UNICEF Pacific TERMS OF REFERENCE FOR CONSULTANT Requesting Section: HIV & AIDS Programme Updated on: 11th April 2014 Programme Area and Specific Project involved: HIV & AIDS Programme ********************************************************************************** 1. Purpose of Assignment: To provide technical support to the UNICEF Pacific HIV & AIDS Programme and the Solomon Islands Ministry of Health STI and HIV Unit partners to conduct a HIV and Syphilis Second Generation Sentinel Surveillance (SGSS) among Antenatal Clinic (ANC) attendees in selected urban and suburban areas of the Solomon Islands. 2. Background The HIV epidemic in most Pacific countries, excluding Papua New Guinea, has been classified by the World Health Organization (WHO) as limited or low prevalence epidemic. However, most of the Pacific Island countries have weak routine and active surveillance systems and mechanisms that limit provision of reliable HIV and STI data to estimate prevalence. While Solomon Islands is classified as a ‘low prevalence country’ there was a gradual increase in new cases with 22 cumulative cases being reported as of December 2013. At present, STI and HIV prevalence in the Solomon Islands is based on the 2008 Second Generation Sentinel Surveillance (SGSS) data and the routine testing of statistics derived from fragmented data of ANC attendees accessing services in Honiara and a few provinces. There is limited understanding of trends in other provinces and population groups because of low HIV testing. HIV and STI testing of ANC women outside of Honiara is very low with less than 5% of women tested in some provinces. There is also the concern of higher HIV rates especially in Choiseul and Western provinces due to its proximity to PNG. However, data paucity makes it difficult to validate those concerns. UNICEF in collaboration with regional partners conducted a pre-surveillance assessment in 2013 to re-examine Solomon Islands HIV surveillance needs. Based on an extensive assessment of available data, it was concluded that there is an urgent need to definitively establish HIV and Syphilis infection prevalence in ANC clients which would be useful in accurately estimating HIV prevalence in the Solomon Islands. An accurate depiction of the HIV & AIDS situation in the Solomon Islands is necessary to facilitate better response to HIV prevention, care, treatment and support (especially for most at risk and marginalized populations) and to advocate for the allocation of adequate resources to sustain the national HIV & AIDS response. Therefore, UNICEF in partnership with the Solomon Islands Ministry of Health STI and HIV Unit is conducting a HIV and Syphilis Second Generation Sentinel Surveillance (SGSS) amongst ANC attendees in selected urban and sub-urban areas of Solomon Islands. The surveillance survey will involve collection of both serological and behavioral data from ANC attendees using the Unlinked Anonymous Testing (UAT) approach in order to overcome selection bias from refusals to consent. The study protocol was approved by the Solomon Islands National Health Research and Ethics Committee in March 2014 and the Survey Steering Committee has been established by MOH Solomon Islands. To facilitate the proposed survey, UNICEF and the Solomon Islands Ministry of Health STI and HIV Unit is seeking the services of a technical consultant who will plan and coordinate the survey. 3. Purpose of Assignment The purpose of the assignment is to provide technical support to the UNICEF Pacific HIV & AIDS Programme and the STI and HIV Unit, Ministry of Health and Medical Services, Solomon Islands) and conduct the proposed survey to definitively establish the HIV and Syphilis prevalence among ANC attendees in the Solomon Islands. The technical consultant is expected to collect important data that will help strengthen detection of and prevention of parent to child transmission of HIV, strengthen testing and counseling services and improve overall surveillance and management of data for effective national response to STIs and HIV. 1 Data collected by the consultant will provide health officials of the MHMS and officials of the Government of Solomon Islands, donors, grant managers and implementers with sufficient information to make informed decisions on further support to sustain the Solomon Islands national STI and HIV response. Specifically for UNICEF, the findings will also be useful in strengthening the 2013-2017 HIV & AIDS multi-country programme cycle and will provide guidance on programme planning, implementation, monitoring and evaluation in the context of an equity focus and right based approach to programming. 