Monday, 24 June 2013

Post:Consultant for the documentation of country experiences with reintegration and promising, Organisation:  UN Population Fund
   Career categories:    Information/Communications
Country:    South Africa
Location:    Johannesburg
Organisation:  UN Population Fund


Theme:    Health
Job years of experience:    5-10 years
Job type:    Consultancy

Terms of Reference: Documentation of country experiences with reintegration and promising practices Required: Senior Consultant (7-10 yrs. experience) Duration: 30 days (maximum)

Purpose: The United Nations Population Fund (UNFPA) Regional Office for East and Southern Africa (ESARO) requires the services of a consultant to collect and analyze evidence on the situation of reintegration programming for women affected by fistula in East and Southern Africa. The outcome is to inform the development of the UNFPA ESARO Strategy for fistula prevention, treatment and reintegration.

Background: Everyday almost 800 women die from pregnancy related complications. More than half (56%) of these deaths occur in sub-Saharan Africa. For every one that dies, 20 or more are injured or disabled. One of the most serious injuries of childbearing is obstetric fistula, which is caused by prolonged /obstructed labor in the absence of adequate emergency obstetric care. A fistula is a hole in the birth canal created by prolonged pressure of the baby’s head against the pelvis. A woman with a fistula will continue to leak urine and/or feces uncontrollably for the rest of her life unless she is repaired by a trained health care provider. The consequence of this injury often includes ostracism, exclusion and some women are even abandoned by their husbands and excluded from basic interactions with their families and communities. Moreover, their social isolation makes it extremely difficult to maintain a source of income or support, worsening their poverty and magnifying their suffering. It estimated the 2-3 million women and girls are living with the condition and more than 50,000 new cases develop each year. However, Obstetric Fistula is preventable and, in most cases, can be surgically repaired.

Scope of Assignment: UNFPA has been the lead agency in the Campaign to End Fistula, launched in 2003 and it has been supporting interventions to prevent, treat and reintegrate women who suffer from fistula. Of the three interventions, reintegration programming is the least advanced. Reintegration for both women who have been repaired and women who are deemed incurable/inoperable is a complex topic. Literature about the issue of reintegration of fistula patients is sparse globally. It is commonly believed that all women with fistula are socially isolated, uneducated, economically disadvantaged and abandoned. But there is considerable debate about the generalization of these beliefs and the need for reintegration programming specifically targeting women affected by fistula. There is a need to have more information about the challenges and needs in the lives of women affected by fistula post-repair and for those deemed incurable/inoperable to inform appropriate programming to address the needs of these women and ensure comprehensive fistula service delivery.

UNFPA ESARO is developing a regional strategy for fistula and a programming framework with the intention of addressing the major barriers to prevention of fistula and improving access to treatment and reintegration to drastically reduce the burden of this morbidity in East and Southern Africa. Based on the findings and recommendations of the Mid Term Review of UNFPA’s role in the Campaign to End Fistula, much more work needs to be done in the area of reintegration with sharing of good practices and lessons learned to adequately address the needs. The ESARO seeks to identify key strategies and practices that align with national maternal health programs and that have the potential to substantially strengthen programming to improve interventions in reintegration.

Specific tasks:

 • Draft inception Report to be approved by the ESARO core team
 • Participate in the inception meeting in order to clarify the scope of the study
 • Review key documents such as Country Fistula Assessments, Mid Term Review of the Campaign to End Fistula (2010); UN report on fistula (2011); Campaign t to End Fistula Year in Review : Annual Report 2008; Maternal Health Thematic Fund Annual report 2011 and other key documents to assess the situation, trends and needs in the area of MNH and FP in the East and Southern Africa Region
 • Identify 3 case study countries and conduct site visits (approximately 3-4 days/country) to countries to document promising practices/approaches and develop case studies
 • Draft the Report and incorporate relevant comments from the ESARO core team
 • Draft case studies (Max 5 pages each) and incorporate relevant comments from the ESARO core team
• Finalize the 2 key documents and present key findings to the ESARO staff. Deliverables
• Report of the situation/trend analysis (Max 30 pages)
 • An analysis of the situation in 13 countries in the East and Southern Africa region, especially those receiving Maternal Health Thematic Funds with a clear identification of the needs, opportunities and gaps in reintegration programming. Countries include: Angola, Botswana, Burundi, DR Congo, Ethiopia, Eritrea, Kenya, Madagascar, Malawi, Rwanda, South Sudan, Uganda, Zambia
 • Recommendations for priority actions to be taken at regional level for support to countries in scaling up efforts to address the needs and gaps in terms of advocacy and policy dialogue/advice, knowledge management, capacity development, service delivery, and strategic partnership
 • Promising practice documentation: identify and document 3 case studies capturing promising practices/lessons learned in reintegration programming from 3 countries in the region based on a selection criteria determined by the ESARO (Max 5 pages each)

Time frame The assignment will be undertaken following time frame:
 • Inception report and country teleconferences - Max 5 days
 • Program site visits to 3 countries— Max 15 days
• 1st Draft of the Situation and Trend Analysis Report and Case studies – Max 5 days
 • 2nd Draft of situational analysis and case studies with incorporated comments from the ESARO relevant staff - Max 2 days
 • Final report and final case studies– Max 3 days

Location:
• The consultancy involves desk work, which the consultant team is expected to deliver from their own work space
 • Travel to Johannesburg for the inception meeting/clarification meeting in the 1st stage of the consultancy and to 3 countries to capture in depth country experiences and promising practices/lessons learned (possible countries: DR Cong, Eritrea, Kenya, Rwanda, Uganda, Zambia).
 • Additional Ad hoc travels to Johannesburg (ESARO) if needed or requested by the technical advisors.

Minimum qualifications
• Masters degree in public health, social sciences, international relations or similar
• Extensive knowledge of maternal health issues, in East and Southern Africa
 • Previous experience in Obstetric Fistula programming/research an advantage
 • A minimum of 7-10 years experience in research, data collection and analysis;
 • Excellent writing skills

• Please submit the following:CV, references from previous work experience similar to the TOR, a principle authorship writing sample similar to the request of the TOR.

• The application must be submitted by email to : Dora Nkoana at nkoana@unfpa.org with a copy to Sipho Guvi at guvi@unfpa.org.
Job ID: #582445
Closing date: 26 Jun 2013
How to apply:

http://reliefweb.int/job/582445/consultant-documentation-country-experiences-reintegration-and-promising-johannesburg