National consultant for an anthropological study on behavioral barriers to HPV vaccination services for girls in 10 Regional Health Districts, SBC Section, Cameroon, 4 months.
Job no: 570080
Contract type: Consultant
Duty Station: Yaounde
Level: Consultancy
Location: Cameroon
Categories: Social and Behavior Change
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BACKGROUND : In Cameroon, cervical cancer is the second most common cancer in women after breast cancer, with an age-standardized incidence rate (ASIN) estimated at 33.7/100,000 women-years in 2020, and the most common cancer in women aged 15 to 44. In 2021, Cameroon recorded 2,770 new cases of cervical cancer and 1,787 cervical cancer-related deaths, highlighting the considerable burden of the disease on the country’s health system. Reducing the relatively high burden of cervical cancer in Cameroon and aligning with the World Health Organization (WHO) global strategy to eliminate cervical cancer remains a challenge. Given this critical situation, the Cameroonian government, with the support of UNICEF and other key technical and financial partners, introduced the HPV vaccine into the Expanded Immunization Program (EPI) for girls in October 2020. aged 9 years.
When the HPV vaccine was introduced in Cameroon, the target population was estimated at 340,000 adolescent girls, of whom approximately 90% were in school. Therefore, the vaccine was introduced using a health facility and school-based approach, with the aim of achieving 70% coverage in the first year. But faced with the low acceptance of the vaccine, this objective was reduced to 25% in the first year, 40% in the second year and 60% in the third year. However, the school-based strategy did not produce the expected results. Vaccination coverage in April 2021, a few months after introduction, was 17% (HPV1), below the objective, with the lowest coverage recorded in the 3 Regions: Center (2%), Littoral (1 %) and West (4%). At the end of 2022, HPV vaccination coverage was 20.3% for the first dose (HPV1) and 5.9% for the second dose (HPV2), highlighting the low rate of use and challenges related to acceptance of this vaccine.
Reasons for the poor performance of HPV vaccination in Cameroon include the introduction of the HPV vaccine during the COVID-19 pandemic, against a backdrop of media misinformation campaigns and anti-vaccination rumors.
OBJECTIVES: the mission assigned to the consultant aims to identify, describe in detail and analyze the major behavioral barriers as well as the individual and collective motivations for the demand and use of HPV vaccination services at all stages of the care pathway. .
The objectives of the consultant’s mission are as follows:
- List and describe the usual practices of families and communities in the targeted Health Districts, relating to the vaccination of young girls in general and vaccination against HPV in particular;
- Identify and describe barriers to demand and use of HPV vaccination services throughout the care pathway;
- Analyze the determinants that build and maintain behavioral barriers to HPV vaccination of adolescents/girls throughout the care pathway;
- Identify and analyze the logic of the actors/carriers who prevent as well as those who promote the demand and use of HPV vaccination services by all or part of the members of the different groups/communities in the targeted Health Districts;
- Identify and analyze the bottlenecks (structural and situational socio-economic factors) that prevent the demand and use of HPV vaccination services by all or part of the members of the different groups/communities in the targeted Health Districts;
- Identify and analyze individual and collective motivations at all levels of the care pathway likely to accelerate the demand for and use of HPV vaccination services by adolescents/girls;
- Analyze useful synergies that could sustainably promote demand and use of HPV vaccination services by adolescents/girls;
- Conduct an analysis of societal actors and the roles they can play in promoting demand and use of HPV vaccination services by adolescents/girls;
- Propose a logical and coherent approach for promoting demand for and use of HPV vaccination services by adolescents/girls.
SPECIFIC TASKS:
Under the supervision of the SBC Section Head, the consultant will conduct robust anthropological research, using iteration and reflexivity to understand behavioral barriers and individual and collective motivations for HPV vaccine demand and use. by the girls. At a minimum, it should undertake the following tasks, which can be refined during an initial discussion with the study monitoring team:
- Consultations with internal technical specialists (UNICEF) and external partners and experts (local and/or international) to determine needs and expectations related to the CBS strategic planning process and its outcomes in order to conduct a stakeholder analysis .
- Identify problems and produce a behavioral map that will result in a list of potential experimental interventions.
Please consult the ToR: ToR Consultation anthropo-HPV study.pdf
ACTIVITIES AND SPECIFIC DELIVERABLES:
The consultant anthropologist will produce high quality, evidence-based written materials that include triangulated data and analysis. Final versions must be revised and free of errors. The working language and deliverables of this project will be French and English. Below are the details of the products to be delivered:
Activities | Deliverables | Duration / Period | Payment |
Finalize the methodological framework and develop the survey protocol and timeline
|
1- Detailed investigation protocol of the study including:
– the methodological approach, – information needs, – the choice of key informants, – the timeline |
Duration of one month
From April 1 to April 30
|
40% |
Field investigation :
Organization of the pre-test and finalization of the tools Preparing training for interviewers and supervisors |
Investigator and supervisor training reports available
Field mission report |
Duration of two months
From May 1 to June 30 |
20% |
Writing the final report of the study:
Data processing and exploitation Analysis and interpretation of preliminary results Production of draft reports Finalization of the report and presentation for validation to the Committee Adoption of the strategic axes of the plan to promote favorable practices |
Validated report
|
Duration of one month.
