Terms of Reference Request for Proposals Implementation of Comprehensive SRHR-HIV interventions in the Kingdom of Eswatini, Hhohho region (Nftonjeni, Timphisini and Piggs Peak) Duration of the Assignment 12 months (January to December 2019) Reference Number IOM2018/100015/RFP Deadline for Proposal submission 11 January 2019 I. Organizational Context and Scope Background Established in 1951, the International Organization for Migration (IOM) is the leading intergovernmental organization in the field of migration. IOM has 162-member states and is active in 480 field locations across the globe. Together with its partners in the international community, IOM acts to assist in meeting the growing operational challenges of migration governance and to advance understanding of migration issues. IOM aims at encouraging migration-inclusive social and economic development, and to uphold the human dignity and well-being of migrants at every phase of the migration cycle. SRHR-HIV Knows No Borders: Improving SRHR-HIV Outcomes for Migrants, Adolescents and Young People and Sex Workers in Migration-Affected Communities in Southern Africa 2016-2020 Under the auspices of the Partnership on HIV and Mobility in Eastern and Southern Africa (PHAMESA), The International Organization for Migration (IOM), Save the Children Netherlands (SC) and Witwatersrand School of Public Health (WSPH) formed an SRHR-HIV Knows No Borders Consortium following a 4 year funding received from the Dutch government to implement the project entitled: SRHR-HIV Knows No Border: Improving SRHR-HIV Outcomes for Migrants, Adolescents and Young People and Sex Workers in Migration-Affected Communities in Southern Africa 2016-2020. This is a holistic, regional project which is aimed at improving sexual and reproductive health and HIV (SRH-HIV) related outcomes amongst migrants (including migrant adolescents, young people and sex workers) as well as non-migrant adolescents, young people, sex workers and others living in migration-affected communities in six countries in the Southern African Development
Community (SADC) region including Lesotho, Malawi, Mozambique, South Africa, the Kingdom of Eswatini and Zambia. Healthy Migrants in Healthy Communities a framework to guide interventions The project objective is to contribute to greater freedom of choice for the target populations regarding their sexuality by focusing on the following result areas: Result Area 1: Demand creation for SRHR-HIV services by migrants, AYP and SWs in targeted migration affected communities (improving Knowledge and access to information). For this to be achieved, the project applies a change agents strategy to increase awareness and provide education through health promotion activities in the communities of implementation including door to door, community dialogues and sensitisations. Result Area 2: Supply and accessibility of responsive SRHR-HIV services for Migrants, AYP and SWs in migration affected communities (improved access and use, referral system/providers of commodities). The project seeks to ensure that SRHR-HIV services are available, affordable, acceptable and appropriate by strengthening collaboration, community referrals and linkages with existing government facilities and service providers within the project sites. To this end, the project capacitates both health and non-health service providers on SRHR-HIV with the aim to raise awareness on barriers to service access as well as enhance provision of SRHR-HIV services which are responsive to the needs of migrants, AYP and SWs. Result Area 3: Creating an enabling environment for migrants, AYP and SWs (advocacy on SRHR- HIV issues and rights). This outcome is achieved primarily though regional and national multi-sectoral partnership mobilisation, alliance building and sensitization to improve collective thinking. To achieve these, and guided by the Sustainable Development Goals (SDG) 2030 agenda of the leaving no one behind, the consortium will specifically:
Mobilize networks of partners and stakeholders to champion policies, strategies and programmes that respond to migrants, adolescent and young people (AYPs) and sex workers (SWs ) SRHR and needs; Systematically sensitize communities, AYPs and their parents and guardians, local leaderships and other key SRHR rights bearers to join the alliance to champion the freedom for all regarding their SRH choices. Work with and support relevant government structures responsible for SRH Information Management Systems to ensure they mainstream migration in their SRH monitoring systems to generate much needed evidence about SRHR and needs for migrants, AYPs and SWs. Using mobile technology, reach out to the hard to reach vulnerable migrants, AYPs and SWs and empower them with the necessary information and skills. Facilitate the coordination of SRHR policy dialogue and empower the networks of migrants, AYPs and SWs to ensure their voices are heard and valued in these dialogues. Using project generated evidence, conduct targeted advocacy to enhance political commitment among policy makers and influencers for timely policy and programming decisions. The International Organization for Migration in partnership with Save the Children in its endeavour to meet the goal of the project will be abiding to the key principle of the project which will be of building partnerships and working closely and through governments ministries and other partners. This approach recognises that to build a sustainable response, it is necessary to capacitate and mentor partners who will remain providing services and support long after the project intervention has ended. Key partners in this project include: Target population SRHR-HIV service providers Other service providers such as immigration officials, police, justice, social workers and educators. Parents and guardians Local government National ministries of Immigration, Health, Education, Social Affairs and Labour UN partners in country such as UNFPA and UNAIDS Policy influencers from civil society such a HIVOS and PSI Regional partners including SADC and Regional UN partners, especially UNFPA. It is against this background, that IOM and Save the Children in Eswatini is looking for a Service Provider with experience on implementing combination health approaches on SRHR and HIV. This will be supported by extensive knowledge, experience and implementation of community development/mobilisation and Social and Behavioural Change Communication (SBCC) principles and provide technical support in the implementation of the SRHR-HIV Knows No Borders Project
