services in 40 schools in KZN (uThukela district) and EC (Alfred Nzo district) as well as continue to support the 8 CBOs (5 EC and 3 KZN) to plan, implement and report on the dialogues through regular mentorship visits. Therefore, this call for proposal is to seek for a service provider to coordinate the provision of SRHR information and services to school going learners and support the 8 CBOs in KZN (uThukela) and EC (Alfred Nzo) to conduct intergenerational dialogues.
Scope of Work
Working directly with the KZN (uThukela district) and EC Departments of Health (Alfred Nzo district), the organization/ service provider is required to implement the activities as follows;
The service provider will:
- In collaboration with DBE, DOH and DSD coordinate outreach SRHR services and information session targeting young people in school that surround health facilities in EC and KZN respectively
- Develop a tool to refer and track the referral of school learners to AYFS services
- Report disaggregated data on the number of young people reached with information and services
- Conduct a refresher training to CBOs on intergenerational communication on ASRH using the DSD training manual
- Mentor 8 CBOs to plan for the dialogues including identify key stakeholder that should participate in the dialogues- community leaders, relevant departments and young people among others
- Conduct regular mentoring visit to the CBOs to ensure that the planned dialogues are implemented and assist the CBOs to report on the results of the dialogues
The consultant is expected to produce the following deliverables:
- Inception report with detailed work-plan and agreed upon timelines for all the above mentioned activities
- Strengthen the referral system between 40 clinics and surrounding schools
- Report on 8 outreach SRHR information and services in the 40 schools in Alfred Nzo and Uthukela
- Reports on dialogues conducted by trained CBOs
- Report on CBO mentoring
- In response to the TORs, the service provider will submit a proposal which will include a suitable methodology and timelines for undertaking the assignment.
Assignment duration and management arrangements
- The assignment will not span more than 6 months from April 2017.
- The service provider will be contracted by UNFPA but will work closely with EC and KZN partners, particularly the Departments of Health, Department of Social development and the department of education in the two districts of Alfred Nzo and uThukela
Service provider eligibility
The eligible service provider will;
- Be an institution/team with post graduate qualifications in public health, social sciences, communication and marketing
- Have extensive experience working in the youth health and Sexual and Reproductive Health and Rights sectors
- Have experience working with government and international development partners, civil society and youth networks
- Have experience in coordinating and mobilizing young people for outreach services
- Have presence in the two UNFPA supported districts in KZN and EC
The consultant/ institution will be directly accountable to the UNFPA and liaise regularly with EC and KZN DOH
Proposal evaluation criteria
- Technical approach, methodology and level of understanding of the objectives and scope of the assignment - 30
- Profile of the institution/company/individual and relevance to the project; professional experience of the staff that will be deployed to the project - 30
- Demonstrated understanding of SRHR and HIV prevention issues affecting young people as well as SBCC within the south African contexts - 40
Cost of technical assistance and payment modalities
- A work plan with detailed and itemised budget should form part of the proposal. Proposals submitted without a detailed budget will not be considered
- The maximum budget allocated for this assignment is ZAR650,000. However, the most competitive proposal which will be satisfying the requirement of UNFPA will be selected and awarded the contract. The proposal evaluation and the contract award will be undertaken according to UNFPA regulations
- Payment for services rendered shall be effected in tranches agreed upon between UNFPA and the successful service provider. These will be affected to pre-determined milestones and systematic submissions of acceptable deliverables within timelines agreed on between UNFPA and the service provider
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. Please specifically include the following:
- Cover letter
- Detailed CV(s) indicating qualifications and relevant experience of all the team members
- A proposal indicating a description of the proposed approach to the scope of work, work plan with timelines and detailed budget (inclusive of VAT)
Interested applicants are requested to submit the following to email@example.com by close of business on the 25th of April 2017.
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