UNITED NATIONS CHILDREN'S FUND has floated a tender for International Consultancy to Support Government of Tajikistan to Assess Effectiveness and Efficiency of Financing for Adolescent Health -Services. The project location is Tajikistan and the tender is closing on 24 Aug 2018. The tender notice number is , while the TOT Ref Number is 25788340. Bidders can have further information about the Tender and can request the complete Tender document by Registering on the site.

Expired Tender

Procurement Summary

Country : Tajikistan

Summary : International Consultancy to Support Government of Tajikistan to Assess Effectiveness and Efficiency of Financing for Adolescent Health -Services

Deadline : 24 Aug 2018

Other Information

Notice Type : Tender

TOT Ref.No.: 25788340

Document Ref. No. :

Competition : ICB

Financier : United Nations Secretariat

Purchaser Ownership : -

Tender Value : Refer Document

Purchaser's Detail

Purchaser : UNITED NATIONS CHILDREN'S FUND
UNICEF Office Dushanbe 37/1 Bokhtar Street Dushanbe Tel: +992-446000190/446000191/446000192 Fax: +992-446000196
Tajikistan
Email :tad-procurement@unicef.org/dushanbe@unicef.org

Tender Details

Tenders are invited for International Consultancy to Support Government of Tajikistan to Assess Effectiveness and Efficiency of Financing for Adolescent Health -Services, Dushanbe Tajikistan.

UNICEF works in some of the world’s toughest places, to reach the world's most disadvantaged children. To save their lives. To defend their rights. To help them fulfill their potential.

Across 190 countries and territories, we work for every child, everywhere, every day, to build a better world for everyone.

And we never give up.

For every child,

In Tajikistan, adolescent girls and boys face several challenges related to the quality of basic services responding to their needs. The social sector infrastructure in Tajikistan, partly inherited from the Soviet time, provides a diverse range of social services. Since that period, the health promotion services for adolescents were established and are still operational at schools, vocational training venues and in special institutes. However, these health services are not adapted to adolescents needs, hence not adolescent-friendly. Mental health and psychosocial services are underdeveloped.

Up to now there is a gap in understanding to what extent these services are effective in terms of accessibility, availability and coverage.

UNICEF supported the establishment of 26 Youth Friendly Health Services (YFHS) at primary health care level. The package of YFH services in the area of HIV, sexually transmitted infections (STIs) and reproductive health for vulnerable young people and most-at-risk groups (MARA) aged 10- 24 is institutionalized. The legal framework to integrate and scale up YFHS in the health system is endorsed and used to increase access by vulnerable young people, with a special focus on at risk groups on a sustainable basis. However, the current capacity of YFHS can cover only one third of the target population.

In June 2017, the Ministry of Health and Social Protection (MoHSP) approved the revised regulation on Adolescent Friendly Health Services (AFHS). The regulation envisages the integration of the adolescent health friendly services AHFS into the primary health care (PHC) system. Its expansion is expected to take into consideration innovative methods of receiving counselling through virtual services and the guarantee that adolescents, boys and girls, have an equal access to health promoting services irrespective of geographic location, gender and vulnerability profiles.

In parallel, the definition and costing of the essential Reproductive, Maternal, New-born, Child and Adolescent Health (RMNCAH) Service Package (RMNCAH) (hereinafter, "costed package", with engagement of MoHSP and the Ministry of Finance (MoF) experts at national and sub-national level, was completed in 2017. This is expected to complement the ongoing financing reform of the PHC system. The costed package of the services for adolescents will assist the health system to improve governance of the PHC system, strengthen accountability and monitoring, optimize the use of restricted resources and ensure both sustainable coverage and equal access for girls and boys. Efficiency of YFHS varies across centers, corroborated by the examination of the program funding and service utilization per each YFHS center revealed 30% of YFHS centers to be inefficient. The analysis shows these YFHS centers to be established in 2012, whereas other centers have longer experience of operations. Shall this analysis been conducted during program implementation, focus could have been put on enhancement of outreach activities.

How can you make a difference?

The main purpose of the study is to provide support to the Government of Tajikistan in assessing effectiveness and efficiency of budget allocations and spending for adolescent health-related services including mental health in education and health sectors.

The outcome of the study will serve the line ministries, such as the Ministry of Finance, the Ministry of Education and Science and the Ministry of Health and Social Protection as the roadmap for the development of the future of action in regard of optimization and rational distribution of restricted resources in order to improve access by adolescents to quality health services at education and health sectors with particular attention to gender and equity issues. It will also assist the development of the National Child and Adolescent Health Strategy for 2019-2024 by applying the set of recommendations of the study with a Child Rights approach within the Finance for Children (F4C) initiative. The findings of the study will inform policy makers in their efforts to prioritize resources for better health outcomes for children and adolescents in Tajikistan.

Documents

 Tender Notice