EHRN is looking for consultant(s) to develop (i) a harm reduction service regulation framework and (ii) to conduct a comparative analysis of harm reduction standards

9 August 2017

About the assignment:

Funding landscape in our region has seen a dramatic transformation in recent years. While HIV incidence rate continues to increase in the region, still the funding for relevant HIV prevention measures targeting key affected populations has been decreasing. International funding for local HIV prevention activities has also been decreasing, while states show reluctance or face technical barriers to issue commensurable funding for local HIV prevention initiatives for key affected communities.

In the six target countries, where the Regional Program Harm Reduction Works – Fund It! Is being implemented funding and service provision of HIV Prevention/Harm Reduction services by the state (central or local) funds is at the different stage. In Lithuania, services are fully funded from public sources, while in other countries government agencies only provide partial or no funding at all.

One of the key barriers in the provision of domestic funding to harm reduction services identified through studies is a lack of government regulation of over NGO-based service provision. Unlike medical facilities, NGO-based service providers do not always have some type of market-entry/exit requirements for service provision (e.g. license, certificate, or accreditation), staff providing services does not always have a formal education (e.g. diploma, continuous education system, license, etc.) and public reimbursement/procurement schemes are not always adapted to meet the service providers’ needs. Additional aspects related to quality assurance and quality improvement of HIV Prevention/Harm Reduction services in the national system are largely absent.

In response to those challenges, EHRN has initiated and supported a national standard development process in the number of countries. However, due to absence of unified regulations about standards, limited international consensus on number of key aspects of services and limited experience on the ground, those standards are different and it is hard to understand where are the gaps or limitations, or what are the best-case examples to be shared and exchange in the region.

Therefore, the objective of this task is two-fold:

  1. On one hand, to develop a comprehensive matrix (an evaluative framework) of service regulations based on the international experience to serve as a regional benchmarking tool for national harm reduction service regulations; 
  2. On the other hand, to develop a comprehensive framework/benchmarking tool for harm reduction standards and conduct a comparative review, based on the tool of national harm reduction standards in 6 countries implementing the regional program.

Delivery of the task:

Performance of those two tasks are closely interlinked, therefore, the call is for one or two consultants, where in case of two individuals requited, they should be able to work together closely.

Knowledge of English and Russian language is a must (working languages). The report could be written on either of the languages. EHRN will ensure translation of relevant national regulations to one of the preferred working language of the consultant, although, the consultant(s) should be able to read and fully understand text on either of the working languages.

Volume of Work:

The maximum volume of the work is estimated as the following:

Task 1: 15 consultancy days

Task 2: 25 consultancy days.

Qualification Requirements:

The consultant is expected to have a strong background in HIV prevention programing from EECA region and good understanding of overall context of the HIV prevention programs in the region.

Expertise is required in the following areas:

  1. At least 5 years of experience the field of harm reduction, harm reduction service provision from, preferably including international and regional (from EECA) experience.
  2. Excellent understanding of Global Fund programs in EECA countries.
  3. Educational background in public health, health policy epidemiology, public administration and in other relevant fields (or commensurable working experience).
  4. Track record in academic work/publications is strongly preferred.
  5. Experience in development of harm reduction standards.
  6. Strong planning, organizational and coordination skills.
  7. Fluency in English and Russian.
  8. Strong knowledge of the region involved - Eastern Europe and Central Asia region, especially of public health or health policy.
  9. Strong reporting skills, ability to write clear, user friendly and well-argued reports.

Application Process:

Interested candidates are required to deliver (i) a short cover letter (please indicate if you are applying to both tasks, or only one of the task), (ii) financial proposal and task completion plan and (iii) daily rate information sheet (attached) to the following address:

Deadline for application is August 21, 2017

Unless specifically indicated in the application, EHRN retains the right to offer a potential candidate other relevant consultancies to her/his application.