TERMS OF REFERENCE
Gender based Violence (GBV) Readiness & Response Assessment of Health Facilities in Khyber Pakhtunkhwa (KP) Province
Health facilities are often the first point of entry for survivors of GBV who are seeking help. Therefore strengthening the health system’s response to effectively address GBV is a key area of intervention, which has to be put in place through multisectoral coordination and response mechanisms.
Within this framework, WHO and UNFPA in Pakistan are collaborating to provide technical support to Government of Khyber Pakhtunkhwa for Health System Response to GBV as a multisectoral responsibility.
The outcome of this one year pilot project in 2018, will be the establishment and the strengthening of multisectoral coordination and response mechanisms in the province, for mitigation and response to GBV, advancement of women and girls’ rights in a gender Equity and Equality perspective.
Department of Health – KP would spearhead the project in coordination with Provincial commission on the status of women and further collaborate with other provincial line departments including law and justice, police, social welfare, education, women development and human rights for the multisectoral response and provision of services to GBV survivors.
The key intervention includes roll out implementation of National GBV and Health protocol and Pakistan adapted WHO clinical handbook for facility based health sector response to GBV. In this regard, to implement protocols and the clinical handbook, a series of activities will be conducted, including the training of health care providers as well as an assessment of the readiness of health services to support trained providers in providing care to the survivors of GBV. The objective of this consultancy is to conduct a readiness assessment of the health system/services to support the trained health care providers in providing care to GBV survivors. .
Other activities are:
- advocacy with policy makers,
- capacity building of facility based health staff and community health workers (covering 25 districts and catchment area of 75 health facilities) on prevention and protection,
- clinical treatment and management including psychosocial support services for GBV survivors
- referrals through multi-sectoral coordination mechanisms.
2. Scope and Duration of Assignment:
2.1 Scope: The assessment is designed to gather data on the existing readiness and barriers in the health system/services in enabling trained providers to support GBV survivors in the selected province. The information gathered will help determine what improvements must be made at the level of health system/services (e.g. infrastructure, availability of commodities, strengthening of referrals, system for documentation etc) to enable health providers identify and appropriately respond to GBV survivors.
· To assess readiness and quality assurance components for addressing GBV by the health sector including at the policy level
· To assess community engagement to address GBV in the selected province
2.2 Geographical scope of the assessment
The assessment will be conducted at division level (covering all divisions) of KP province. A random sample of 3 public health facilities covering different tiers of health care system (i.e. BHU, THQ/RHC, DHQ) - with a total of 75 public health facilities and some additional selected private facilities of the province -would be covered from all divisions. Both public and private facilities will be selected based on the magnitude of service provision and outreach to communities as well as availability of required services and commodities and under the advice and guidance of provincial project steering committee.
A structured questionnaire will be developed based on WHO’s tools for health service/systems readiness (HSR)as well as the GBV quality assurance tool for health facilities
For the assessment of policy level readiness and community engagement components of the study, research instruments for key informant interviews and community focus group discussion will also be developed based on WHO tools.
The policy level readiness will cover key policy makers and officials from different departments including health, police, law and justice, social welfare, human rights, women development and population welfare.
The health facility based readiness and response component will cover observations of as well as interviews with health facility administrators and relevant staff.
Finally the community engagement component will cover FGDs with selected local communities in the catchment areas of respondent health facilities and CSOs providing services to GBV survivors.
2.3 Duration and timeline: 60 Working days (starting from June 2018) including data collection, analysis and report writing
3. Key Activities:
3.1 Adapt WHO global Assessment tools of health facility readiness response and quality assurance to address GBV at policy, service delivery and community levels and to develop assessment methodology and data collection instruments.
3.2 Carry out readiness assessment at:
- policy level through key informant interviews;
- service delivery level in selected 75 public health facilities and selected private health facilities at the level of divisions (all divisions of KP province) of KP through data collection and observance; and
- community level in catchment areas of health facilities.
3.3 Data analysis and Draft assessment report covering:
a. Executive summary;
b. Background on GBV prevalence in Pakistan
c. Literature review on health sector GBV response in Pakistan
e. Strengths and weaknesses of the assessment
f. Qualitative and quantitative assessment findings on facility based readiness, response and quality assurance to address GBV and treat survivors (at policy, service delivery and community level) including gaps, and challenges as well as good practices
g. Conclusion and recommendations to strengthen health system role and multi-sectoral coordination mechanisms to address GBV.
h. Annexes including interview list, full data collection instruments, interview guides, bibliography
3.4 Presentation of the Assessment results through the facilitation of a dissemination workshop
4.1 Inception Report covering adapted WHO tools, detailed assessment methodology, research instruments (including data collection qualitative & quantitative techniques) and plan of action to carry out research activities.
4.2 First draft assessment report and power point presentation for WHO feedback
4.3 Final draft assessment report and presentation after incorporation of feedback.
5. Assignment Budget:
Inclusive of all logistics and Travel
I. 25% on submission of inception report with assessment methodology & Instruments
II. 50% on submission of first draft report
III. 25% on submission of final report
6. Required Qualification and Professional Experience:
A public health institute preferably having experience of working in province of KP required to conduct this assessment. The required qualifications and experience of team members for this assignment should include;
I. University Degrees in Medicine and social sciences with a Master’s degree in public health. A PhD degree in the required field, professional experience on GBV related interventions and assessment and Experience of working on GBV response mechanism in health system would be an asset.
II. Demonstrated professional experience of public health research preferably health facility based assessments
III. Experience of working with Ministry of Health, Provincial Health and other social sector departments, health academia, NGOs, CSOs, INGOs, UN agencies in Pakistan desirable
IV. Demonstrated research, report writing and communication skills
Note: The copyright of the documents and material would be reserved with the World Health Organization and cannot be circulated without consent. No HR/personnel, agility and equipment costs would be accepted in proposals
7. To Apply:
DO NOT APPLY ONLINE
Interested and qualified applicant public health institutes are required to submit a technical proposal including, proposed stepwise methodology with sampling and work plan for the assignment deliverables along with updated CVs of team members as well as financial proposal including realistic budget breakdown. The Government institute would require an official request letter attached with proposal.
The Proposal are required to be submitted in sealed envelopes on following address with the title of assignment on envelopes by 4th June 2018:
Category-3, WHO Country Office Pakistan, NIH premises, Park Road, Chak Shahzad, Islamabad-Pakistan