Services for HIV and TB Integrated Biological and Behavioural Study (IBBS) for Migrant Mine Worker Communities of Origin in Lesotho, Mozambique and Swaziland (Research Institution/ Service Provider).


Organizational Context and Scope

The International Organization for Migration (IOM) is a dynamic and growing inter-governmental organization, with 166 member states. IOM works to help ensure the orderly and humane management of migration, to promote international cooperation on migration issues, to assist in the search for practical solutions to migration problems, and to provide humanitarian assistance to migrants in need, including refugees and internally displaced people. IOM address the migratory phenomenon from an integral and holistic perspective, including links to development, in order to maximize its benefits and minimize its negative effects.

Migration Health

IOM implements a bi-regional health programme called Partnership on Health and Mobility in East and Southern Africa (PHAMESA) since 2010.  PHAMESA  seeks to contribute to improved standards of physical, mental, and social wellbeing of migrants and migration affected populations in East and Southern Africa, enabling them to substantially contribute towards the social and economic development of their communities through four distinct, yet inter-related, result areas:

  1. Improved monitoring of migrants health to inform policies and practices (Outcome 1):
  2. Policies and legislations make provisions for the health needs and rights of migrants and migration affected communities in line with international, regional and national commitments (Outcome 2).
  3. Migrants and migration affected communities have access and use Migrant-Sensitive Health Services in countries of origin, transit and destination (Outcome 3).
  4. Strengthened Multi-country/sectoral partnerships and networks for effective and sustainable response to migration and health challenges in East and Southern Africa  (Outcome 4)

PHAMESA II has been implemented in 11 countries in East and Southern Africa (Botswana, Kenya, Lesotho, Mauritius, Mozambique, Namibia, South Africa, Swaziland, Tanzania, Uganda and Zambia) since 2014 and expected to be completed in 2017.


Background and Rationale

As part of it continued efforts to improve evidence needed on HIV and TB to inform policies and programmes aimed at improving health outcomes of migrants and migration affected communities in East and Southern Africa, IOM will conduct an HIV and TB Integrated Biological and Behavioural Study (IBBS) among Migrant Mine Worker Communities of Origin in Swaziland. Its aim is to determine HIV prevalence and infection rates, TB symptomatic screening and associated social and behavioural risk factors among migrant mine worker communities of origin in Swaziland.

The project is cost-shared by SADC Fund and the Ministry for Foreign Trade and Development Cooperation of the Netherlands.

This is part of an ongoing regional study conducted in selected sites in the Lesotho, Mozambique and Swaziland. The study is expected to generate country-specific reports as well as a regional report that allows for cross-country comparison.

It is against this background that IOM together with the Government of Swaziland, Ministry of Health seeks to solicit the services of a research Consultant and/or institution/consortium to conduct an HIV Integrated Biological and Behavioural Study and TB symptomatic screening in the mine worker communities of origin in Swaziland. The study will assist to strengthen available strategic information on HIV and TB and is expected to improve our understanding of these two epidemics in the region, particularly in the target communities.

There is very little research on the prevalence of HIV and TB and behavioural risk factors, among mine worker communities of origin in Swaziland. The lack of robust empirical evidence especially from mine worker communities remains a significant challenge in the development of effective and evidence-based policies and programmes addressing migration and health in the region.

Furthermore, such information is needed  not only to inform public health practices and policies and for future programming in these communities, but also provide critical evidence to inform the operationalization of the 2012 SADC Declaration on Tuberculosis (TB) in the Mining Sector.

In addition, the research report will generate key data for advocacy to improve regional coordination among and within concerned countries in strengthening existing initiatives and in implementing specific key recommendations emanating from the study.



