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TERMS OF REFERENCE (TOR)
For recruiting consultancy service on managing/implementing HIV/AIDS and related surveys
Project Titles | Surveys related to HIV/AIDS |
Specific tasks | · Mortality among people living with HIV (PLHIV) in care and treatment in Ethiopia from 2016 to 2022: A facility-based study.
· IBBS (Integrated Bio Behavioral survey) and size estimation among high-risk adolescent girls and young women in hot-spot areas in Ethiopia. A mixed study · Assessment on Why male lag behind in HIV testing utilization in Ethiopia |
Duty Station | Different Regions in the Country as indicated in protocol/Abstract |
Type of the Contract | National Consultancy |
Project Owner | Ethiopian Public Health Institute (EPHI) |
Duration | 7months |
Hiring Unit | HIV and TB directorate, EPHI |
Date of Commencement | October 2, 2023 |
The Ethiopian Public Health Institute (EPHI) is the primary organization in Ethiopia responsible for public health research, laboratory confirmation of public health threats, training of public health professionals, and public health emergency response. Established to provide a consolidated approach to public health concerns, EPHI serves as the central body for addressing various health-related issues in the country. Its main aim is to ensure that the public health policies and strategies adopted by the country are evidence-based by undertaking scientific research on priority health and nutrition issues.
Over the years, EPHI has played a crucial role in combating major health challenges in Ethiopia, such as infectious diseases, malnutrition, and non-communicable diseases. With its commitment to improving the country’s health sector, the institute partners with various national and international organizations, ensuring that the health strategies adopted are comprehensive, efficient, and effective. EPHI also serves as a center of excellence, providing technical support and training to strengthen health systems throughout the nation.
As part of its mission, EPHI conducts applied research based on the national public health research agenda and on priority public health and nutrition issues. The Institute conducts surveillance for the early identification and detection of public health risks and the prevention of public health emergencies. It generates, translates, and disseminates scientific and technological knowledge.
Accordingly, the HIV and TB research directorate have been working on protocols to conduct three different surveys on HIV/AIDS in different parts of the country. Given the fact that the assessments are large scale, and because of the principle of collaboration that EPHI follows, we are looking for a sub-sub-recipient or an organization that is interested in handling specific tasks for the three assessments.
The three assessments are given in the details below:
Task 1. Mortality among people living with HIV (PLHIV) in care and treatment in Ethiopia from 2016 to 2022: A facility-based study
The aim of this study is to evaluate and delineate HIV-associated mortality among PLHIV receiving care, and to record the progression of national responses to control the epidemic in Ethiopia from 2016 to 2022.
Primary objectives:
Extract and analyze service delivery data from 40 hospitals and 40 health centers in different regions of the country during 2016 to 2022:
The assignment is expected to be finalized within five months.
The EPHI will supervise the assignment, including facilitating access to relevant reports and reference materials through the national GFSHSTF.
The sub-sub-recipient must present the following qualifications:
Lists of region, Facilities, Woreda, Zones and number of patients on treatments expected for AIDS mortality study.
