Terms of Reference – Consultancy to Develop Orientation Manual and Toolkit for HIV Prevention Staff


The National HIV Programme has been in existence since 1982. The National HIV Programme was solely managed by the MOHW until 2013 when the Programme was split between the National Family Planning Board (NFPB) and the HSTU. The NFPB manages the Prevention and Enabling Environment components and the HSTU manages the Treatment component and the HIV-related international grants.

In the context of the English-speaking Caribbean, Jamaica has the highest proportion of persons living with HIV (PLHIV) who are aware of their status. This achievement has been attributed to community-based prevention and testing modalities and the wide spread introduction of provider-initiated testing and counselling (PITC) (UNAIDS, 2018). There are several variations to these interventions based on the target population.

Currently, Outreach Workers across the island (MOHW and CSOs) have been carrying out (i) mobile site-based outreach in bars, night clubs, exotic club, massage parlors, and hotel / motel / guest houses and more infrequently at parks, street sites, malls/plaza, (ii) Home-based index testing at private residences, (iii) HTC at outdoor and indoor events, (iv) Ad hoc testing campaigns such as health fairs and (v) workplace and schools interventions. These interventions are in a bid to propel the HIV response forward in achieving the UNAIDS 90-90-90 targets: 90% of people living with HIV diagnosed, 90% of diagnosed people on antiretroviral treatment and 90% of people in treatment achieving viral suppression by 2020.

Data, however, points to the need for increased targeted intervention within the following key groups to reduce the incidences of new HIV cases through behaviour change activities and strategies: Sexually active males 25 and over, Sexually active females 25 and over, men who have sex with men (MSM), female sex workers (FSW), transgender people (TG), People living with HIV (PLWHIV), homeless drug users and youth, youth in state care and adolescents.

The National Family Planning Board (NFPB), has the role of technical lead for the development, monitoring and implementation of the Family Planning/HIV/STI Prevention services and programmes undertaken by stakeholders in the national response which includes Regional Health Authority (RHA) and Civil Society Organizations (CSO). In keeping with its mandate to strengthen its role as the technical lead for Family Planning/HIV/STI Prevention strategies, the National Family Planning Board has been assessing, facilitating and monitoring RHA’s and CSO activities looking keenly at the different standards and modalities of execution.  It has shown where most RHA and CSO have created their own plans and strategies to reach the goal of reduction in HIV cases among all targeted groups and positively impact behaviour change. It is against this background that the National Family Planning Board, wants to compile an orientation manual to ensure standardization and cohesion are the foundation for individuals to execute their task in achieving the goal. Additionally, these targeted interventions can only be successfully completed by means of proper orientation and ensuring that all individuals are equipped with the same knowledge, skills and resources.



This manual is design for use by supervisor/outreach workers to ensure seamless integration into the team’s activities. It will outline the expected conduct, expectations, work plan and goals to be accomplished. It will allow for individuals to acquire the necessary skills for effective interaction with the public and targeted population/groups to encourage positive behaviour change in their lives. It seeks to give the individual a step by step outline of daily activities as well as what is necessary for successful completion of tasks. The manual seeks to compliment other manuals such as Outreach Worker Manual, FP Handbook, Behaviour Change Communication Interventions, How to Target Risk Groups and Peer Navigation Manual.



  • Provide Outreach workers with increased and improved understanding of their role
  • Build skills and capacity to work with targeted groups
  • Provide step by step guide to effectively execute tasks and activities
  • Identify the steps in planning an intervention
  • Outline steps for the implementation of interventions and activities
  • Provide ways to monitor and evaluate the process


The objective of this consultancy is to develop an Orientation Manual as well as to provide the necessary training on the usage of the manual.



The consultant will be required to work closely with the Director of Health Promotion and Prevention, in carrying out the following tasks:

  1. Develop an Orientation Manual
  2. Organize the training of workers on the use of the orientation manual.



The consultant shall submit the following deliverables:

  1. A detailed work plan no later than ten (10) days after the date of contract, detailing the proposed work plan, interview instruments (where necessary) and draft tool for review and finalization. The timeline for these activities will also be included.
  2. Conduct desk review and interviews with health care staff who currently deliver HIV prevention, treatment, counseling care among the different target groups. Submit report of desk review and interviews that will inform development of the tool.
  3. Prepare Outline of Orientation Manual
  4. Prepare Draft Orientation Manual
  5. Prepare training plan and material for health care and civil society partners in the use of the manual
  6. Conduct training of Health Care Workers on the usage of the Orientation Manual
  7. Prepare a report from the training workshop
  8. Final copies of the tool to be printed to be submitted to the NFPB. The document must be submitted in electronic format as well as hard copy.



Deliverables Date Payment
1.     Detailed workplan 1 week


2.     Consultations with Stakeholders and Report 2 weeks 10%
3.     Conduct Desk review and Report outlining the findings 1 week


4.     Submit Outline of Manual 4 weeks 10%
5.     First Draft Manual 4 weeks 10%
6.     Submit Revised Manual after Pretesting 1 week 10%
7.     Final Manual Submitted 2 weeks 10%
8.     Training of Supervisors and Report 8 weeks 15%



  • A Masters’ Degree in Education, Mass Communication, Social Sciences, or an equivalent qualification
  • At least five (5)  years related experience in the areas of curriculum development and behaviour change communication with focus on adult learner and participatory methodologies
  • Knowledge of HIV/STIs, sexuality, gender issues, stigma and discrimination and behaviour change models
  • Ability to work on his/her own initiative
  • Excellent communication, facilitation, interpersonal and management skills
  • Strong research, problem solving and analytical skills
  • Attention to detail
  • A valid Taxpayer Registration Number (TRN)



The NFPB will retain ownership of all the information gathered including print and/or electronic files. 



The recruited consultant will work closely with the Director of Health Promotion and Prevention Unit/NFPB.



The Consultant will be remunerated using a fixed budget method for services provided over a contract period of six (6) months

All deliverables must be submitted as outlined in the schedule of deliverables.  The award will be made within the budget for this activity. Payment will be effected upon receipt of invoices and satisfactory work from the Consultant according to the agreed schedule.



Interested individuals who meet the required qualifications and experience should submit their Curriculum Vitae (CV) by email to: acampbell@jnfpb.org .


  Proposals will be evaluated on the basis of :
  Evaluation Criteria Max. Score Actual Score
  A Masters’ Degree in Education, Mass Communication, Social Sciences, or an equivalent qualification 20  
  five (5)  years related experience in the areas of curriculum development and behaviour change communication with focus on adult learner and participatory methodologies 30  
  Knowledge of HIV/STIs, sexuality, gender issues, stigma and discrimination and behaviour change models 40  
  Excellent communication, facilitation, interpersonal and management skills 10  
  Total Score 100  


Candidate must attain a minimum mark of 70 to be considered