Individual Consultant to Support UNAIDS to developing the national guidelines and SOPs on HIV
Purpose of consultancy:
Pakistan is classified into concentrated phase of HIV epidemic with an estimated 150,000 (Spectrum 2018) people living with HIV. The available evidence indicates that HIV is spreading very rapidly in the country with 39-40 % of increase in the last few years. HIV transmission via needle sharing among injecting drug users remains a significant factor in the HIV epidemic. The data shows an MSM population size estimates of 832,000 (inclusive male sex workers) and a prevalence rate of 3.5%. The new data predicts that sexual transmission among non-SW MSM will account for the bulk of new infections if intervention levels remain at current level. Whilst FSWs have the lowest estimated prevalence among the key population groups (2.2%) their prevalence rate is increasing at the fastest rate with a second highest population size of 174,000. Transgender people have the second highest prevalence rate (7.1%) among the key populations for whom sexual transmission predominates. For transgender sex workers the prevalence rate is even higher at 7.5%. Currently only 1% of the estimated number of HIV positive MSM are on treatment. FSWs have the lowest treatment coverage rate of all key populations with only 7 FSWs on treatment and only 2% of HIV positive transgender people are estimated to be on treatment.
In light of the up-to date epidemiological evidence, the National AIDS Control Program (NACP) as Principal Recipient (PR) designed its HIV response to increase coverage of HIV prevention, treatment, care and support services through a high impact focused targeted approach that includes introduction of a community run and community-based outreach, HIV prevention and testing model, and treatment for all Pakistan. NACP will be implemented the HIV Prevention Model for three key populations (KP) namely people who inject drugs, men who have sex with men, male, female and transgender sex workers (PWIDs, MSW, FSW& TGSW). The interventions for these key Populations will be led by Community-Based Organization (CBOs) that will comprise of members of targeted key populations with the aim to scale up case identification, HTC, treatment uptake and program coverage while addressing stigma, discrimination, human rights and gender issues. Currently, there are no standard guidelines, protocols, SoPs for community based service delivery packages for HIV prevention in post devolution scenario. This technical assistance will support the government at federal and provincial level to implement GFATM grant and PC1s. Moreover, this technical assistance will support the Government’s 10 Points Action Plan for HIV Prevention Coalition, which was devised through National Consultation for Development of 100 Days Action Plan, convened by the Government in January 2018.
Scope of Work:
The objective of the consultancy is
· To adapt the WHO recommended “Comprehensive HIV and STI service delivery guidelines for MSM, PWIDs, TGs and FSW in the context of Pakistan.
· To review and revise the standard operating procedures (SOPs) currently being used by NACP, PACPs and its implementing partners in providing services to key populations particularly in a decentralized set up.
· To define and determine the key indicators to be used for monitoring and evaluating program progress over time and ensure effective service delivery and achievement of set targets and program objectives.
Duration and working schedule:
25 working days spread over from 18 October 2018-31 December 2018
Places where services are to be delivered: Islamabad
Supervisory arrangements: UNFPA Deputy Representative,
Required expertise, qualifications and competencies, including language requirements:
The consultant is expected to have proven public health; human rights and social work related work experience and competency required to develop/adapt service delivery guidelines for key populations. After undertaking the work related to adoption and contextualization of the guidelines and SoPs, the consultant is required to present the updated version of the service delivery package with proposed changes to the Technical Working Group. After approval from the committee comprising of representatives from UNAIDS, WHO, APLHIV and NACP, the trainings will be undertaken at GFATM SRs level.
- Experience with programmes targeting vulnerable communities and key population preferably in HIV
- A proven experience in developing, reviewing or adaptation of manuals, guidelines, strategies and SoPs, protocols related HIV, communicable diseases
- Having vast experience of at least 10 years in developing strategies and manuals
- Strong academic writing and presentation skills
- Experience with human rights and advocacy work is an asset
- Strong English language skills both written and spoken
- University degree in public health, gender studies or social science from any HEC recognized educational institution
To ensure quality control, the consultant is expected to regularly coordinate with both UNAIDS, WHO and NAC/CMU and update on progress of the work. The Consultant shall make himself / herself available to review and discuss the progress.