Level: Consultant
Contract Type: Consultancy
Closing date: 30 Sep 2021
Duty station: Remote, Johannesburg, South Africa
Purpose of consultancy:
The purpose of this consultancy is to develop an evidence based regional advocacy framework to strengthen HIV programming among clients of female sex workers in East and South
The UN Member States assembled from 8 to 10 June 2021 to discuss ways to get the world on track to end AIDS as a public health threat by 2030. The meeting noted that the international community had failed to meet the 2020 targets that were set out in the 2016 political declaration. One area that registered insufficient progress was HIV prevention. The global community had committed to reduce new infections to less than 500 000 by 2020, however, by end of 2020, new infections were three fold higher than the target (1 500 000).
Notwithstanding the limited progress in a number of areas in the HIV response, the UN Member States recommitted to end AIDS by 2030. Through their political declaration on HIV and AIDS, the UN Member States agreed to accelerate the HIV response and to address inequalities. To this end, specific targets were set for 2025, the mid-point before 2030. In respect to prevention, the global community committed to reduce new infections to under 370 000 by 2025. It was also agreed that HIV service delivery be increased to 95% to all populations at risk of acquiring HIV. These ambitious targets will require that all regions and countries reflect on ways to accelerate the response and identify all populations at risk of HIV infection.
The East and Southern Africa region, which continues to be the global epicentre of HIV and AIDS will need to adjust its strategies to ensure that the revised global targets are met. This includes revisiting and reprioritizing targets to include all populations that are at risk of infection to ensure that no one is left behind.
While globally, a framework for addressing HIV infections has been developed, anchored on five pillars, it may not adequately address the challenges faced by the region. The Prevention Framework prioritizes two populations, namely adolescent girls and young women as well as key populations. These two populations are indeed some of the most vulnerable and have been prioritized by most of the countries in the region. However, other populations that are highly vulnerable and also critical in ending new infections have been left behind. One of these population groups is clients of Female Sex Workers.
Increasing evidence suggest that prioritizing clients of sex workers in the HIV response is critical to ending AIDS for several reasons. First, clients of sex workers are twice more likely to be infected than men in the general population. Paying particular attention to clients of sex workers is therefore likely to contribute
Second, Clients of Sex Workers might contribut
Third, targeting clients of sex workers could be a useful entry point to reach men who are lagging behind in both access to prevention and treatment services. It could also be a useful entry point to promote consistent condom use and address gender based violence. It is estimated that scaling up treatment among clients of sex workers
UNAIDS data suggest that clients of sex workers and partners of key populations actually contribute more new infections than key populations themselves in
The prioritization of AGYW and KP as part of the HIV prevention response remains relevant for
Against the foregoing, the UNFPA regional office seeks to engage a consultant to review evidence and opportunities for prioritizing clients of sex workers in the HIV prevention framework.
Scope of work:
The individual consultant will be expected to develop an evidence based advocacy framework to strengthen HIV response among clients of female sex workers. The work will draw mainly from systematic review of published reports and data to analyse the vulnerability of clients of sex workers to HIV, their contribution to new HIV infections, the impact of the epidemic on the group compared to other groups, and programs in place to address them. Based on this analysis, the consultant should provide recommendations on ways to strengthen HIV programming among clients of sex workers and also to develop an advocacy framework to address the gaps identified. The framework will be directed to critical players in HIV prevention. These include national governments, development partners, major funders, civil society organizations and men’s organizations.
The consultant will be expected to prepare three related reports/products. These are the inception report, the situational and response analysis (systematic review) report and finally the Advocacy framework. For each product, the consultant will develop a
On the inception response, the consultant will be expected to demonstrate a clear understanding of the TOR and the subject matter. The latter will be exhibited through sharing of preliminary literature review in the area. Furthermore, the consultant should reflect on a plan of action and timelines. This will be a report not exceeding 15 pages. It will, among other things, cover the following elements:
- Introduction
- Background – Preliminary literature review
- Purpose of the consultancy – Interpretation of the TOR
- Methodology – describing the framework on how information will be collected, including data sources.
The study will do a deep dive in at least 6 countries. Selection criteria for the countries will be discussed. Key informants for the study should be considered. These should include major stakeholders such as financial institutions, National AIDS Authorities and leading development partners in HIV Prevention. It will be useful to develop a conceptual framework for effective prevention of HIV among men who buy sex and use it to assess progress or lack of it. - Expected outputs and timeframe
An annotated outline of the situational and response analysis as well as the advocacy framework
With regards to the situational and response analysis (systematic review) of clients of sex workers and HIV in
- An Introduction
- Method and approaches
- Situational Analysis of HIV in ESA with a particular focus on men who buy sex
- Epidemiological analysis of the epidemic
- Analysis of what is covered on clients of sex workers under the national strategic plans
- An analysis of the implication of the epidemic to non-commercial partners in ESA
- An analysis of obstacles to strengthening HIV programming for men who buy sex in ESA
- What opportunities can help strengthen programming for Men who buy sex?
4. Response analysis to HIV prevention among men who buy sex in ESA (below are some critical questions to answer):
- What prevention interventions are in place to address men, especially those who buy sex?
- Has the funding for HIV programming been adequate
- Are the current responses relevant
? - Is there evidence that the responses have made an impact on men who buy sex
5. Lessons learned (questions to address)
- What is working and needs to be continued?
- What is working and can be expanded?
- What has not worked and why
6. Recommendations
Finally, the consultant will be expected to prepare an advocacy framework that is based on the recommendations of the Situational and Response Analysis of Men and HIV in
Duration and working schedule:
The Consultancy will be expected to take 42 days spread over a period of over 2 months from October to 31 December 2021.
Place where services are to be delivered:
The drafts will be submitted electronically to ESARO office through the Technical Advisor, SRH/HIV.
Delivery dates and how work will be delivered:
All deliverables will be presented in an electronic copy.
|
Deliverable |
Person days |
Deadline |
|
Inception Report including literature review and methodology for carrying out the assessment and presentation to the Reference Group |
5 days |
October 30, 2021 |
|
Draft situational and response analysis and final draft inception report and presentation to the reference group. |
20 days |
November 29, 2021 |
|
Final draft situational analysis and response analysis, draft Advocacy Framework and presentation to the validation workshop |
12 days |
December 20, 2021 |
|
Final Advocacy Framework |
5 days |
December 31, 2021 |
Monitoring and progress control, including reporting requirements, periodicity format and deadline:
The consultant will be required to provide regular update through emails, participate in teleconferences as required to monitor adherence to the tight schedule.
Required expertise, qualifications and competencies, including language requirements:
The consultant must meet the following minimum criteria:
- A postgraduate degree in public health, epidemiology, demography, sociology or related fields. Additional qualification will be an added advantage.
- Strong epidemiological analysis skills, including conducting systematic reviews.
- At least 10 years’ experience in undertaking development work;
- Track record in HIV and SRH work, especially in Africa;
- Experience in conducting research, with demonstrated ability to write clear and comprehensive reports for UN or other development partners,
- Traceable work experience on Sex work related programming/research
- Experience in developing advocacy Frameworks or Strategies; and
- Experience in program finance analysis will be an added advantage.
UNFPA will provide documents that will provide the necessary background including UNAIDS latest epidemic report, and sites for national strategic plans for HIV.
For an analysis of funding on HIV Programmes, the consultant will need to review funding from
To apply:
Application letter and CV to be sent to jobs.esaro@unfpa.org with email subject clearly stated ''International Consultancy - Development of Advocacy Framework".
