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ANTI-STIGMA TOOL KIT

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					                                     ANTI-STIGMA TOOLKIT
                                   FOR CARIBBEAN COUNTRIES

                                         Terms of Reference
                                for Lead Consultant/Consulting Firm



Background

The HIV/AIDS epidemic is a major health crisis for the Caribbean. According to the
latest indicators, outside of Sub-Saharan Africa, the Caribbean has the highest HIV
prevalence rate globally. Approximately 440,000 people are currently living with HIV
in the Caribbean. In the Caribbean Community (CARICOM) countries 1 specifically,
370,000 people are currently living with HIV.2

Stigma is a prominent feature in areas of the world especially affected by HIV/AIDS. It
is commonly demonstrated through acts of denial, ostracism, and rejection, and often
results in discrimination and the abuse of human rights.

The 15 member countries of CARICOM and the Dominican Republic3 are undertaking
comprehensive national programs to halt and reverse the spread of HIV/AIDS,
including advocacy, education, and legal reform around stigma and discrimination.
(The 16 countries are hereinafter collectively referred to as “the Countries.”)

In line with these efforts, CARICOM and the Pan Caribbean Partnership against
HIV/AIDS (PANCAP), with a grant from the World Bank, wish to produce a number of
anti-stigma toolkits aimed at a number of target groups.

A lead consultant/organization will be retained by CARICOM to manage the work of a
team of regional consultants, also to be selected and hired by CARICOM. Under the
direction of the lead consultant/organization, the regional consultants shall carry out the
necessary detailed work, pursuant to terms of reference for toolkits targeting each of the
groups listed below in the section Scope of Work.




1
  The CARICOM nations and territories are Antigua and Barbuda, Bahamas, Barbados, Belize, Dominica, the
Dominican Republic, Grenada, Guyana, Haiti, Jamaica, Montserrat, Saint Kitts and Nevis, Saint Lucia, Saint Vincent
and the Grenadines, Trinidad and Tobago, and Suriname.
2
  UNAIDS, Caribbean HIV and AIDS statistics and features,
<http://www.unaids.org/wad2004/EPIupdate2004_html_en/epi04_06_en.htm> (accessed February 2005).
3
  The Dominican Republic subscribes to the Caribbean Regional Strategic Framework for HIV/AIDS 2002-2006 and is
included among the beneficiaries under the Development Grant Agreement dated April 28, 2004 between the
International Development Association and The Caribbean Community for the Pan Caribbean Partnership against
HIV/AIDS Project.
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Overall Objective

The overall objective of this assignment is to assist CARICOM, through PANCAP and
within the context of the Caribbean Regional Strategic Framework for HIV/AIDS 2002-
2006, in carrying out its responsibility in helping the Countries to reduce stigma and
discrimination against people living with HIV/AIDS and their families.4

Scope of Work

The consultant/Consulting Firm shall provide guidance to CARICOM, as is set forth
below, in the design and production of anti-stigma toolkits for the following specific
target groups: the private sector and tourism, health workers, educators, legislators and
policy makers, religious leaders, and people living with HIV/AIDS.

Each toolkit shall serve as a resource guide for reducing stigmatization of people living
with HIV/AIDS in each target group. Each toolkit shall:

        (i) Provide background information on how stigma and discrimination operate
        within the target group and the rationale for action against stigma, and

        (ii) Offer guidance on possible specific interventions.



To this end, the consultant/organization shall perform the following specific tasks:

        1) Draft terms of reference for regional consultants to prepare anti-stigma toolkits
        for each of the following target groups:



             (a) the private sector and tourism
             (b) health workers
             (c) educators;
             (d) legislators and policy makers
             (e) Faith-Based Organisation
             (f) People Living with HIV/AIDS .

        In preparing the terms of reference for regional                                   consultants,       the
        consultant/organization shall consider the following:

             (a) The need for professional investigation and documentation of how stigma
                 is shaped by, and interacts with, the context in which it occurs.

4
 Project Appraisal Document, Pan Caribbean Partnership Against HIV/AIDS, Part C(1) at 13, February 2004 (Report
No. 27267).
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   (b) For each target group (as outlined above), regional consultants shall
       produce a toolkit for use in raising awareness around stigma and
       introducing interventions that decrease the incidence of stigma and
       discrimination

   (c) Each regional consultant shall visit two or three (not to exceed three) of
       the Countries to gather relevant data and information on a specific target
       group. In order to ensure broad representation in data collection, each of
       the Countries visited by at least one consultant. The information included
       in each target group toolkit will be representative of the Countries
       collectively.

