Sao Tome and Principe: International consultancy: Development of an action plan for the prevention of early pregnancy

Organization: UN Children’s Fund
Country: Sao Tome and Principe
Closing date: 25 Jun 2017

ToR Plan of action for early pregnancy publication.docx

I- CONTEXT AND JUSTIFICATIONEarly pregnancy is a common problem in many African countries and studies on the subject show that it has consequences, among others, on the dropout rates for girls and the illiteracy of women, with their implications for their professional careers, employment opportunities and income-generating capacity in the future and the health of the young mother, as well as the health and development of the child. Sao Tome and Principe also faces this problem, and unwanted pregnancies and early maternity have been identified by the Health Strategy for Adolescent and Youth and its Strategic Plan 2008- 2012 (whose elaboration was funded by the WHO, which is currently seeking funding for its implementation) as a major problem affecting adolescents and youth of the country, with all the consequences for the life of the father and mother, the child, the family and society. Thus, according to data provided by the Sexual and Reproductive Health Program, between 2004 and 2008 the average rate of early pregnancy was 7.6%, while according to the National Census in 2012 there were in the country 502 girls from 12 to 17 years old who had at least once child. The “National Conference on the Problem of Early Pregnancy” held in July 2009, under the leadership of UNICEF, some organizations of the civil society and the Ministry of Employment, Solidarity and Family / National Institute for Gender Promotion (INPG), identified a series of recommendations to contribute to the reduction of the phenomenon, including the need for a study to obtain complete and disaggregated information on the extent of the phenomenon and its determinants, data that should allow the definition of evidence-based measures and policies.The study “The issue of pregnancy and early parenthood in Sao Tome and Principe: diagnosis of the situation”, as well as an assessment of sexual reproductive health structures for young people, were carried out in 2011, with technical and financial support from UNICEF and UNDP, but the INPG, which had commissioned them, did not integrate its various recommendations in its work plan – despite having formally launched in 2011 a National Campaign Against Early Pregnancy – and thus did not start to an integrated action for the reduction of the phenomenon. However various activities have been carried out over the years on this matter, particularly in partnership with UNFPA and WHO (elaboration of the above plan 2018-2012, adaptation of health services for adolescents and youth and elaboration of training manual on the health of adolescents and young people and training of health technicians in the health of adolescents and young people, among other activities) and according to the analysis in the “Study on the expectations, problems and aspirations of young people and adolescents in Sao Tome and Príncipe” (UNICEF, 2015), “although there is a reproduction of a moral panic when it comes to teen pregnancy, the available statistical data and a historical analysis of sexual and reproductive health in the country indicate a significant reduction of the same.” However, cases still occur and are aggravated in particular by school dropout, mainly by pregnant girls, but also in some cases by boys involved in the pregnancy, with all the consequences it has on their respective future. On the other hand, it is worrying that the level of wealth has much influence on this issue with 30.8% and 20, 7% of pregnant adolescents aged 15 to 19 belonging to the two poorest quintiles respectively, which illustrates an insufficient intervention of the public authorities in an equity component (MICS 2014). Programs against early pregnancies have only use the awareness raising approach and access to contraception means. There is a need to address social norms and the lack of opportunities for the most disadvantaged (ie, on the socio-economic plan) that encourage parents and girls themselves to consider that marriage and early union are good options. Thus, given that the early pregnancy remains a concern for the age group of adolescents and that the next cooperation cycle (2017-2021) between UNICEF and the Government of Sao Tome and Principe, in the wider context of the cooperation framework of the United Nations with the Government, provides for the creation of a program component specifically dedicated to development of youth and adolescents, these terms of reference are intended to the recruitment of an international consultant to develop an integrated action plan that should take into account the different national experiences in this area and the lessons learned from its implementation. The Action Plan once developed will serve as a working document to the above mentioned programme component and its partners on the issue in question. II – GENERAL OBJECTIVEHave a working tool that allows to approach and deal with the issue of early pregnancy in an integrated and coordinated manner by all stakeholders. III – SPECIFIC OBJECTIVES Develop an action plan to fight against early pregnancy, including in particular the following areas: • Prevention (Research, information and communication, social protection, training on life skills) • Health care; • Judicial Protection and social protection; • Coordination and follow-up. IV. METHODOLOGIE AND TASKS

The consultant should use a participatory approach in implementing its tasks and consult the various stakeholders on the issue of early pregnancy (such as the National Institute of Gender Promotion, Sexual Reproductive Health Programme, the Directorate of Planning and innovation in Education, the Youth Institute, among others). The consultants will also hold consultations with UNFPA and WHO.

The consultant must submit within 5 working days after the signing of the contract a detailed work plan, which should include, among others, the tasks, the methodologies, tools to be used as well as a chronogram. The information and data for analysis can be collected by methods such as desk research, interviews, focus groups and other qualitative techniques. As an indication (and not limiting), the consultant shall comply with the following tasks: • Review and document analysis; • Development of qualitative data collection tools (eg. interview and Discussion groups guides) • The application data collection instruments and analysis of the information collected; • Preparation of the first version of the report and action plan; • Facilitation of a workshop for the presentation, discussion and technical validation d the draft action plan; • Preparation and delivery of the final report and the final version of the draft action plan. V – EXPECTED PRODUCTS

The expected product is a report of the consultancy, containing, inter alia, a proposal of action plan to fight against early pregnancy, which will be sent electronically. The action proposed should be SMART to facilitate its implementation and monitoring. The report should include an analytical summary and be written in Portuguese. VI – DURATION AND TERM S

The maximum duration of the consultancy is 45 working days from the contract signing date, with a period of work in the country and from home.

The presentation of the draft report and action plan for intersectoral discussion should occur around the 35th working day from the date of commencement of work.

The final version of the report and the final draft of the action plan will be delivered by the 45th working day after the signing of the contract.

Every two weeks, the consultant should provide information to the Programme Officer Youth and Adolescents on the tasks performed, particularly with regard to the difficulties encountered. All delays in the period specified in the technical proposal must be justified and the new timing should be agreed among both parties. VI I – CONSULTANT PROFILE • University degree in social sciences, preferably in sociology or anthropology, or related areas; • Professional experience of at least 7 years in fields related to the promotion and protection of adolescents and young people; • Experience in similar works, particularly regarding the collection and analysis of qualitative data and studies on adolescents and young people; • Knowledge on the rights of children and women and in promotion of gender; • Knowledge and/or understanding of Portuguese preferred. Alternatively spoken English and/or French.

•VIII – BUDGET

The amount of the consultancy will be negotiated taking into account the financial proposal made by the consultant that should include all relevant costs, including any costs for travel or translation, among others.

UNICEF will directly cover the expenses of the mentioned seminar. IX – PROCEDURE FOR APPLICATION SUBMISSION Interested applicants are invited to submit the following documents: • Cover letter • Personal History – Form P-11 http://www.unicef.org/french/about/employ/files/P11.doc• Curriculum vitae • Technical Proposal, including in particular any comments on the terms of reference, proposed plan outline and methodology of work and indication of the role of each of the consultants • Financial proposal

How to apply:

UNICEF is committed to diversity and inclusion within its workforce, and encourages qualified female and male candidates from all national, religious and ethnic backgrounds, including persons living with disabilities, to apply to become a part of our organization. To apply, click on the following link http://www.unicef.org/about/employ/?job=505252

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