PATH current employees - please log in and apply Here
PATH is a global nonprofit advancing health innovations for the people who need them most. With 50 years of experience, a global team of experts, and trusted partnerships spanning 70+ countries, PATH turns breakthroughs into better health for millions every single year.
Terms of Reference (ToR)
Topic: Assessment on Gonococci associated anti-microbial resistance & self-care among People Living with HIV
Place of Work: New Delhi / Remote
Division : HIV-Hepatitis-STI (HHS)
1. Background
Antimicrobial resistance (AMR) in Neisseria gonorrhoeae , the bacterium responsible for gonorrhea, is a growing public health concern due to the emergence and spread of resistance to multiple antibiotics used for treatment. The increasing threat of drug-resistant gonorrhea highlights the need to understand regional resistance patterns, emerging trends, surveillance systems, treatment guidelines, and gaps in research and public health responses.
“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”. The scope of self-care includes (a) health promotion, (b) disease prevention and control, (c) self-medication, (d) providing care to dependent persons, (e) seeking hospital/specialist/primary care if necessary and (f) rehabilitation, including palliative care. World Health Organization (WHO) considering the gap in health care providers work force and the increasing out of pocket expenditure, suggested for innovative health sector response. One of such innovative practice, includes, Self-care.
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 explore and understand the prevalence of gonococcal infection, associated antimicrobial resistance and surveillance system in WHO South-East Asian Region.
· To develop a proposal on self-care among PLHIV, for an integrated self-care model
3. Scope of Work
The consultant will undertake the following activities:
3.1. 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.
· Summarize emerging resistance trends, resistance mechanisms, and relevant research findings.
· 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.
3.2. Presentation of Findings
· Develop a PowerPoint presentation summarizing the key findings, regional and country-level trends, evidence gaps, and recommendations.
· Present the findings to the team and/or relevant stakeholders and incorporate initial feedback, as required, in preparation for stakeholder…