TOR - Consultant at UNICEF

Provide support to management of Strategic Information (SI) and monitoring for Elimination of Mother to Child Transmission of HIV (EMTCT); Adolescent and Young Women Sexual and Reproductive Health (SRH), Paediatric and Adolescent HIV & TB care services
UNICEF works in some of the world’s toughest places, to reach the world’s most disadvantaged children. To save their lives. To defend their rights. To help them fulfill their potential.
Across 190 countries and territories, we work for every child, everywhere, every day, to build a better world for everyone.

However, There Are Still Remaining Challenges That Hinder The Reach Targets To Full Elimination Of MTCT And Access To Pediatric And Adolescent HIV & TB Services
South Africa has made significant progress towards preventing Mother to Child Transmission (MTCT) over the last decade that has contributed to improved health outcomes for mothers and babies. The MTCT of HIV rate has declined from 6.24 per cent in 2014 to 4.1 per cent in 2018 [1] , preventing 53,000 new HIV infections among newborns [2] .

• With the decline in the absolute number of new infections that occurred at or before birth, the post-natal period now accounts for 70 - 75 per cent of all the new HIV infections among exposed children [3] . Children have not reached the desired and planned 90-90-90 targets [4] ; just 56 per cent of children under 15 needing ART were on treatment and 67 per cent were virally suppressed. For adolescents, 64 per cent of those aged 10-14 years and 44 per cent of the 15-19 years old were initiated on ART, which is far less than the targeted 95 per cent.
• Adolescent girls and young women (AGYW) in South Africa in particular face many challenges. Teen pregnancy, high-risk sexual practices, gender-based violence, drug and alcohol abuse and poverty placing them at higher risk of sexually transmissible infections and HIV/AIDS. Adolescent girls and young women aged 15-24 years (AGYW) remain at higher risk of new HIV infections. Although new infection among this group have declined from 80,000 in 2016 to 66,000 in 2019, the country still has the highest infection rates. AGYW are disproportionately impacted, for instance they have eight times higher HIV prevalence rates than their male counterparts. An explanation for this gender differential is that this vulnerability is fuelled by women's socio-economic dependency position, the role of power in sexual relations and socio-cultural norms that encourage gender inequality, and prevalence of gender-based violence.

Scope of Work 

• Goal and Objective:  Under the direct supervision of the Chief of the Health and Nutrition, the consultant will work very closely with NDOH, UNFPA and UNICEF to provide support to management of Strategic Information (SI) and monitoring of the national, PMTCT, pediatric and adolescent HIV and programmes as well as relevant SRH and Maternal Newborn and Child Health (MNCH) programmes indicators, ensuring that data and information is analyzed and reported on regular basis. The consultant will be expected to monitor national and district programme implementation and performance; and guide continuous evidence-based programme action planning as well as ensuring that data quality is improved. While support will primarily be directed towards the 14 focus districts as EMTCT plan, the consultant will be expected to conduct programme performance analyses and reports for all the 52 districts in the country at least twice during the consultancy.
• Provide details/reference to AWP areas covered: The assignment aligns with output 3 (PMTCT and Paediatric HIV care) and output 4 (Adolescent HIV care) of the RWP 2019 / 2020

Activities and Tasks:  The specific tasks are:

• Assist to collate, analyse and report Strategic information (from DHIS, Laboratory, TIER.Net, ETR.Net, existing survey and study reports) for the purposes of monitoring national and district level, EMTCT, paediatric and adolescent HIV and SRH programme performance and supporting evidence-based planning (quarterly in the 14 priority districts; and biannually for all the 52 districts)
• Assist to collate, analyse and report relevant strategic information on MNCH and SRH programme indicators directly linked to EMTCT, paediatric and adolescent HIV & TB programme priorities
• Assist with field monitoring and implementation of District Plans (focus on EMTCT, paediatric and adolescent HIV & TB) as well as building capacity of district teams to improve quality of programmatic data including analysis and reporting focusing in the 14 priority districts; documenting and reporting best practices and lessons learnt in data quality improvement
• Assist DOH, UNICEF and partners to design tools and roll out the cohort monitoring system to support longitudinal tracking of mothers and children including adolescent girls and young women

Desired competencies, technical background and experience

The applicant must have;

• Education:  An individual with any of the following - postgraduate degree in epidemiology, biostatics, public health, social and allied sciences
• Work Experience: a minimum of five years' experience in the public health sector.
• Competencies:  The individual must have demonstrated ability, understanding and experience in managing complex Strategic Information for HIV, TB, SRH and MNCH. An understanding of the South African public health system, the different levels of health care service delivery, as well as prior experience with developing, implementing and monitoring results driven frameworks for public health programmes is required.  Experience in working with the South African Departments of Health (national, province and district) and close partners is an asset.
• Languages needed: English. Working knowledge of the languages spoken in South Africa is an added advantage. 

Administrative issues 

• UNICEF will make a work space available to the consultant when s/he is at the UNICEF offices.
• In a case where the consultant might not be based in Pretoria, South Africa, s/he has the option of working from his or her own office or a personal work station 

Conditions

• The contractor will work on its own computer(s) and use its own office resources and materials in the execution of this assignment. The contractor's fee shall be inclusive of all office administrative costs
• Local travel (outside of location where consultant will be based) and airport transfers (where applicable) will be covered in accordance with UNICEF's rules and tariffs. All travel is by most economical fare and reimbursement as per UNICEF policy
• Flight costs will be covered at economy class rate as per UNICEF policies.
• Any air tickets for travel, will be authorized by and paid for by UNICEF directly
• The candidate selected will be governed by and subject to UNICEF's General Terms and Conditions for individual contracts.
• As per UNICEF DFAM policy, payment is made against approved deliverables. No advance payment is allowed unless in exceptional circumstances against bank guarantee, subject to a maximum of 30 per cent of the total contract value in cases where advance purchases, for example for supplies or travel, may be necessary

Risks

Delays in accessing data and information from the national systems may be a challenge. UNICEF will continue to work with NDOH to facilitate timely access to data and information for analysis and programme performance reporting.