Terms of References

Training for CBHVs on Vulnerable Groups and Vulnerability focusing persons with disabilities (PWDs)

Household to Hospital Continuum of Care (Galliat Area Integrated Programme, )

Glossary AIP Area Integrated Program CBHVs Community Based Health Volunteers GAIP Galliat area Integrated Programme LEAP Learning Through Evaluation with Accountability and Planning HHCC Household to Hospital & Continuum of care PC Project Coordinator WVI World Vision International WVP World Vision PWDs Persons with disabilities CBT Competence Based Training

1. Background World vision is a Christian faith based international child focused organization with a vision “ Our vision for every child, life in all its fullness; Our prayer for every heart, the will to make it so” is serving people regardless of religion, race, ethnicity, or gender in more than 100 countries all over the world. World Vision values people, is committed to the poor and has served the neediest people especially children to relieve their sufferings and promote transformation of their wellbeing. Since inception in Pakistan in 2005, World Vision responded to different large scale humanitarian emergencies including the 2005 Earthquake in (KP) and Kashmir, Floods of 2007, 2010, 2011 and 2012 in parts of KP, Sindh, Punjab and Baluchistan . World Vision has also supported the Internally Displaced Persons (IDPs) fleeing the threat of violence in KP and Federally Administered Tribal Areas (FATA) in 2009 and 2012. In recognition of World Vision services in Earthquake affected areas particularly Mansehra and Balakot, the Government of Pakistan honored World vision with the “Star of Sacrifice” (Sitara-i-Eisaar) award. World Vision is also moving towards transitional development through long-term development programs in Galliat, Rawalpindi, Lahore, Muzaffargarh and Sukkur and has started number of projects that are revealing positive results in lives of the children and their families and looking to extend the program areas in all three existing provinces on need base.

In District Abbottabad WV is currently undertaking development initiatives in its five remote UCs including Nathia gali, Nagri Bala, , Phalkot and Namli Maira under Galliat Area Integrated Program (GAIP).WVP is responding to the health needs in the most vulnerable rural communities of target UCs of Galliat through empowering communities in advocacy for improving health services for women and children. WVP is using the Household to Hospital Continuum of Care (HHCC) model to establish and support community based networks, linked with adjacent health facilities that serve the area. WVP is mobilizing Community CBOs to establish community based referral system from the household to the health facility and for onward referral to tertiary care facilities if needed. World Vision also assessed the existing health facilities in the target areas and provided support to health facilities for improvement of identified gaps in supplies, rehabilitation and capacity building of health staff.

WV identified Community Based Health Volunteers (CBHVs) men and women from 15 target villages and trained on MNCH related issues and key messages, CBHVS are working on grass root

Household to Hospital Continuum of Care (Galliat Area Integrated Programme, Abbottabad)

level in their target communities. This training will sensitization CBHVs and provide skills in dealing with vulnerable.

Executive Summary A great majority of people in the developing nations are below the line of poverty. They are deprived of adequate access in the basic needs of life such as health, education, housing, food, security, employment, justice and equity. Issues of sustainable livelihood, social and political participation of the vulnerable groups exist as the major problem in the developing nations.

Governments of developing countries have limited resources to cope with the needs of vulnerable groups. People who belong to the vulnerable groups are unable to acquire and exercise their rights.

The traditional threats and discrimination faced by vulnerable groups in Pakistan have steadily multiplied over the last few years in conjunction with militancy, growing intolerance and the rise to power of violent extremists in parts of Pakistan. That has left these feeling acutely threatened

Vulnerable groups of Pakistani community such as women, PWDs, and children along with elderly population suffer from both under and over nutrition, easing grounds for a number of other malnutrition related disorders. On average, one out of every three children in Pakistan has been reported to be malnourished. Another aspect of malnutrition i.e., over nutrition or obesity is also observed in urban population and the prevalence of obesity among adults aged 25-64 years, moving from low to middle to high socioeconomic status is 21%, 27% and 42% respectively.

Pakistan has more than 160 million populations (July 2008). Setting aside an official announcement of disability rate, which is 2.49% of population, in 1998, it is considered that about 16 million people are PWDs based on the estimation of WHO, which is 15% of disability rate. In addition, it is estimated that the number of PWDs have been increasing due to bomb explosions, huge earthquake in 2005, and a great flood in 2010.

PWDs are mostly unseen, unheard and uncounted persons in Pakistan. They are the most marginalized group. PWDs face overwhelming barriers in education, skills development and daily life.

The Pakistani government ratified the UNCRPD in June 2011 and has been demonstrating its will to protect its PWDs population. However, changes have been relatively slow and certainly have not reached out to those with severe disabilities. Furthermore, motor accidents, natural disasters and ethnic strife that are of frequent occurrence in Pakistan continue to increase the number of persons with acquired disabilities.

This training is about:

- Highlighting the issues of vulnerability, - Examining the barriers faced by vulnerable groups in society, - Questioning stereotypes, myths and misconceptions about vulnerability - Promoting positive change in practice.

