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Consultant – DIGNITY Retour vers les opportunités



Échéance

24 Septembre 2023 Il y a 8 months

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Détails de l'opportunité

Régions concernées par cette opportunité: Tunisie
Domaines concernées par cette opportunité: Droits de l’Homme

Terms of Reference 

MHPSS Services mapping-Tunisia

DIGNITY is looking for a consultant to conduct a mapping of Mental Health and Psychosocial Support (MHPSS) services in Tunisia.

About DIGNITY

DIGNITY is an independent nongovernmental anti-torture organization founded in 1982 in Denmark.  DIGNITY is present in more than 20 partner countries with forty years of experience in the rehabilitation of survivors of torture and organized violence, in the prevention of torture and in the prevention of urban violence.

In January 2012, DIGNITY opened an office in Tunisia to manage and implement an extensive development programme for Tunisian State stakeholders (Ministry of Justice and Civil Society) through cooperation partnerships comprising 3 axes: prevention of torture; rehabilitation and access to justice; and prevention of urban violence. These partnerships include engagement with civil society on the rehabilitation of torture, monitoring of places of detention, the identification of victims of torture and the documentation of torture, as well as with the Ministry of Justice on strengthening the capacity of the judiciary specifically in the issue of custody. DIGNITY is further more leading a Danish-funded Human Rights and Inclusion Consortium, where tasks related to this role is also undertaken by the Tunisia office.

Background for mission

DIGNITY is currently re-assessing its rehabilitation intervention options in Tunisia and needs an in-depth situation report (SitRep) as well as a mapping on MHPSS, trauma informed care, actors, beneficiaries, stakeholders, task shifting, etc. to see what the most convenient way would be forward. 

DIGNITY is fighting for a world without torture and related violence. We are working towards a world where no one is subjected to torture and other forms of inhuman or degrading treatment, and, simultaneously, where torture practices do not continue to affect survivors and their families. The present DIGNITY strategy (2021-2026) provides the framework for our work to ensure rehabilitation of survivors and their families within the overall aim: “Traumatized survivors of torture and other forms of inhuman treatment or violence have timely and equal access to quality rehabilitation aimed at restoring functioning in family, work, and community life.”

DIGNITY’s International Rehabilitation interventions and activities are guided and informed by several major and leading national and international actors within the field of development, humanitarian work, health and mental health as well as DIGNITYs beneficiaries, target groups and local partners in the south. As such, International Rehabilitation adopts a combined health and human rights-based approach within its interventions covering needs in the most effective and appropriate way possible.

DIGNITY has adopted a trauma informed approach that starts from the inflicted trauma thereby stimulating the demand for the MHPSS survivors of torture need to access through increasing the group of beneficiariesThis means that DIGNITY needs to focus on improving the access to MHPSS for traumatized survivors in general to strengthen the access to services for survivors of torture and other forms of violence.

Under the Danish Arab Partnership Programme (DAPP) (and other donors such as the Novonordic Foundation) DIGNITY is, inter alia, implementing a rehabilitation and Mental Health and PsychoSocial Support (hereinafter, MHPSS/rehabilitation) programme in the MENA region since 2013 through national and regional traumafocused interventions (specialized and non-specialized) in specific focus countries such  Jordan, Egypt, Tunisia, Morocco, Algeria, and Libya as well as non-focus countries, such as Lebanon, Iraqi Kurdistan, Palestine, Sudan, and Yemen...As part of the new DAPP phase which began in July 2022, DIGNITY is aiming to reduce or support the reduction of themhGAP in the MENA region. 

DIGNITYs collaboration target group are organizations who provides MHPSS/rehabilitation support for potentially trauma-affected populations and who employs health professionalssuch as psychologists, counselors, case managers, psychiatrists, and physiotherapistsfrom partner and peer organizations, including public health and national institutions (duty bearers) or non-professionals when appropriate like peers (such as survivors).

Since 2012, DIGNITY started introducing and adopting a cost-effective training of trainers manualized approach on MHPSS/rehabilitation interventions including clinical supervision and staff care, aiming at building solid traumafocused knowledge among health professionals when providing MHPSS/rehabilitation services to trauma affected nationals and displaced persons. 

