Location :
Tashkent, UZBEKISTAN
Application Deadline :
05-Nov-13
Additional Category
HIV/AIDS
Type of Contract :
Individual Contract
Post Level :
International Consultant
Languages Required :
English
Duration of Initial Contract :
15 days (December 13-27, 2013)
Background
Project Title/Department: UNDP/GF Project "Continuing scale up of the response to HIV in Uzbekistan, with particular focus on most at risk population"
Reports to: Direct Supervisor: Capacity Development Coordinator; Overall Supervision: Project Manager
UNDP is a key partner to the Global Fund to fight AIDS, Tuberculosis and Malaria and works in a number of countries as a Principal Recipient. A decision by the Multi-sectoral Expert Council selected UNDP as the Principal Recipient for the first phase of the HIV Round 3 Rolling Continuation Channel grant. The Global Fund to fight Aids, Tuberculosis and Malaria provides funds for the provide support of grants for the implementation of the National Programme on HIV/AIDS, Tuberculosis and Malaria in the Republic of Uzbekistan. In its role as Principal Recipient under the HIV Round 3 Rolling Continuation Channel, UNDP is responsible for the financial and programmatic management of the Global Fund grant as well as for the procurement of pharmaceuticals, health and non-health products. The overall goal of the grant is to Continue Scaling up the response to HIV in Uzbekistan, with particular focus on Most at Risk Populations. For the implementation of the Global Fund HIV Round 3 Rolling Continuation Channel, UNDP Uzbekistan has established a Programme Management Unit (PMU) that will coordinate the implementation of the grants and provide general guidance and monitoring of Global Fund rules and procedures to all Sub Recipients participating in the implementation of the projects.
Starting from 2011 UNICEF conducting trainings on PMTCT and Pediatric AIDS in 14 regions of Uzbekistan. More than 881 health care professionals have been trained on PMTCT and Pediatric AIDS. National guidelines on treatment have been elaborated and implemented in maternities and pediatric hospitals. As FUAT monitoring is pending it was decided to recruit international consultant to evaluate impact of the trainings on overall child mortality.
Duties and Responsibilities
Objectives of Assignment
The key objective of this assignment is to provide overall evaluation of Uzbekistan PMTCT and Pediatric AIDS efforts and develop future strategy for implementation.
Scope and focus
The evaluation covers the project implementation from January 2011 up to the end of December 2013. In general terms, the evaluation focuses on:
- Assessing the PMTCT and Pediatric AIDS training and its impact and potential contribution to the HIV prevention reform and MCH sector.
Each of the above criteria will be analyzed from the perspective of the following orbits of influence of the intervention:
Final beneficiaries:- Caregivers, families, mothers and children.
- Health care professionals whose capacity has been built (including doctors, midwives, patronage nurses, health facility managers).
- Regional health authorities and Hokymiats (local governments).
- National authorities and key stakeholders (Ministry of Health, UNICEF ,WHO, EC, GIZ).
Relevance:
- To what extent are the training design, strategy and approach appropriate to achieve the set objectives?
National decision-making level:
- What is the relevance of the intervention in terms of advocating for and facilitating the national HIV prevention sector reform?
Service providers:
- To what extent is the training component appropriate in response to the training needs of the target groups?
Final beneficiaries:
- To what extent is the intervention relevant in terms of contributing to improve children and mother's wellbeing and health seeking behavior?
Effectiveness:
- To what extent is the project implementation structure suitable to implement the project in an effective way as well as to promote upstream policy advocacy on HIV prevention?
National decision-making level:
- To what extent is the intervention effective in promoting policy change and facilitating the HIV prevention sector reform by providing evidence, creating entry points, promoting platforms for policy analysis?
- To what extent is the advocacy strategy effective to link the intervention with and promote the HIV prevention sector reform?
Sub-national decision-making level:
- To what extent is the intervention effective in generating ownership and commitment among local authorities to financially sustain health providers' capacity building and procurement of drugs and medical devices and therefore reduce access barriers to health services?
- To what extent is the advocacy strategy effective to facilitate this ownership and commitment?
- To what extent is the monitoring and evaluation system effective in providing evidence and decision making tools to facilitate this ownership and commitment?
Service providers:
- How effective is the intervention in improving service providers' knowledge and skills in all the project components (PMTCT) against the indicators set in the log frame?
- To what extent have trained service providers (individuals) modified their regular practices related to all project components against set indicators?
- To what extent were regular practices related to all project components modified in the MCH facilities where trained service providers work?
- Which are the attitudes, believes and practices that make health providers more open or more resistant to change?
- To what extent were health providers sense of self-worth and self-confidence strengthened on quality health care?
- To what extent are health provider's understanding the importance of their activities for children's survival and disease prevention?
Final beneficiaries:
- To what extent do beneficiaries perceive improvements in quality of maternal and child health care as a result of the changes in the MCH service provision?
- To what extent are patronage nurses trained through the inter-personal communication package effective as a channel to strengthen mothers/caregivers knowledge on child caring?
- To what extent is the M&E system effective in tracking behavioural change among beneficiaries?
Efficiency:
- To what extent is the project governance structure suitable to implement the project in an efficient, participatory and transparent manner?
Service providers:
- To what extent is the cascade training system efficient in terms of use of resources as compared to the results achieved?
