Consultant’s Terms of Reference for Gender Equality, Disability, and Social Inclusion Analysis of Child Routine Immunisation Services in Central Province, PNG.
ChildFund Papua New Guinea is registered as a local NGO under the Papua New Guinea Association Incorporation Act, working to reduce poverty for children in developing communities. ChildFund Papua New Guinea was established by ChildFund Australia, which is a member of the ChildFund Alliance – a global network of 11 member organisations which assists almost 16 million children and their families in over 60 countries.
ChildFund began work in Papua New Guinea in 1994 and works in partnership to create community and systems change which enables vulnerable children and young people, in all their diversity, to assert and realise their rights.
Most projects are implemented in the Central Province and National Capital District with a focus on maternal and child health, nutrition, water and sanitation, education, child protection and family and sexual violence. ChildFund PNG also priorities climate change and disaster preparedness. In 2015, ChildFund PNG established the country’s first ever Family and Sexual Violence Counselling Helpline, which operates in Port Moresby and provides national coverage for children and families impacted by violence.
The immunization program in Papua New Guinea (PNG) faces significant challenges such as low and severely declining national immunization coverage. Between 2013 and 2018, the national DTP3 coverage decreased from 68% to 50%. MCV fell 18 points over the same period, and is now at 50% (2018). The consistently low and declining vaccine coverage has resulted in multiple vaccine preventable disease outbreaks, including recent outbreaks of polio (2018), pertussis (2018), and measles (2017). Central Province is one of the provinces with consistently low coverage of all antigens. In response, ChildFund PNG, in partnership with Clinton Health Access Initiative (CHAI), Susu Mamas and the Central Province Health Authority (CPHA), are currently implementing a 14-month project to accelerate routine immunization coverage and equity of services, as well as to strengthen the related health systems components.
The overall goal of this project is to protect children against vaccine preventable diseases and to increase coverage of routine immunizations. The main beneficiaries of the project are children under 5 years of age who receive vaccinations and other essential health services (e.g., Vit A and deworming) living in 24 target wards of Kairuku-Hiri and Rigo districts of the Central Province. Additional beneficiaries – adults and youth – also receive health services provided at the integrated community health outreach services (ICHOS) in these wards.
Globally, it is recognized that gender intersects with age, disability, economic status, ethnicity, and educational status, among other factors, affecting access to vaccination for children. The most recent Demographic Health Survey (2016-18) shows boys having slightly lower rates than girls in all vaccinations (33.4% of boys versus 37.5% of girls) across country. It is unclear why this is the case, or whether there might be local differences relating to the barriers faced by girls and boys, and children from marginalized groups.
In Central province, mothers are often tasked with the healthcare for their children, including being responsible for taking them for vaccinations and health needs. Health facilities are few and mothers often face multiple barriers to accessing healthcare for their children (and themselves). These include:
Finally, with an estimated two-thirds of women and 75% of children experiencing some form of violence, it is critical to understand and address the potential risks faced by mothers and children, both inside the home and in the community, in all health-related programmes.
An analysis of gender equality and social inclusion is therefore needed to better understand differences in vaccination rates between girls, boys, and children from marginalized groups in the targeted districts, and to ensure that future vaccination activities foster positive gender and social norms in households and communities.
The purpose of these works is to conduct an analysis of gender equality and social inclusion with regards to routine immunisation services, and the access to those services by children and their carers. Findings and recommendations will be shared with project stakeholders including the Central Provincial Health Authority to support their development of more inclusive services and planning. If successful, the GESDI analysis processes will also be shared as a model for other provinces to replicate and build upon for their own use.
Objective of the GEDSI Analysis
4. Scope of analysis and Methodology
This is the suggested scope and analytical framework for use in these works, however the applicant may propose the use of alternative frameworks, which must be presented and justified in advance in the application submission.
GEDSI Analysis Framework
The following domains will be used to analyse information about gender and inclusion and how this affects access to vaccination for girls, boys, children with disabilities and other marginalized groups of children:
GEDSI Research Questions
The following research questions will guide data collection on GEDSI:
It is proposed to select one ward / community in each of the following local level government areas targeted by the project for GEDSI analysis activities:
These locations reflect the geographical, cultural, and socioeconomic diversity of the wider Kairuku-Hiri and Rigo districts targeted by the project.
