TERMSOFREFERENCE (TOR)

ACostingStudyonthehealthresponsetovictimsofDomesticViolenceinVietnam
I. BACKGROUND INFORMATION

Genderbasedviolence(GBV)againstwomenhasbeenrecognizedinternationallyasamajorviolationof humanrights.SincetheInternationalConferenceonPopulationandDevelopment(ICPD)heldinCairoin 1994andtheFourthWorldConferenceonWomenheldinBeijingin1995,addressingviolenceagainst womenhasbecomeasignificantpartoftheUnitedNationsPopulationFund(UNFPA)mandateandan essentialelementofalleffortstoimprovethesexualandreproductivehealthofwomenaswellastheir statusinthesociety. Since2004,UNFPAinVietNamisstronglycommittedtopreventingandaddressingGBVinpartnership withtheGovernmentofVietNam,donorcountries,massorganizations,andcivilsocietyorganizations. The Country Office continued expanding its work on addressing GBV in its Seventh Country Program (CPC71)20062011byprovidingappropriatemedicalresponsetovictimsofdomesticviolenceaswellas mainstreaminggenderequalityintoHIV/SRHservices. In the UN reform context, UNFPA in partnership with other UN agencies, supports the Vietnamese Government to develop evidencebased data to inform policy development and programming on Domestic Violence prevention and control. In 2010 the General Statistics Office (GSO) with technical support from the UN conducted a survey on Domestic Violence in Vietnam. This study indicated that overall32%ofevermarriedwomenreportedhavingexperiencedphysicalviolenceintheirlivesand6% had experienced physical violence in the past 12 months. Combining data for physical and sexual violence,34%ofevermarriedwomenreportedhavingexperiencedphysicalorsexualviolencebytheir husbandatleastonceintheirlife,while9%hadinthelast12months.Thesefiguresarealarmingand havedrawnmoreattentionofdifferentgovernmentpolicymakersandprogrammers. Besides,since2006,UNFPAhassupportedtheGovernmentofVietNam,atthecentralandprovincial levels, in promoting gender equality and addressing GBV through strengthening national legal framework and community interventions. The key intervention models, in Phu Tho and Ben Tre provinces,focusonbothstrengtheninghealthsectorresponseandcommunityresponsetoGBV. Following the approval of the Law on Domestic Violence Prevention and Control (2007), Ministry of Health(MOH)promulgatedCircular16/2009TTBYT(2009)toprovideguidancetothehealthcaresystem onscreening,counseling,treatmentandreportingofDVvictims..SincetheapprovaloftheCircular16 littleprogresshasbeendonetowardsitsimplementationduetoinadequatebudgetallocation. UNFPA and UN Women Country Offices in Viet Nam plan to conduct two separate costing studies to inform policy makers and budget allocation in future GBV interventions. The studies will provide

ThegoalofCP7istocontributetoimprovingthequalityoflifeoftheVietnamesepeoplethroughsupportingthe Governmenttoimprovethequalityandutilisationofgendersensitivereproductivehealth(RH)informationand services,includingsexualhealth(SH)andfamilyplanning(FP)withaspecialfocuson(i)unmarriedyoungpeople, (ii)ethniccommunitiesindisadvantagedareas,(iii)migrants,(iv)maternalandneonatalhealthand(v)the translationofpoliciesintoroutinepracticeatthecommunitylevel.CP7containstwocomponentsreproductive health,andpopulationanddevelopmentandadheretoarightsbasedapproach,andgenderissuesare addressedasanessentialcrosscuttingelementoftheprogramme.

comprehensive and evidence based information on (1) What is the cost of GBV to the country as a wholeand(2)howmuchDVHealthresponsecosttotheGovernment. WhileUNWomenwillfocusitsstudyontheeconomiccostofDVtothecountry,UNFPAstudywillfocus on the cost analysis of interventions/services. The UNFPA study is expected to provide inputs for the development of an essential minimum package (MP) of services to GBV victims as planned under the nextONEPlan20122016. Takingadvantageofavailabledatafromthe existingpiloted modelsUNFPA willconduct thefirstever costing study on health care services to victims of GBV? in Vietnam. In addition, this study will be an entry point to provide inputs and experiences to do costing studies of other components of the minimumpackageofservicesonGBVresponseintheOnePlan20122016.

