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Objectives of the Assignment
1. The project will engage implementing partners (IPs) to deliver outputs 1, 2 and 3. ADB has
already engaged UNAIDS through a cooperation agreement to implement output 1. Similarly, NAP and
ADB intend to engage one or more international nongovernment organizations (INGOs) as implementing
partners to deliver outputs 2 and 3. The INGOs selected to lead and implement both outputs may
subcontract local NGOs, CBOs and other organizations to support service delivery under outputs 2
and 3. These contracts will be split into two phases: a Phase 1 contract, to be administered by
ADB, and a Phase 2 contract, to be administered by NAP. The Phase 1 contract to engage a suitably
qualified INGOs will deliver output 2 and 3 simultaneously (improved HIV service delivery and HIV
prevention outreach services). To ensure continuation of professional approach, build on achieved
results and unique experience, continuity for the whole assignment is essential. INGOs contracted
under Phase 1 and showing satisfactory performance will be singled sourced for the Phase 2
contract. The INGOs shall submit proposals to implement both outputs 2 and 3 and cover all of the
five townships of Mawlamyine (Mon State), Hpa-an, Kawkareik, Myawaddy (Kayin State), and Tachilek
(Eastern Shan State).
2. For reasons of economy, efficiency and conflict-sensitivity, ADB is particularly interested in
proposals from INGOs or consortia of NGOs and CBOs who have HIV/ADIS treatment and prevention
experience and operational experience in the project areas and can demonstrate sufficient
contextual understanding, including of the local institutional structure and key government, ethnic
armed organizations (EAOs), civil society stakeholders and especially ethnic health organizations
(EHOs). The lead INGOs and consortia shall have existing MOUs with MoHS to operate in each of the
individual townships.
3. The project will need to navigate within very complex social-political settings and will need to
receive approval from EAOs, such as the Karen National Union (KNU), Democratic Karen Benevolent
Army (DKBA), the Restoration Council of Shan State (RCSS) and others to implement activities in
their administrative areas. INGOs should have therefore already built trusted relationships with
relevant local stakeholders and have interventions that are supportive of local institutions,
whether formal or informal. The ADB’s Draft Guidelines for Conflict Sensitivity in Myanmar is in
Annex 1 and a “Context Sensitivity Implementation Guide” to assist the lead INGO and its partners
to implement outputs 2 and 3 is in Appendix 2.
4. To ensure the achievement of outputs 2 and 3 and their key performance indicators, which include
full and effective coverage and establish referral pathways to MoHS health facilities, the
implementing partners will especially need to coordinate and cooperate with EHOs.
5. MoHS and ADB are committed to adhere to the international best practices to ‘Do No Harm.’
Implementing partners are expected to adhere to ADB’s Guidelines for Conflict Sensitivity in
Myanmar as outlined in Annex 1 as a basic guideline to raise awareness and prepare project design
and implementation.
6. This TOR is concerned with the delivery of output 2 and 3 simultaneously: enhanced capacity to
provide quality and accessible HIV services to targeted populations and improved access to
community outreach among key populations respectively. The INGOs will be expected to meet specific
objectives under output 2 and 3 listed below:
Output 2: Enhanced capacity to provide quality and accessible HIV services to targeted populations
B. Specific Objectives and Scope of Service: Output 2
• To improve the capacity of service providers to ensure the delivery of a continuum of HIV
prevention, testing, diagnosis, and treatment and care services to targeted populations in the five
townships.
• To increase access to underserviced target populations, through a government–nongovernment
organization (NGO) partnerships for improved service delivery.
• To improve the referral pathways between international and local NGOs as service providers and
public health services to reach target populations.
• To strengthen integrated health services, which are targeted at hard to reach target population
groups.
• To establish partnerships with public health facilities as a means of providing support to the
scale up of government service provision.
C. Key Tasks: Output 2
7. The implementing partner shall report to the National AIDS Programme Manager (Project Director),
and ADB Project Officer, and shall perform the following tasks under output 2:
• Provide training for HIV and STI services in selected health facilities included in five
locations.
• Provide training on the use of specialized equipment to strengthen HIV and STI prevention,
testing, diagnosis, and treatment and care services in selected health facilities.
• Provide the continuum of HIV prevention, testing, diagnosis, and treatment and care services for
key populations.
• Establish referral systems and service coordination mechanisms between community-based facilities
and township hospitals and across borders to ensure the provision of health services, including
HIV, STI, and other health concerns for key affected populations.
D. Detailed Outputs of the Assignment: Output 2
8. The successful INGO will deliver the following outputs under output 2;
a) The number of trained health service providers deployed in project areas increased by 30%
between beginning and end of contract (sex disaggregated data)
b) The number of patient consultations in township or village health centers or facilities
increased by 80% by end of contract (sex disaggregated data)
c) The number of health centers in project areas providing a continuum of HIV prevention, testing,
diagnosis and treatment and care services, increased by 90%.
d) Referral system is implemented to ensure the provision of health services for key populations
established and functional
e) Peer educators and health workers, and community volunteers in project areas have completed new
upgrade training for community outreach, by 70%
f) IEC/BCC approaches and tools that are sensitive to cultural, linguistic, ethnic, gender, and
religious backgrounds developed and ready for distribution to the targeted populations
g) Community-outreach programs for gender sensitive behavioral change developed and commenced with
NGOs/CBOs in targeted townships
Output 3: Improved access to community outreach among target populations
E. Specific Objectives and Scope of Services: Output 3
• To support the delivery of HIV prevention interventions to key populations, through outreach
strategies, which align with national standards . The focus of this work should be along the
economic corridors and in cross-border areas.
• In line with the most recent National Strategic Plan for HIV/AIDS (NSP III), design and implement
HIV prevention interventions for key populations, through various strategies including outreach.
• To use localized evidence (gathered through programmatic mapping) to design and implement
services for target populations that are population centered and utilize community out-reach
approaches.
• Conduct consultative training process, which involves all basic health staff and midwives,
township medical officers, and community health workers to improving delivery of HIV prevention
initiatives.
F. Key Tasks: Output 3
9. The implementing partner shall report to the National AIDS Programme Manager (Project Director),
and ADB Project Officer, and shall perform the following tasks under output 3:
• Develop an enhanced process for condom distributions by Q4 2017
• Conduct a participatory consultation and training process to involve health staff (e.g.,
midwives, township medical officers, community health workers) in improving delivery of awareness
raising activities by end Q4 2017
• Implement awareness programs through a community outreach program in partnership with local
NGOs/CBOs in target communities by end Q4 2017
• Develop appropriate IEC materials for ethnic communities and migrants and mobile populations by
end Q4 2017
• Develop and establish functional system for referrals to social welfare agencies for post-
treatment counseling and care by end Q4 2017
G. Detailed Outputs of the Assignment: Output 3
10. The successful INGO will deliver the following outputs under output 3:
a) At least 70% of peer educators, health workers, and community volunteers in project areas have
completed new upgrade training for community outreach (50% of those trained are female)
b) Information materials, tools and behavior change approaches (IEC/BCC) developed and delivered by
peer educators are sensitive to cultural, linguistic, ethnic, gender, and religious backgrounds and
ready for distribution to the targeted populations by Q4 2017
c) Community-outreach programs for gender sensitive behavioral change developed and commenced with
NGOs/CBOs in targeted townships in or before Q4 2017.
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