UNICEF WCARO TERMS OF REFERENCE Ver Nov 2012 Title of Consultancy: Support Adolescent & HIV programming in WCAR countries using the All-In approach and tools Level: P4 Planned Duration of Consultancy: 28 days over three (3) months for three (3) candidates Closing Date: 12 October 2015 Submitted by: HIV Section Summary Title Support Adolescent & HIV programming in WCAR countries using the All-In approach and tools Purpose The aim of this consultancy is to provide technical assistance to WCA countries engaged in adolescents and HIV programming to strengthen the quality and impact of these programmes. Location Country of residence with travel to country/ies to be supported. Duration Start Date Reporting to 28 days over 3 months September 30, 2015 Claudes Kamenga, Chief HIV (under Technical supervision of Abdelkader Bacha, Adolescent & HIV/AIDS Specialist). 1. Background and Context With estimated HIV prevalence of 2.2 % among adults, West and Central African Region is home of about 6 million people living with HIV1, accounting for one fourth of the global burden of people living with HIV/AIDS around the world. According to UNAIDS (GARPR, 2014), the WCA region contains 390,000 HIV positive adolescents aged 10 to 19. This is 70% more than the number in 2001. Mortality rate among 10-19 boys and girls is increasing, while this rate is decreasing for all other age groups. Access to comprehensive knowledge on HIV is as low as 30% among adolescents and the prevention behavior is largely insufficient. Use of condom at last sexual intercourse by adolescents aged 15-19 having multiple partners is between 23 and 52% among girls and 30 to 65% among boys in WCAR countries. HIV testing and counseling which usually opens the door to treatment and related services is another area of weakness in WCAR. In the majority of the countries, less than 25% of boys aged 15-19 and 29% of girls at the same age have been tested for HIV and received results. Not all of those tested HIV positive among them succeeded to be enrolled in treatment programmes. 1 UNAIDS-2014 GARPR 1 Unintended pregnancy among adolescent girls is reaching unprecedented levels (over 5,600 recorded cases in 2013 at school in Cote d’Ivoire (MoE statistics), the same trends are seen in Burkina Faso, Gabon and Guinea Bissau). With 128 births for every 1000 girls aged 15 to 19, WCAR is the region with the highest rate of adolescent pregnancies. In early 2015, UNICEF and UNAIDS, joined by other UN, The Global Fund and other bilateral, multilateral and private players, launched a global campaign to accelerate the response to HIV in Adolescents. ALL IN is a platform for action and collaboration to inspire a social movement to drive better results with and for adolescents (10-19) through critical changes in programmes and policy. ALL IN is an agenda for action to address new HIV infections and the increase of AIDS-related deaths among adolescents. It is also a platform for collaboration to amplify and accelerate the investments, focus, and innovation of governments, international organizations, civil society, the private sector and young people themselves to fast-track results with and for adolescents. It aims to unite actors, from inside and outside the UN, across 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. This will result in sharpening adolescent elements of national AIDS programmes through improving data collection, analysis and utilization to drive programming and results. The proposed approach is to build on existing reviews and conduct new assessments to confirm priority geographic areas and adolescent populations most at risk of infection, and priority actions to better reduce new infections, mortality and morbidity within the local HIV epidemiological context. Finally, All In will foster innovation in approaches to improve reach to adolescents and increase impact of prevention, treatment and care programmes; expanding partnerships and strengthening community support for adolescents living with HIV and adolescents vulnerable to HIV infection in the different epidemic settings A guidance document and an accompanying tool - the Adolescent Assessment and Decision Makers Tool (AADM) is part of the global toolkit for ALL IN. This is aiming to guide the country assessments in order to support country teams in defining priority actions to accelerate and improve the quality of the national response to HIV among adolescents (ages 10-19). In WCAR, four countries (Nigeria, DRC, Cameroon, and Cote d’Ivoire) are part of the 25 countries that totalize 80% of the global burden of HIV among adolescents. Other countries expressed concerns about the adolescent statues and mortality and decided to engage in the All In movement: Chad, Burkina Faso, Gabon, Guinea Bissau, etc. 2. Justification UNICEF WCARO has a responsibility and strong commitment to support countries of the region and play a solid leadership in moving the All-In agenda forward. Since the early stages, the RO was in the forefront of this initiative, proposing the bottleneck analysis method that was adopted as part of the Tool, and helping to conceptualize the country methodology and process. UNICEF WCARO committed to provide technical assistance to countries to help start the process as part of accelerating and scaling up Adolescent & HIV evidence-based interventions and increase coverage of prevention, testing, care and treatment programmes. As the demand is constantly on the rise from countries, providing this support requires more human resources. In this regards UNICEF RO is hiring a pool of consultants to fulfill its commitment based on the expressed country needs. 