Household to Hospital Continuum of Care (Galliat Area Integrated Programme, Abbottabad)

2. Objectives of the training

2.1 Purpose World Vision Pakistan needs the services of consultant/trainer to conduct 2 days training of 36 community based health volunteers of the target area of HHCC project. This training will enable the participants to learn the vulnerability concepts and practices they come across every day of their life. In this the training they will be in better position to deal with vulnerable groups in their respective areas.

2.2 Objectives This training will enable participants to:

- To identify and assess vulnerable groups in society. - Ensure elimination of discrimination against vulnerable groups during performance of their roles and responsibilities. - Develop understanding about vulnerability, - Explain NPA and UNCRPD. - Develop an action plan for good work practices in the community

3. Participants of the training & location The training will be conducted for the community based health volunteers in the target area of project and preferable venue will be Nathia Gali.

4. Contents of Training - Ice breaking on vulnerability - Vulnerable Groups in Pakistan - Identify Problems and Their Solutions - How to deal with Vulnerable Groups - What is Disability? - Law and Policy on rights of vulnerable - Action Plans & Evaluation

5. Methodology Pre and post training assessment will be conducted to gauge the level of improvement in understanding of the participant about contents of training The training will be delivered according to the principles of adult learning with a focus on practice and exercise. Interactive training methodologies, including demonstration, multimedia presentations, discussion, brain-storming, case studies, games and individual attention will be adopted to ensure active participation of the participants.

To know what participants learned from these sessions at the end of the second day participants will present in role play and participants will analyze whole course critically and develop better approach, activities, and sessions on vulnerability. Day 1

Household to Hospital Continuum of Care (Galliat Area Integrated Programme, Abbottabad)

- Introduction Sessions - What is vulnerability? - How to deal with Vulnerable Groups - Vulnerable Groups in Pakistan

Day 2 - Identify Problems and their Solutions Group Work - What is Disability? - law and Policy - A better place to live - law and Policy - Post test - Feedback of training by participants

 The training sessions will be conducted in Urdu language.  Liaise with the WV Pakistan focal person to identify any problems or issues arising and to provide updates on the progress.  Training should be continued without missing any day.  Boarding, lodging and transport of the consultant will be the sole responsibility of the consultant. However, transport from office to training venue and from training venue to office will be provided by WV-P.  The consultant will not share and disseminate the information with other organization and/or for any purpose in any form without the consent of the WV Pakistan.  In addition to the above’ the following would also be taken into consideration by the consultant:

o Social and cultural structures o Impact of movement of people in and out of the area o Gender, disability and other vulnerability issues o Local capacities for peace /Do No Harm principles

 The consultant will submit training report in English language along with annexure(s), if any, within five (7) days after the completion of assigned task. The training report must be on the below prescribed LEAP format. The training report will be reviewed by WV Pakistan and may send back to consultant for further review and flourishing by the consultant in light of observations and comments from the WV Pakistan. Finalize report and hand over all related documents to WVP within the specified date agreed- upon.

The LEAP format: I. Table of Contents II. Acknowledgements III. Glossary

Household to Hospital Continuum of Care (Galliat Area Integrated Programme, Abbottabad)

1. Executive Summary 2. Introduction/Background 3. Methodology 4. Findings 5. Lessons learned 6. Recommendations 7. Conclusion Annexes

6. Deliverables and responsibilities of WV Pakistan WV Pakistan is responsible for providing the following components to assist with the completion of the training process and reports:

 Provide a contact person to address any concerns or difficulties the consultant may encounter and to oversee the entire process.  Review and comment on training methodology and tools prior to finalizing by consultant.  Payment of financial agreements that are stated in this agreement.  Provide LEAP reporting format to the consultant.  Provide transport facility to consultant from office to training venue and from training venue to office.  Provide the list of nominees for the training on vulnerability to community based health volunteers under HHCC project Abbottabad WVI-Pakistan.  Ensure monitoring through department during training.  Provide any relevant WV Policies and Procedures that the consultant is expected to act in accordance with.

7. Timeframe The consultancy will commence on ______and terminate on ______, 2014 with the completion of all of the agreed upon deliverables. All final reports and documentation are to be submitted to World Vision Pakistan (WVP) upon termination of the contract period. 8. Logistics Boarding, lodging and transport of the consultant will be the sole responsibility of the consultant. However, transport from office to training venue and from training venue to office will be provided by WV-P.

9. Budget

The consultant will be paid a total amount of 150,000 PKR after the completion of training and submitting and approval of training report. Tax will be deducted from the consultancy fee as per Government of Pakistan Tax Laws.

Household to Hospital Continuum of Care (Galliat Area Integrated Programme, Abbottabad)

10. Knowledge, skills and abilities

 At least 03-05 years of practical experience in conducting trainings on vulnerability.  Excellent communication, report-writing and presentation skills in English and Urdu.  Sensitive to local culture and gender practices in the areas.

The agreement was read in full with complete understanding to the Consultant prior to signing.

Consultant: WV Pakistan Representative (Programme)

Name: ______Name: ______

Signature: ______Signature: ______

Date: ______/______/2014 Designation: ______

Date: ______/______/2014

WV Pakistan Representative (Human Resource)

Name: ______

Signature: ______

Designation: ______

Date: ______/______/2014

Household to Hospital Continuum of Care (Galliat Area Integrated Programme, Abbottabad)