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Consultant- PPTCT and Paediatric HIV for Child Survival and Development under RMNCHA programme

Location- Tamil Nadu and Kerala


Closing Date: 27 May 2014


1. Background and Purpose :


1.1 The global movement ‘A Promise Renewed’ for Child Survival was launched in Washington in 2012, by UNICEF and USAID, to advance child survival in countries with the largest child mortality globally. India being one of the countries with the largest burden of Child Mortality, Government of India launched “Call To Action” for Child Survival and Development in early February 2013, calling every state in the country to set clear objectives for significant reduction in child mortality within a three year horizon to be able to reach the global targets (MDG 4: U5MR of 38).


Over a two decade period, the country also saw a 63 point decline in child mortality from 118 to 55, between 1990 and 2011. India has been certified polio free by WHO in February 2014. Despite India's impressive progress, disparities remain between States, within States, between districts and between different castes and religions with a particular disadvantaged situation for Scheduled Castes, Scheduled Tribes and Muslim communities.

GoI has elaborated a comprehensive RMNCH+A strategy (Reproductive, Maternal, Neonatal, Child Health + Adolescent Strategy) to guide action to accelerate reduction of maternal and child mortality, with focus on the most deprived population.

Call to Action envisages that all children in high priority districts will have full access to Water and Sanitation, Nutrition, HIV and Health Services.

Call to Action also prioritizes catalysing and ensuring improved Household Practices to increase uptake of the above services. A key thrust would be around changing social norms and social practices, empowering the most at risk communities to realize their right to quality services and practices.

Call to action envisions three continuum of care themes for action:

· Along the life cycle- Adolescents, Mother, Neonate and Child.

· Community- Outreach-Facility Continuum

· Continuum of Care- (Promotive-Preventive- Curative Interventions)

In Tamil Nadu and Kerala, 10 districts have been identified as High Priority Districts under Call To Action.

1.2 In Tamil Nadu, HIV contributes to a large proportion of child mortality.  With 11, 00,000 estimated annual pregnancies in the state and ANC HIV prevalence of 0.11%.  An estimated 570 newly infected newborns are expected in 2012/ 13. Untreated, 50% die before their second birthday. In line with the global WHO advice, National AIDS Control Organization has introduced more efficacious multidrug PPTCT regimen in India from September 2012 and in Tamil Nadu from March 2013. Following this the Option B Pus PPTCT Treatment Regime has been introduced all over India since January 2014. This is a critical step forward in significantly reducing HIV transmission from parent to child and eliminating mother to child transmission in the country/ State.

UNICEF Office for Tamil Nadu and Kerala provides Technical Assistance to the governments of Tamil Nadu and Kerala in various sectors to improve the quality of life of children in the two states.  The Health RWP 2014-15 reflects TA to the governments for MNCH continuum of care, including HIV.


2. Duty Station:  Chennai


3. Supervisor:  Health Specialist (for technical issue of Health & Nutrition) and  PCR Manager


4.Basic Project Objectives:


The consultancy will support the following at the state level and CTA/ Focus districts. The consultancy is aimed at providing planning, capacity development and supportive supervision/ mentoring support, to the state and district level teams for the following:


1.      Oversight for Multi drug PPTCT regimen implementation in the state

2.      Improve PPTCT-EID- Paediatric ART linkages

3.      Facilitate the Call To action agenda at the state levels and select districts in TN and Kerala

4.      Strengthen integration/ linkages of RCH- PPTCT/ EID/ Paediatric CST in the state

5. Facilitation data validation/ analysis across multiple sectors and facilitate joint regular multi-sectoral reviews in the states/ districts 


5.      Major tasks to be accomplished:


Ø Under Call to Action to conduct situational analysis, strengthen supportive supervision at district and state level to improve HIV, MNCH, Nutrition and WASH linkages across the continuum of care with focus on equity.

Ø To support the state and UNICEF to  monitor and improve  PPTCT and EID coverage and achieve the goal for eliminating new paediatric HIV infections in the state of Tamil Nadu

Ø To assess the key gaps in the linkages between PPTCT-new regimen, EID and Antenatal, Intrapartum and Post Natal Care of mothers and new-borns and provide operational recommendations to reduce the gaps.

Ø To support the state in developing key linkages between Paediatric Centre of Excellence and ART centres, Link ART Centres and District AIDS Prevention Control Units(DAPCUs).

Ø To provide technical support to the state, UNICEF and PCOE to facilitate technical resource group on operational research.

Ø To  strengthen programme planning, monitoring and review to strengthen integration of RCH and HIV Services

Ø To provide technical support and facilitate a cohort study to monitor HIV Exposed mothers, Infants and young children over a period of 1 year.

Ø To conduct a rapid assessment of Quality of Life of adolescents living with HIV in select districts at the state.

Ø To participate in Technical consultations at state and district level as and when needed at country level.

Ø To provide support to UNICEF, TANSACS, NRHM and DPH to strengthen inter-sectoral linkages under RMNCH+A

Ø To support UNICEF in developing and forging innovative partnerships with the private sector, civil society organisations (including Networks of People Living with HIV) and corporate partners in select High priority Districts in Tamil Nadu and Kerala for demand generation and follow up on the new regimen.