4. Scope of Work/ Work Assignments The technical consultant is expected to lead the SGSS Study of Antenatal clients for HIV and Syphilis and collect Biological and Behavioral data from a total of twelve (12) sentinel sites (urban and sub urban) of the country using the standard unlinked and anonymous methodology from July through September 2014. The assignment involves leading and coordinating the following key tasks: 4.1 Develop and Present a Survey Proposal The technical consultant in consultation with UNICEF HIV & AIDS Programme staff is expected to develop an overall methodological proposal including a detailed data collection and analysis proposal (both qualitative and quantitative) that objectively addresses the survey objectives. 4.2 In-depth Review of the Agreed and Endorsed Survey Protocol The Technical Consultant is expected to thoroughly review the endorsed survey protocol with partners and members of the survey steering committee. The purpose of this review is for the consultant and the survey steering committee and partners to have a sound understanding of the requirements of the survey exercise and to clarify any points of contention prior to data collection. 4.3 Training of Study Personnel (Research Assistants and Data Entry Assistants) Prior to the commencement of the proposed survey, the Technical Consultant is expected to coordinate the selection of study personnel and provide hands on training to research assistants and data entry assistants on all relevant aspects of the survey exercise including training on the use of the research protocol and related field instruments as well as on appropriate data entry and analysis software programmes. 4.4 Data Collection and Analysis The technical consultant is expected to field pre-test all relevant survey instruments, tools and manuals. The field pre-test is to ensure the feasibility of the methods for the survey in the selected sites. The consultant is expected to produce a brief report that clearly articulates any issue of concern from the field pre-testing exercise. The report will be presented to the survey steering committee for their information and feedback. In collaboration with the survey steering committee members, the technical consultant will coordinate the dissemination of all related survey instruments and tools to focal persons at selected sites. The technical consultant is also responsible for the close monitoring of data collection and is expected to make frequent visits to data collection sites. The technical consultant will also coordinate external quality assurance activities and will work closely with the steering committee to develop an external quality assurance operational plan, including quality of HIV tests performed. In consultation with the steering committee members and with the support of the survey team, the technical consultant is expected to conduct a statistical analysis of data obtained through sentinel monitoring. The analysis should be conducted in standard statistical software package for example, Epi-Info, SPSS or Stata. Furthermore, the analysis should be weighted by an inverse sampling fraction so that findings generalize to the population of ANC clients attending the selected clinics. Findings will not generalize to geographic areas such as cities, towns, provinces or the national level as site selection was purposive not probabilistic. The consultant needs to ensure that the statistical analysis should include: 2 a) Univariate analysis of HIV and STI prevalence, demographic characteristics, sexual and drug risk behaviours, knowledge of HIV and STI prevention and transmission b) Bivariate analysis to determine the relationship between HIV and STI prevalence, demographic characteristics and risk behaviours c) Multivariate analysis to identify demographic characteristics and risk behaviours independently associated with HIV and STI prevalence For each of the above, point estimates and 95% confidence intervals should be presented. 4.5 Report Writing and Presentation of Preliminary Findings The technical consultant is expected to prepare a preliminary findings report and present it to the survey steering committee members for review and endorsement. The preliminary findings should be well analyzed, validated and present data that is free from bias. The technical consultant will finalize the first draft of the survey report and present to the steering committee for review and comments. Once comments are received, the report will be updated and shared for a second round of comments from other stakeholders including regional partners. Upon receiving comments, the survey report will be finalized and presented to the steering committee for final comments. The fourth version of the report together with a summary sheet of key findings and recommendations will then be updated and handed over by the consultant to the steering committee for final dissemination to stakeholders. 