Data Collection Methods
The following methods, led by the consultant, will be used to collect and analyse information on GEDSI in vaccination activities:
To maximise participatory learning, data will be collected and analysed by project staff and community data collection teams, with training and supervision provided by the consultant. A community data collection team will be established for each of the locations, consisting of one project staff member and two community health volunteers (one male and one female). While staff and volunteers have exposure to some GEDSI training, the consultant will need to train these teams in the core principles of gender equality and social inclusion as related to these works, as well as how to safely collect information from the community for the GEDSI analysis. The consultant will also facilitate the analysis workshop and documentation processes. Female volunteers will conduct discussions with women community members, fostering a safe environment for sharing of protection concerns relating to vaccination activities. All activities with community members will include sharing of information on services for survivors of violence, with a clear and safe referral process for those requesting further support. Additional remote GEDSI technical support and guidance is available from ChildFund Australia technical advisors.
ChildFund PNG and CHAI will be responsible for securing ethics and other approvals required prior to data collection.
6. Deliverables and Indicative Timetable
Note that this is subject to negotiation with the Consultant
Indicative dates Outputs and Activities Number of Days
4th Oct Secondary data analysis 1
Project staff to collate data, Consultant to analyse data
6-7 Oct Developing data collection tools and training materials 2
Oct Training project staff and community data collection teams 1
Community data collectors (4 teams with 3 people in each team)
12-13 Oct Focus group discussions with male caregivers, female caregivers, 2
and caregivers of children with disabilities
2 days (for 3 FGDs) for each team per location, total 12 FGDs
14 Oct Key informant interviews with stakeholders 1
1 additional day per location, done by project staff
(from the 4 community data collection teams)
15 Oct Planning the analysis workshop 1
18 Oct Analysis Workshop 1
Together with community data collectors
19 Oct Final documentation (noting the report will require review 1
and approval by the Gavi Secretariat team prior to finalisation)
Total number of days 10
Outputs of the GEDSI Analysis
A GEDSI analysis report, with recommendations for the Provincial Health Authority, as well as future ChildFund PNG vaccination projects.
7. Management and Reporting Arrangements
The Consultant will report to Olive Oa, Health Program Manager. All reports must be written in English and provided in an electronic format (Microsoft Word). The report will also require review and approval by the Gavi Secretariat team and ChildFund Australia Health and GEDSI advisors prior to finalisation.
All discussions and documents relating to this ToR will be treated as confidential by the parties.
9. Child Safeguarding
The Consultant will undertake the Services to a high standard; use its best endeavors to promote the best interests of ChildFund; protect the reputation of ChildFund and work in a manner consistent with the mission, vision and policies of ChildFund (see Child Safeguarding Policy/Child Safeguarding Code of Conduct PSEAH policy and Employee Code of Conduct). ChildFund Australia has a zero-tolerance policy to abuse, exploitation and harassment in all its forms.
10. Counter-Terrorism and Anti-Money Laundering
ChildFund Australia acknowledges its obligation under the Australian laws relating to counter-terrorism and anti-money laundering. In order to meet its obligation, the consultant is obligated to provide information required for ChildFund to undertake counter terrorism screening before engagement. The consultant’s name, date & place of birth and ID number will be checked against Department of Foreign Affairs and Trade (DFAT) consolidated list, National Security Australia list, World Banks listing and the Asian Development bank listing to ensure not engage with entities or individuals appearing on the lists.
11. Conflict of Interest
The Consultant must declare any financial, personal, family (or close intimate relationship) interest in matters of official business which may impact on the work of ChildFund
12. Fraud and Corruption prevention and awareness
ChildFund Australia has a zero approach to fraud and corruption act. The successful consultant will be required to comply with ChildFund Australia’s fraud and corruption prevention and awareness Policy and act against any form of fraud or corruption and not offer, promise, give or accept any bribes.
The successful applicant will be required to have in place insurance arrangements appropriate to provision of the requirement in this TOR including (without limitation) travel insurance.
14. Acknowledgment and Disclaimer
ChildFund, its Board and staff make no express or implied representation or warranty as to the currency, reliability or completeness of the information contained in this ToR. Nothing in this ToR should be construed to give rise to any contractual obligations or rights, expressed or implied, by the issue of this ToR or the submission of Expression of Interest in response to it. No contract would be created until a formal written contract is executed between ChildFund and a selected consultant.
Selection Criteria for Consultant
ChildFund PNG is seeking a consultant with knowledge and experience in conducting GEDSI analyses, preferably in the health sector.
The Consultant must be available for distance and face-to-face meetings, as necessary.
Full Terms of Reference (ToR) can be downloaded from www.childfund.org.au/work-with-us
Applications closing date: 24 September 2021
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