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 (Research Institution/ Service Provider).

Organizational Context and Scope

The International Organization for Migration (IOM) is a dynamic and growing inter-governmental organization, with over 162 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. 

 

Background and Rationale

Sub-Saharan Africa has the greatest Sexual Reproductive Health (SRH) challenges, including high unwanted pregnancies, maternal mortality and morbidity, unmet family planning needs, high prevalence of STIs, HIV and reproductive tract infections, cervical cancer, clandestine/unsafe abortion. Such problems are heightened among migrant women and girls as many are pressured into risky migration decisions for their survival whilst having limited choices regarding their sexuality and sexual health. This is due to their desperate financial situation, vulnerability to sexual exploitation and abuse, combined with poor physical, mental and social well-being resulting from being away from home. Due to their irregular migratory status, many migrants are often neglected in national SRHR initiatives, which has a lasting impact on their human development.

The International Organization for Migration (IOM), Save the Children Netherlands (SC) and the University of the Witwatersrand School of Public Health (WSPH) formed a consortium – the SRHR-HIV Knows No Borders Consortium, collaborating to implement a holistic, regional project to improve 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, Swaziland and Zambia.

The goal of the project is to improve SRH and HIV related health outcomes amongst the target populations in selected migration affected communities in the SADC region. However, sustainable improvement in SRH-HIV related health outcomes amongst migrant, non-migrant, adolescents and young people (AYPs), sex workers (SWs) their clients and individuals in migration affected communities is significantly dependent on change at the household and community levels in order to support individual level change. Freedom of choice by the target group is a critical building block for the realization of improved health outcomes. Such freedom of choice is influenced by attitudes, norms and behaviours that the project aims to influence over time. In order to truly attain freedom of choice about sexuality, changes in social and cultural norms that underlie barriers to the attainment of SRH-HIV rights are required. Working toward such changes, the project will influence individual and collective attitudes towards SRH-HIV rights of migrants, AYP and SWs and community members, which will lead to changes in collective and individual behaviours with regard to SRHR-HIV, and a reduction in stigma and discrimination towards migrants, AYPs and SWs. Thus, the project aim to contribute to significant positive change in collective knowledge and attitudes in communities and institutions in a way that promote sexual and reproductive health for all members of the communities.

In order to benchmark the results, an initial activity of conducting a comprehensive baseline survey is necessary. The purpose of the baseline survey is to establish or determine the quantitative value or qualitative description of each indicator in the results matrix at project start. This will serve as a benchmark for evaluating project milestones. Furthermore, the baseline information will be used to prioritize areas that needs more attention and may therefore be used to adjust project targets. The baseline will focus on selected relevant outcome indicators as per the project Theory of Change and the result matrix particularly, those indicators for which information is not available on the project target groups. The following baseline data is already available: data on use of contraceptive methods and condoms; HIV testing coverage; data on linkage to care (referral completion rate) is available and will be consolidated to benchmark related project indicators. However, other data including those related to antenatal coverage; unmet needs for family planning, access to contraceptive commodities, gender role in child bearing decisions, prevalence of intimate partner violence and data on satisfaction with SRHR related services among migrant AYP, SWs and other community members exist in some sites but often scanty. Baseline survey will be undertaken to collect additional data to complement existing data. The baseline assessment will also include a policy review component to determine policy barriers to migrant AYP and SWs’ SRHRs not only to benchmark the indicators related to policies but also to inform targeted policy advocacy. It should be noted that in addition a needs assessment will be undertaken as part of the baseline process. This aim of needs assessment, guided by the consortium members and led by the countries, is to provide contextual information to inform the design project interventions that are tailored to the target groups ‘needs.

Objectives

The purpose of this assignment is to carry out needs assessment and baseline survey among target population.