5. Work Schedule (116 working days) Activities 1.Develop a Survey Proposal Timeframe 5 working days 27 May -2nd June 2014 Location Home based 2. Travel to Solomon IslandsSubmission of survey proposal to steering committee and endorsement Engage in meetings with relevant stakeholders 3. In-depth Review of the Agreed and Endorsed Survey Protocol 4. Training of Research Assistants and Data Entry Assistants 5.Coordinate Data Collection and Analysis 6.Draft surveillance report and presentation of preliminary findings 7.Final Report Writing and submission to survey steering committee 10 working days 3rd-16th June 2014 Solomon Islands 5 working days 17th-23rd June 2014 5 working days 24th-30th June 2014 66 working days 1st July-30th September 2014 10 working days 1st-14th Oct 2014 Solomon Islands 6. Solomon Islands Solomon Islands Solomon Islands 15 working days (allowing for at Home based least 2 weeks for UNICEF review of draft) 15th Oct-4th Nov 2014 Deliverables/End Product: 1. Finalized Survey Proposal by 2nd June 2014 Within 5 working days from the start date of the consultancy, the consultant is expected to submit a proposal to the survey steering committee. The proposal should clearly outline survey objectives, purpose and scope and describe how the overall survey process will be conducted. A complete survey methodology must be included in the proposal that clearly articulates data collection methods and tools that will be used, sampling criteria, key questions, data sources, including ethical considerations, data analysis and reporting methods and clear timelines for each deliverable. The proposal will be reviewed and endorsed by the steering committee. 3 2. A finalized report on ANC HIV and Syphilis Sentinel Survey by 4th November 2014 The consultant is expected to submit the draft surveillance report and present preliminary findings to the steering committee no later than 14th October 2014. The report should follow agreed format as described in the initial survey proposal. The national surveillance coordinator will coordinate written comments on the draft report from the steering committee and other stakeholders and submit these to the consultant. The consultant is expected to review the comments and make necessary changes in accordance with agreed terms of reference and proposal. After the comments have been incorporated into the report, the consultant will re-submit the report to the steering committee and national and regional stakeholders for comments. The re-submission may entail further comments from the group. The consultant will finalize the report based on the additional comments and submit the report to the steering committee for their endorsement and dissemination to stakeholders. The consultant is liable to re-work on report if it does not meet the required specifications and this will be re-submitted to UNICEF at no additional costs to UNICEF. The consultant will submit a final report which is language-proofed and edited up to a publishable quality. 7. Payment Schedule: 40% of the payment will be made upon submission of deliverable 1. Another 40% will be paid out upon the presentation of the preliminary survey findings. The remaining 20% will paid upon successful submission of the finalized survey report. This consultancy is at P3 level, at US350.00p/day for 116 working days. Total consultancy cost is USD40, 600.00. DSA will be paid at the beginning of the consultancy and travel costs to the Pacific will be paid by the HIV & AIDS Programme. 8. Type of Supervision that will be Provided: Technical Consultant will report directly to the survey steering committee. Further support will be provided to the technical consultant by the Chief of Field Office (Solomon Islands) and by the Chief of HIV & AIDS Programme. Consultant will work closely with UNICEF national program officers and the HIV and STI team at the Ministry of Health to deliver agreed results. Consultant will also work closely with a national consultant who has been specifically recruited to support the surveillance survey exercise. 9. Consultant’s work plan and Official Travel Involved: The consultancy detailed workplan will developed and agreed prior to signing the contract. Consultant is expected to travel to the provinces of the Solomon Islands. 10. Consultant’s Work Place: The consultant will be provided with office space in the UNICEF Field Office in Honiara. Wi-Fi connection will provided. 11. Qualifications or Specialized Knowledge/Experience Required: Academic qualifications: At least a Master’s level university degree in epidemiology, surveillance and other relevant disciplines Knowledge, skills and experience: Minimum 8 years of international and national level work experience in conducting HIV surveillance surveys (SGSS, IBBS). Sound understanding of HIV and AIDS programmes specifically in areas of HIV prevention programs on preventing parent to child transmission. Sound technical knowledge of key data collection methodologies Experience in organizing trainings and workshops for different level stakeholders 4 Demonstrated experience analyzing complex data Previous experience conducting studies/ surveys for UN agencies and in Pacific Island Countries is preferred. Fluency in spoken and written English Personal competencies: Ability to analyze complex information without biases Ability to work in intensive work environments. An action-oriented approach and