From July 1 to July 30. |
40% |
Education :
Hold a Master’s degree or a Bac +5 university degree in anthropology or sociology.
Experience :
- More than 10 years of experience in conducting qualitative surveys,
- Have carried out at least three similar missions over the last five years,
- Experience in conducting similar studies in social anthropology
- Mastery of qualitative data analysis tools and software (NVivo for example),
- Good report writing skills,
- Be able to work in difficult contexts, particularly in terms of security.
Language requirements:
- French and English are required.
If you are interested and available to undertake the individual consultation, please submit your application online and attach the required documents, including the technical proposal and an all-inclusive financial proposal including an approximate number of travel days for field trips ( local).
Technical Proposal : The technical proposal should articulate an understanding of the terms of reference and include the proposed tasks/steps, deliverables/results, timeline and level of effort per deliverable. The similar table provided in the TOR is indicative. The proposal must also cost-effectively propose local travel proposed by the applicant to undertake the assignment.
Financial Proposal : The financial proposal must include costs (providing a per diem rate as justification) for each task, including consultant fees, travel costs, proposed per diems, communication costs and any other proposed costs.
For more information, see the attached evaluation grid : Criterion_Evaluation_final.docx
For each child, you must demonstrate:
UNICEF’s core values: Caring, Respect, Integrity, Trust, Responsibility and Sustainability underpin everything we do and how we do it.
Familiarize yourself with the Charter of Our Values.
UNICEF’s core values of Caring, Respect, Integrity, Trust, Accountability and Sustainability (CRITAS) underpin everything we do and how we do it. Familiarize yourself with our Values Charter: UNICEF Values
The UNICEF skills required for this position are…
(1) Establishes and maintains partnerships (2) Demonstrates self-awareness and ethical awareness (3) Drive to achieve results for impact (4) Innovates and embraces change (5) Manages ambiguity and complexity (6) Thinks and acts strategically (7) Works collaboratively with others (8) Nurtures, leads and manages people.
During the recruitment process, we test candidates following the skills framework. Familiarize yourself with our skills framework and its different levels: skills framework here .
UNICEF is here to serve the world’s most disadvantaged children and our global workforce must reflect the diversity of these children. The UNICEF family is committed to including everyone , regardless of race/ethnicity, age, disability, gender identity, sexual orientation, religion, nationality, socio-economic background or any other personal characteristic.
We offer a wide range of benefits to our staff , including paid parental leave, breastfeeding breaks and reasonable accommodations for people with disabilities . UNICEF strongly encourages the use of flexible work arrangements.
UNICEF maintains a zero-tolerance policy for behavior inconsistent with the goals and objectives of the United Nations and UNICEF, including sexual exploitation and abuse, sexual harassment, abuse of authority and discrimination. UNICEF is committed to promoting the protection and safeguarding of all children. All selected candidates will therefore be subject to rigorous reference and background checks, and must adhere to these standards and principles. The background check will include verification of academic degrees and employment history. Selected applicants may be required to provide additional information to complete a background check.
Remarks:
UNICEF’s active commitment to diversity and inclusion is essential to achieving the best outcomes for children. For this position, eligible and suitable females are encouraged to apply.
Mobility is a condition of international professional employment with UNICEF and an underlying premise of international civil service.
Appointments to UNICEF are subject to medical clearance. Issuance of a visa by the host country of the duty station, which will be facilitated by UNICEF, is required for IP positions. Appointments are also subject to vaccination (vaccination) requirements, including against SARS-CoV-2 (Covid). Government employees who are considered for employment with UNICEF are normally required to resign from their government before taking an assignment with UNICEF. UNICEF reserves the right to withdraw an offer of appointment, without compensation, if a visa or medical clearance is not obtained, or if the necessary vaccination requirements are not met, within a reasonable time for any reason. it would be.
Only shortlisted candidates will be contacted and progressed to the next stage of the selection process.
Female applications are particularly encouraged.
HOW TO APPLY: Apply ONLY online via the form available at:
https://jobs.unicef.org/cw/en-us/job/570080/consultant-national-pour-une-%C3%A9tude-anthropologique -on-behavioral-barriers-to-hpv-vaccination-services-for-girls-in-10-regional-health-districts -sbc-section-cameroon-4-months
Advertised: 11 Mar 2024 W. Central Africa Standard Time
Deadline: 22 Mar 2024 W. Central Africa Standard Time
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