 

Scope of Work

 

The research institution will lead the research in the selected country, and is expected to carry out the following activities:

Needs assessment among

  1. Adolescents and young people (AYP), SWs, clients of SWs (e.g. truck drivers)
  2. SRHR government programme officer, and key informants - community leaders, parents, teachers, and health care workers; SRHR service providers. This will involve:

•Mapping of SRH service delivery points, utilities (e.g. water points, schools), hotspots for SWs, truck stops, sleeping places of mobile population

•List of SRH service providers/CSOs/forums in the area and their area(s) of focus (including contact person with details) 

•Identification of the participants for needs assessment

•Translation of questionnaires

 • Obtaining in country ethical clearance

•Training of fieldworkers

•Pilot testing of tools

•Collection of information from selected respondents (IDI, KII, IDI and/or FGD among AYPs)

AYP (4 FGDs. One each for 15-19 and 20-24 age groups and by sex); SWs (2 IDI), clients of SWs (e.g. truck drivers – 2 IDI)

SRHR government programme officer (1), and key informants - community leaders (2 including religious leader), parents (2- one male and one female), teachers (1), health care worker (1); SRHR service provider (1), CSO (1)

•Transcribing & Translation

Conduct cross sectional survey (baseline survey)

  • Sample selection (about 300 in total): This will be household based for AYPs; SW hotspot for SWs; sleeping places of mobile population for migrants, truck stops for truck drivers. A minimum of 30 SW should be aimed for. The sample size for the other study populations will be proportional to size. This will require a good idea of the constitution/mix of the people habiting the area.
  • Translation of questionnaire
  • Training of fieldworkers
  • Piloting testing of questionnaire
  • Data collection
  • Data entry

 

Responsibilities and Accountabilities 

 

Needs assessment (see section 4 above)

•Mapping of SRH service delivery points, utilities (e.g. water points, schools), hotspots for SWs, truck stops, sleeping places of mobile population

•List of SRH service providers in the area and their area(s) of focus (including contact person with details) 

•Identification of the participants for needs assessment

•Translation of questionnaires

• Obtaining in country ethical clearance

•Training of fieldworkers

•Piloting testing

•Collection of information from selected respondents (IDI, KII, IDI and/or FGD among AYPs)

•Data entry

•Transcribing & Translation

Conduct cross sectional survey

Sample selection: This will be household based for AYPs; SW hotspot for SWs; sleeping places of mobile population for migrants, truck stops for truck drivers.

  • Training of fieldworkers
  • Piloting testing of questionnaire
  • Data collection
  • Data entry
  • Translation of questionnaires

 

Education and Experience 

 

•The research institution/consortium should demonstrate the following professional experience, qualifications and skills:

•This core team must have the following:

- An advance degree in social sciences, public health, and population studies preferably at PhD-level;

- Very good understanding of migration dynamics in Southern Africa;

- Experience in Migration and Health research

- Demonstrated experience in mixed methods research

- Extensive knowledge and experience in SRHR in the context of Southern Africa;

- Demonstrated skills and experience in quantitative and qualitative research;

- Relevant experience in conducting regional and/or multi-country research, preferably in Southern Africa

- Demonstrate cultural and language sensitivity;

- Cognizance of social sensitivity of target population.

 

Method of Application 

Interested candidates should respond to this ToR by submitting separate technical and price proposals. This should include electronic copies of the technical proposals and price proposals saved in separate CDs (1 for technical and 1 for price proposal) along with 1 hard copy each. Technical and price proposals should be submitted in sealed envelopes to:

Please quote the RFP reference: 2017/RFP0003/ SRHR-HIV-SWAZ for all correspondence related to this tender.               

jmusiyambiri@iom.int

The Procurement Unit

International Organization for Migration

353 Corner Festival and Arcadia Street Hatfield

 Pretoria 0083.

Closing date for applications is May 16th, 2017.

Questions for clarity should also be sent to jmusiyambiri@iom.int . Please note that response to questions of general interest will be posted on the website.

Duty Station: 
Mbabane, Swaziland.
Closing Date: 
Friday, May 19, 2017