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Tenders are invited for Terms of Reference (Tor) Consultancy for Clinical Management of Rapetraining for Health Service Providers The Abyei Administrative Area remains a context of protracted vulnerability, characterized by limited access-to essential health services, weak protection systems, and persistent risks of conflict and instability. Women, girls, and other vulnerable groups face compounding challenges, including restricted access to sexual and reproductive health (SRH) services, high exposure to gender-based violence (GBV), and inadequate clinical and psychosocial response mechanisms. These gaps undermine individual wellbeing and exacerbate broader community vulnerabilities, threatening prospects for peaceful coexistence and recovery. With support from UNFPA, through the Joint Programme of the Resident Coordinators (RCs) in Sudan and South Sudan "Promoting Spaces for Conflict Prevention and Reduced Vulnerability in Abyei through Enhancing Sexual and Reproductive Health (SRH) and Gender-Based Violence (GBV) Service Provision", ACEA South Sudan has been supporting communities in Abyei by delivering comprehensive SRH and GBV interventions across Primary Health Care Centers (PHCCs), Primary Health Care Units (PHCUs), and Women and Girls Friendly Spaces (WGFS). ACEA South Sudan aims to improve the technical competence of clinical service providers in survivor-centred care to promote quality clinical care for GBV survivors in the Abyei Administrative Area, in line with the GBV Minimum Standards, WHO clinical and policy guidelines for responding to intimate partner violence and sexual violence against women (2013), and national Clinical Management of Rape (CMR) protocols. ACEA South Sudan also aims to support facilities to meet WHO minimum requirements for providing quality clinical care for survivors of rape and intimate partner violence (IPV). To address these needs, ACEA South Sudan is seeking a qualified, certified CMR Consultant/Facilitator to design, adapt, and deliver a comprehensive CMR Training and Coaching program for front line health workers. This consultancy is expected to provide quality training covering the following key issues: First Line Support: First-line clinical support for gender-based violence (GBV) survivors focusing on empathetic, survivor-centered care using the existing framework. Clinical Support: In-depth skills on physical examination procedures, administration of contextspecific CMR drug regimens, and proper completion of standardized CMR medical/history intake forms. Adaptations for specific Groups: Specific protocols for obtaining informed consent/assent and adapting communication approaches (modifications) when providing survivor-centered care to survivors living with disabilities (PwDs), child and adolescent survivors. Medico-Legal Pressures: Navigating complex local dynamics such as traditional and cultural systems with medical confidentiality, survivor safety, and healthcare worker protection against backlash and practices that arent survivor-centered. Operational Constraints: Overcoming challenges associated with low-resource settings and ensuring that training curricula, role-plays, and job aids are culturally and linguistically adapted for the Abyei Administrative Area context for maximum retention. Developing GBV Protocols for Healthcare Facilities: Including informed consent, GBV information management, referral procedures, etc. Only a few facilities will be positioned to provide CMR services; the workshop convenes different cadres and provides an opportunity to collaboratively develop GBV protocols. The in-person training is expected to be undertaken over 3 days in the Abyei Administrative Area, with curriculum and content preparations done in advance. II. OBJECTIVES OF THE CONSULTANCY Overall Objective To enhance the technical and clinical competence of healthcare providers in ACEA South Sudansupported health facilities in the Abyei Administrative Area, ensuring that high-quality, survivorcentered, ethical, and confidential CMR services are provided in full compliance with the national CMR Protocol and WHO standards. Specific Objectives Attitudes, Ethics and Guiding Principles: Sensitize healthcare workers to reflect on personal values, biases, and myths surrounding sexual violence, ensuring adherence to survivor-centered guiding principles (safety, confidentiality, respect, non-discrimination, informed consent). Clinical and Physical Examination: Train clinicians on systematic, trauma-informed clinical history taking, physical examination procedures, and detailed informed consent procedures for different aspects of clinical care. Clinical care is anticipated to be led by female midwives with doctors and clinical officer involvement in clinically complex cases. Medical Treatment Regimens: Strengthen practical skills in prescribing and administering timely treatment regimens, including informed consent for all parts of treatments, including voluntary counselling and testing for HIV. Psychosocial First Aid and Communication: Build core skills in first-line psychological support (basic PSS), active listening, and adapted survivor-centered interviewing methods for marginalized groups, particularly Persons with Disabilities (PwDs). Documentation and Medico-Legal Handling: Train providers on accurate completion of relevant standardized medical intake/history forms, managing pressures from external parties (family, community, police) while upholding survivor confidentiality and health worker safety. SCOPE OF WORK AND KEY TASKS The consultant will work under the direct supervision of the ACEA South Sudan Programme manager, in close collaboration with the M&E specialist and SRH/GBV officer. The key tasks include: 1. Inception & materials adaptation: Review existing training packages (WHO CMR Guidelines, National CMR Protocol). Develop a comprehensive, practical training curriculum, facilitator guides, participant handbooks, pre/post-test assessment tools, and evaluation forms. Adapt training slides, case studies, role-play scenarios, and clinical forms to the Abyei Administrative Area context to ensure effective participant comprehension. 2. Training delivery: Conduct a 3-day intensive, interactive training workshop in the Abyei Administrative Area (or designated training hub) for clinical staff (Medical Officers, Clinical Officers, Midwives, Hospital Matrons, and Nurses), with targeted orientation for Nutrition/Protection focal points. Employ participatory and adult-learning methodologies (plenary presentations, simulated clinical demonstrations, anatomical models, role-plays, case scenario analysis, small group work, and gallery walks). 3. Support staff in developing practical, context-specific GBV protocols: Facilitate collaborative sessions with relevant staff to identify key gaps in health facilities in relation to GBV response and operational needs in the context. Discuss and document key procedures and protocols required for responding to all GBV survivors and CMR service provision protocols. 4. Practical mentor ship and action planning: Supervise practical simulation of first-line support, medical history intake, including consent protocols for all aspects of CMR. Facilitate the development of facility-specific roll-out/action plans and Continuing Medical Education (CME) cascade plans for each health facility. 5. Reporting and follow-up framework: Administer pretest and post-test assessments, analyzing learning gains and knowledge retention. Submit a detailed Final Training Consultancy Report incorporating participant feedback, pre/post-test analysis, challenges encountered, facility-specific action plans, and strategic recommendations for sustained supervision. Tender Link : https://comms.southsudanngoforum.org/c/tenders
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