strong drive for results. Ability to keep to planned timelines. Highly developed management skills Negotiation, facilitation and communication skills. Working with teams of diverse capacities. General Conditions of Contracts for the Services of Consultants / Individual Contractors 1. Legal Status The individual engaged by UNICEF under this contract as a consultant or individual contractors (the “Contractor”) is engaged in a personal capacity and not as representatives of a Government or of any other entity external to the United Nations. The Contractor is neither a "staff member" under the Staff Regulations of the United Nations and UNICEF policies and procedures nor an "official" for the purpose of the Convention on the Privileges and Immunities of the United Nations, 1946. The Contractor may, however, be afforded the status of "Experts on Mission" in the sense of Section 22 of Article VI of the Convention and the Contractor is required by UNICEF to travel in order to fulfill the requirements of this contract, the Contractor may be issued a United Nations Certificate in accordance with Section 26 of Article VII of the Convention. 2. Obligations The Contractor shall complete the assignment set out in the Terms of Reference for this contract with due diligence, efficiency and economy, in accordance with generally accepted professional techniques and practices. The Contractor must respect the impartiality and independence of UNICEF and the United Nations and in connection with this contract must neither seek nor accept instructions from anyone other than UNICEF. During the term of this contract the Contractor must refrain from any conduct that would adversely reflect on UNICEF or the United Nations and must not engage in any activity that is incompatible with the administrative instructions and policies and procedures of UNICEF. The Contractor must exercise the utmost discretion in all matters relating to this contract. In particular, but without limiting the foregoing, the Contractor (a) will conduct him- or herself in a manner consistent with the Standards of Conduct in the International Civil Service; and (b) will comply with the administrative instructions and policies and procedures of UNICE relating to fraud and corruption; information disclosure; use of electronic communication assets; harassment, sexual harassment and abuse of authority; and the requirements set forth in the Secretary General's Bulletin on Special Measures for Protection from Sexual Exploitation and Sexual Abuse. Unless otherwise authorized by the appropriate official in the office concerned, the Contractor must not communicate at any time to the media or to any institution, person, Government or other entity external to UNICEF any information that has not been made public and which has become known to the Contractor by reason of his or her association with UNICEF or the United Nations. The Contractor may not use such information without the written authorization of UNICEF, and shall under no circumstances use such 5 information for his or her private advantage or that of others. These obligations do not lapse upon termination of this contact. 3. Title rights UNICEF shall be entitled to all property rights, including but not limited to patents, copyrights and trademarks, with regard to material created by the Contractor which bears a direct relation to, or is made in order to perform, this contract. At the request of UNICEF, the Contractor shall assist in securing such property rights and transferring them to UNICEF in compliance with the requirements of the law governing such rights. 4. Travel If UNICEF determines that the Contractor needs to travel in order to perform this contract, that travel shall be specified in the contract and the Contractor’s travel costs shall be set out in the contract, on the following basis: (a) UNICEF will pay for travel in economy class via the most direct and economical route; provided however that in exceptional circumstances, such as for medical reasons, travel in business class may be approved by UNICEF on a case-by-case basis. (b) UNICEF will reimburse the Contractor for out-of-pocket expenses associated with such travel by paying an amount equivalent to the daily subsistence allowance that would be paid to staff members undertaking similar travel for official purposes. 5. Statement of good health Before commencing work, the Contractor must deliver to UNICEF a certified self-statement of good health and to take full responsibility for the accuracy of that statement. In addition, the Contractor must include in this statement of good health (a) confirmation that he or she has been informed regarding inoculations required for him or her to receive, at his or her own cost and from his or her own medical practitioner or other party, for travel to the country or countries to which travel is authorized; and (b) a statement he or she is covered by medical/health insurance and that, if required to travel beyond commuting distance from his or her usual place or residence to UNICEF (other than to duty station(s) with hardship ratings “H” and “A”, a list of which has been provided to the Contractor) the Contractor’s medical/health insurance covers medical evacuations. The Contractor will be responsible for assuming all costs that may be occurred in relation to the statement of good health. 