Tuesday, 18 June 2013

Post:Technical Assistance Development Consultant, 
Location:Johannesburg, South Africa
Organization: UN Population Fund
Country: South Africa
Technical Assistance Development

Access for sex workers and their clients to SRHR services 1. Background Sex workers, both female and
male, have the same Sexual and Reproductive Health Rights (SRHR) and needs as every other man and woman, irrespective of race, gender, religious or sexual orientation. Inclusive of these rights are the rights to HIV prevention, treatment and care. Generally it is expected that sex workers can and do access the same public and private health services for SRH and HIV as all others. However, the illegality of sex work in most African states and the high discrimination towards them(sex workers) from health service providers and the community they live in means that sex workers and their clients often feel reluctant to access health services that are not designed or targeted for them. This is further compounded by the unfavorable legislative environments towards sex-workers in many countries that sex-workers, their families and clients suffer. As a result and in spite of the high vulnerability of sex-workers and their clients to HIV, and other sexually transmitted infections, and their SRH needs the access to and uptake of SRH (inclusive of HIV) services is at public health facilities in particular could be improved. This is of particular concern in countries where the HIV epidemics have been classified as generalized epidemics or concentrated.

UNFPA is the lead agency to implement the mandate of the ICPD agenda , to promote and strengthen a human rights based SRH approach for countries to seek comprehensive SRHR for all individuals, including the right to information and access to treatment and care that meet the SRH needs of all individuals. At the policy, systems and service delivery levels, UNFPA supports governments, public and private partners, in advocacy, capacity building and the promotion of integrated SRH and HIV service access for all individuals including and not exclusive of sex workers. UNFPA is a UNAIDS co-sponsor and one convener in the area of reduction of the sexual transmission of infections(including HIV). Sex workers, their families and their clients are a key target group due to their vulnerability to HIV and their SRH needs.

Desk Review on SRH/HIV services in the context of sex work

All twenty-three countries within the geographical coverage of the Eastern and Southern UNFPA sub-regional office (including Zanzibar which was counted separately from mainland Tanzania for the purpose of this desk review) took part in the desk review and responded to the questionnaire(see below).

Following primordial analysis, outstanding questions were clarified as necessary. The results were analyzed thoroughly in a quantitative and qualitative manner and the findings and analysis was peer-reviewed and validated by colleagues and country offices. The obtained results provided an overview of the situation regarding access to SRHR and HIV- services of sex workers and their clients. This included information on access to services, partnership (government and NGO, legal environments and laws, challenges, intervention areas and technical assistance request.

To consolidate the findings and assist the Technical Team at the Regional Office to develop specific tools for countries and technical assistance from the Regional Office the following consultancy is needed:

    Tasks and Scope of the Consultancy The consultancy is needed to generate country support mechanisms for improvement of sex workers' and their clients' access to SRHR services out of the analysis conducted and the needs expressed from UNFPA COs. Specific tasks will be:

    Conduct a deeper secondary analysis of the information gatherered
    Develop in close cooperation with the team ways and tools to support countries from the Regional Office, with partners and through south-south cooperation
    Field test them together with the Technical Advisor and provide further recommendations.

    Assignment backup support and capacity needed

Technical support for the assessment will be provided by the Eastern and Southern Africa Regional Office of UNFPA, South Africa.
The expected consultant is required to have the following technical capacity for undertaking the assessment.

    Masters' in Public Health degree or Epidemiology equivalent in Medicine, Public Health or Social Sciences.
    Solid technical knowledge of SRHR and HIV service access in Eastern and Southern Africa, especially of sex workers, their clients and the legal, systems and service environment.
    Proven experience of key populations program development and evaluation of different approaches for national scale-up in Eastern and Southern Africa.
    Good understanding of the work of the UN and its public and private partners at the country level.
    Good understanding of SRH and the HIV epidemic, specifically linkages and integration of SRH and HIV.
    Expertise in resource mobilization for key population approaches is an additional benefit.

    Expected Deliverables

    The following deliverables will be produced for the assessment in close cooperation with the technical team: ï‚§ A Briefing Presentation of the findings of the desk-review and the assessed country needs and requested technical support to improve SRHR service access for sex workers and their clients. ï‚§ A time-bound and results-based strategic plan for different strategies UNFPA should employ to improve access to SRH(including HIV services for sex workers and their clients at public and private health facilities in Eastern and Southern Africa, specifying regional technical support needed, south-south cooperation possibilities and country-level prioritization and resource mobilization strategies. ï‚§ Two field-tests of the support mechanisms developed, in missions or country guidance from the regional office, a report evaluating the tests and providing recommendations for next steps for consolidation, scale-up in country and extension to other countries with similar needs. ï‚§ A final report comprising the whole consultancy, deliverables, review and conclusion and final suggestions for the way ahead.

    Time Frame ï‚§ The proposed consultation period is 8th July – September 6th. The consultant will spend a maximum of 39 working days divided as below:

    The proposed schedule is as follows:
Date Location Level of Effort Activity

July 8th-10th , 2013 UNFPA Regional Office, Johannesburg 3 days Briefing with the HIV/AIDS Team and Regional Project Staff -Provide clarity on scope of work - Avail all relevant documents

July11th – 18th, 2013 UNFPA Regional Office, Johannesburg 6 days - Document review, clarifications with regional staff as needed and development of first steps

July 19th - 25th, 2013 UNFPA Regional Office, Johannesburg 5 days - Clarifications as needed with the COs - Development of concrete steps with the Technical Team and preparation - Briefing on field-plans in the office of management and staff

July 26th – August 15th UNFPA Regional Office, Johannesburg and potentially field missions 15 days - Field-testing of the support steps developed, including engaging relevant stakeholders at country level, service/program/capacity building assessment with national partners and field-visits to service delivery points.

August 16th – 22nd UNFPA Regional Office, Johannesburg 5 days - Re-briefing at the regional office and summary and conclusion of next steps with the regional team - Report elaboration, delivery of first draft.

September 2nd – September 6th Home-based 5 days Delivery of final report and adaptation after comments Regional Office and engaged COs

No of days: 39 days
    Logistics Support from the Regional Office will be provided as necessary.

    Reporting The consultant will submit a preliminary report at the end of the consultancy. The UNFPA Regional Office and relevant Country Offices will be required to submit comments on the draft within 6 working days of receipt of the draft, after which the report will be issued in its final version, not later than 6th of September.
Closing date: 26 Jun 2013

How to apply:
Kindly send a CV and a cover letter to Ms. Dora Nkoana - Nkoana@unfpa.org with a copy to Sipho Guvi - guvi@unfpa.org.
http://unjobs.org/vacancies/1371460859616