Region | Descriptions | Name of Hospital | Alternative Naming | Woreda | Zone | Patients on Treatment FY23 Q1 | Name of Health centers | Patients on Treatment | Proximity | Woreda | |
Tigray | 4 General Hospitals | Mekele Hospital | Mekelle zonal Hospital | Semen | |||||||
Aksum Hospital | |||||||||||
Humera Hospital | |||||||||||
Wukro Hospital | |||||||||||
Afar | General Hospital | Asayta Hospital | Ayssieta Hospital | Asayita Town | Awsi (Zone 1) | 728 | Mile Health Center | 245 | In the same zone | Mille | |
Referral Hospital | Dupti Hospital | Dupti Hopital | Dubti Town | Awsi (Zone 1) | 1251 | Logiya Health Center | 700 | In the same zone | Semera Logia Town | ||
Amhara | 5 Referral Hospitals | Gondar Hospital | Gondar University Hospital | Gondar Town | Gondar Town | 5553 | Gondar Health Center | 2247 | In the same Town | Gondar Town | |
Bahir Dar Felege-Hiwot | Felegehiwot Hospital | Bahir Dar Liyu | Bahir Dar Liyu | 6751 | Bahir Dar Health Center | 1958 | In the same Town | Bahir Dar Liyu | |||
D/Birhan Hospital | Debrebirhan Hospital | Debre Birhan Town | Debre Birhan Town | 2100 | Debrebirhan Health Center | 905 | In the same Town | Debre Birhan Town | |||
Dessie Hospital | Dessie Referal Hospital | Dese Town | Dese Town | 6207 | Dessie Health Center | 2273 | In the same Town | Dese Town | |||
Debre-Markos Hospital | Debremarkos Hospital | Debre Markos Town | Debre Markos Town | 3685 | Debremarkos Health Center | 1340 | In the same Town | Debre Markos Town | |||
2 General Hospitals | Debre Tabor Hospital | Debretabor Hospital | Debre Tabor Town | South Gondar | 2154 | Debretabor Health Center | 421 | In the same Town | Debre Tabor Town | ||
Woldia Hospital | Woldyia Hospital | Woldiya Town | North Wolo | 4042 | Woldyia Health Center | 1462 | In the same Town | Woldiya Town | |||
Oromoia | 5 Referral Hospitals | Jimma Hospital | Jimma University Specialized Hospital | Jimma Town | Jimma Town | 3150 | Jimma Health Center | 1168 | In the same Town | Jimma Town | |
Nekemte Hospital | Nekamte Specialized | Nekemte Town | Nekemte Town | 2259 | Nekemte Health Center | 815 | In the same Town | Nekemte Town | |||
Metu Hospital | Mattu Karl Specialized | Metu Town | Ilu Aba Bora | 1737 | Burusa Health Center | 45 | In the same zone | Metu Zuria | |||
Shashemene Hospital | Shashemene Hospital | Shashemene Town | Shashemene Town | 2359 | Abosto Health center | 1567 | In the same Town | Shashemene Town | |||
Adama Hospital | Adama Teaching Hospital | Adama Town | Adama Town | 7638 | Adama Health Center | 2002 | In the same Town | Adama Town | |||
5 General Hospitals | Negelle Borena Hospital | Negelle Borena Hospital | NegeleTown | Guji | 1033 | Shakiso Health Center | 1311 | In the same zone | Shakiso Town | ||
Nejo Hospital | Nedjo General Hospital | Nejo Town | West Welega | 505 | |||||||
Chiro Hospital | Chiro General Hospital | Chiro Town | West Hararge | 1205 | |||||||
Bishoftu Hospital | Bishoftu Hospital | Bishoftu Town | Bishoftu Town | 3950 | Bishoftu Health Center | 1029 | In the same Town | Bishoftu Town | |||
Ambo Hospital | Ambo General Hospital | Ambo Town | Ambo Town | 2907 | Ambo Health Center | 221 | In the same Town | Ambo Town | |||
Somali | 2 General Hospitals | Karamara Hospital | |||||||||
Kebridar Hospital | |||||||||||
Benishagul | 2 General Hospitals | Pawe Hospital | |||||||||
Assosa Hospital | |||||||||||
Gambella | General Hospital | Gambella Hospital | |||||||||
SNNPR | 2 Referral Hospitals | Dila Hospital | |||||||||
Sodo Hospital | |||||||||||
4 General Hospitals | Arbaminch Hospital | ||||||||||
Butajira Hospital | |||||||||||
Hossana Hospital | |||||||||||
Yirgalem Hospital | |||||||||||
Dire Dawa | Referral Hospital | Dilchora Hospital | |||||||||
Harari | Referral Hospitals | Hiwot Fana Hospital | |||||||||
Addis Ababa | 4 Referral Hospitals (Two from AAHB and two federal Hospitals | Paulos Hospital | |||||||||
St. Piter Hospital | |||||||||||
Yekatit-12 Hospital | |||||||||||
Zewditu Hospital | |||||||||||
Note: Any changes to study setting, study group or participants need EPHI approval if any, with acceptable reasons.
