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Centre for Agroecology and Development (CAED) and Fastenopfer have been partnering to implement Women’s Reproductive Right Program (WRRP) since 2005 with focus on uterine prolapse (UP). WRRP considers UP not as a mere medical problem, but as a result of gender-based structural discrimination from family level to state. Major efforts of the project were community-based preventative education and advocacy for increased access to services from governmental bodies at different levels. In such, WRRP succeeded in playing leading role in recognizing UP as a public health issue in Nepal leading to Family Health Division/Ministry of Health and Population (FHD/MOHP) replacing previous 'Operational Directive for Treatment and Surgery of UP Problem 2008' with 'Women's POP Prevention and Treatment Operational Directive 2014'. This addressed the issue of quality UP surgery and provision of ring pessary to a large extent. FHD/MoHP also published a Clinical Protocol for Management of Pelvic Organ Prolapse (POP). Curriculum Development Centre (CDC), under the Ministry of Education (MoE), included UP issue in formal school curriculum of Health Education subject at secondary level. Ministry of Federal Affairs and Local Development (MoFALD) brought in force a 'Local Bodies Resources Mobilization and Management Procedures 2013' with a provision that women targeted VDC block grant should be mobilised also for preventing UP and promoting women's RH rights.
In the last 15 years of its implementation, the project has, as demanded by the context made many adjustments by adding new project components and setting-up accompanying institutional structures and processes. Such evolutionary process in the project has had many benefits, yet it has also resulted in complexities and challenges. At this point, in order for WRRP to move ahead as effectively and efficiently as before, both CAED and FO as the partner over one and half a decade feel the need for an in-depth assessment of both the programmatic aspect of WRRP as well as accompanying institutional systems, processes and capacities of CAED. This is expected to help CAED in its effort to redesign the project for a new implementation phase.
Intended project objective:
Qualification of the consultant(s):
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Completed bids shall be submitted by the e-mail titled “CAED WRRP_Assessment” to [email protected], [email protected] and [email protected] by January 10th, 2021. Discussions are likely to take place third week of January.