Elimination of Mother To Child Transmission Integration
hace 4 días



Elimination of Mother to Child Transmission Integration

Level of experience : Junior 1-3yrs Medium 4-10yrs Senior X more than 10yrs

Location : UNICEF Regional Office for Latin America and the Caribbean LACRO

Language(s) required : Fluency in E nglish & Spanish is required. French is considered an asset.

Closing date for applying to this consultancy : 27 July 2018

Estimated start date of this consultancy : August 2018 Estimated end date : December 2018


The response to HIV has been executed primarily through vertical programmes at global, regional and national levels. The creation of these powerful vertical programmes was due in part to the elevated priority placed on HIV when it was a killer disease with devastating effects on affected population and always associated with death.

The abundance of the financial resources available and allocated to HIV at that time was tremendous and facilitated the vertical programmes approach.

The adoption of this vertical way during three decades of the AIDS epidemic, created significant challenges for optimization of health care for clients, due to the lack of linkages, integration and communication between all the different services that the patient would require.

The specific case of maternal, neonatal and child health (MNCH) in relation to prevention of HIV mother to child transmission (PMTCT) is a concrete example of program fragmentation where, in the same ANC clinic or maternity ward services are divided.

Women with HIV are separated from those with no HIV infection. Each group is attended by different category of health staff.

This situation has also contributed to increase HIV stigma and discrimination among health professionals. Also, because more funds were allocated for salaries of health staff working on HIV in comparison to their colleagues resulted to create a negative competition among them losing the professionalism and devotion attributed to the medical profession.

Now, with the global push to fast track the elimination of HIV mother to child transmission , the linking of maternal neonatal and child health (MNCH) with eMTCT is essential for the sustainability of both.

Linkages refer to the bi-directional synergies in policy, programmes, services and advocacy between MNCH and eMTCT. Integration refers to how different kinds of HIV and MNCH services or operational programs can be joined together to ensure and maximize collective improved outcomes.

Maternal, Neonatal and Child health refers to programmes and policies related to and including all services addressing the life cycle since conception, pregnancy period, partum and post-

partum, newborn health and the development of the child. It also includes STIs and HIV prevention and treatment as well as management of gender-

based violence, unwanted pregnancy, prevention of unsafe abortion and post-abortion care.

Several frameworks have called for the integration of HIV / eMTCT and MNCH, labelling the strategy as critical to the sustainability of programmes and key to optimizing health outcomes.

The Preventing HIV and Unintended Pregnancies Strategic Framework : In support of the Global Plan Towards Elimination of New HIV Infections in Children by 2015 and Keeping Their Mothers Alive has as its first strategy to link MNCH and HIV at the policy, systems and service delivery levels.

The Conceptual framework of the Regional Initiative for the Elimination of Mother-to-Child Transmission of HIV and Congenital Syphilis in Latin America and the Caribbean also identifies in its strategy #3 the Integration of HIV services, sexual and reproductive health, new-

born care and family and community health services as key to realizing elimination .

Evidenced based benefits of linking MNCH and HIV include :

  • improve access to and use of key HIV and MNCH services
  • better access of pregnant women regardless of their HIV status to antennal and post-natal services tailored to their needs
  • reduction in HIV-related stigma and discrimination;
  • improve coverage of underserved / vulnerable / key populations / adolescent’s girls
  • greater support for dual protection (correct and consistent condom use to prevent HIV and unintended pregnancy)
  • greater adherence and support to ART
  • improve quality of care
  • decrease duplication of efforts and competition for resources
  • better understanding and protection of individuals’ rights
  • mutually reinforcing complementarities in legal and policy frameworks
  • enhanced program effectiveness and efficiency
  • better utilization of scarce human resources for health.

    To conduct a multi-country study in LAC to assess the status of policies and programmes, including budgeting, regarding the integration of MNCH and eMTCT.

    More precisely the study seeks to identify :

    1-the extent to which countries that have adopted an integrated approach in the implementation of MNCH and eMTCT programs.

    2-Identify factors that both facilitate and hinder the achievement of integration for countries in LAC

    3- Identify successful integration experiences in LAC that could be documented as good practices

    4- Identify mechanisms that are in place to ensure program sustainability considering existing policy, availability of financial resources, adequately trained health personal, national leadership and community involvement.

    EXPECTED RESULTS (measurable results) :

  • A review of country policy and program documents in relation to MNCH and eMTCT to gather information of country context and program situation analysis.
  • To conduct interviews with key partners and stakeholders to ensure that program and policy are being implemented following policy and documents.
  • Travel for field visits to at least 5 countries for direct observation and to triangulate information gathered from documents and interviews.
  • Identify and document main challenges for the implementation of the integrated approach versus vertical.
  • Identify best practices and lessons learned from implementing the integrated approach of MNCH / PMTCT
  • Provide a financial analysis about current expenditure for both MNCH and eMTCT with a comparative advantage of integration of the two programs
  • Determine the level of Ministry leadership and community participation in support for both MNCH and eMTCT
  • Identify and suggest mechanisms that ensure program success and sustainability
  • DELIVERABLES : Description

    Delivery deadline

    Proposition of the methodology that will be adopted with a work plan

    15 days after contract is signed

    Presentation of findings to larger stakeholder meeting of relevant personnel from local Ministries, CSOs, Agencies, and Private Sector.