Under MHPSS/rehabilitation, DIGNITY‘s ultimate beneficiaries (or rights holders) are trauma affected persons, women, men, children, and especially youth, in national settings and displacement affected communities. DIGNITY’sMHPSS/rehabilitation interventions aim at providing services, through its partner organizations, to direct and indirect beneficiaries who are trauma-affected due to acts of violence, war, torture, gender-based violence, etc. 

The MHPSS/rehabilitation programme in the MENA has several contractual partners and associated partners as well as a large pool of local and international professionals and experts participating regularly in the activities of the programme.

Goal mission

The main goal will be to set the ground for a possible DIGNITY intervention by obtaining a better understanding of the current situation in Tunisia pertaining to MHPSS/rehabilitation service provision to victims of trauma (violence, war, torture, GBV, domestic violence, etc.) and human rights defenders (HRD’s) both by national and international stakeholders, including outreach and referral. Further, an improved understanding of what DIGNITY could do to support in the provision of trauma informed care in Tunisia and, if good reasons/ways are identified, what the parameters of the intervention would be. 

The above with the following in mind that DIGNITYs MHPSS/rehabilitation collaborations in the MENA region, throughout the last years, have mostly focused on training of specialized clinical interventions (including ToT and clinical supervision) aiming at reducing PTSD, anxiety, depression and pain in the MENA region. DIGNITY’s MHPSS/rehabilitation is looking into expanding its services to include south-south training,aim at trauma-informed care (high and focused-non-specialized interventions trainings on the IASC pyramid), on existing C pyramid, on MHPSS interventions, such as PM+ and Self. Also, Staff care and innovative initiatives to relevantly support youth will be taken.

Specific objectives mission

  • To conduct an overall mapping of existing MHPSS/rehabilitation services/trauma informed care to victims of violence (state and non-state) and HRD’s among national and international stakeholders in Tunisia, including first stop and/or primary health care clinics
  • For each provider identified, investigate: 
    • How independently do they operate
    • What is their outreach? 
    • What beneficiaries does each serve? 
    • What clinical, MHPSS and other interventionmodels do they use? 
    • What is their staffing model (on-staff staff or pool of staff)? 
  • To carefully investigate the opportunities for DIGNITY MHPSS/rehabilitation to operate and collaborate in the current social context in Tunisia, i.e. how will it impact other DIGNITY interventions, etc.
  • To advise DIGNITY on the type of MHPSS/rehabilitation interventions needed or required in Tunisia (fitting the DIGNITY & regional partners mandate and expertise)
  • To explore the availability of training on burnout/stress reduction among HRD’s
  • To advise whether a baseline study on the prevalence of trauma among national and refugee communities is necessary

Expected results

  • knowledge of existing MHPSS/rehabilitation services
  • Improved knowledge of possible cooperation opportunities in Tunisia
  • Improved knowledge of MHPSS/rehabilitation context
  • Linkages/contacts to existing stakeholders and universities

Based on the outcomes of above objectives including the mapping report a well-informed decision will be made on how to proceed in Tunisia throughout the ongoing DAPP phase.

  1. Deliverables and timeline 

 

Deliverables 

Deadline ** 

Inception Report: Submit an inception report within 5 days of commencing the mission. The report should outline the methodology, work plan, timeline and data collection tools to be used during the assessment. 

 

5 days after the scoping meeting 

Draft Report: Prepare a 10,000-word comprehensive draft report in English capturing the assessment findings, recommendations, and proposed intervention parameters. Share the draft report for feedback and input. 

 

December 5th, 2023 

Final Report: Incorporate the feedback received and finalize the report, including an executive summary and annexes. Submit the final report within 15 days of receiving the feedback. 

January 15th, 2024 

 

A PPT presentation of the results to DIGNITY team and Key stakeholders 

January 31st 2024 

**The dates could be revised in accordance with the project priorities and the consultancy recruitment process.

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