Terms of Reference (ToR) for 2017/18 for Consultancy services for NBFP and Ministerial Policy Statement analysis and presentation as of 2nd May 2017. 1.0 Introduction Uganda Youth Network (UYONET) is a leading national youth organization that works to mainstream young peoples’ engagement in development and governance processes in Uganda and East Africa. It draws its mandate from the increasing demand for a collective platform for research, training and policy advocacy for young people by young people. UYONET is a National Alliance of local youth-led networks of CSOs/Associations, with a secretariat in Kampala a vision to facilitate an empowered youth population participating in governance and development processes through building, empowering and sustaining a vibrant youth network through advocacy, coordination and capacity building. Through partnership with Plan international Uganda, CEDOVIP, and Straight Talk Foundation and in collaboration with 5 district lead CSOs including Action for behavioural change (ABC) in Tororo district, Foundation for Integrated Rural Development (FIRD) in Lira district, Community Action for Sustainable Livelihood (CASUL) in Alebtong district, Girl Up Initiative Uganda in Kampala and Aids Education Group for youth (AEGY) in Kamuli district, Youth representatives, district and local community authorities are implementing a three and a half-year participatory youth-led social empowerment program, code-named ‘Ni-Yetu’ Youth Program. The project integrates promotion of Youth SRH&R and prevention of and response to GBV among young people in five districts of Tororo, Kamuli, Lira, Alebtong and Kampala with Advocacy at its centre. The program seeks to empower young people to demand for and fulfil their rights in a participatory and inclusive manner that also recognizes and actively engages with CSOs, key public sector agencies at various levels as well as relevant community-level actors. To achieve this, the program directly targets and works with and through the youth and their networks, while also strengthening the local civil society to influence the spaces for CSOs operations and advocacy for youth rights and policies, governance and participation in decision making processes. The program’s over-all objective is to contribute to a healthy youth population, free from violence and empowered in an inclusive civil society that promotes state accountability. 2.0 Background to Youth friendly sexual reproductive health budget advocacy During the first year of Ni-yetu program, a Participatory rural appraisal was employed in the project districts of Lira, Alebtong, Kampala, Kamuli and Tororo with a total of 100 participants taking part in directly engaging with target data sources within the communities. Key emerging findings confirmed the grounded challenges of; i. Limited availability and access to relevant age appropriate and quality SRH&R and GBV information both at dissemination and uptake level, 1 ii. iii. Lack of youth friendly services at both SRH services and GBV protection points, including health and legal redress services points especially in aspects of confidentiality and capacity of the providers to accord the appropriate courtesy and understanding and appropriate service of the adolescent clientele e.g. by not further victimizing, chastising or conducting tasks in a way that further endangers the clients but rather encouraging them to open up with due will for according to the required standard service. Continuance of harmful social-cultural practices against adolescents/youth especially the girls and young women i.e. Early/forced marriages, unfair inheritance practices, culture of silence, domestic violence, etc.” Uganda’s National Adolescent Sexual Reproductive Health Policy enacted in 2004 mandates all health facilities to provide youth friendly services to young people. Unfortunately only 5% of public health facilities in Uganda offer youth friendly health services (SRHR alliance 2016). In a study by Plan international Uganda 77% of the young people interviewed never wished to go back to the health facilities they had been before because of the poor quality services characterized by i) lack of privacy and confidentiality within health facilities resulting in a hostile and intimidating service environments for adolescents/youth; ii) longer waiting time and general lack of medicines; iii) negative attitudes of health workers towards adolescents/youth (and especially the girls) seeking SRH support; iv) limited varieties of modern FP methods and irregular supply of essential RH/FP commodities available as well as access to health facilities with only 11% of the population living within a 5 km radius of a hospital, 23% for Health Centres and 49% for Private Clinics [10]. Limited or lack of friendly services increases vulnerability and exposes young people to negative outcomes such as teenage pregnancy which currently stands at 24% in urban areas and 26% in rural areas (UDHS2011), early marriage 20% girls and 1.2 