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Terms of Reference (ToR )
Topic: Integration support for Triple Elimination and assessment on NG-Associated AMR and Self-Care for People Living with HIV
Place of Work: Lucknow, Uttar Pradesh
Division: HIV-Hepatitis-STI (HHS)
1. Background
PATH is supporting Uttar Pradesh for demonstrating triple elimination among ANC population by integration of services, reporting system and strengthening the linkages. PATH in coordination with King George Medical University (KGMU) had developed Standard Operating Procedures (SOP) for integrated service to achieve triple elimination. To facilitate further this position will work with KGMU to operate the SOP, by ensuring coordination between the departments within KGMU.
PATH also conducts assessment on antimicrobial resistance (AMR) in Neisseria gonorrhoeae and self-care (“Self-care is the ability of individuals, families and communities to promote health, prevent disease, maintain health, and cope with illness and disability with or without the support of a healthcare provider”.) in the context of PLHIV. The consultant is expected to support in desk review for gonorrhea associated AMR and its surveillance system in South-East Asia Region and self-care concept among PLHIV.
A comprehensive literature review will be undertaken to synthesize available evidence on gonorrhea-associated AMR in South-East Asia Region and self-care among PLHIV in India. The findings will inform stakeholder discussions and support the identification of evidence gaps, programmatic priorities, and potential areas for strengthening surveillance, research, and response strategies.
2. Objective of the Assignment
· To coordinate and support in operationalizing the SOP for streamlining services for triple elimination among ANC population accessing KGMU facility in Lucknow, Uttar Pradesh.
· To assist desk review and development of a report on NG-associated AMR and self-care
3. Scope of Work
The consultant will undertake the following activities:
3.1. Coordination and integration
· Conducting stakeholder meetings
· Ensuring linkage and integrated reporting between facilities within KGMU
· Facilitate data access and conduct baseline assessment prior to implementation of triple elimination among ANC accessing KGMU
3.2. Conduct a literature review
· Develop a literature search strategy and identify relevant databases, publications, and other sources of evidence.
· Review peer-reviewed articles, national reports, surveillance data, treatment guidelines, and publications from relevant public health agencies and international organizations.
· Examine available evidence on the prevalence and patterns of antimicrobial resistance in N. gonorrhoeae across countries in the region.
· Review resistance to antibiotics used to treat gonorrhea, including ceftriaxone and other relevant antibiotics.
· Review existing AMR surveillance systems, laboratory capacity, diagnostic methods, and antimicrobial susceptibility testing practices.
· Examine national treatment guidelines and public health responses to drug-resistant gonorrhea.
· Identify gaps in available evidence, surveillance, and research, highlighting differences in data availability across countries.
· Prepare a draft report presenting the findings, key observations, and recommendations, with appropriate references.
3.3. Finalization of Deliverables
· Baseline assessment report on triple elimination status at KGMU, Lucknow, Uttar Pradesh
· Literature Review and summary report on NG-AMR and Self-Care in the identified countries.
4. Expected Deliverables and…