6. Deliverables (End Product)

Ø To develop a line list and disaggregated data of mothers and infants accessing PPTCT, EID and paediatric ART services and identify key bottlenecks and gaps in the continuum of care- Monthly and Quarterly reports CMIS score cards on key PPTCT EID CLHIV indicators.

Ø To provide monthly field monitoring reports on phase wise implementation and effective coverage of PPTCT-New regimen, follow up of mother baby pairs and their adherence to the regimen.

Ø Develop innovative approaches for prevention of HIV among adolescents and for adolescents living with HIV.

Ø  To develop the tools and methods to conduct a cohort study to follow up the growth, nutrition and development including quality of life of children living with HIV.

Ø To assess the key gaps on linkages between paediatric HIV care, general maternal, newborn , child health care, nutrition and water sanitation services and provide policy level recommendations to strengthen the linkages.

Ø To assist the state and Paediatric Centre of Excellence (PCOE) in developing the terms of reference for operational research for the technical group meetings, document the technical reports and recommendations.

Ø To provide key recommendations to strengthen and operationalize the linkages between the Paediatric Centre of Excellence (PCOE) and ART centres at the district level.

Ø To document the reports on technical state and district level consultations

Ø To provide monitoring reports on cohort analysis and other interventions developed by UNICEF – HIV IMNCI, Family Planning Linkages for Women Living with HIV and their spouses

Ø To support UNICEF Chennai office to monitor HIV-RCH integration in the Call to Action – high priority districts.

Ø To conduct Experience Sharing Review meetings (ESRMs), regional reviews along with TANSACS for M&E of PPTCT, EID data and data on Children living with HIV/AIDS.

Ø To build capacity of the NRHM, TANSACS, DPH and private sector health service providers on the new PPTCT Option B+ regimen launched on 1st January 2014.

Ø Report on Monitoring of Key initiatives of UNICEF on Child Survival Cohort M&E, PPTCT, EID M&E, Coverage and Capacity building and ESRM/ regional review  reports.

Ø Intersectoral and development partner meeting reports on a quarterly basis

Ø Any additional task under RMNCHA as per discussions with Supervisor.


7.      Estimated duration of the contract and deadline for submission of end Product

Duration 11 months with effect from 1st June 2014 - 31st May 2015. The continuation of contract will be subject to performance evaluation and availability of funds in UNICEF Health RWP 2014-15.



8.      Official travel involved  (Itinerary and duration)

Maximum of 10 days travel in a month within Tamil Nadu and if needed in Kerala to monitor the 10 High Priority Districts under RMNCHA and High Priority Districts for HIV prevalence


9. Qualifications/Specialized knowledge/Experience required


· Bachelors in Medicine (MBBS) along with Advanced degree in Community medicine, Public Health. Additional fellowship in HIV care and support would be an asset.

· A minimum of 5 years of experience in HIV prevention, care, support and treatment programmes at state and district level.

· Experience for 2-3 years in Clinical Research, Cohort Monitoring and Follow up will be an asset.

· Experience of working with adults, women and children living with HIV for at 5 years and knowledge of key National AIDS Control Programme (NACP).

· In depth understanding of HIV prevention care and support programmes including planning, implementation, monitoring and evaluation.

· Knowledge of key PPTCT, Paediatric HIV care and support and ART, protocols and guidelines.

· Knowledge of key prevention programmes on adolescents, young people and high risk groups.

· Knowledge and understanding of research methodologies will be an asset.

· Good track record demonstrating managerial skills and experience in administration of Public Health programs.

· Good analytical skills and ability to draw lessons learned and apply them to take corrective steps in project implementation when required.

· Good knowledge of the programme scenario in Tamil Nadu and Kerala

· Excellent participatory training skills

· Excellent inter personal communication and advocacy skills.

· Excellent documentation and reporting skills.

· Good computer MS office skills.

· Knowledge of local languages would be an asset.

· 6-8 years of experience in implementing and managing RCH programs at district and state level.

Application Procedures


(1)        Qualified female/male candidates are requested to please indicate their ability and availability to undertake the terms of reference above.


(2)        We request you to please inform us where you have seen this advertisement.

chennai@unicef.org by COB 27 May 2014 with subject line "Consultant - Child Survival and Development RMNCHA" in separate files:


a)         An application letter, CV and P11 form (P-11 can be downloaded from our website at http://www.UNICEF.org/india/overview_1440.htm)


b)         A financial proposal in PDF format indicating deliverable based fee as per template attached.  Please mention your name in the file name while saving. (Download)


 (4)       The selection will be on the basis of technical evaluation & financial proposal in the ratio of 70:30.  The technical criteria for evaluation is as follows:


  • Education Qualifications (15)
  • Relevant Work Experience (30)
  • Experience of working with Bilateral/International/UN agencies (5)
  • Test (20)
  • Interview (30)


Total score - 100 Minimum qualifying marks (70 i.e. 70% of the total)


(5)        Only short-listed candidates will be called for written test/interview (if applicable). 


(6)        The financial proposals of only those candidates, who are found technically responsive, will be opened.


(7)        Any attempt to unduly influence UNICEF’s selection process will lead to automatic disqualification of the applicant.


(8)        Joint applications of two or more individuals are not accepted.


(9)        Please note, UNICEF does not charge any fee during any stage of the process.





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