The objectives of the study are to:

1.         Measure the prevalence of HIV among targeted population in selected sites

2.         Determine the HIV and TB risk and preventive behaviours, including TB  symptomatic screening among targeted population in the selected sites, and

3.         Determine the level of knowledge about HIV and TB among targeted population in selected sites. 


Scope of Work


Under the direct supervision of the IOM Regional Migration Health Research Coordinator and the Research Unit, and in close collaboration with the country technical steering committee, the research institution/consortium will lead in undertaking an HIV and TB Integrated Biological and Behavioural Study (IBBS) in selected migrant mine worker communities of origin in Swaziland.

The successful completion of this assignment will involve the following activities:

  • Conduct a pre-research assessment of the study sites including the distribution of the study populations
  • Conduct literature review of current research, policies, and programs in Swaziland
  • Adapt existing regional protocol and tools to Swaziland context (in consultation with country technical steering committee and with input from other relevant stakeholders) 
  • Ensure qualified and experienced local research assistants /and field workers are in place to undertake “in-country” research which includes recruiting and training research assistants/and field workers
  • Conduct pre-testing and pilot testing of the data collection tools
  • Ensure that ethical clearance for the study is obtained
  • Collect data
  • Ensure quality assurance mechanisms are adhered to at all stages of the data collection process
  • Analyse data
  • Draft a report of the findings
  • Finalise report based on comments and inputs obtained through the validation process
  • Participate in the regional research reference team including contributing to the regional report writing process and finalisation
  • Participate in the dissemination process at national and regional levels
  • Prepare regular reports of the study implementation process so as to document challenges and success stories
  • The study will be conducted under the guidance of the country technical steering committee which will comprise members of various stakeholders such as National AIDS Coordinating Bodies, Ministries (Health, Labour, Minerals and Energy), National TB Programme Managers, TEBA Ltd and TEBA Development, University Research Co (URSC), International Centre for AIDS Care and Treatment Programs (ICAP), Southern Africa Mineworkers Association (SAMA) and UN Partners; WHO, UNAIDS and ILO. 

The project also will have regional technical reference team which will provide guidance from a regional perspective especially during the regional data synthesis, review, and validation of the research findings.  


Responsibilities and Accountabilities 

The study is expected to be implemented under strict timelines, commencing from 1 July 2017. Potential service providers are expected to provide a brief response to this ToR either working as a consortium or just one institution explaining how they would carry out the assignment. This response should include detailed description of the scope and methods as well as a detailed work plan, itemized budget and curriculum vitae of the research team members.

  • The key expected deliverables from the selected service provider are:

An inception report and project plan for the research, including final protocol and tools, sampling technique, field work plan and ethical clearance;

  • A draft report on the pre-research assessment of the research sites
  • A draft report
  • A final, comprehensive report which incorporates comments and suggestions on the draft report from the research team and technical steering committee.
  • Draft 1 research article for submission to peer-reviewed journal publication


Education and Experience 

The assignment calls for the following background, experience and skill mix:

  • A minimum Master’s degree in Public Health, bio-statistics, social sciences, or related field
  • Understanding of migration dynamics of the region, particularly mixed migration flows in the study area
  • Demonstrated skill in quantitative and qualitative field research and related report writing
  • Demonstrated experience in social research methods. Specific experience in social, behavioural and bio-medical research being an advantage
  • Experience in migration and/or health dynamics research in the region
  • Experience in formal report writing
  • Experience and familiarity with TB and HIV and AIDS
  • Demonstrated ability to deliver quality assignments under tight timeframes
  • Language skills include English and those spoken in the countries of research study

Cognizance of political and social sensitivities of the target group and regional governments Good track record in quality research.


Required: English (Fluent)


Local languages spoken in Swaziland


Method of Application 

The Proposals can be delivered by hand at IOM offices at 353 Corner Festival and Arcadia Street Hatfield or send electronically to Mr. Joseph Musiyambiri at

Closing date for applications is 29 May 2017

IOM reserves the right to accept or reject any proposal and to annul the selection process and reject all Proposals at any time prior to contract award, without thereby incurring any liability to affected Service Providers/ Consulting Firms.

Duty Station: 
Pretoria,South Africa
Closing Date: 
Monday, May 29, 2017