2 3. Purpose and Objective The overall purpose of this consultancy is to support WCAR countries, through UNICEF country offices, to fast-track the evidence-based national response to HIV among adolescent, using where appropriate the All-In approach and tools. The specific objectives include: 1. Support planning, launch, implementation, monitoring and evaluation of the All-In country assessment process, this include technical support to: the rapid assessment and data collection phase; the in-depth analysis phase including BNA and environment screening; the planning and programming multi-stakeholders exercise. 2. Support country adaptation of Innovations (programmatic approaches, ICT-based solutions) to fast-track prevention, testing, care and treatment interventions among adolescents. 3. Support documentation of country experience (case-study, lessons learned, abstracts, manuscripts) to serve for in-country and inter-country learning. 4. Methodology and Technical Approach Three (3) consultants will be selected and a contract of 28 working days over three months will be offered to each of them. The consultants will attend a training and alignment workshop before being deployed to the countries under an orchestrated planning. They will liaise with UNICEF WCARO and CO officers working on Adolescent and HIV. The consultants will have to conduct desk reviews, interviews (as needed) and field missions and strengthen capacity of national officers in programming for adolescents. 5. Activities, Tasks, Outputs and Deliverables Following activities will be implemented through missions and/or remote assistance: Activities Deliverables 1. Facilitate country multi-stakeholders workshops Reports (training of counterparts, data collection and analysis using the tool, in-depth analysis, planning) 2. Support national strategy/plan elaboration when Relevant document and report. and where relevant. 3. Evaluate country process, including its impact. Evaluation report 4. Documentation of country experience (case-study, Document on country experience developed and endorsed for publication lessons learned, abstracts, manuscripts) 3 6. Management, Organization and Timeframe Delivery dates and details as to how the work must be delivered (e.g. electronic submission, hard copy, what computer program should be used, etc.): The regional consultants will work closely under the direct technical supervision of the Adolescent & HIV specialist at UNICEF Regional level and in direct collaboration with UNICEF staff in the country. They will have to collaborate with national consultants, if any. Deliverables will be submitted electronically, on word and other program based on need. The consultants will be paid by UNICEF as follow: i) the consultancy fee according to UN rates and the level; ii) a travel fare during the field work for all consultants travelling outside own location; iii) the daily subsistence allowances (DSA) during the in-country travel (field work). The payment of the consultancy fee will be on a deliverable basis, in accordance to the UNICEF rules and guidance governing international consultancy. Contracts will be signed with UNICEF WCA regional office. Rates will be based on the level of the post. UNICEF will pay the return air-ticket for the recruited consultants. It will also pay the DSA, 80% will be given before the travel while the remaining 20% after submitting a trip report and a claim (form to be provided by UNICEF). The type of currency for the DSA will be local currency. 8. Qualifications and Specialized Knowledge/experience required All consultant will be recruited at a P4 level. The required qualification and experience are: 1. Advanced university degree in Public Health, medical sciences, social sciences or any related field (MPH or PhD) 2. Eight years or more experience in programme design, planning, monitoring and evaluation in the field of HIV&AIDS and/or adolescent health 3. Analytical and conceptual ability; communication skills. 4. Competencies in strategic thinking programme planning and implementation. 5. Skills in research methodology and statistical analysis. 6. Demonstrated ability to work in multi-cultural environment. 7. Understanding of the current HIV situation, regional context and developing countries HIV Response. 8. Fluency in English and French, communication, report writing with critical analysis and experience in process documenting. 9. Conditions of Work Work will need frequent travel to assist countries in WCAR. It is mainly to be performed out of the office. However, consultant presence in the regional office for meetings and checks with supervisor and some communications with COs may be arranged if relevant and feasible, according to planning commonly agreed with supervisor. 10. UNICEF recourse in case of unsatisfactory performance: Payment will only be made for work satisfactorily completed and accepted by UNICEF. 4 If you are qualified and interested in the position and meet the requirements, please forward your application with updated curriculum vitae and UN Personal History Form (available at www.unicef.org/employ)), with a title of the mail: “the title of the position as the subject’’ via email to abacha@unicef.org and wcarohr@unicef.org by October 12th, 2015. UNICEF is committed to diversity and inclusion within its workforce, and encourages qualified female and male candidates from all national, religious and ethnic backgrounds, including persons living with disabilities, to apply to become a part of our organization. 5