6. Insurance The Contractor is fully responsible for arranging, at his or her own expense, such life, health and other forms of insurance covering the term of this contract as he or she considers appropriate taking into account, among other things, the requirements of paragraph 5 above. The Contractor is not eligible to participate in the life or health insurance schemes available to UNICEF and United Nations staff members. The responsibility of UNICEF and the United Nations is limited solely to the payment of compensation under the conditions described in paragraph 7 below. 7. Service incurred death, injury or illness If the Contractor is travelling with UNICEF’s prior approval and at UNICEF's expense in order to perform his or her obligations under this contract, or is performing his or her obligations under this contract in a UNICEF or United Nations office with UNICEF’s approval, the Contractor (or his or her dependents as appropriate), shall be entitled to compensation from UNICEF in the event of death, injury or illness attributable to the fact that the Contractor was travelling with UNICEF’s prior approval and at UNICEF's expense in order to perform his or her obligations under this contractor, or was performing his or her obligations under this contract in a UNICEF or United Nations office with UNICEF’s approval. Such 6 compensation will be paid through a third party insurance provider retained by UNICEF and shall be capped at the amounts set out in the Administrative Instruction on Individual Consultants and Contractors. Under no circumstances will UNICEF be liable for any other or greater payments to the Contractor (or his or her dependents as appropriate). 8. Arbitration (a) Any dispute arising out of or, in connection with, this contract shall be resolved through amicable negotiation between the parties. (b) If the parties are not able to reach agreement after attempting amicable negotiation for a period of thirty (30) days after one party has notified the other of such a dispute, either party may submit the matter to arbitration in accordance with the UNCITRAL procedures within fifteen (15) days thereafter. If neither party submits the matter for arbitration within the specified time the dispute will be deemed resolved to the full satisfaction of both parties. Such arbitration shall take place in New York before a single arbitrator agreed to by both parties; provided however that should the parties be unable to agree on a single arbitrator within thirty days of the request for arbitration, the arbitrator shall be designated by the United Nations Legal Counsel. The decision rendered in the arbitration shall constitute final adjudication of the dispute. 9. Penalties for Underperformance Payment of fees to the Contractor under this contractor, including each installment or periodic payment (if any), is subject to the Contractor’s full and complete performance of his or her obligations under this contract with regard to such payment to UNICEF’s satisfaction, and UNICEF’s certification to that effect. 10. Termination of Contract This contract may be terminated by either party before its specified termination date by giving notice in writing to the other party. The period of notice shall be five (5) business days (in the UNICEF office engaging the Contractor) in the case of contracts for a total period of less than two (2) months and ten (10) business days (in the UNICEF office engaging the Contractor) in the case of contracts for a longer period; provided however that in the event of termination on the grounds of impropriety or other misconduct by the Contractor (including but not limited to breach by the Contractor of relevant UNICEF policies, procedures, and administrative instructions), UNICEF shall be entitled to terminate the contract without notice. If this contract is terminated in accordance with this paragraph 10, the Contractor shall be paid on a pro rata basis determined by UNICEF for the actual amount of work performed to UNICEF’s satisfaction at the time of termination. UNICEF will also pay any outstanding reimbursement claims related to travel by the Contractor. Any additional costs incurred by UNICEF resulting from the termination of the contract by either party may be withheld from any amount otherwise due to the Contractor under this paragraph 10. 11. Taxation UNICEF and the United Nations accept no liability for any taxes, duty or other contribution payable by the consultant and individual contractor on payments made under this contract. Neither UNICEF nor the United Nations will issue a statement of earnings to the consultant and individual contractor. 7