medica mondiale is a German women’s rights organisation that was established in 1993 to support women and girls who have been affected by sexualised and other forms of violence in war and crises areas. The non-governmental organisation provides psychosocial, medical and legal aid services to women through projects in Afghanistan, Bosina, Liberia and other post conflict countries. mm’s direct services are always accompanied by human rights work, networking and awareness raising activities.Medica Afghanistan - Women Support Organization is an independent Afghan women’s rights organization, led by and for Afghan women. It began as a program that was founded by the German women’s rights organization medica mondiale in Afghanistan in 2002 and the Organization was nationalized in December 2010 and registered with Ministry of Economy of Afghanistan as a national Afghan women’s rights NGO. Now MA operates as a self-reliant Afghan women’s organization. The main focus of its work is to provide psycho-social counseling, legal aid and mediation services to women and girls who have survived domestic violence and conflict. It offers advanced professional training to lawyers, doctors, social workers and the religious leaders on the ramifications of violence against women and conducts independent research programs. The organization raises public awareness, and lobbies for local and national policies that aim to end violence against women and girls. Since, its establishment, MA had numerous publications on different topics related to gender, legal, and psychosocial, trained596 health professionals and 794 legal professionals, counseled to 797 clients, dealt with arround12000 cases of women survivors. Its main office is in Kabul with north and west coverage through the provincial based offices in Mazar-e-Sharif and Heart For the Transnational Health Training Project in, we are looking for a SHORT-TERM CONSULTANT to develop and conduct a study with relevant baseline data and a situational analysis as well as to provide indicators and information which will be used for future evaluations. Background The Transnational Health Training Project (THTP) aims at increasing access to health care services for women and girls affected by GBV through introducing a trauma-sensitive approach to care in health institutions of three Provinces in Afghanistan. In the three provinces of Afghanistan, Kabul, Herat and Mazar-e-Sharif , 80 health professionals of different professions (physicians, nurses, midwives) will be trained during one year (5 modules) in a trauma-sensitive approach to health care. The project moreover aims at sensitizing the Ministry of Health at the national and provincial level on the need for improved knowledge, skills and attitudes regarding trauma and its consequences for women and their children. By comprehensive results monitoring in the project area and a control group, data will be collected throughout the project (2015-2018) that will be used for policy dialogue and advocacy. Furthermore the national health authorities are aware of the need for a trauma-sensitive approach in health services. In order to assess the current situation regarding quality of care for SGBV survivors in the health services of the three provinces, a baseline study shall be carried out at the outset of the project. Objectives of baseline study The consultancy is to design and conduct a baseline study informing medica mondiale and Medica Afghanistan about the current situation regarding quality of care for survivors of SGBV. Specifically, the objectives of the baseline study are to: • Gather relevant baseline data for the key programme indicators in cooperation with Medica Afghanistan and medica mondiale in order to enable changes in quality of services to be measured over the course of the programme; • A checklist for health facilities included in the project will be an integral part of the baseline study; • Furthermore, the design of the study needs to identify samples that enable the programme to track key changes and effects amongst target groups from the baseline stage and at future points in time; • Finally, the baseline study will serve as a basis for monitoring and evaluation during the course of the project as well as for a final evaluation in 2017. Project area: A. Kabul Province:  Rabi Balkhi hospital ( Gyn ward, surgery ward, emergency room)  Malalai hospital ( Gyn ward)  Afghanistan Family Guidance Association (AFGA)  Afghanistan Midwife Association (AMA)B. Balkh Province (Mazar)  Balkh Regional Hospital (Gyn ward, burn unit, surgery ward, emergency room, pediatrician ward ) C. Herat Province  Herat Regional Hospital ( Gyn ward + burn unit, emergency room and internal ward)Comparison/control groups A. Kabul Province:  Isteqlal Hospital,  Wazir Akbar Khan Hospital ,  Jamhoryat Hospital,  Ibni Sina Hospital B. Balkh Province:  200 bed hospital ( internal, OPD) C. Herat Province  Shaidai Hospital (mental health ward, pediatrician ward and internal ward)Areas of interest / key research questions for the baseline study: Among female patients in the project area and the control group: - Client satisfaction with services at the respective health institution and client satisfaction with approach of health care workers - Satisfaction in general with “health system” - Access to health-care services for women survivors of SGBV in terms of availability (e.g. what services are available nearby, are there female health workers around?), accessibility (means of transport to get to the health facility), affordability (direct and indirect costs involved for getting appropriate treatment), acceptability (e.g. is there discrimination against specific groups of people?), and also in terms of trust (please check 5A-model in the project description) Among health care staff: - Basic data about health institution (according to checklist) - Self-assessment of knowledge, skills and attitudes regarding SGBV - Opinion on institutional barriers when introducing a trauma-sensitive approach Among provincial public heath directorate and ministry of public health in Kabul: - Financial resources/policies/ implementations/regulations In general: - Identification of institutional barriers for women to primary health care services; - Identification of supportive drivers regarding access to health care servicesStakeholder groups (target groups): 1. Women of each district included in the study (project area and target group) 2. 4. Women affected by SGBV / not affected by SGBV 3. Health professionals from the health institutions included in the study (project area and target group) 4. Representatives PPHD and MoPHMethodology To be suggested in the research design by the consultants. We strongly recommend a multi mixed design including surveys, expert interviews, and focus group discussions (in particular with target group 4)

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