II.

OBJECTIVE

To conduct a costing study on the health response to GBV victims in Vietnam through costing the implementation of Ministry of Health Circular 16 that provides guidance on care, treatment and counselingservicesforvictimsofGBV. i) TotakeaccountoftheactualstatebudgetallocatedfortheimplementationofCircular16;

ii) To estimate the costs of providing essential health care services to DV victims to fully implementCircular16 iii) ToidentifytheStatesbudgetallocationneedstomakeessentialhealthcareservicesavailable forDVvictimsnationwide.

III.

SCOPE OF WORK

UndertheguidanceofUNFPAVietnamCOandincloseconsultationwithMOH,theselectedconsultants (hereaftercalledtheConsultant)willcosthealthsectorresponsetoGBVvictimsinVietnamthrough: 1TakingaccountofstatebudgetallocatedfortheimplementationofCircular16,bothatcentraland locallevel.TheHealthcostincludedinthisstudyarecapital,labourandmaterialinputs. Capital costs are such things as land, buildings, infrastructure, laboratory equipment, machinery,andvehicles. Labour costs cover services provided by physicians, nurses, other professionals such as dentists and pharmacists, technicians and support staff, including the required (nation wide)capacitybuildingofhealthworkers. Materialinputscanincludesuchthingsashospitalfood,drugs,technicalmaterialssuchas xrayfilmsanddevelopingfluids,gasolineandelectricity.

2. To identify the State budget allocation needs to make essential health care services available and appropriate for GBV victims nationwide base in UNFPAs pilot models. State budget allocation needs willbedeterminedbasedonastudyofthecostofessentialhealthservicesforDVvictimsinthePhuTho andBenTrepilotmodels.

 Circular16 oncare,treatmentandcounselingservicesfor victimsofDV CapacitybuildingforHealthCareWorkers Screening Medicalconsultationandtreatment: Physicalinjuries Mentalinjuries Sexualassault Healthcarecounseling ReferringvictimstofacilitiesforGBV victims Providingpsychologicalcounseling ProvidinginformationonDVand rightsofDVvictims ArrangementoftemporaryrefugeforDVvictims

Directcosts(VND)since2009 Capitalcosts Labourcosts Material inputs

3Identifygapsinstatebudgetallocation,atcentralandprovinciallevel,tomakeessentialheathcare servicesavailabletoGBVvictimsnationwide.

IV.

EXPECTED OUTPUTS/DELIVERABLES

Research proposal, including methodology with sample, data collection tools, timeline and detail budgetbreakdown. FirstdraftofstudyreportinbothVietnameseandEnglish PPTpresentationonkeyfindings/results Finalresearchreportaccordingtothefollowingoutline,inbothVietnameseandEnglish: +Abstract +Background +Methodology +Findings(includinganalysisandconclusion) +Recommendations

V.

INTENDED USES & USERS

1.Mainusersare: Ministry of Health (MOH), Ministry of Culture and Social Affairs (MOCST), Ministry of Finance (MOF) andrelevantGovernmentagencies.

 Other development partners including Donors, UNFPA and other UN agencies, National and InternationalNGOsandacademicinstitutionsworkingonGBVinterventions 2.Intendeduse: Themainpurposeofconductingestimationsofthecostofprovidinghealthcareservicestovictimsof GBVistoproducecomprehensiveandevidencebasedinformationtoinformpolicymakersandbudget allocationforGBVinterventionsin theframework ofthenextoneplaninVietnam.Theresultsofthe study will be use to inform and develop the health component of the Minimum package on GBV in Vietnamaswellasprovidingconcreteguidanceoncostingmethodologiesforcostingothercomponents oftheminimumpackage.