Means of verification
All the requirements will be valid with relevant required documents. Therefore all the competing firms will be expected to avail all the required documents related to survey Experiences (Direct and indirect), Human resources, all the requirements listed under implementation plan, and the three years of financial standings
S.N | Required Documents | Means of verifications |
1. | Experiences related to implementation of national survey | Previous Contractual agreements of the firms’ |
2. | Human Resources | All the academic credentials, and contractual agreements or payroll of the professionals |
3. | Financial standings | Three years audit reports from certified auditors |
4 | Implementation plan | Evidences related to appropriate technology to conduct the survey, Logistics and supply for the three tasks, Field coordination plan and related experiences, Monitoring mechanisms and Organogram |
Selection Method
The minimum points to recruit the firm will be 85 points
Task 2. IBSS and size estimation among high-risk adolescent girls and young women in hot-spot areas in Ethiopia. A mixed study
[This activity requires data and specimen collection from the study subjects]
The IBBS serves as a critical instrument, providing a deep understanding of the HIV epidemic dynamics within specific demographics, enabling data-driven policymaking, intervention efficacy monitoring, and resource distribution. In line with these needs, the GoE has decided to conduct the IBBS.
To conduct IBBS and size estimation among high-risk adolescent girls and young women (AGYW) in urban towns/hot spots/high incidence woredas in Ethiopia
Primary objectives:
Secondary objectives:
Collect and analyze bio-behavioral data in different high risk towns/hotspots of the country.
The assignment is expected to be finalized within five months.
The EPHI will supervise the assignment, including facilitating access to relevant reports and reference materials through the Global Fund Supported HIV related Surveys Task Force (GFSHSTF).
The sub-sub-recipient must present the following qualifications:
Technical Competency
Functional Competencies
Language and Other Skills
Lists of region, Facilities, Woreda, Zones expected for AGYA study.
The lists of 27 Woreda’s will be selected out of 265 hot spot woreda’s identified by FHAPCO after formative assessments for the RDS and Selected high schools or university will be selected from towns after the formative assessment.
Note: Any changes to study setting, study group or participants need EPHI approval if any, with acceptable reasons.
Task3. National Formative Assessment on Why male lag behind in HIV testing utilization in Ethiopia
The formative assessment aimed to assess the possible factors contributing r the lag of adolescent boys, young and adult men in HIV testing service utilization in Ethiopia.
Specific objectives:
The assignment is expected to be finalized within five months.
Working and contracting arrangements
The EPHI will supervise the assignment, including facilitating access to relevant reports and reference materials through the national TWG.
The sub-sub-recipient must present the following qualifications:
Technical Competency
Functional Competencies
Language and Other Skills
The prospective sub-sub-recipient will indicate the cost of services for each deliverable in ETB all-inclusive lump sum contract amount after VAT when applying for this consultancy. The sub-sub-recipient will be paid in three phase installments. Phase one at signing of contract and submission of clear roadmap (30%); phase two at receipt of draft report of field team deployment (50%); phase three (final installment) to be paid after validation of report and submission of final report in soft and hard copies (20%). Payment during all phases will be made after approval from Global fund supported HIV survey task force (GFSHSTF) that confirms the successful completion of each deliverable.
The sub-sub-recipient shall not, either during the term or after termination of the assignment, disclose any proprietary or confidential information related to the consultancy service. Proprietary interests in all materials and documents prepared by the sub-sub-recipient under the assignments shall become and remain projects/property of the EPHI.
The key roles of EPHI, among others, will include:
Lists of region, Facilities, Woreda, Zones for why men lag from using HIV testing services study.