- To what extent is the training system efficient in reaching out the highest number of service providers across the regions?
Final beneficiaries:
- To what extent are the inter-personal communication package and the patronage nurses system efficient in terms of reaching the target groups and increasing their knowledge on child caring as compared to the absorbed resources?
Impact:
National decision-making level:
- To what extent has the project contributed to the overall HIV prevention sector reform in Uzbekistan in respect to policy reform, quality improvement and management of the health system?
Sub-national decision-making level:
- To what extent has the project contributed to regional health authorities, medical institutes and health facilities to practice the evidence based MCH care, informed decision making on resource mobilization and planning for the sustainability.
Service providers:
- To what extent did the intervention contribute to improve the overall resource management in the concerned health facilities? Especially as a consequence of reduced hospitalization, rational use of drugs and early recovery from sickness.
Final beneficiaries:
- To what extent did the intervention contribute to reduce beneficiaries' costs for accessing maternal and child health services? Especially as a consequence of reduced hospitalization, rational use of drugs, reduced side-effects and early recovery from sickness?
- To what extent did concerned beneficiaries increase the frequency of their visits as a result of perceived improvement in maternal and child health care services' quality and as a result of reduced costs and access barriers?
- To what extent did concerned beneficiaries improve their child care and health seeking practices as a consequence of improved counseling?
- To what extent do concerned beneficiaries perceive any overall improvement in the health conditions of mothers and children in the community/family?
- Especially as a consequence of improved health care provision, preventive and promote health measures, practicing of early seeking medical care during sickness, decrease of health services' costs for beneficiaries?
Sustainability:
Sub-national decision-making level:
- To what extent do MoH, Oblast Health authorities and regional hokymiats demonstrate ownership and capacity for resource mobilization to be able to self-support and consolidate the achievements and the expansion of the intervention within their regions?
Service providers:
- What are the gaps along the continuum of care that hinder the capacity of health care providers to provide quality and equitable PMTCT services?
- To what extent are the behavioural changes among health providers expected to last and what is required for them to keep on applying such practices?
Final beneficiaries:
- What are the gaps along the continuum of care that hinder the capacity of mothers and caregivers to access and use quality MCH services for them and their children?
- To what extent are the behavioural changes among beneficiaries expected to last and what is required for them to keep on applying such practices?
Coherence:
- To what extent is the project contributing to and in line with national policies and priorities for the MCH sector?
Evaluation schedule
- Desk review of documents ,design of the data collection phase and relative tools (in collaboration with national and international experts) - 3 working days;
- Field work and analysis of findings (including on-line discussions with experts in charge of data processing of the survey component) and draft report preparation - 8 working days (in-country);
- In-country draft report validation - 2 working days (in-country);
- Finalization of the report - 2 working days.
Deliverables:
- A Draft Evaluation Report to be submitted for validation;
- A Final Evaluation Report. It should include: executive summary, description of sampling and evaluation methodology, assessment of the methodology (including limitations), findings, analysis, conclusions, recommendations, and lessons learned, attachments with data collection instruments and other relevant information;
- Complete data sets (database, filled out questionnaires, records of individual interviews and focus group discussion, etc.).
All above deliverables should be completed by December 21, 2013.
Note:
The answers to these questions should be disaggregated by: category of health provider (doctor, midwife, patronage nurse, manager); level of health care facility (primary, secondary and tertiary); administrative region; rural/urban setting.
Translation of the submitted documents to Russian or English is the responsibility of the International consultant.
This is a lump sum contract where the payment will be made in USD in 1 (one) installment to be issued upon full completion of the tasks indicated in 'Deliverables' and their approval by the Capacity Development Coordinator and Project Manager and upon submission of Certification of Payment as well as Performance Evaluation Form (PEF) on the works performed as indicated in this TOR for the final payment.
Competencies
Functional Competencies:- Excellent communication skills, result oriented;
- Ability to perform under tight deadlines and timely task performance, ethics and honesty;
- Strong managerial, motivational skills, good ability in partnering and networking and ability to work both independently and in team;
- Skilled in strategic thinking, innovation, and thinking 'outside the box'.
Required Skills and Experience
Education:
- Advanced degree in Public Health or Medicine.
Experience:
- Proven international MCH and Public Health experience at a senior level at least for 5 years;
- Proven and extensive international experience in conducting development project evaluations, small surveys, focus groups discussions as well as;
- Experience in quantitative and qualitative data analysis and report preparation;
- Familiarity with MCH care system in the Central Asian Region preferably in Uzbekistan is an asset;
- Experience in evaluating UN or bilateral/multilateral cooperation projects, particularly in MCH.
Language:
- Fluency in English and working knowledge of Russian language is an asset.
Evaluation
Individual consultant will be evaluated based on the following methodologies:
Cumulative analysis
The award of the contract shall be made to the individual consultant whose offer has been evaluated and determined as:
- Responsive/compliant/acceptable; and
- Having received the highest score out of a pre - determined set of weighted technical and financial criteria specific to the solicitation;
- Technical Criteria weight; [70%];
- Financial Criteria weight; [30%].
UNDP is committed to achieving workforce diversity in terms of gender, nationality and culture. Individuals from minority groups, indigenous groups and persons with disabilities are equally encouraged to apply. All applications will be treated with the strictest confidence.
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