[Svrilist] Terms of Reference (TOR) for Consultant to Develop Generic Regional Guideline for Prevention and Management of Child Sexual Abuse in the African Region

Liz Dartnall svri at mrc.ac.za
Fri Jul 28 08:30:40 SAST 2006


Terms of Reference (TOR) for Consultant to Develop Generic Regional 
Guideline for Prevention and Management of Child Sexual Abuse in the 
African Region

Background:
Child sexual abuse (CSA) is one of the most cruel and tragic events in a 
child's life.  It has serious physical, emotional and psycho-social 
consequences that are both immediate and long term.  It is also a 
serious infringement of a child's rights to health and protection.

One of the emerging concerns is the rapidly increasing incidence of 
child sexual abuse, including rape, by people known to be HIV positive. 
This is a result of the misconception that having sexual intercourse 
with a virgin is a cure for HIV/AIDS. There are constraints and 
challenges in the way that children and adolescents who are sexually 
abused are recognized, managed and supported.

In 2004, the Regional Committee has adopted the Child Sexual Abuse: 
Agenda for Action, AFR. RC54.15. In this agenda, one of the roles of WHO 
is to provide technical assistance to countries for the development and 
implementation of tools for advocacy, training, and monitoring and 
evaluation.

WHO/HQ has developed a Global Guideline for medico legal care for 
victims of sexual abuse; however this guideline will need to be adapted 
to African context and especially for management of child sexual abuse. 
A few countries (Lesotho, South Africa, Zimbabwe) in the Region have 
developed national protocols for managing CSA; however there is no 
generic protocol that the Region can recommend for use by other 
countries in the Region.

WHO/AFRO therefore, in collaboration with HQ and other interested 
partners plans to develop generic clinical management guidelines for 
management of child sexual abuse.

The purpose of the consultancy is to develop guideline for management of 
child sexual abuse in the African Region.

Terms of Reference:
In close collaboration with the CAH unit and under supervision of 
DRH-WHO /AFRO the incumbent will undertake the following main task:

To review relevant documents on management of Child Sexual abuse using 
the Guidelines for medico-legal care for victims of sexual violence: 
World health Organization 2003 as the main working document and develop 
draft generic guideline for management of child sexual abuse that is 
appropriate for use in the African Region

Specifically the TOR will include:
1.  To review documents to identify key issues that need to be addressed 
to manage child sexual abuse to address the issues raised in the AFR.RC 
54.15; the CSA Agenda for Action.
2.  To review documents to identify key interventions that need to be 
implemented at high level of population coverage for impact
3.  To propose few feasible and cost effective interventions to be 
implemented in the short term
4.  To develop a draft generic Regional guideline for management of 
child sexual abuse in the African Region.
5.  To submit the draft guideline  to a core group for review
6.  To incorporate inputs/comments of the review team and produce a 
final draft- that will be field-tested in an inter-country capacity 
building workshop in Harare
7.  To participate in the field testing workshop in order to gather 
comments /issues in relation to the contents of the guideline.
8.  To incorporate comments/proposed changes following the field test of 
the guideline

Qualification:
The incumbent should have a medical degree with specialization in either 
Paediatrics, Obstetrics and Gynecology, or Public health and good 
experience of working in child sexual abuse activities.

Time Frame:
i. Desk Review and development of draft "O" of the document for review 
by a Core review group, (4 weeks)
ii.  Review of the document by a core group, (4 weeks)
iii. Incorporation of the core group comments and development  of a 
draft for field-testing, (2 weeks)
iv.  AFRO cross cluster review - Review external and internal, (2 weeks)
v.   Field-testing of the guidelines (content review) in Harare, (one week)
vi.  Incorporation of the field test comments/proposed changes and 
development of the final draft of generic Regional Guideline for 
prevention and management of Child Sexual Abuse in the African Region, 
(one week)
vii.  Implementation in a clinical setting- clinical testing of the 
guideline

Documents to be reviewed will include:
1.  Guidelines for medico-legal care for victims of sexual abuse: World 
health Organization 2003
2.  Clinical Management of Survivors of Rape: a guide to the development 
of protocols for use in refugee camps and internally displaced persons 
situations: WHO/RHR/02.08
3.  Available national guidelines on CSA- from South Africa, Zimbabwe, 
Namibia, Lesotho
4.  The CSA Agenda for Action; AFR.RC54.15
5.  Violence against children in West and Central Africa- background 
document used in the Sub-regional Consultative Meeting on violence 
against children, Bamako, 2005

Contact Details:
For more information contact:   Dr Mothebesoane-Anoh, WHO /AFRO 
Divisional Director, by email -mothebesoanea at afro.who.int 
<mailto:mothebesoanea at afro.who.int>.  Deadline for proposal is 30th 
September 2006.

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