Tenders Are Invited For Consultancy To Conduct A Community Consultation On Pwid Services Undp Globle Fund Project BackgroundThe United Nations Development Programme Undp Is The UnS Global Development Network Advocating For Change And Connecting Countries To Knowledge Experience And Resources To Help People Build A Better Life We Are On The Ground In 170 Countries And Territories Working With Governments And People On Their Own Solutions To Global And National Development Challenges To Help Empower Lives And Build Resilient Nations Undp Is A Lead Agency In Unaids For Addressing The Dimensions Of Hiv And Aids Relating To Human Rights Gender And Sexual Diversity In Addition Undp Contributes To Public Health And Development Partnerships Through Collaborations With The Global Fund To Fight Aids Tuberculosis And Malaria The Global Fund Roll Back Malaria Stop Tb Partnerships And Special Programmes On Human Reproduction And Infectious Diseases That Disproportionately Affect Poor Populations As A Member Of The Country Level Un Joint Team On Aids Undp Operates Strictly In Support And Within The Framework Of National Health Plans And Disease Specific National Strategies Under The Programmatic Leadership Of National Health Authorities And Respecting The Critical Role Of Local Civil Society Organizations Csos Promoting National Ownership Developing Capacity And Strengthening National Systems Is The Over Riding Objective Of UndpS Engagement Undp Global Fund PartnershipAs Part Of Its Wider Engagement With The United Nations The Global Fund Has Partnered With Undp Since 2003 To Ensure That Grants Are Implemented And Services Are Delivered In Countries Facing Complex Challenges The Partnership Focuses On Three Closely Linked Areas Of Work Implementation Support Capacity Development And Policy Engagement For Implementation Support Undp Serves As An Interim Principal Recipient Pr Currently In 25 Countries In A Variety Of Settings Including Countries That Face Capacity Constraints Complex Emergencies Poor Governance Environments Political Upheaval Or Donor Sanctions It Does So Upon Request By The Global Fund And Or The Country Coordinating Mechanism Ccm And When No National Entity Is Able To Assume The Role At The Time UndpS Role As Pr Is An Interim Arrangement Until National Entities Can Assume Full Responsibility For Implementation And Capacity Of National Partners Government And Csos Is Also Strengthened To Ensure Long Term Sustainability Of Health Outcomes Global Fund Programmes In AfghanistanIn July 2014 Undp Was Selected By The Country Coordinating Mechanism Ccm Of Afghanistan As The Principal Recipient Of Four Global Fund Grants Hiv Tuberculosis Tb Malaria And Health System Strengthening Hss The Goal Of The Global Fund Funded Hiv Programme Which Will Start On 1 July 2016 Is Aligned With The Goal Of The National Strategic Plan Nsp Investing In The Response To Hiv 2016 2020 Namely To Maintain Prevalence Of Hiv Below 0 1 Among General Population And Below 5 Among Key Population At High Risk In The Country Afghanistan Has A Low And Concentrated Hiv Epidemic And Hiv Is A Public Health Concern Among The Key Affected And Vulnerable Populations One Of The Programme Objectives Is To Maintain And Scale Up Prevention Interventions Among Key Populations At High Risk And Vulnerable Groups Hiv Aids Situation In AfghanistanAfghanistan Experiences A Low Level Hiv Epidemic Unaids Estimates 5 900 People Living With Hiv In Afghanistan In 2017 With Male To Female Ratio Of 7 1 Recent Spectrum Date 2018 Indicates The Number As 6600 Which Is Not Yet Approved Cumulatively The National Aids Control Program Has Identified 2 733 Hiv Cases While Overall Prevalence Is Low 0 1 In The General Population The Hiv Epidemic Disproportionately Affects Pwid Hiv Prevalence 4 4 Ranging From 0 3 In Mazar I Sharif To 13 3 In Hirat Ibbss 2012 The Similarities Between The Hiv 1 Subtypes In Afghanistan And Iran Suggest That Strains Have Been Circulating Between The Two Countries Through The Returning Of The Afghani Refugees Who Also Injected Drug Among Other Key Populations At Risk Hiv Prevalence Was 0 7 Among Prisoners 0 4 Among Men With High Risk Behavior Mhrb And 0 3 Among Women With High Risk Behavior Whrb In 2012 Hiv Aids In People Who Inject Drugs Pwid The Estimated Number Of People Who Use Drugs Pwud In Afghanistan Is Between 2 5 And 2 9 Million About 11 Of The Population In 2015 Majority 1 9 To 2 3 Million Use Opiates Based On The 2012 Size Estimation Report Using A Unique Multiplier Method There Were An Estimated 12 500 Pwid In Kabul And 1 200 To 1 500 In Each Of Hirat Mazar I Sharif And Jalalabad A Mapping Exercise In 2007 Located 1 251 Pwid In Kabul And 159 In Jalalabad With An Overall Extrapolation Of 2 24 Per 1 000 Adult Men In