Assignment title: HIV Surveillance in Afghanistan under the System Enhancement
for Health Action in Transition (SEHAT) Project
Reference Number: SEHAT/EOI/16 Date: 7/1/2017
This request for expressions of interest follows the general procurement notice for this
project that appeared in UN Development Business online on January 07, 2017.
Globally, the number of people living with HIV (PLHIV) has continued to increase through
the combined effect of new infections and decreased mortality associated with increased
access to antiretroviral therapy. In Afghanistan the number of the new cases is increasing
which is not only due to the strengthening of the surveillance system and case detection,
but also there are some other factors such high risky behavior among key population.
Integrated Biological and Behavioral Surveillance (IBBS) found high-risk behavior such
as (a) receptive and distributive sharing of needles; (b) have high prevalence of Hepatitis
C, and (c) unprotected sexual activity including women and men.
IBBS 2012 revealed the HIV prevalence rates among people who inject drugs (PWIDs)
4.4% ranging from 0.3% in Mazar-i-Sharif to 13.3% in Hirat. The study also showed
spread of HIV among other key affected populations (KAPs) which was less in 2009 such
as prisoners 0.7%, male who have sex with male (MSM) 0.4% and female sex worker
(FSW) 0.3%.
The Ministry of Public Health (MoPH) of the Islamic Republic of Afghanistan has
received financing from the joint support of the World Bank-IDA and the Afghanistan
Reconstruction Trust Fund (ARTF) toward the cost of System Enhancement for Health
Action in Transition (SEHAT) project, and intends to apply part of the proceeds for
consulting services with firms (the “Consultant”) to conduct one round of IBBS under
System Enhancement for Health Action in Transition (SEHAT) project.
The objectives of the consultancy are:
 To monitor the trend of HIV prevalence levels among four key population (PWIDs,
FSW, MSM and prisoners) through integrated biological and behavioral
surveillance surveys.
 To assess the knowledge about modes of transmission and preventive ways of HIV
among these four key populations as well as their HIV/STI/health service use
patterns, preferred providers and met/unmet service needs.
 To characterize risk behaviors (sexual and drug use) among key populations at
higher risk, their multiple and overlapping risks (such as drug use among FSW,
etc.), their injecting and sexual networks, and their methods of finding
sexual/injecting partners (including electronic media);
 To estimate the prevalence of HIV, HBV, HCV and syphilis among each of four
key populations as population estimation so that it could be generalized in the
 To assess the locations and estimate the size of the key populations and estimate
total size per province and at national level1 (this includes validation of sites with
key informants as per standard methodology);
 To analyze temporal trends in key behavioral and biological variables through
comparison of data across new and pre-existing IBBS data.
Under this assignment the selected firm will conduct:
One round of IBBS:
1. IBBS survey will be conducted among following high risk groups:
i. PWID in five cities (Kabul, Hirat, Mazar-i-Sharif, Jalal Abad and
ii. FSW in three cities (Kabul, Hirat and Mazar-i-Sharif)
iii. MSM in two cities (Kabul, and Mazar-i-Sharif)
iv. Prisoners in two prisons (Kabul and Hirat)
2. Size estimation of PWIDs, FSWs and MSM and programmatic mapping in all
above mentioned cities through a gold standard method, linked to the IBBS.
The Ministry of Public Health invites eligible consultants to indicate their interest in
providing above mentioned services. Any organization expressing interest will need to
1 If national level not possible, extrapolate to all mapped provinces (using general population size of nonmapped
towns to estimate key populations in these towns)
demonstrate significant experience of managing similar projects in similar environments,
preferably including work in Afghanistan or within the Asia Region. Interested consultants
must provide following information and demonstrate that they have the required
qualification and relevant experience to perform under this assignment:
 Official registration document , date of establishment and country of origin of the
consultant and their sub consultant (s);
 General Qualification of the Consultant/Firms
 At least 5 years’ experience in conducting the same or similar operations
(completed projects with brief information on date, duration, location, fund
amount and donor) in multiple developing countries with similar context to
 Governance, organizational structure and availability of Human Resources;
 Recent annual financial audit report for lead organization (to cover all the projects
supported by different donors)
A consultant will be selected in accordance to Quality & Cost Based Selection (QCBS)
and with the procedures set out in the World Bank’s Guidelines: Selection and
Employment of Consultants by World Bank Borrowers, January 2011.
The Expressions of Interest must be presented in English. Expressions of interest must be
delivered with a cover sheet by E-mail and in hard copies. The hardcopies will consist of
one original and five copies in sealed envelope (along with a soft copy in a CD ROM)
and labeled.
If the consultant submits EOI through E-mail, then the consultant shall send the
hardcopies by International Courier within the submission deadline and send the scanned
copy of the receipt of the courier along with the E-mail to the address below:
Ministry of Public Health
Grant & Services Contract Management Unit
To the attention of: GCMU Administration
Kabul, Afghanistan.
Subject: Expressions of interest for SEHAT project – HIV Surveillance Project
Deadline for submission of the EOI is January 28, 2017 at 1400 hrs Kabul time.
Documents must be hand-delivered or sent through an international courier.
Interested Consultancy firms may obtain further information from the contact provided
below from 09:00 to 15:00 hours Kabul time before Jan 28, 2017.
Grant and Services Contract Management Unit (GCMU)
Ministry of Public Health
Kabul, Afghanistan