S/N | Level | Method | participants | Number of participants | Remark |
Federal and regional | KII (7) | Federal and regional HIV/AIDS Prevention and Control Coordination Office | Federal=1
Regional=7 (Oromia, Amhara, AA, Sidama, Afar, Diredawa, Gambella) |
Six regions were identified based on HIV/AIDS prevalence and low level of testing utilization | |
Woreda | KII (15) | HIV/AIDS Prevention and Control Coordination Office | 1 KII in each woreda/town
(15 towns) |
2towns/ woredas will be selected in consultation with regional health bureaus based on HIV/AIDS prevalence and low level of testing utilization | |
Community | FGD (15 FGD) | Youths-male | 1 FGD in each woreda/ town | ||
Community | Individual in-depth interviews (30 Individual interviews) | Youth representatives | 2 in each woreda/town | Individual in-depth interview will be conducted with young boys who are unwilling to participate in FGD and with youth representatives | |
Total | KII=19 + 5= 24
FGD=17=17 IDI=30+ 4=34 |
Number of sessions and individuals participated for FGD, IDI, and KII
No | Name of regions | Number of Towns /sub-City selected | Number of FGD assigned | Number of IDI | Number of KII | Remark |
1 | Addis Ababa | 3 | 3 | 6 | 4 | Include federal for KII |
2 | Afar | 2 | 2 | 3 | 2 | Include regional office experts for KII |
3 | Amhara | 3 | 3 | 6 | 4 | |
5 | Dire Dawa | 2 | 2 | 4 | 3 | |
6 | Gambella | 2 | 2 | 3 | 3 | |
8 | Oromia | 4 | 5 | 9 | 6 | |
9 | Sidama and SNNP | 2 | 2 | 5 | 3 | |
# | 18 | 19 | 36 | 25 |
Note: Any changes to study setting, study group or participants need EPHI approval if any, with acceptable reasons.
Consultant Selection Procedure and Criteria
We will select the sub-sub-recipient based on their technical capability to execute the activities. However, price will be considered to select a winner among those that are technically qualified.
The technical evaluation criteria and their weighting points that indicate their level of importance are determined, as follows:
Time frame with detailed activities
S.N | Lists of activities | Time duration | Remark |
Contract signing | One month | ||
Data collection and repository at EPHI server | 5 months (up to March 31, 2024) | ||
Write up and First draft technical report per the tasks (At least three ) | One month (April 30, 2024) | ||
Final technical report of the three tasks | One month (up to May 31,2024) | ||
Dissemination by the EPHI | Disseminating before June 30, 2024 |
Evaluation Criteria
S.N | Expected standards | Points per requirements out of total allocated points | Total Points out of 100 | Remark |
1. | General previous experiences on handling national health surveys (Numbers of contract with evidences) | 10 | ||
Three and above | 5 | |||
Two contract | 3 | |||
One contact | 2 | |||
No contract experiences | 0 | |||
2. | Direct experiences on HIV/ AIDS related surveys or researches (Numbers of contract with evidences) | 10 | ||
More than three direct | 5 | |||
Two | 3 | |||
One | 2 | |||
No experience | 0 | |||
3 | Experience in HIV Database development | 5 | ||
No Evidences of HIV data base development | 0 | |||
4. | Human resources | 20 | ||
1. Epidemiologists and public health professionals (At least Masters ) | 5 | |||
Five and above | 5 | |||
Three to five | 3 | |||
Two | 2 | |||
One | 1 | |||
Non | 0 | |||
2. Statisticians/Bio-statisticians | 5 | |||
More than two | 5 | |||
One | 3 | |||
Non | 0 | |||
3. PhD in health related field | 5 | |||
Five and above | 5 | |||
Three to five | 3 | |||
Two | 2 | |||
One | 1 | |||
4. Professionals with qualitative study experiences (Add means of verifications) | 3 | |||
More than two | 2 | |||
One | 1 | |||
Sociologist or social anthropologists or related social science | 2 | |||
One and more | 2 | |||
5. | Evidence of RDS (Respondent Driven Sampling ) technique use | 5 | ||
No-Evidences of RDS | 0 | |||
6. | Implementation plan (Scientific strategies related to technology, logistics and supply, field coordination plan, the firm organogram, monitoring mechanisms) | 35 | ||
Appropriate technology to conduct the survey | ||||
Logistics and supply for the three tasks | ||||
Field coordination plan and related experiences | ||||
Monitoring mechanisms and Organogram | ||||
Readiness to take the work on immediately | ||||
Number of standing staff for the survey | ||||
7. | Financial standings (Past three years audit report) at least with average annual turn overs more than 5M. | 10 | ||
5-7Million | 2 | |||
7-10M | 3 | |||
>10M | 5 |