   (d) Regional consultants shall ensure that materials specific to each target
       group are developed with substantive input from members of the given
       group. The lead consultant/organization shall make initial contact with
       relevant stakeholders in target groups and shall enlist their initial
       assistance as needed. Regional consultants shall be responsible for
       making further arrangements with these groups as needed.

   (e) With guidance from the lead consultant/organization, regional consultants
       shall identify and enlist the participation of individuals within each target
       group who will act as key contact points to champion the toolkit within
       the given target group.

   (f) Each regional consultant shall produce an interim report once they have
       gathered all necessary data. This report shall be submitted to the lead
       consultant/organization and shall include a proposal for the detailed
       contents of the toolkit.

   (g) Regional consultants shall deliver finalized toolkits, pursuant to their
       terms of reference, to the lead consultant/organization for production and
       dissemination. Two hard copies and one electronic version of the
       finalized toolkit shall be submitted in English to the lead
       consultant/organization.

   (h) Regional consultants shall prepare a multi-country list, specific to each
       target group, of resources and persons/mentors to assist those seeking
       information, counseling, or support services in relation to stigma and
       discrimination.

2) Assist CARICOM in identifying regional consultants who possess the requisite
skills and represent a broad spectrum of the Countries.

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       3) Manage a team of regional consultants who will report directly to the lead
       consultant/organization.

       4) Manage the preparation and delivery of two training workshops aimed at
       sensitizing and providing instruction and guidance to consultants who shall be
       involved in developing toolkits for the targeted groups. The first training
       workshop will take place at the beginning of the regional consultants’ work and
       the second, after an initial period of time during which the regional consultants
       shall gather data specific to each target group.

       The first workshop will focus on stigma sensitization and skills necessary for the
       collection of data and information. The second will serve as a forum within
       which the regional consultants, in collaboration with the lead organization and
       with consideration to their initial findings, shall develop a standard template of
       common issues related to stigma that will be explored in each of the toolkits.

       5) Provide guidance, monitor consistency of work, and oversee the development
       of each toolkit.

       6) Manage both the production and dissemination of the finalized toolkits. This
       includes the delivery of toolkits to key contact points in each target group (as
       addressed in (c) above).

       7) Manage the preparation and delivery of training sessions involving those in
       the aforementioned target groups for whom the toolkits are designed. These
       training sessions should focus on the operational application of the toolkits.



Qualifications of Consultant/Consulting Firm

The Consultant/Consulting Firm must have experience in coordinating and managing multi-
disciplinary teams, expertise in developing tool kits, a sound knowledge of issues related to
gender and the impact of gender relations on the transmission of the HIV, and the role of stigma
and discrimination in exacerbating the HIV/AIDS epidemic.




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Institutional Arrangements for Execution



PANCAP/CARICOM will coordinate and oversee the project.

The Deputy Programme Manager, Health Sector Development, will assume
responsibility for the project under the guidance of the steering committee made up of
representatives from:
          The PANCAP Coordinating Unit
          The Caribbean HIV/AIDS Business Coalition;
          The Caribbean Coalition of National Aids Programme Coordinators;
          CARICOM Secretariat, HSD (Education, Health, Legal Drafting Facility)
          Caribbean Regional Network of People Living with HIV/AIDS
          Champions for Change Faith Based Executive Committee


Time Schedule

The Lead Consultant/Consulting Firm will begin the assignment within one month of
notification of selection.

The first training workshop(s) (see the section Scope of Works) shall commence within six
weeks of the hiring of the regional consultants.



Deliverables

The lead consultant will be required to submit to the PANCAP Coordinating Unit the
following reports at the times and in the numbers stipulated below:

1.    An Inception Report setting out a detailed Work Plan

          (i)    to include preliminary cost estimate and time schedule for the
                 production of all toolkits) within six weeks of the commencement of
                 the assignment. A preliminary cost estimate should include all
                 expenses in relation to the work of the lead consultant/organization
                 and should also account for the production and dissemination of the
                 finalized toolkits.
          (ii)   Terms of reference for toolkits for each of the targeted group

2.    An interim report not later than 24 weeks after the commencement of the
      assignment. The Steering Committee will be required to submit written
      comments within two weeks after receipt of the report

                                                                                        5
3.   Draft final report and draft tool kits for each target group not later than 10 weeks
     after the interim report. The Steering Committee will be required to submit
     written comments within two weeks after receipt of the report
4.   A Final Report and Final tool kits incorporating adjustments based on comments
     agreed upon with the Steering Committee within three weeks after receipt of
     written comments from the Steering Committee.



5.   One hard copy of each final tool kit and final report and an electronic copy of the
     final report and tool kits.




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