particularly targeting migrants, adolescents and young people, and sex workers in communities affected by migration in Hhohho region, namely Nftonjeni, Timphisini and Piggs Peak. The service Provider will report directly to IOM Eswatini Project Support Assistant under overall supervision of the Head of Office in Eswatini and Save the Children Programme Coordinator. The service provide must be willing to have a base in or adjacent to the areas of operation. II. Responsibilities The Service Provider will be expected to reach out to communities affected by migration with the aim of improving sexual and reproductive health and HIV (SRHR-HIV) related health outcomes amongst migrants (including migrant adolescents, young people and sex workers) as well as nonmigrant adolescents, young people, sex workers and others living in migration-affected communities in Hhohho region, Nftonjeni, Timphisini and Piggs Peak, under the specific results areas: Result Area 1: Demand creation for SRHR-HIV services by migrants, AYP and SWs in targeted migration affected communities (improving Knowledge and access to information). The focus should be on the implementation of the following activities aligned to the specified indicators: 1. Identify and Recruit 207 Change Agents to strengthen implementation of the SRHR-HIV interventions (including 100 AYPS, 7 SWs and 100 migrants); 2. Conduct 100 mentorship sessions, and refresher trainings to support CAS with monitoring, including supervision and review of data capturing tools; 3. Support 25 CAS in conducting 1 quarterly monitoring and reporting meeting with regional administrators and health administrators; 4. Conduct on going CSE sessions in 20 primary schools, to reach 3000 students with SRHR education; 5. Support AYPs in and out of school youth clubs with conducting 24 peer to peer education sessions on teenage pregnancy, substance abuse, within their communities and reach 5000 AYPS in Pigg s Peak, Ntfonjeni and Timphisini; 6. Capacitate 100 Teachers and parents on SRH Health promotion for AYPs; 7. Conduct 4 integrated outreach campaigns with public health facilities to provide HIV testing services, STI screening, SRH commodities to reach 25, 000 people (including 10,000 AYPs, 10,000 migrants and 5,000 SWs); 8. Collect and organize data of number of beneficiaries reached with SRHR information from the household visits and other outreach campaigns, to be submitted to IOM; 9. Strengthen SW forums/networks for 100 SWs for information sharing on health promotion (ie family planning, SGBV, etc). Result Area 2: Supply and Accessibility of responsive SRHR-HIV services for Migrants, AYP and SWs in migration affected communities (improved access and use, referral system/providers of commodities).
The focus should be on the implementation of the following activities aligned to the specified indicators: 1. Conduct sensitization training for 100 health and non-health workers (including police, private sector, border officials/immigration and etc) on the rights of migrants, SWs and AYPS; 2. Strengthen or Establish a forum for 20 service providers to address barriers/challenges to service provision amongst SWs, AYPs and migrants; 3. Capacitate 200 change agents to use the national referral systems to refer beneficiaries; 4. Support linkages through two meetings between SW change agents and other outreach workers on key populations to improve service delivery; 5. Support migrants CAS and AYPS to refer 3500 of their peers, and also follow up on their referrals; 6. Establish or strengthen the Hhohho regional monitoring forums for 100 health workers, change agents and service providers; 7. Conduct stock monitoring visits in 12 health and non-health service providers (health facilities and business centres); 8. Support gatekeepers to conduct a one-day sensitisation meeting for immigration officials, health authorities, police, and other stakeholders on referral systems for SRHR-HIV services (internal and cross-border referral) to support continuity of care (2 sensitization meetings); 9. Collect and analyse data to identify current SRH commodity challenges and bottlenecks at the health facilities (4 quarterly visits) and use data to inform advocacy for improved supply-chain system for SRHR commodities. Result Area 3: Creating an enabling environment for migrants, AYP and SWs (advocacy on SRHR- HIV issues and rights). The focus should be on the implementation of the following activities aligned to the specified indicators: 1. Conduct 17 community dialogues per month and sensitization for host community local leaderships with key stakeholders; 2. Support the local community with the establishment of youth led and migrant led community dialogues per constituency (5 migrant and youth led community dialogues); 3. Support the MoH to sensitize gatekeepers, CAS, and health workers with the client charter; 4. Support in mobilization and sensitization of Civil Society Organization (CSO) alliances to influence policy makers and influencers on AYP, Migrants and SWs on SRH-HIV rights (2 sensitization meetings for 15 policy makers); 5. Conduct sensitization training of the AYPs clubs, SW clubs/networks and Migrants to advocate for their needs and rights. III. Key Deliverables The Service Provider will be expected to provide the following key deliverables if accepted through the tender process:
1. Submit raw data to IOM including Monthly progress update reports 2. Quarterly narrative and financial reports 3. Stories of most significant change or case studies 4. Special monitoring or consultation reports 5. Final Project report IOM will provide templates for all documents. V. Tender Process For parties that are interested in tendering for this work please submit the following: 1) Information on their Company Profile including: a. Details of past similar experience and work undertaken, and approaches utilized; b. CVs of key staff that will be involved in the implementation of the project; c. A minimum of 3 references from former clients/organizations. 2) Proposal (10 pages maximum) outlining the approach to the intervention demonstrating and highlighting: a. The organization s understanding of the subject matter, working with the target group, approaches and migration related vulnerabilities; b. Key health issues and proposed approach to addressing them; c. Include a work plan of key activities and time frames; d. Provide a detailed itemized budget which includes: i. Details of operational cost, including communication and documentation cost ii. Office and equipment costs (details of equipment required must be stated and rationale for purchase provided). iii. Administration Fee Interested parties should submit applications to. Proposals should be submitted by: 11 January 2019. For further information please contact Ndumiso Mkhaliphi and quote the reference number. VI. Languages Required English Fluent Advantageous Siswati Fluent