boys, unsafe abortion- contributing to between 2030% maternal mortality in Uganda, majority (33%) of which are young people aged 15-24 years; STIs including HIV as well as gender based violence. In a validation exercise by Plan International, Uganda (2016), young people felt the negative attitude of some health workers made them fear accessing services at public health facilities. “I feel so shy in expressing myself knowing that the health worker is going to laugh at me,” For instance, “If I go (to the health worker) and ask for a condom, they ask – are you having a boyfriend or what are you going to do with it.” Whereas, Uganda has continued to increase budget allocation to health from 6% in (2014/15 FY) to 7% (2015/16 FY), it still falls short of the 15% Abuja declaration where Uganda committed itself to allocate 15% of it national budget to health. But even the 7% allocation, has little or no evidence of allocated funds for improving youth friendly health services. It is from this background that Ni-yetu through the District Advocacy Networks and partners has been engaging the duty bearers at sub local, local and national level regarding the health sector allocation. As we move towards the end of the 2017/18 planning cycle, the project intends to count the cost in form of a ONE DAY accountability forum that will bring together over 100 key actors in the advocacy structures within Ni-yetu, coalitions, partners, district local government and National level players 3.0 Purpose of the ToR Ni-Yetu youth project is committed to working with different stakeholders to increase availability and access to youth friendly health services. In that regard, Ni-Yetu under the leadership of UYONET is seeking for consultancy services to broadly the critic the National Budget Framework paper and the Ministerial Policy Statement to identify allocation changes as a result of the consultative processes that were the centre of focus for health budget advocacy engagement with the view of teasing out the gains attained. The output through the context of coalition advocacy engagement experience will further detail the lessons learnt emanating from the anticipated and un-anticipated methodologies, challenges and successes that should provide informed guidance to the advocacy action that will focus monitoring the budget allocation and subsequent implementation. 4.0 Objectives of the assignment 2 The action purposes to critic the National Budget Framework Paper 2017/18 and the Ministerial Policy statement to; Deduce the changes/Milestones that were attained after the consultative processes that could be attributed to the advocacy efforts. Document lessons drawn that should inform next year’s advocacy effort but more importantly equip the DANs to meaningfully participate in budget implementation monitoring at national and local level through accumulated experiences 5.0 Scope of work. The terms of reference will include: 1. National Budget Framework Paper 2017/18 2. Ministerial Policy statement 3. The protracted budget advocacy engagement process from Sept 2016 to May 2017 6.0 Deliverables A brief write up detailing milestones and changes in the National Budget Framework Paper 2017/18 and the Ministerial Policy statement A brief write up on the lessons drawn from the health budget advocacy processes that will inform work planning for meaningful participation in budget implementation monitoring at national and local level and the next year’s advocacy Presentation of the brief to the National accountability forum that is tentatively scheduled for 30th May 2017 in Mukono District 7.0 Timeframe and estimated working days The assignment will be undertaken from 14th May 2017 to 31st May 2017 8.0 Qualification and experience of the consultant/team The consultant should at least have University level training in Demography, MPH, Reproductive Health, Gender studies, Social Sciences and related fields. At least five years of experience in programs and advocacy (preferably linked to health sector and young people) Have substantive experience with the planning and budgeting processes and stages of Uganda Have extensive knowledge in SRH&R programming and advocacy Previous experience in policy analysis and policy research Have a detailed knowledge of SRH&R situation and challenges in Uganda Have experience of developing policy options and recommendations for policy makers and beneficiary Strong background in capacity building and training on advocacy, policy implementation and youth participation Be fluent in both written and spoken English 9.0 Submission of Technical and Financial Proposal If you are interested in being considered for this opportunity, please send your CV and work plan setting out your relevant experience and skills, timeline and methodology, to [email protected] before end of working day 5th May 2017. Please write ‘Consultancy services for NBFP and Ministerial Policy Statement analysis’ in the subject of the e-mail. 3
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