VI.

STUDY METHODOLOGY

Thespecificmethodologyanddatacollectiontechniqueswillbedevelopedbytheconsultant.However, thefollowingstepsneedtobetakentoguidetheprocess: Desk review. A brief overview of relevant international and national commitments to ending violenceagainstwomentowhichVietnamisapartandidentificationofrelevantcostingstudies andmethodologiesonGBVfromAsiaandbeyondapplicabletotheVietnamesecontext. Development of methodology. The types of costs to be measured, their definition and a mappingofavailabledatasourceswillbeincludedinthemethodologyforthestudy.Thedesign ofthemethodologywillbeledbytheinternationalconsultantincooperationwiththenational consultantandcounterparts. Data collection (Field work). Official statistical and budget information sources. Survey with institutions in charge of tackling DV and GBV (GSO, MOCST, MOH), Interviews with public servants.TravelstoUNFPApilotmodelsinPhuThoandBenTre. Data analysis: Institutional response map, standard services to provide estimations of direct costs and comparisons. (Consultant will work closely with UNFPA programme manager and MOHstaff) Draftingthereportandpresentationtostakeholders.Relevantdataandinitialanalysisshould be presented to the stakeholders for consultations and refinement of analysis. Preparation of finalreportwithfeedback.

VII.

ACCOUNTABILITY:

Consultantteam Theteamwillconsistof2members:OneteamleaderAnInternationalresearcherwithexpertiseon costingstudyonGBVandhealthcaresystems;andoneTeammemberAnationalexpertoncosting studyandcostofhealthcaresrevices. Working under the supervision of UNFPA (gender unit), the research team will be responsible for the followingtasks: 1. Developmentoftheresearchproposal,includingmethodologyandtoolsforconductingtheDV costingexercise,incloselyconsultationwithMOHandUNWomen.Theprocessofdeveloping the methodology should include desktop reviews of international and national data and methods; 2. RevisemethodologybasedonfeedbackfromUNFPAandnationalpartners,andbasedonthe finalisedmethodology,developadetailedworkplan,clearlyshowingdivisionoflabour,budget andtimeframe; 4

3. Conductdatacollectionprocess,dataanalysisandpreparationofadraftreportontheprocess and the findings of the DV Costing exercise and submit to UNFPA for feedback; Based on feedbackreceived,finalisetheReportandfindingsinEnglishandsubmitaspertheagreedupon timeframe; 4. The team leader will be responsible for the quality of the report, expected results and deliverables. UNFPAcountryoffice(CO)UNFPACOwillrecruittheconsultantteamandwillsupervisethequalityof theconsultantsworkandprocess. UNFPACO,withsupportfromMOH,willactasfocalpointtoarrangethemeetingsandworkshopswith relevantstakeholdersforthestudy. MOHandPMBofPhuThoandBenTre: UNFPAwillsendallrelevantbackgrounddocumentstotheselectedconsultantteaminadvance(seea listofdocuments).

VIII.

PROPOSED TIMETABLE

Thetotaltimeinputsforconductingthestudyisestimatedtobearound40days.However,thenumber ofworkingdaysalsodependsonthetechnicalproposaloftheselectedconsultantteamwithagreement of UNFPA. It is expected that the assignment will be conducted and completed in the period from 1/08/2011to30/10/2011.Finalproductsareexpectedtobefinalizedandsubmittedby30thSeptember 2011. Timeframe: Tasks Deskreview Developmentofresearch proposalanddatacollection tools Datacollection Dataanalysis Draftreportssharewith stakeholders PPTpresentationanddebriefing sessionwithrelevantpartners FinalreportandPPT Venue Timeline EarlyAugust EndofAugust

EarlySeptember EndofSeptember October MidOctober 30thOctober

IX.