Afghanistan Pwid Were Mostly 97 Street Based In Urban Settings 53 1 Were Illiterate Risks For Hiv And Other Infectious Disease Were High Including 88 5 With Inadequate Knowledge Of Hiv 29 3 Paying For Sex 0 4 Sharing Injecting Equipment Up To 33 6 In 2009 9 4 Having Sti Symptoms And 27 3 Reporting Condom Use At Last Sex Pwid In Hirat Had A Higher 33 2 Rate Of Non Sterile Injection Equipment Sharing While Awareness Of Harm Reduction Services Ranged From 58 To 80 Except In Charikar At 2 2 Use Of Services Such As Hiv Testing Was Very Low E G 2 7 In Kabul 12 6 In Jalalabad It Is Worth Mentioning That The National Strategic Plan For Hiv Aids 2016 2020 Address The Major Issues Of Concerns Regarding Key Population And Particularly The Pwid Moreover The Nsp 3 Provides Provision Of Community Consultation For Pwid Which Is Further Elaborated Through This Tor There Are Limited Number Of Community Based Organizations Cbos Dedicated To Provision Of Services To Pwids In Afghanistan However There Are Various Ngos Involved In Serviced Delivery Where Representatives From Pwid Community Do Not Have Stake In The Management And Governance Structure Of Those Ngos To Ensure Initiation Of Community Based Organizations And Institutionally Support The Existing Cbos A Thorough Community Consultation Is Planned To Be Conducted Kabul Home To Most Injecting Drug Users More Than 70 Per Cent Of All Injecting Drug Users In The Four Major Cities Of The Country Balkh Heart Jalalabad And Kabul Injecting Drug Users Are Most Likely To Contract Hepatitis C Followed By Hepatitis B Syphilis And Hiv Provision Of Organized Harm Reduction And Public Health Services Are Vital In Fight Communicable Diseases Especially Hiv One Of The Major Issues The Pwid Community Faces Is Lack Of Well Organized And Dedicated Cbo To Represent Them At National And International Levels In Addition There Are Not Advocacy And Pressure Groups To Fight For The Rights Of Pwids In The Country And Conduct Fund Raising Initiatives For Better Service Delivery To Their Community Duties And ResponsibilitiesOverall Objective Of The Consultancy The Overall Objective Of This Consultancy Is As Follow To Conduct One Community Consultation On Pwid Services In Afghanistan In Close Collaboration And Support From The Afghan Ccm Moph National Program For Control Of Aids Hepatitis Sti Anpash And All The Other Relevant In Country Partners Such As Registered Csos Unodc Unicef Eu Undp And Who To Apply Strategies To Map Identify Potential Groups Or Organizations Which Are Representing Communities And Whose Mandates Are To Provide Services And Advocacy For Those Key Population Pwid To Recommend Operational Strategies For Institutional Development Of Community Based Organizations Dedicated To Support The Pwids In Afghanistan To Map Potential Individuals Having Dedication And Capacity To Establish Community Based Organizations To Support Key Affected Populations Major Tasks And Responsibilities Desk Literature Review Of Reports And All Available Information On Pwid Communities In Afghanistan And Services Available To Them Including Country Kp Service Packages Report From 2018 In Country Consultations With Relevant Pr Csos Working With Pwid All Other Agencies Working With Pwid In 11 Pwid Services Site With Focus On Major Cities Kabul Herat Mazar Jalalabad And Kandahar Focused Group Discussions With Pwid Including Female Pwid Where Possible In 11 Sites Explore Potential Individuals And Institutions From Pwid Community For Further Development And Support As Peer Educators And Service Providers Debriefing To Key Stakeholders On Findings Report Of Findings Including Recommendations To Improve Effectiveness Of Pwid Services Expected Output Deliverables Timeframe And Payment Percentage The International Consultant Is Responsible To Provide The Below Deliverables Desk Literature Review Of All Relevant Documents I E Hiv Reports Especially On Pwid Tentatively Number Of Working Days 3 With 10 Of Payment Identifying Partners Views On Harm Reduction Efforts Consultant Meets With Both Government And Non Government Partners Individually To Understand The Concerns Each May Have In Regards To Harm Reduction Work In Afghanistan Number Of Working Days 4 With 20 Of Payment National Consultation Organization Of A 2 Day Orientation Consultation To Provide Community And Civil Society Actors With The Overview Of Findings From Pwid Status In Afghanistan Number Of Working Days 2 With 10 Of Payment Organization And Facilitation Of A 1 Day Workshop To Bring Together Broader Stakeholders To Discuss Recommendations From The Consultation With The Pwid Community And The Stakeholders Number Of Working Days 2 With 10 Of Payment Recommend Individuals And Institutio
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