    60 days after contract is signed

    A draft report to be reviewed by the steering committee

    90 days after contract is signed

    A final report describing how MNCH / eMTCT programs are being implemented with a mapping of countries that have adopted an integrated approach for MNCH / eMTCT versus others, a financial analysis and mechanisms for sustainability.

    120 days after contract is signed



  • Academic qualification and required level of education (Bachelor, Master, PhD, etc.)
  • Specialized training needed
  • Length of work experience in the relevant area of the consultancy required
  • Additional skills needed Advanced University degree with social sciences or public health or other relevant academic background

  • A minimum of 10 to 15 years of experiences leading or conducting research, study or evaluation, application of quantitative and qualitative methodology.
  • Good knowledge of the health sector specifically maternal, neo-natal and child health and HIV / EMTCT.
  • Experience in Health programming.
  • Facility to communicate and to facilitate meetings
  • Good knowledge of English and Spanish- Knowledge of French and Portuguese an asset
  • Good knowledge of LAC region and culture.

    The consultant will work independently using their own personal premises, materials, and equipment.

    At least 4 travels will be undertaken within this consultancy. Travel costs will be estimated and added to the contract once they are determined based on UNICEF Financial Rules and Regulations.

    FEES :

    Qualified candidates are requested to submit a financial proposal. Proven past experience and financial proposal will be taken into consideration during selection process.

    Travel will be covered by UNICEF as per policy. Travel costs will be estimated and added to the contract once they are determined.


    Consultants and / or Individual Contractors (CIC) will be evaluated based on a cumulative methodology, being the award of the contract made to the CIC whose offer has been evaluated and determined as :

  • Responsive / compliant / acceptable, and;
  • Having received the highest score out of a pre-determined set of weighted technical and financial criteria specific to the solicitation.
  • Technical component score

    Max. 80 points

    Economical component score

    Max. 100 points

    Only candidates obtaining a minimum of 60 points (of the total technical points) would be considered for the Financial Evaluation.

    Completeness of response

    Overall concord between TORS requirements and proposal

    Key Personnel

    Range and depth of experience with similar projects, especially related to the elimination of HIV Mother-to-Child transmission and maternal-neonatal child health.

    Key personnel : relevant experience and qualifications of candidate.

    Maximum Points

    Proposed Project Methodology and Approach

    Quality of the proposal

    Pertinence of the methodology

    Maximum Points

    Total Maximum obtained for Technical Criteria

    Note : the total maximum score must be equivalent to the weight assigned to the technical score)

    Minimum score for technical compliance

    Financial Proposal

    In addition, separately from the technical proposal (as in another document), an economic proposal detailing the total costs of the assignment (not including costs for travel yet) must be submitted.

    The total amount of points allocated for the economic component is 20 . The maximum number of points will be allotted to the lowest price proposal and compared among those consultants which obtain the threshold points in the evaluation of the technical component.

    All other price proposals will receive points in inverse proportion to the lowest price; e.g :

    Max. Score for Financial proposal

  • Price of lowest priced proposal
  • Score for price proposal X


    Please note, for travel to countries - it will be decided based on agreements with UNICEF and contractor / consultant. For agreed country visits, the contractor / consultant will be responsible in administering its own travel.

    UNICEF will reimburse travel related expenses based on actual costs or on the below criteria whichever is lower and upon presentation of receipts.

    Any travel involved should be budgeted according to UN Travel Standards as a ceiling.

  • Travel : %20-%20OFFICIAL%20TRAVEL%20(SECTION%2010).pdf Section 4, paragraph 4.2 , numerals (d) and (e)
  • Accommodation (Daily Subsistence Allowance, DSA) : (all countries and destinations can be found by navigating on the map)
  • Payment Provisions

    UNICEF's policy is to pay for the performance of contractual services rendered or to effect payment upon the achievement of specific milestones described in the contract.

    UNICEF's policy is not to grant advance payments except in unusual situations where the potential contractor, whether an Individual consultant, private firm, NGO or a government or other entity, specifies in the bid that there are special circumstances warranting an advance payment.

    UNICEF will normally require a bank guarantee or other suitable security arrangement.


    Qualified candidates may submit their application by clicking on either highlighted link, as shown in the example below :

    The deadline to receive applications is 27 / July / 2018.

    The pre-selection of candidates will be done after closing date. Please note only selected candidates will be contacted.

    Important : In the selection of its consultants, UNICEF is committed to gender equality and diversity, without distinction as to race, sex, or religion, and without discrimination to people with disabilities.

    Opening Date Fri Jul 13 2018 10 : 00 : 00 GMT-0400 (EDT) SA Pacific Standard Time

    Closing Date Sat Jul 28 2018 00 : 55 : 00 GMT-0400 (EDT)

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