BACKGROUND DOCUMENTS

UNFPAwillprovideallnecessarybackgrounddocumentsandinformationfortheassignment,including supporttoselectedconsultantsforadministrativearrangementssuchasvisatoVietnam. Circular16 ProjectdocumentsinPhuThoandBenTreprovinces AWPsofPhuThoandBenTre AWPsofMOHrelatedtoimplementationofCircular16 MOHtoaddmore 5

X.

REQUIREMENTS OF CONSULTANTS
TheConsultantsshouldhavethefollowingqualifications:

a)Internationalconsultant(teamleader): Atleast7yearsofworkingexperienceinbudgetingandcostinganalysis,sparticularlyinthearea ofGBV,genderresponsivebudgeting,orrelatedfield. Education: At least a masters degree, preferably in the fields of economics, gender, development or social sciences. PhD and/or indepth studies of research methods strong advantage. Indepth expertise in designing, implementing and disseminating complex social research projects on violence against women or other gender issues, preferably within the AsiaPacific region.DirectexperienceinVietNamwouldbeadefiniteadvantage. Provenexperienceselecting,trainingandmanagingteamsofcommittedresearcherstoensure rigorousdatacollectionresultingincomprehensiveandqualitydata. ExperienceandunderstandingoftheregionalandsubregionalcontextandtheUNsystem; Strong personal commitment to gender equality and human rights. Working knowledge of healthcaresystemandpublichealthinVietnamisamerit. Excellentwrittenandverbalcommunicationskillsaswellasstronganalyticalskills ExcellentwrittenandoralcommunicationskillsinEnglish.

b)Nationalconsultant: MastersdegreeonSocialScience,Economics,DevelopmentStudiesorrelatedfield 3to5yearsexperienceoncostingstudiesandgenderresponsivebudgetting. Extensiveexperienceinconductinghighlevelanalysisofgender/genderbasedviolence. ExperienceandunderstandingoftheHealthCareSysteminVietnamandVietnameseculture UnderstandingofandexperienceworkingwiththeUNsysteminVietnam Havesoundinterpersonalandcommunicationskills ExcellentwrittenandoralcommunicationskillsinEnglishandVietnamese

XI.

SPECIFIC CONDITIONS
A Special Service Agreement (SSA) on consultancy service will be signed between the selected consultantsandUNFPAVietNam. This contract will cover all costs related to the implementation of the consultancy service with agreedconsultancyhonorarium. Paymentwillbemadeasfollows: (i) (ii) (iii) (iv) 80% advancement for DSA after research proposal approved by UNFPA and 5 days beforeworkstarts. 20%DSAuponreceiptoftravelreport. 50%oftotalpaymentuponreceiptofthefirstdraftofthereport. 50% of total payment upon receipt of final draft, satisfactory completion of agreed outputs,deadlinesandqualityofthefinalproductiscertifiedbyheadofUNFPAGender Unit. 6

XII.

APPLICATION
To be considered for this assignment, kindly submit your expression of interest, consultancy proposal (technical and financial), updated Curriculum Vitae of the lead researcher and research team member and a cover letter indicating Application for Consultancy Services for A Costing StudyontheStatesHealthResponsetoVictimsofDomesticViolenceinVietnamto: Ms.ClaraGomezattheemail:clgomez@unfpa.orgorpostaladdressUNFPAoffice,1stFloor,UN ApartmentBuilding,2EVanPhucCompound,HaNoinolaterthan21July2011. Pleaseindicateyourproposeddraftworkplanaswellasalumpsumcoveringbothyourprofessional feeandanytravelandaccommodationcostsneededtomeettheobjectivesofthisassignment.In addition,kindlysubmityourCV,aportfolioofpastresearchprojectsandexamplesofrelevantwork availableforreview,andalistofprofessionalreferences.