TERMS OF REFERENCE

I.            BACKGROUND

In recent years the number of People Who Inject Drugs (PWID) experienced a significant decline. The data showed that the 2012 estimate for the current number of PWID in Indonesia is 74,326, a sharp downward revision from 219,000 in 2006 and 105,000 in 2009.In 2014, NAC conducted an update of mapping data in 68 high burden districts. Based on the mapping data, the size estimation number of PWID in the 68 high burden districts is 17,363. Using the 68 districts mapping data and proportion distribution of estimated PWID 2014, the number of PWID nationwide is estimated to be at 35,795. NASAP 2015-2019 set target of 62% in 2016 (22,193 PWID) and 68% in 2017 (24,341 PWID) to be reached with comprehensive and effective prevention program nationwide including NSP. Baseline data in 2014 is 50%. (ICA, 2014).

However according to the data of IBBS 2009, the HIV prevalence was 27.0 and it was increased to 39.5 in 2013 (2013 IBBS data). HIV prevalence among PWID in the most urban districts (Medan, Jakarta, Bandung, Surabaya and Malang), cities whereas the epidemic has been started earlier, remains effectively unchanged (41.2% in IBBS 2011 to 44.5% in IBBS 2013). There is a potential flare up in HIV prevalence in PWID in less urban districts (Yogyakarta, Tangerang, Pontianak and Makassar) from 7% in IBBS 2009 to 12% in IBBS 2013. In Pontianak the prevalence increased more than 11 times to 60.5% within four years and also according to there is an increasing trend of new HIV infection among the younger cohort of young key affected population, including PWID. Based on data of IBBS 2012there were 21% of users who come from among young people, and there is5% female drugs user.

Harm reduction programs have benefitted from supportive regulations and program scale-up. At least eight national regulations have been enacted since2010 to provide supportive environment for harm reduction. Locations of Needle and Syringe Program (NSP) and Methadone Maintenance Therapy(MMT) services have both increased from 120 and 11 in 2006 to 194 and 74 in2011 (MoH, 2006 and 2011). However there are constrained conditions due to some statements issued by the Government, that Indonesia is now undergoing Drugs emergency situation causing people who use drugs are increasingly difficult to reached and access to health and care system.

Innovative approaches are needed for a comprehensive programme to increase quality and coverage of HIV prevention and Opioid Substitution Therapy (OST) program for PWID.The programme recently proposed in the Global Fund Concept Note submitted in May 2015 focuses resources across 141 districts with a prioritize approach for 68 districts (which are taken from the 75 Strategic Use of ART districts).

The programme will seek to optimize the engagement of HIV cascade by: i) Increasing coverage of community-led outreach interventions; ii)Peer-driven intervention (PDI), a network based peer outreach model developed to reach out and educate the People Who Inject Drugs (PWID) which is a hidden key populations and communities in an effort to prevent HIV and other infections; and iii) Increasing number of PWID in need of OST following GoI/MoH OST Guideline; iv). Reducing leakages of the HIV cascade.

Moreover, the operationalization of these strategies will be supported and enhanced by the implementation of crucial cross-cutting interventions including: Strategic behavioural communication; Structural interventions; Capacity building (organizational and technical capacities); and leadership development; and Strategic information.

Spiritia has implementing the PWID Outreach Program for semester 1 (Januari – Juni) and in need to evaluate the implementation to ensure that the prevention and service delivery models for PWID are went well as planned.  

This TA seeks to address one the following key three areas with specific support in the period November to Januari 2017;

A)      To support Spiritia and partners in reviewing existing program implementation including instrument, module for PWID Outreach and others related supporting activities, i.e Peer Driven Intervention models and Opioid Substitution Therapy (OST)

B)      To provide recommendation in improving the existing and future program implementation strategy and plan to Spiritia and partners.

C)      Conduct situational analysis related to PWID issues.

II.            OBJECTIVE

The objective of the consultancy is:

—      To support Spiritia and partners in reviewing existing program implementation including instrument, module for PWID Outreach and others related supporting activities, i.e Peer Driven Intervention models and Opioid Substitution Therapy (OST)

—      To review and provide recommendation to Spiritia and partners for PWID programming under Indonesia ‘s GF ATM grant and to support the development of comprehensive & innovative design for PWID and future implementation plan

III.            EXPECTED DELIVERABLES AND TIME FRAME

Below are the specific tasks and activities to be undertaken by the consultant:

—      All deliverables and reports must have submitted in written both Indonesia and English language.

—      Upon receipt of the deliverables and prior to the payment of the instalment the deliverables related reports and documents will be reviewed and approved by Spiritia. The period of the review is one week of working day after receipt.

IV.            DURATION OF THE ASSIGNMENT

The consultant will be contracted for a maximum of 19 days between November 2016 – January 2017.

V.            SCHEDULE OF PAYMENT

VI.            INPUTS

—      Spiritia will provide the consultant with background materials for the desk review and MSM Implementation related document.

—      The consultant is expected to work remotely using his/her own computer, but may access the Spiritia office printing or relevant documents or should he/she be required to work on-site at any point during the assignment.

VII.            PERFORMANCE EVALUATION

—      Contractor’s performance will be evaluated based on : timeliness, responsibility, initiative, communication, accuracy, and quality of the products delivered.

VIII.            REQUIRED EXPERIENCE AND QUALIFICATIONS

IX.            REPORTING PRACTICE

End of assignment

               i.      Consultant to produce timesheet with clients’ signature upon completion of the assignment.

             ii.      Consultant to complete Spiritia Contract Completion Report & Consultant Feedback Form.

           iii.      Any amendments to the current assignment and deliverables in regards to the TOR must be acknowledged by the client and Spiritia FP. 

X.            APPLICATION PROCEDURE AND DEADLINE

Interested candidates are requested to submit electronic application to: [email protected] with copy to: [email protected] not later than, 16 November 2016 at 17:00 UTC+ 07:00.

SUBMISSION PACKAGE

—      CV and cover letter containing selection criteria (required experience and qualification) aforementioned and provide supporting documents related to previous rate.

Please note that only selected candidate will be contacted.